Thursday, November 14, 2019
Godhead :: social issues
Godhead On May 20, 325 AD the world was forever changed. Emperor Constantine called a meeting of the 318 Bishops at Nicea and on that day they instituted one of the greatest flaws of American religion today. This is the doctrine of the Trinity, suggesting the view of the Oneness doctrine, believing on one God and His name being Jesus, is no longer correct. The Trinity doctrine cannot be proven by simply reading the scriptures; it has to be described and explained in detail, before you can begin to see the Trinitarian view. The Trinity doctrine is a doctrine of inference, not a doctrine of fact. If you ever listen or take part in a Oneness verses Trinity debate you will find that as long as they are quoting scriptures the Trinity looses ground. Hence, the doctrine of the Trinity must be ââ¬Å"injectedâ⬠into the scriptures to prove itself. One man once said ââ¬Å"The Trinity has to be piped into Scripture before it can be piped out.â⬠The best example is: everyone knows you canââ¬â¢t get milk from cotton. But, if you take the cotton and soak it in milk first then you can squeeze the milk from the cotton. In the same sense the Trinity doctrine is like this. Before you can begin to see the Trinity doctrine, someone has to tell you about it and then go to scripture to prove it as fact. By just reading the scriptures first, no one will ever find the Trinity represented, for the scriptures prove the Oneness of Jesus Christ all through the Bible. I do not understand how the doctrine of the Trinity can get around the unity of the Old Testament and New Testament stating the One God facts. Deuteronomy 6:4(NKJV) states: ââ¬Å"Here, O Israel: The Lord our God is one Lord:â⬠. That sums up the doctrine of the Oneness. But, one instance will not satisfy. Here are just a few of the misconceptions of the Trinity Doctrine that cause it to be in fault: First: ââ¬Å"Elohimâ⬠ââ¬Å"Elohimâ⬠, meaning "God", is sometimes confused to show the plurality of the Godhead, this is not a correct interpretation. In the Hebrew words are plural in construction but singular in the way that they are used. Also the Hebrew often used plural forms to show majesty or greatness of one person or deity. Even though these are plural words, to say they represent a multiplicity in the Godhead would be wrong.
Tuesday, November 12, 2019
A Critique of Linda Prineââ¬â¢s ââ¬ÅAbortion is not a bad thingââ¬Â
In her article ââ¬Å"Abortion is not a bad thingâ⬠, published on June 24, 2013, the family medicine practitioner and the founder of the Reproductive Health Access Project medical director Dr. Linda Prinehighly defend and stick to the issue that abortion itself as an experience can be positive however our culture fails to praise the women rights in taking life-term decision and demonizes women instead for having an abortion. She also shed the light on the importance of supporting the women on abortion to destigmatize the associated shame.Prine sees that it is quite enough to struggle for education and work, and here comes abortion to postpone having childrenuntil better ambience for rising children is ensured. Hearing and feeling that the tough jobs they do in the societies as expertized women are highly recognized, appreciated and respected is much needed. The articleââ¬â¢s writer begins her article with disconcertion by the allegation that women getting abortionsare being t o an extent distressed.It is the responsibility of our culture that ruin the image of women for obtaining an abortion while the abortion familiarity itself can be affirmative. The main target is to enlarge the right to have abortions while decreasing the dishonor associated with it, so that the society as whole will recognize it as very mutual and an ordinary part of life. Assertion from physicians, supporting women and their decisions, aims a long way towards removing the shame of abortion.Women are almost encouraged to bring a close person to support them and then to praise that person, for the way in which he strengthens her and their relationship. While activists for abortion rights pretend that lessening the abortions number is mostly important. Prine disagrees and argues that unwanted births is the calamity, it should be decreased. A woman can be a super mother only when she is ready and enough prepared for it, in other words after she had pursued for good education and work.T hatââ¬â¢s why it was good to postpone children and here appears why abortion is not a bad thing. A wise usage of social power gives respect to all women, as well as their decisions, supportive relationships and experience which results in surpassing most of the social obstacles that blocks social development. In the article, the author Linda Prine wants to convince us, using her life and career experience as a woman and as a family medicine practitioner. She had succeeded to an extent in doing her aim.She was absolutely credible in trying to persuade us that abortion is really not a bad thing bytaking advantages of the readers emotions using a sensual languageby giving several life examples she used to experience in her career that made her certain that abortion is not that bad as the 16-year-old couple who came scared to her clinic, and how they relaxed a bit after she talked to them when they realized that she is helping them as well as the two mother/daughter pairs who realize d after her visit how great their jobs when they are supporting their daughters goals in getting more education.The audience definitely empathizes with the womenââ¬â¢s psychological state and the fear she feels before abortion and that after, this is the emotional appeal, it is an appeal to pathos. Being the founder of the Reproductive Health Access Project medical director and a writer, people feels that the issue is more granted as an idea to adopt, and this is was another reason why she was credible. Here appealing to ethos is absolutely achieved as this is a clear zoom into the writerââ¬â¢s character and his respect to the reader.She insists that our societies are responsible for damaging the womanââ¬â¢s image for having an abortion which can be almost positive, while they should be supportive and respective for the women and their decisions, supportive relationships and experience. The logical reasoning she followed is well detailed and with no hard terminology it coul d be followed easily. She emphasizes the necessity to decrease the shame associated with abortion so that it becomes something normal and undebatable. She suggests and encourages as a doctor the support of women having abortion especially from the closely people.She also sees abortion as positive in postponing children till better life situations are achieved. Logical fallacies were evaded which is excellent. To make it simple, she makes the reader well understand the importance and how serious the issue is especially when she related the positive effects of abortion to the women world especially and to the society as a whole. She is absolutely a good persuader. One cannot deny that Prine was so logical in the way she presented her issue and supported it.Not only she let the issue enter into the readerââ¬â¢s heart, but she made that heart think how tender she is to be concerned with the promotion of the women rights by this way. She was biased in developing her argument as she ne glected to state any counterargument. She even disagreed with the activists of abortion rights that they need to decrease the number of abortions. She insists instead that abortion is very normal. Outlining few opposing views would have made her argument better, no counter arguments were present.As a family doctor and writer at the same time, her role should notbe limited only to ease the abortion for females, her duty must extend to awake young couples before committing the mistake of unwanted pregnancy. In her argument she only stuck to the necessity of social acceptance of women having abortions but she didnââ¬â¢t mention any moral, religious and conscious overview. Abortion is against God, it is denied by all religions. Abortion is also related to the basic human values, so women should be less egoistic and more humanitarian regarding those unborn babies.Abortion is not safe, she shouldnââ¬â¢t have muted this issue as a family doctor as she should know that abortion indust ry is not regulated and it can be accompanied with a mother death. She should have stated medical and social wise that it is a better alternative than having a defective fetus or child. All of those were not mentioned. Prineââ¬â¢s work presented abortion as a solid basis towhistle blow the need of the women rights in the society and the importance of respecting them. An underestimation of the effects of mentioning the counterarguments decreased her creativity. Although the way she presents her claim is so logical.
Sunday, November 10, 2019
Evidence Based Practice Essay
The following ssion of this assignment attempts to critically appraise the venUS III randomised control trial (RTC) published in the British Medical Journal. As a student/healthcare worker who is new to critical appraisal I am aware that I do not fully understand some of the calculations involved in reporting of findings, however Greenhalgh (2006) argued, ââ¬Ëall you really need to know is what the best test is to apply in given circumstances, what it does and what might affect its validity/appropriatenessââ¬â¢. When caring for patients it is essential that Healthcare Professionals are using current best practice. To determine what this is they must be able to read research, as not all research is of the same quality or standard therefore Healthcare Professionals should not simply take research at face value simply because it has been published (Cullum and Droogan, 1999; Rolit and Beck, 2006). I am completing this assignment to cultivate the skills at enable me to effectively assess the validity of research that may shape my practice. There are numerous tools available to help reviewers to critique research studies (Tanner 2003). I have elected to use the Critical Appraisal Skills Programme (CASP) tool. I chose CASP as it is simple, directive and appropriate to quantitative research. The research article had a clear concise and easily understandable title and abstract. Titles should be 10/15 words long and should clearly identify for the reader the purpose of the study (Connell Meehan, 1999). Titles that are too long or too short can be confusing or misleading (Parahoo, 2006). From the abstract the reader should be able to determine if the study is of interest and whether or not to continue reading (Parahoo, 2006). The author(sââ¬â¢) qualifications and job can be a useful indicator into the researcher(sââ¬â¢) knowledge of the area under investigation and ability to ask the appropriate questions (Conkin Dale, 2005). The authors of the venUS III trial were from a range of academic and clinical backgrounds and are considered experts in their fields. The VenUSà III RTC clearly set out its objective to consider the clinical effectiveness of weekly high frequency ultrasound on hard to heal venous leg ulcers, (hard to heal was defined). In cases where participants had more than one venous leg ulcer the largest ulcer would be tracked if ultrasound treatment was allocated this site received the treatment. Outcomes to be considered where clearly outlined and method of measurement/collection defined. The study screened 1488 people with leg ulcers and 337 people became participants (22. %) Participants were randomised and evenly distributed, 168 to ultrasound therapy (dependant variable) plus standard care (experimental group) and 169 to standard care only (control group) This is reported as being the largest trial undertaken on the subject of therapeutic ultrasound for wound healing and earlier studies are referenced in support this statement. The study was cross-sectional, its population was taken from both community and district nur se led services as well as hospital outpatient clinics. The 12 care settings used where taken from both rural and urban settings. A ââ¬Å"goodâ⬠sample is one that is representative of the population from which it was selected (Gay 1996) Venous leg ulcers rates rise sharply with age with an estimated 1 in 50 people over the age of 80 developing venous leg ulcers (NHS choices 2012). The age of the participants in the study ranged from 20-98 years old, however the median age overall was 71. 85 and the mean age was 69. 44 years old across the study, well below the age range where venous leg ulcers are most seen. The assignment of participantââ¬â¢s treatment was equally randomised: treatment was blindly allocated: 168 to ultrasound therapy plus standard care and 169 to standard care only. Randomisation was conducted by an independent agency (York trials Unit) The lack of attrition bias was a strong positive for the venUS III trial, it had a low loss to follow up rate. The nurses providing treatment where not blind to which treatment had been allocated, this may impact on construct validity as in some cases it is suggested that control subjects are compensated in some way by healthcare staff or family for not receiving research intervention (Barker 2010). Nurses who were blinded were employed to trace the ulcers. Participating patients were not blind to the treatment/s. As one of the measured outcomes was patients perceptions of health, assessed by a questionnaire (SF-12) it is reasonable to conceive that this assessment may have been influenced by the patients awareness of the treatment type they were receiving thus creating the possibility for assessment bias. Construct validity may also be impacted on peoples behaviours as a response to being observed or to the treatment because they believe it will have a positive effect. Barker 2010) Healing date was assessed remotely by independent assessors who where blind to the treatment allocation this guards against assessment bias. Overall both treatment groups were equal in size. Both treatment groups had an almost equal average age of study participants, this is important because inequality in age between the groups would represent a heterogeneous population (Barker 2010). Venous leg ulc eration is more common in woman than men in those below 85 year of age (Moffat 2004) the trial participants had a female majority. Probably the weakest element of the study was the probability of performance bias. Standard care comprised of low adherent dressings and four-layer bandaging that was high compression, reduced compression or no compression depending upon the participantââ¬â¢s tolerance. Any changes to the regime where recorded and where made at the discretion of the treating clinician. Standard care was practiced in accordance with local protocol and could have varied between locations the quality of standard care given may be considered to be a confounding variable. Surveys of reported practice of leg ulcer care by nurses have demonstrated that knowledge often falls far short of that which is ideal (Bell 1994, Moffat 2004, Roe 1994) and that there is a wide variation in the nursing management of people with leg ulcers in the United Kingdom (UK) (Elliot 1996, Moffat 2004, Roe 1994). Large variation in healing rates according to trial centre is a further indicator that standard care is so variable that it potentially affects the reliability of results. No treatment fidelity checks were undertaken and no observation regime beyond usual practice of the treating nurseââ¬â¢s practice was implemented despite nurses being new to ultrasound application. Nurses were deemed competent after one day of training, these nurses where then also considered competent to train other local nurses who would be providing treatment. The ultrasound treatment given during the venous III trial did not give any additional effect on ulcer healing or reoccurrence rate and it did not affect quality of life. As the study only looked at one ultra sound regime extrapolation of the results was not possible, a between-subjects designed study may have provided data that was of further function. Treatment effect was measured precisely; the primary outcome measured was the time that the venous leg ulcer took to heal, this was measured in days and adjustments were made in order to account for baseline ulcer area (larger ulcer would be expected to take longer to heal than smaller ulcers). A fully healed ulcer was clearly defined and the ulcers were photographed every four weeks, at the point of healing and seven days after full healing has occurred, assessment of the ulcer was completed by two blind independent assessors and where required a third assessor was used if outcome was inconclusive. In some cases no photographs were available for patients in this case the treating nurse assessed healing date, no explanation why photographs would not be available is given. 7. 8% of the sample were assessed by an unblinded nurse this presented some risk of assessment bias. The trial also considered how many patients had fully healed ulcers within 12 months. Reduction in ulcer size was measured by area, by a blinded nurse who took acetate traces of the ulcers every four weeks the method of which was considered to be accurate and reliable and its provenance clearly referenced. Quality of life was also measured with a standardised questionnaire (SF-12) which looked at both physical and mental elements. As there is no evidence to support the use of ultrasound therapy in addition to standard treatment therefore no current change in practice is indicated and standard practice should continue. The study reported significant heterogeneity in healing rates among the treatment centres. Centres that treated the most patients produced better healing overall, if there is a correlation between volume of patients treated and positive outcomes this hypothesis has the potential to impact upon the way care is delivered in the future. The trial considered not only medical outcomes but also considered changes in patient quality of life (both physical and mental). Beauchamp and Childress (2001) identify four fundamental moral principles: autonomy, non-maleficence, beneficence and justice. Autonomy infers that an individual has the right to freely decide to participate in a research study without fear of coercion and with a full knowledge of what is being investigated. Participants gave written, informed consent and recruiting nurses were trained in consent procedures. Non- maleficence implies an intention of not harming and preventing harm occurring to participants both of a physical and psychological nature (Parahoo 2006). Patients who had a high probability of being harmed if they received the ultrasound where excluded from the trial, the exclusion criteria took into account contraindications. Initially it was planned to exclude those unable to tolerate compression bandaging but after ethical consideration this was removed as these patients were identified as being particularly in need of the chance to benefit from ultrasound therapy. Beneficence is interpreted as the research benefiting the participant and society as a whole (Beauchamp and Childress, 2001). The annual cost to the NHS is estimated at ? 230-400 million (NHS Centre for Reviews and Dissemination, 1997; Bosanquet, 1992; Baker et al. 991) some individual health authorities are spending ? 0. 9m to ? 2. 1 million (Carr et al 1999). There are psychological implications to the patient in that the ulcer increases social isolation through limited mobility, uncontrolled exudate and odour, together with pain (Lindholm et al. 1993; Charles1995). Justice is concerned with all participants being treated as equals and no one group of individuals receiving preferential treatment (Parahoo, 2006). There is no evidence to sugg est that any of the participants were discriminated against. The following section attempts to discuss how evidence based health care enhances health care- looking at the evidence base within health care Evidence-based practice (EBP) is one of the most important developments in decades for the helping professionsââ¬âincluding medicine, nursing, social work, psychology, public health, counselling, and all the other health and human service professions (Briggs & Rzepnicki, 2004; Brownson et al. , 2002; Dawes et al. , 1999; Dobson & Craig, 1998a, 1998b; Gilgun, 2005; Roberts & Yeager, 2004; Sackett et al. ,2000). That is because evidence-based practice holds out the hope for practitioners that we can be at least as successful in helping our clients as the current available information on helping allows us to be. Evidence-based health care is the conscientious use of current best evidence in making decisions about the care of individual patients or the delivery of health services. Current best evidence is up-to-date information from relevant, valid research about the effects of different forms of health care, the potential for harm from exposure to particular agents, the accuracy of diagnostic tests, and the predictive power of prognostic factors
Thursday, November 7, 2019
Early Roman Architecture Essays - Bridges, Arch Bridge, Arch
Early Roman Architecture Essays - Bridges, Arch Bridge, Arch Early Roman Architecture DAVID HATFIELD ART HISTORY I FALL 2000 The Romans gained much of their engineering skill from the Etruscans and drew on Etruscan and Asian models for the semicircular arch. From them, the Romans learned the use of the keystone arch, which enabled them to build extremely strong and durable structures. Many of these engineering and architectural projects are still standing. Some are still in use after two thousand years like this bridge in Spain. Early Roman architects were influenced by Greek post-and-lintel construction. But the Greek design was limited in its capabilities to span large distances and being able to bear heavy loads while not falling down of its own weight. Post and lintel construction comprises a flat piece of stone bridging a space between two upright supports. Post and lintel supports have a flaw. When a heavy weight is placed on the middle of the span too much stress may be put on the stone and it can break in the middle. The Romans solved this problem by using a type of construction called voussoir arch with keystone. The engineering principle of the arch is quite simple. The circle is the strongest structural shape. The arch is just half of this perfect form. To create a voussoir arch, tapered stone blocks were cut then arranged like the diagram at the right. It was then stood up on its ends. The ends rested on piers made of stone blocks or bricks mortared together with pozzolana cement in the typical Roman arch bridge. The cement was named after a local mountain that the ingredients of the cement came from. The weight of the stone and concrete of the bridge itself compressed the tapered stones together, making the arch an extremely strong structure. During construction, the voussoir's were supported by a temporary wooden frame until the keystone was inserted. The Roman invention of the arch allowed architects to build larger structures than ever before. The extension of the arch idea lead to the development of domes, alcoves, and soffits. The arches and its derivatives were also employed in Triumphal Arches, aqueducts, bridges, houses, theaters, exedra, nynpheum, basilicas, thermal baths and temples. The Coliseum is a prime example of the many uses of arches. The arches allowed for a tall and wide structure to accommodate many people. The wide arches also enabled people to move in and out of the building safely and quickly. They also provided spaces for visitors to sit and places to display works of art. The Romans took the form of the simple arch and developed it into many forms. With their insight, modern day architecture has been functionally advanced its beauty enhanced and variety diversified.
Tuesday, November 5, 2019
7 Ways To Show The Hiring Manager That You Really Want The Job
7 Ways To Show The Hiring Manager That You Really Want The Job You really really want this job. And you want to make sure the hiring manager knows it. Trouble is, you also donââ¬â¢t want to come off as totally desperate. As much as you want to give them the really hard sell and show off your exuberant enthusiasm for the position, itââ¬â¢s best to hold back and try these tricks instead. 1. Send a note.A handwritten thank you note after the interview will go a long way. And itââ¬â¢s much more elegant than gushing or yammering on about just how much you love the company and really really want this job. Bonus points if youââ¬â¢ve already sent a quick follow-up email and can mention different things in the handwritten note.2. Go the extra mile.If a job description says that certain application materials are optional, and you have the capacity to provide them, do. Youââ¬â¢ll easily set yourself apart from the majority of applicants who wonââ¬â¢t have time or energy to go above and beyond for this particular job. And youââ¬â¢ll hav e that many more chances to prove you are a perfect fit for the position.3. Be clear.If youââ¬â¢re lucky enough to have the opportunity, i.e. youââ¬â¢re asked point-blank about the seriousness of your intentions, then do make it absolutely clear how serious you are about wanting this gig. Refrain from gushing, but make it firmly clear you are in this.4. Take home some swag.This is a potentially risky move, but if you see some brand stickers or pens or other such swag on your way out, and you feel comfortable doing so, you could remark on how stylish or well-done the item is and say, ââ¬Å"If you have any to spare, Iââ¬â¢d love to take one of these with me.â⬠As long as you can pull this off without looking creepy, itââ¬â¢s sometimes a great move to show youââ¬â¢re really serious about a company.5. Do your homework.Perhaps the best thing you can bring with you into an interview for a gig youââ¬â¢re really gung-ho to get is preparation. Donââ¬â¢t waste time pining and hoping that you get hired. Spend all of that nervous energy doing really solid research into the company, the industry, and the job itself. Doing your homework will help you shine in the interview.6. Ask questions.Your interviewer will ask you if you have any questions. And youââ¬â¢d best be prepared to have some. Make sure theyââ¬â¢re intelligent and incisive. Tailor them to the company and the position. Use the research youââ¬â¢ve done to make sure you have this step of the interview covered. And practice asking before you go in.7. Come up with a final pitch.Think up (and practice practice practice) a final elevator pitch that you can use to close the interview. Some combination of ââ¬Å"thank youâ⬠and a way to reaffirm your keen interest in the position. Make it surgical and elegant and follow it up with good body language and a firm handshake (and of course, the thank you note), and youââ¬â¢ll do great.Who knows? If you manage to nail all of this, y ou might just make them more interested in you!
Sunday, November 3, 2019
Were Are You Going, Where Have You Been Article Example | Topics and Well Written Essays - 250 words
Were Are You Going, Where Have You Been - Article Example We all have the same ability to make our choices work in our favor. Fate does exist, but we are not entirely controlled by it. We may be tempted by fate, and there may be times when we do not think there is a way around it, but it can always be cheated. There is always a different route. As free-willed human beings, all it takes is for us to say yes or no to something, and it is done. If we do not like a specific situation, we have everything that we need to get out of the situation or to change it to our liking. When Connie gave up and went outside to Arnold Friend, she was letting herself be controlled by fate. Instead of giving in to Arnold, she could have gone back in the house and found other methods to seek help. Fate is not permanent. As human beings, we are stronger than we think we are. We have the ability to make choices in our lives and to change something that we do not like or agree with. If we allow life to happen without us intervening, fate begins to take its toll. The situation with Connie could have turned out much differently if she had only realized the personal strength and control that she possessed over her own
Friday, November 1, 2019
5 paragraphy report on Neoclassic & Romantic Periods Essay
5 paragraphy report on Neoclassic & Romantic Periods - Essay Example Neoclassicism looked for purity and control in art: boldly defined colors and re-workings of classical models from ancient Greece marked the best of Neoclassical art. Models and sculptures from Attica and Athens belonging to the fourth and fifth centuries were thought to be the ideal works that all artists should emulate and aspire for. Romantics, however, believed that true art was to be found in nature and the ââ¬Ëcommon folkââ¬â¢ of the countryside. They held up novelty and individuality as supreme and rebelled against the oppressive, controlling forces of cultured society. The Neoclassicism movement began in France with the end of the ancient regime, or the old order of monarchy. Its preoccupation with Athenian democracy and Roman republicanism was associated with the ideals of heroism, clarity and stability that the Neoclassicists sought in their art. Napoleon Bonaparte used this style to embody his rule and enhance his image as a political leader. Jacques-Louis David, one of the most prominent Neoclassical painters, portrays in his Oath of the Horatii, an event that represented honor and self-sacrifice. Bonaparte emerged as a great patron for artists and sanctioned numerous triumphal arches to commemorate his victories. Arch of Titus is one of the prime examples of this trait of his. Jean-Auguste Dominique Ingresââ¬â¢s painting of Napoleon in 1806 is another rich example of the art of this period: the red velvet, the gold and the ermine all engulf the emperor, a characteristic opulence of the neoclassicists. Americaââ¬â¢s revolt against her co lonizers and the consequent effort at breaking away from the ââ¬ËGeorgianââ¬â¢ style led to an adoption of Neoclassical sentiments. This is exemplified in Thomas Jefferson who was immortalized by Jean-Antoine Houdon in a marble bust. Romanticism spread through West Europe and the USA in the late eighteenth and early nineteenth centuries. It draws from the Gothic tradition, a longing for the
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