Online Assignment 5 Essay Example | Topics and Well Written Essays - 500 words

Online Assignment 5 - Essay Example This implies that apart from a professional relationship, a personal relationship develops. 2a. The issue of ethics arises in dual relationship but at times the dual relationship may occur out of sheer coincidence. This is circumstantial multiple role played by the professional and this arises out of misinterpretation. In small rural communities the psychologists often have a holistic view of the clients and this often leads to overlapping of social and business relationship that affects the psychologists’ family (Friedman, 2000). Dual relationship can occur when they are integral to the profession. An individual has to play structured multiple professional roles and is prevalent in counselor education and supervision. The supervisor can hold multiple roles as a mentor or advisor. This implies that the nature of both the roles is professional. In such a situation there is no conflict of interest and the relationship is seen upon as complimentary. However, when dual relationships become necessary, the professional must be conscious of the possible harm it could cause. One role can create conflict in this relationship. In their role as evaluators or in providing therapy service to the students, problems could arise due to shift in professional relationships. This could happen when the supervisor counseling a student develops a personal relationship that could be sexual or romantic in nature. In such a situation there are chances that the professional could exploit the student or the client. A professor (female) during the course of discussion with a female student stated that she missed having a man in her life as she had been widowed some years ago (Gottlieb, 1993). The student called up the professor a week later and offered to introduce her to a man who could be interesting. The professor instantly agreed but upon consultation with another colleague the next day, declined to meet the man. 2b. Circumstantial multiple role, present

Demand vs Supply Essay Example for Free

Demand vs Supply Essay The two main driving forces of the economy are supply and demand. Understanding the basic concepts of supply and demand can help an organization focus on the bottom line. According to Gretzen (2007), demand is the relationship between price and quantity. Supply refers to the amount of a good or service available at any particular price. The principle of supply and demand describes a balance that develops between the supply of an item or service and the demand for it (Kleinman, 2009). Economics plays a major role in the health care industry. As a resource, the health care workforce is a determinant of the balance between supply and demand. The health care workforce consists of nurses, physicians, and other ancillary health care workers such as certified nurses’ aides (CNA’s) and patient care associates (PCA’s). The supply of health care workers directly impacts the demand of quality care rendered to patients. SERVICE OR PRODUCT Health care organizations have specific stated missions and visions to map out their fundamental way of operation. In health care, the workforce is instrumental in assisting with the organizational delivery of services to consumers (patients). The primary issue for all health care workforce personnel is that of inadequate staffing. This paper focuses on the staffing effectiveness of supplemental staffing of health care personnel within the inpatient setting. IMPACT Nursing managers formulate staffing patterns on a daily basis. The staffing of inpatient units requires a knowledge of unit census (total bed capacity),  consideration of patient acuity (level of care required for the patient), and skill mix (nursing hours per patient per day and nurse patient ratio) (U. S. Department of Health and Human Services, 2002). Often times, inadequate staffing is due to a high rate of call outs of sickness or other emergencies. Inadequate staffing directly impacts patient safety and quality of care. All health care titles render supplemental staffing coverage in one of two ways, overtime and through per-diem agencies. Overtime employment provides regular full time employees with monies set at a rate of time and half for any extra work completed over the prescribed 40 hours a week. Per-diem agencies are outside contractors capable of providing their own qualified titled personnel to fill vacancies with monies defined at a set rate. Patients are admitted to inpatient setting with varied co-morbidities may or may not indirectly increase the necessity of staff. Patients are often admitted for diagnoses of altered mental status, agitation / combativeness, risk for falls, suicidal ideation, and alcohol or drug intoxication. Many patients require a higher level of skilled care, such as turning and repositioning, and assistance with activities of daily living such as toileting and eating. It requires a higher staff to patient ratio to provide safe, effective quality care. PERSPECTIVE AND RATIONALE According to published reports there are key factors affecting the adequacy of the health care workforce. Some key factors include an aging workforce of where 40 percent of practicing physicians are older than 55, and one-third of the nursing workforce is over 50 with a majority of both professionals seeking to retire within the next 10 years (Alliance for Health Reform, 2011). The largest groups of health professionals in the United States are composed of Registered Nurses. Statistically, there is a huge decline in the numbers of nurses within all regions of the U.S. An estimated 118,000 FTE RNs will exit the workforce within the next five years (Staiger, Auerbac, Buerhaus, 2012). This potentially leaves a major void in terms of numbers of bodies needed to fill vacated positions. Low staffing levels are associated with higher rates of adverse outcomes that are directly sensitive to nursing attention, such as urinary tract infections, pneumonia, pressure ulcers, and falls (American Federation of Teachers, 2012). Unintended additional costs  associated with the development of complications in patients are greater than labor savings when units are understaffed. Acquiring pressure ulcers are estimated to cost the health care industry $8.5 billion per year (Kleinman, 2009) Overtime costs and per-diem agency costs can’t stand alone to solve the issues of staffing shortage. Their combined usage enables institutions to deliver optimal health care services to consumers/ patients. The supply of overtime and per-diem staff meets the increased demands of patients. It also assists in the delivery of quality care through services rendered. In terms of patient safety, the potentiality of the risk of injury to patients via falls, medication errors, and or sentinel events decreases. CONCLUSION The United States is a great consumer demand for health care services. The supply of such services is affected by varied factors. These factors directly influence the financial stability of health care organizations. Recessional times cause delays in career and retirement plans for health care professionals. In recessional times, there are noted changes in the supply and demand of the health care workforce. The shortage of registered nurses and providers in the workforce may inadvertently lead to a reduction in health care access for consumers. Inadequate staffing levels place heavy burdens on the nursing staff. Adverse events such as falls, hospital acquired infections and medication errors are potentially painful and life threatening events. Adverse events can result in considerable costs to be paid by the understaffed institution. For this reason alone, supplemental staffing via agency and overtime personnel provides a measure of increased patient safety. The future is trending towards the assistance in the recovery of the health care workforce shortage. It will rely heavily on the provisions made by the Affordable Care Act of 2010 (Alliance for health reform, 2011). Recruitment and reinvestment in health care professions especially nurses and physicians will assure sufficient supply of workforce personnel to meet the increased demands of health care economy and its’ consumers( Kaiser Foundation (2012). The Joint Commission bolsters workforce infrastructure through in-service and continuing education, supporting nursing education, and the adoption of set staffing levels based on  competency and skill mix relative to patient mix and acuity (Stanton, 2012). It also supports the establishment of financial incentives for health care organizations investing in nursing and workforce services. REFERENCES Alliance for Health Reform. (April, 2011). Health care workforce: Future Supply vs. Demand. Retrieved from http://www.allhealth.org/publications/medicare / health_care_workforce. American Federation of Teachers. (2012). Issues: Healthcare Staffing. Retrieved from http://www.aft.org/issues/healthcare/staffing/index.cfm Changes in Health Care Financing Organization. (August, 2009). Issue brief: Impact of the economy on health care. Retrieved from http://www.academyhealth.org /files/hvfo/findings0809.pdf Getzen, T.E. (2007). Health economics and financing. (3rd ed.). John Wiley and Sons, Inc., Hoboken, NJ. Kleinman, C. (2009). Health care supply demand. Retrieved from http://www.community.advanceweb.com Staiger, D. O., Auerbach, D. I., Buerhaus, P. I. (2012, April). Registered nurse labor supply and the recession- Are we in a bubble? New England Journal of Medicine, (366), 1463-1465. Stanton, M. (2012). Hospital nurse staffing and quality of care. Retrieved from http://www.ahrq.gov/research/nursestaffing/nursestaff.htm U.S. Department of Health and Human Services. (July, 2002). Projected supply, demand, and shortages of registered nurses: 2000- 2020. Retrieved from http://hrsa.gov. The Kaiser Foundation. (2012). Nursing workforce: Background brief. Retrieved from http://www.kaiseredu.org/Issues-Modules

Using the plays of Aristophanes Essay Example for Free

Using the plays of Aristophanes Essay Using the plays of Aristophanes (Lysistrata), Sophocles (Oedipus) and Euripides (Medea), we are able to discuss some major themes and concerns present in Greek Drama, such as women, fate, and other underlying themes. One of the most prominent, and perhaps the most controversial themes present in Greek Drama is the position of women in Greek Society. These three writers have different opinions of women, and this is reflected in their plays. Euripides, in Medea, presents a view of women as sex-crazed creatures. This is emphasised by Jason (569-72), when he says: you women/ Have reached a state where, if alls well with your sex-life,/ Youve everything you wish for; but when that goes wrong,/ At once all that is best and noblest turns to gall. Women in Lysistrata add to this view when they exclaim: Ill walk through fire, or anything but to give up sex, never! (166). Furthermore, women are portrayed as inherently dishonest. This is expressed when Medea tells the Chorus: We were born women useless for honest purposes, / But in all kinds of evil, skilled practitioners (407). Women are also presented as emotional rather than rational in their responses to situations. For all the Chorus protests about Medea killing her children, when they actually heard her murdering them, lamented: the miserable mother , cursed, miserable woman (1278), but are so effectively overcome with their emotions that they do not stop her, as perhaps men would have. This attitude towards women is complemented in Oedipus, when Jocasta, instead of waiting to learn the truth, murders herself at her assumption. Another major concern in Greek Drama is the idea about gods and fate. In Medea, there is little intervention of the gods, let alone fate. Medea makes the decision and is responsible for the tragic end which befalls the characters. In contrast, Sophocles Oedipus, present us with a completely different outlook. In the play, almost every aspect is seen to be controlled, in order for the prophecy to be completed. For example, in the play, Oedipus is rescued by a messenger that same messenger who happens to deliver the news that Oedipuss father is dead. Of countless people, it was the same person. Furthermore, Oedipus kills his father, protected by five men, on a lonely road. Is it not ironic, or least unlucky, the Oedipus happened to travel on the same road, and meet, out of all the people, his father who he does not even realise is his father and kills him? Oedipus then arrives at Thebes, his birth place, and solves a riddle which no person has yet been able to solve; he becomes king and marries his mother. Coincidence surely not. Certainly, these examples prove that fate was an all important factor in Greek drama that once a decision has been fated, it can never be changed. Greek Drama, particularly tragedy, also carries a prominent underlying theme Passion over Reason. In Euripides play, Medea is driven by an overwhelming passion to have her revenge that she does not stop to think what she is actually doing. This idea is exaggerated in Oedipus when he blindly pursues his identity, in defiance of warnings from numerous sources including Teiresias, Jocasta and the shepherd. Eventually, this passion over reason leads to his downfall. The theme is also carried through in Lysistrata, although not to such a prominent extent. In the play, the men are at war because they have refused methods of reasoning, and let their passions take control. However, in the play this idea can also be taken in a different sense. The men can be seen to succumb to their sexual passions, and refuse the reasons of going to war. In conclusion, we can see that the plays of these legendary writers reflect some major themes and concerns of Greek Drama. Concerns such as the position of women, the outlook on the gods and underlying themes are all major issues present in the plays.

History of Japan and its Relationship with the World

History of Japan and its Relationship with the World CHAPTER II JAPAN IN ITS SURROUNDING REGION 2.1 Japan in the Post Cold War World When the Berlin wall fell, symbolizing the end of the Cold War, the global balance of power shifted from a tense military stand-off between the worlds two superpowers-the Soviet Union and United States- to one of American dominance. The end of the Cold War, which had gripped the world for nearly a half century, transformed the parameters and dynamics of international security. The end of Cold War did not have the same, immediate impact in Asia than it did in Europe. There was no Soviet Empire in Asia comparable to the vast territories under Moscows control in Europe. While Communist regimes collapsed from Berlin to Moscow, Marxism-Leninism continued to be the ruling orthodoxy in the PRC, North Korea, and Vietnam. In Europe, the fall of the Berlin Wall led to German unification, removing what had been arguably the greatest source of tension in European politics between 1945 and 1989. in Asia, however, disputes over national boundaries remained widespread, from the demilitarized zone between the two Koreas to the Spratley Islands in the South China Sea. Although the collapse of Soviet Union led to a considerable reduction in military tensions in Asia, the potential of conflict, if anything, increased on the Korean peninsula and in the Taiwan Strait. In the bold new world, Japan continued to confront with the strategic dilemma of protecting the vital sea-lanes along with the lifeblood of its economy flowed. Historically rooted fears of Japanese military power eased somewhat, at least in Japan and South East Asia. Nonetheless, the Japanese public remained profoundly uncomfortable with the notion that Japan should assume a larger military role, and in Northeast Asia-especially in China and Korea-historical animosities emerged all the stronger. The 9/11 terrorist attacks on the United States has also altered the world significantly. Governments around the world now realize that they are facing a new kind of threat that differs from the traditional ones. These new threat also includes various other kinds of aspects that influenced Japans security environment, such as Human trafficking, drug related crime, cyber crime, money laundering, Piracy, and other cross-border organized crimes. This research applies the Neorealism assumption that structures defines a states behaviour, and implies Kenneth N. Waltzs notion that a state is a rational actor that chooses its security strategy based on an assessment of its security environment. In this sense, the researcher argues that Japans relationship with its closest neighbours and also the emergence of the non traditional threat determines how Japan acts towards its alliance relationship with the United States in accordance with its effort on reaching security. Therefore, in this chapter the researcher will try to explore Japans regional environments, which will be explained through several crucial issues that Japan is facing with its neighbours. But before that, in order to explain Japans position in the region, it is also crucial to understand the basic nature of Japan, including its unique pacifist policies, its dilemma on defining national interest, and also its evolving defence posture. 2.2 Japan as a Pacifist Country Japan, or also known as â€Å"The Land of the Rising Sun†[1] is a moderately small country with a total of 377,835 square kilometres of total area and 374,744 square kilometres of land area.[2]. Japan has a Constitutional Monarchy[3] political system with its Emperor as symbol of state. It also has a Parliamentary form of government, with elected bicameral legislature called National Diet[4], consisting of House of Councillors, and also House of Representatives.[5] The head of the government in Japan is the Prime Minister, who must be a member of the House of Representatives and is usually the leader of the largest party in the House of Representatives. After its defeat in the Second World War, Japan has been positioning itself in the relationship among nations as a pacifist country. The subsequent sub-chapter will explore more of Japans pacifist constitution, which has been a symbol of Japans commitment to peace and more importantly its renunciation of wartime militarism. The following sub-chapter will also mentions several of Japans basic principle on pacifism, which clearly signs its effort in war renunciation, namely those principles are the Three Principles of Arms Exports, the Three Non-Nuclear Principles, and also the Self-Defense Force Law. 2.2.1 Japans Peace Constitution Since its promulgation in 1946, Japans constitution, and in particular its preamble and the article 9 â€Å"peace clause,† have occupied central positions in determining the direction of Japanese security policy. The constitution is the origin of a range of prohibitions and anti-militaristic principles that constrain Japans use of military force for national security ends, limiting the military to defending only the states own territory. It also creates significant barriers to cooperation with the United States and with the wider international community.[6] The constitutions preamble states Japans ideals with regard to security: We, the Japanese people, desire peace for all time and are deeply conscious of the high ideals controlling human relationship, and we have determined to preserve our security and existence, trusting in the justice and faith of the peace-loving peoples of the world. We desire to occupy an honoured place in an international society striving for the preservation of peace, and the banishment of tyranny and slavery, oppression and intolerance for all time from the earth. We recognize that all peoples of the world have the right to live in peace, free from fear and want. [7] Chapter 2 of article 9 of the constitution, â€Å"The Renunciation of War,† reads as follows†: â€Å"Aspiring sincerely to an international peace based on justice and order, the Japanese people forever renounce war as a sovereign right of the nation and the threat or use of force as means of settling international disputes. In order to accomplish the aim of the preceding paragraph, land, sea, and air forces, as well as other war potential, will never be maintained. The right of belligerency of the state will not be recognized.†[8] Article 9 is the cornerstone of Japans pacifism. But Pacifism alone has not keep Japan free and safe, Japans security has been guaranteed by the presence of American military personnel in Japan and the shelter of the US nuclear umbrella. 2.2.2 Japans Self-Defense Force Law Having renounced war, the possession of war potential, the right of belligerency, and the possession of nuclear weaponry, Japan held the view that it should possess only the minimum defense necessary to face external threats. within those limits, the self defense forces law of 1954 provides the basis from which various formulations of SDF missions have been derived. The law states that ground, maritime, and air forces are to preserve the peace and independence of the nation and to maintain national security by conducting operations on land, at sea, and in the air to defend the nation against direct and indirect aggression. [9] 2.2.3 Japans Three Non-Nuclear Principles As the only nation in the world to experience the disastrous effect of the nuclear weapon, the Japanese people strongly put emphasize on the effort to eliminate nuclear weapons. This notion has been firmly translated into the non-nuclear principles that Japan is upholding until now. Articulated by Prime Minister Eisaku Sato in 1967, Japans Three Non-Nuclear principles are:[10] Ø Not to make such (nuclear) weapons Ø Not to possess them Ø Not to bring them into Japan Japan later reaffirmed the principles when ratifying the Nuclear Non-Proliferation Treaty in 1976 and agreed to extend the treaty indefinitely in 1995. After 64 years of its promulgation, in 2009, Japans Prime Minister Taro Aso reaffirms that Japan would still going to adhere to its Three Non-Nuclear Principles.[11] 2.2.4 Japans Three Principles of Arms Exports The Three Principles on Arms Exports prevent Japanese firms from selling military hardware and technology on the international market. Like the Three non-nuclear principles, these export restrictions were established by Prime Minister Sato in 1967.[12] Its actual purpose is for Tokyo to bar shipments to the communists bloc and countries on the UN sanction lists. The ban was extended in 1976 to cover all countries, but then eased in 1983 when the United States sought to buy high tech materials for its Stealth bomber fleet and for other uses.[13] The three principles of arms exports prohibit Japan from conducting arms exports to the following countries or regions: Ø Communist bloc countries Ø Countries subject to arms exports embargo under the United Nations Security Councils Resolution and Ø Countries involved in or likely being involved in international conflicts.[14] Up until today, despite increasing calls for the legislation to be relaxed, Japan has no plans to review a government policy that prohibits the export of all military equipment and technologies. 2.3 Japans National Interest References to national interest constitute a new development in Japanese discourse on security. As an academic leaded term, National interest implies a host of realist assumptions concerning state-to state relations and the international system. The concept of national interests is a crucial factor to detect the policy of a state. The hierarchy of national interests can be classified into[15]: Ø Vital, national interests are conditions that are strictly necessary to safeguard and enhance states survival and well-being in a free and secure nation, Ø Extremely Important, national interests are condition that, if compromised, would severely prejudice but not strictly imperil the ability of the states government to safeguard and enhance the well-being of citizens of state in a free and secure nation. Ø Important, national interests are conditions that, if compromised, would have major negative consequences for the ability of the states government to safeguard and enhance the well-being of citizens of a state in a free and secure nation, and Less Important or Secondary, in which national interests are not unimportant. They are important and desirable conditions, but ones that have little direct impact on the ability of the states government to safeguard and enhance the well-being of citizens of state in a free and secure nation. To achieve and secure its national interest, a state would conduct every possible method. However, the term National interest bears a special meaning in the Japanese context. No common agreement exists among elites as to what Japans national interest entails. In fact, national interest is simultaneously a loaded term and a buzzword. When used by policy-oriented Diet members- often young lawmakers in the Liberal Democratic Party of Japan and Democratic Party of Japan-the term loosely corresponds to the academic definition of national interest. In the case of the LDP, however, the term may also contain nationalist overtones. On the other hand, Japanese politicians also employ national interest as a form of rhetoric. For example, when justifying the SDFs dispatch to southern Iraq, Prime Minister Koizumi told the Japanese press that: Reconstruction and stability of Iraq will be directly related to Japans National Interest.[16] Alternatively, during speeches and interviews, Japanese politicians may refer to national interest out of a desire to appear intellectual. Basically, Japan and the United States share common strategic objectives in the Asia-Pacific region. They seek a politically stable and economically viable, open region. Both would like the US to maintain its strong presence in the region. Both want to play an active role in the field of non-traditional security.[17] Dr Masayuki Yamauchi, the member of the Task Force Foreign Relations chaired by Special Adviser to the Cabinet Secretariat Okamoto, proposed that Japans national interests are almost the same as those of the United States, which shares common values such as freedom, democracy, and free trade with Japan. According to him, Japans national interests are[18]: 2.3.1 Maintenance of the Peace and Security of Japan. Security is the most vital national interest for every nation. To maintain its security, Japan as one of the worlds political leaders should engage itself actively in global security affairs. In this notion, former Prime Minister Koizumi stated in accordance with this matter in a press conference that: â€Å"Considering the fact that the development and prosperity of Japan rests upon the peace and stability of the world, I am convinced that the assistance that Japan currently provides, which realizes the policy of the Japan-US Alliance and international coordination, is in its national interest†[19] In a broader sense, the Japanese government also realizes that creating a secure and prosperous world is vital to Japans national interest, in a regional sense, Japans relation with its neighbours are the crucial point for this matter, this shows as the former Prime Minister Taro Aso stated in one of his speeches: â€Å"I have already met with President Hu Jintao and Premier Wen Jiabao of China eight times in total. I have also held eight summit meetings with President Lee Myung-Bak of the ROK, including the one on the day before yesterday. I believe that the relations with the leaders of these two countries are the closest they have ever been in the post-World War II era. It is we ourselves who create a world that is secure and prosperous. When Japan takes proactive steps towards the realization of such a world, Japan truly furthers its own national interests†[20] More in this notion, the then Foreign Minister for Foreign Affairs Taro Aso mentions the importance of Japan to enhance its position in the region as a key player is stated in one of his speeches: â€Å"Japan is a country whose own prosperity depends on the stability and peace that exists around the globe as a whole. To bring us back to the metaphor of the chain, Japan has national interests in raising the degree of the chain as a whole, even should the means be indirect.†[21] In order to achieve security and prosperity, Japan realizes that the Japan-United States alliance is a vital element to achieve the perceived interest. Former Prime Minister Taro Aso stated in one of his statement that: â€Å"As this issue clearly demonstrates, Japans security and prosperity cannot be secured through the efforts of Japan alone. First of all, it is indispensable that the effectiveness of the Japan-US alliance be ensured. This alliance is a living arrangement and not something for which it suffices simply to have a piece of treaty document. We must constantly strengthen the Japan-US Security Arrangements through unremitting efforts by both Japan and the US. At the same time, as Japan asserts its national interests and gains the cooperation of relevant countries, it must fulfil its international responsibilities in tangible ways.†[22] â€Å"Stability was guaranteed by the Alliances among the free nations. On a global scale, balance and nuclear parity were achieved between Eastern and Western blocs. In North East Asia, the United States stood to bear the burden of security vis-à  -vis the communist military colossi like the Soviets, Chinese and North Koreans, and maintained stability in the region. We owe the peace and prosperity that has been created largely to the United States. And todays spread of democracy in the region is nothing but the result of tireless and colossi efforts by the United States to be a beacon of democracy world wide. It is only the Americans among the Western powers who shed blood of tens of thousands of nationals for the cause of freedom in the region.†[23] Japans peace and security can be regarded as a vital national interest, as this is stated by Nobukatsu Kanehara, the then Political Minister of Japan in 2005: â€Å"Japans grand strategy and vital interests consists in maintaining todays strategic stability and economic prosperity of the entire region. Japan can not do it alone. Maybe no nation could do it alone. And it is naturally that the Japan-US alliance, the alliance of the two biggest industrial democracies in the Asia-Pacific region, is and will be the best vehicle to achieve this daunting goal.†[24] â€Å"Japan is one of the major powers whose vital interests are entrusted to the stability of the world system. As Japan pursues its three major points of national interest, namely her own survival, stability, and prosperity, what is clear is that for a country of Japans size, no event occurring in the world can be ignored as being of no relation or interests.[25]† 2.3.2 Support for the free trade system. It is evident that the free trade system is important for Japan to enjoy economic prosperity. Accordingly, Japan should strengthen the free trade system by establishing a network of bilateral free trade agreements and support the World Trade Organization. â€Å"To promote democracy, free market and to enhance stability and prosperity in the region is not only Japans and Americans interests. It is the historic mission of the Japan-US alliance, the Ministry of Foreign Affairs develops global rules for the world economy and ensures that Japans national interests are reflected within them, a role which is clear and which cannot be carried out by any other domestic entity†[26] In the past, Japan has consistently supported the General Agreement on Tariffs and Trade (GATT) since it became a contracting party to the Agreement[27]. Japan has also believes that the global economy has prospered under the open, multilateral trading system under the GATT. Subsequently after the establishment of the World Trade Organizations after the Uruguay rounds, Japan has always been a contributing supportive member[28]. It could be concluded, then, that the maintenance and strengthening of a free and non-discriminatory multilateral trading system is Japans fundamental policy. 2.3.3 Protection of freedom, democracy and human rights. Freedom and democracy are Japans significant accomplishments since the Meiji Era. It is Japans duty to demonstrate a consistent commitment to the protection of these values in order to maintain regional stability. Taro Aso stated in accordance with Japans foreign policy of the issue of Japans determination towards democracy, peace and human rights: â€Å"Coming as we are from this background with such achievements, when it comes to talk of â€Å"universal values† that are commonly held in the world in general, whether it be talk of democracy, or peace, freedom, or human rights, Japan will no longer hesitate to state its views. This is what I am referring to when I speak of value oriented diplomacy, and my remarks to you here today constitute both a declaration of our qualifications and an expression of our determination.†[29] Democracy, peace, and human rights have a significant portion in the conduct of foreign policy for the government of Japan. In the Charter of Official Development Assistance decided in June 1992, Japan announced that, as the basic principles in implementing its aid, it would pay full attention to efforts toward promoting democratization and market-oriented economies, and to situations of basic human rights and freedom in recipient countries.[30] 2.3.4 Promotion of people to people exchanges and development of human resources through exchanges in the area of culture and education. Japan was the first modern country in the Asia-Pacific region. Japan put emphasis on developing human resources and it is because of the promotion of people-to-people exchange and development of human resources that Japan has flourished. It is important for Japan to continue to increase the number of people who understand Japan well. The 1992 diplomatic blue book of Japan stated in one of its paragraph relevantly this issue: â€Å"Japan has come to occupy an important position in the international community where interdependence among countries is growing. Overseas interest in Japan is being heightened. It is in Japans national interest in the medium and-long term to strengthen efforts to further deepen understanding of foreign countries toward Japan through broad cultural and educational exchanges†[31] The Government of Japan viewed that cultural exchange with other countries is a very important means of deepening understanding of Japan on the part of other countries and promoting international friendship and goodwill. It is the intention of the Japanese government to expand and strengthen various cultural exchange activities, as a major part of its diplomatic efforts[32]. 2.4 Japans Security Environments Japan is located in the Pacific Ocean; it lies to the east of the Sea of Japan, Peoples Republic of China, North Korea, South Korea, and Russia. Japans closest neighbours are South Korea, Russia, and China.[33] Based on the definition of North East Asia the researcher found, the North east Asian continent consist of the Republic of China, Japan, South Korea, North Korea, and the Russian Federation.[34] The second part of the chapter will try to explore thoroughly Japans security environments, including Japans neighbours, and also emerging security issues such as terrorism and international organized crime. Before we observe specifically several number of states in Japan surrounding region, the researcher would first take a look at the trend in issue of concern in Japans domestic realm, which is described in the following issued by the Cabinet Office of Japan. The above shows changes in Japans public concerns in terms of Japans peace and security. Respondents could choose three issues from a list about a dozen options. The clearly shows that their choices have changed significantly since the end of the Cold War. In February 1991, when the question was fist asked, it was in the midst of the Gulf War. Naturally, most respondents (56.4%) chose the Middle East Issue, as the one that concerned them with regard to Japans peace and security. The second highest percentage of concern was expressed on US-Soviet relations with 44% choosing that option: the timing was not long after the collapse of the Cold War structure. The remote third concern was arms control and reduction with 18.2%. The Korean Peninsula, despite its geographic proximity, came in as the forth most selected option with 17.3%. However, the results changed significantly in the next poll in 1994. the concern on Middle East issue dropped by two-thirds to 18.2 % and that on US-Soviet relations decreased to 31.2%, while the Korean Peninsula became the strongest concern with 34.2%, reflecting the May 1993 North Korean missile test in the Sea of Japan and the nuclear crisis of 1993-94. Since then, public concern about the peninsula has grown with 46.7% in 1997 and 56.7% in 2000 reflecting the August 1998 Taepodong missile incident and the March 1999 invasion into Japans territorial water by spy vessels. In the year 2003, after the December 2001 sunken spy vessel incident and the September 2002 Koizumi visit to Pyongyang, as many as 74.4% of respondents identified the Korean Peninsula as their primary concern. The results of the opinion polls show a clear decline of concern over the US-Soviet (Russia) relations and rapid increase in concern toward the Korean Peninsula among the Japanese public. The series of North Korean provocations since the 1990s as well as the shocking revelation of the abduction of Japanese nationals after Koizumis visit to Pyongyang attracted public attention. The geographical proximity of the Peninsula may have made Japans public concern over national security more realistic than the Soviet during the Cold War period. It is then clear for us to observe, that regional concern is increased in Japans public attention. Therefore, in the next part of this chapter, the researcher would explain specifically several states within Japans regional environments and also non traditional security concern such as terrorism and international organized crime. 2.4.1 Japans Relationship with its Neighbouring Countries 2.4.1.1 Peoples Republic of China China has the worlds largest population and a vast landmass surrounded by 14 countries. It has long borderlines and a long coastline. China is also a nation with various races, religions, and languages. Most of its ethnic minorities[36] populate the borderlands often with the same ethnic groups living across the borders. China, with a long history, has been shaping and maintaining a distinct culture and civilization, and pride of its unique history and the experiences of semi-colonization after the 19th century is driving a desire for a strong nation as well as fuelling their nationalism. China is state with a socialist regime, and aims at building a modern socialist state under the leadership of the Chinese Communist Part (CCP). History plays an important role in the bilateral Japanese-Chinese relationship and has an enduring impact on the perceptions, policies and future outlook of both sides. Historical experience shapes identities, but it is also instrumentalized for pressure on the other side. Depending on the prevailing political situation at a given time. Japan and China have found reasons for optimism or pessimism about their relationship. There have been many instances where Japan-China relations have soured due to various problems originating in history. Even now, the past still haunts bilateral relations. The problem of Yasukuni Shrine[37], school history books[38], the Nanking incident[39], comfort women[40], and also abandoned chemical weapons-these problems related to national honour and dignity have stirred up the emotions of the people of both countries. The core elements of Chinas strategic policies are rebuilding the economy and modernizing its armed forces in order to protect Chinas territorial integrity, providing peripheral security, and restoring her great power status. Taiwan reunification, the defeat of Uyghur separatist in Xinjiang Province, and the defeat of Tibetan insurgency are the dominant issues under territorial integrity. Despite the growth in Chinas economic and military power over the last decade, China remains paranoid about U.S. â€Å"hegemonic† power. China perceives the United States as attempting to contain China through its bilateral alliance structure. China was extremely critical of the 1996 reaffirmation of the U.S-Japan Security Alliance by President Clinton and Prime Minister Hashimoto. On the other hand, China supports the U.S military presence in Japan to keep the â€Å"cork in the bottle† and prevent Japans return to militarism.[41] Wu Xinbo concluded, in an article in 2000, that most policy and academic elites in China do not embrace the idea that Japan will become militarized and aggressive, but rather that their concern is That the increase in Japans military capabilities will shift the balance of power in Japans favour. A militarily powerful Japan is more likely to invoke its alliance with the US to intervene should a military conflict arise in the Taiwan Straits. [42] Historically speaking, When China tested its first nuclear device in October 1964[43], in public the Japanese government reacted very calmly and played it down, hinting at the protection given by the US nuclear umbrella. Feeling secure under the American conventional and nuclear umbrella, Japan was not overly concerned about China becoming a nuclear power in 1964.[44] When Prime Minister Yoshida travelled to Europe in 1955 he indirectly criticised the USAs confrontational approach to Asian communism by stating in a policy paper that in fighting communism, political and economic strength was as important as military might, if not more so'[45] 2.4.1.1.1 The Military Modernization of the Peoples Republic of China In recent years, Japan has become increasingly concerned about Chinese military modernization and behaviour. In its 2006 defense white paper, the Japan Defense Agency stressed that Chinas defense budget was doubling every five years and that at the current rate, Chinas official reported defense expenditures would surpass Japans defense budget by 2009. It also noted that Chinas actual defense expenditures could be higher because all equipment procurement and research and development costs are not included in the official budget s.[46] In 2007, the Chinese Government announced a staggering increase of almost 17.8% of its military budget[47], resulting in questions asked by the government of its neighbours, including Japan, of its necessity and intentions. Relying mostly in on a naval presence for maintaining its military position, and given the circumstance that China is particularly backward in this arm category, Chinas challenge looks relatively comfortable despite alarmist US media and public opinion polls, and despite Chinas ability to make sustaining US supremacy more costly and/or more difficult in the meantime.[48] The US may consider the Chinese navy still far away from becoming a blue-ocean navy, but for Japanese policy makers Chinas predominantly coastal navy is rather close to Japanese waters, as we have seen in the context of the disputes over the Senkaku Islands and the EEZ.[49] 2.4.1.1.2 Japan-China Territorial Disputes: The Senkaku Islands The Senkaku Islands territorial disputes is one of the most pressing and potentially destabilizing territorial disputes on Japans Horizon, however, involves five small islands and three â€Å"Rocky outcroppings†. The islands, which the Japanese call the Senkaku and the Chinese the Diaoyu, lie roughly 100 miles Northeast of Taiwan and approximately 250 miles west of Japans southernmost prefecture, Okinawa. The largest of these uninhabited islands covers approximately 20 acres, and has the potential to bring the two former combatants into open hostilities once more. The fate of the islands has become a rallying point for Japanese and Chinese nationalists alike. In the summer of 1996, members of the nationalists Japan Youth Association erected aluminium, solar-powered lighthouse that measured about 15 feet tall and petitioned Japans Coast Guard to designate the beacon an official navigational signal and thereby reinforce Japans claims of sovereignty. The Coast Guard has yet to accede to this request. The lighthouse incident led to protests in Taiwan and Hong Kong, some of which involved as many as 10,000 angry Chinese demanding satisfactions for this affront to Chinas sovereignty. The Japanese are quick to point out that China never showed any particular interest in the disposition of the Senkaku Islands until a 1968 United Nations report suggested that there might be large petroleum deposits under the East China Sea in the vicinity of the Senkaku. In fact, the Chinese did not object to Japans 1895 assumption of sovereignty over the islands, nor did it voice any concerns regarding the islands status under Article III of the San Francisco Peace Treaty. As it relates to the Senkaku Islands, Article III says the following: â€Å"Japan will concur in any proposal of the United States to the United Nations to place under the trusteeship system, with the United States as the sole administering authority, Nansei Shoto south of 29 degrees North Latitude (including the Ryukyu Islands and the Daito Islands†.[50] To further bolster their claim, the Japanese aversion that the United States considers the Senkaku Islands to be Japan

Wilsons Disease :: essays research papers

Wilson’s Disease   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Wilson’s Disease, scientifically known as Hepatolendicular Degeneration, is an inherited dissorder in wich excessive amounts of copper accumalate in the body. Although Wilson’s Disease begins at birth, symtoms ussually occur between the ages of 6 and 40. Symptoms can be serious such as liver disease, or minor such as drooling and trembling. This paper will explain the following about Wilson’s Disease: the symptoms and consequences, treatment and diagnosis, and how it is inheritted.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  As mentioned before the symptoms can be very serious or minor. Liver disease, the most dangerous symptom occurs in about 40% of patients. While nearly all patients show minor symptoms of nuerogical and psychiatric such as treemor, rigidity, drooling, speech slurs, personality changes, inappropriate behavior, detterioration of school work, and a brownish ring in the margin of the cornea.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Wilson’s disease is easily diagnosed, but must be done very early. Both urine and blood tests are taken from the possible patient, along with liver biospies, to examine the possibly contaminated organ. Treatment involves removing the excess copper found in the body, and preventing reaccumalation of copper. Lifelong therapy is needed to keep copper out of the body. Zinc acetate is the newest drug approved by the FDA for the treatment of Wilson’s Disease. Other drugs used for treatment and prevention are penacillamine and trietine. In severe cases liver transplants are needed for patients. Treatment is extremely important in Wilson’s Disease. Stopping treatment can result in death of a patient in as little as three months.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Wilson’s disease is an inherited disease from both parents. It is not sex linked, occuring equally in both males and females. In order for the disease to occur, both parents must carry and affected gene, which then passes on to the affected child. In the end, the child must have two affected genes. If the child only carries one affected gene, heshe is known as a carrier (they can pass on the disease), and will not be ill. The disease affects chromosome 13 in humans, and is known as ATP7B. Wilson’s Disease genes are affected by spontaneous mutations done to them. Thirty different mutations were so far found among tested patients. The disease is known to be passed on from generation to generation in several cases, yet

New Urbanism Essay -- Suburban Developement Planning Essays

New Urbanism New Urbanism, a burgeoning genre of architecture and city planning, is a movement that has come about only in the past decade. This movement is a response to the proliferation of conventional suburban development (CSD), the most popular form of suburban expansion that has taken place since World War II. Wrote Robert Steuteville, "Lacking a town center or pedestrian scale, CSD spreads out to consume large areas of countryside even as population grows relatively slowly. Automobile use per capita has soared, because a motor vehicle is required for nearly all human transportation"1. New Urbanism, therefore, represents the converse of this planning ideology. It stresses traditional planning, including multi-purpose zoning, accessible public space, narrow street grids for easy pedestrian usage and better placement of community buildings. Only a few hundred American communities are utilizing this method of planning, but the impact is quickly growing in an infant field dominated by a few inf luential architects and engineers. Perhaps the most well known pioneers of New Urbanism are Andrà ©s Duany, Elizabeth Plater-Zyberk, and Jeff Speck of Duany Plater-Zyberk & Company (DPZ), a wildly successful architectural firm boasting three offices across the eastern seaboard.2 Although the company was founded in 1980, it gained national recognition for its design of Seaside, Florida in 19892. Seaside, a beautiful coordination of simple Floridian cottage design along the white beaches of northwest Florida became a model for building pedestrian-friendly neighborhoods and integrating communities by enforcing a strict uniform building code, utilizing sensible and aesthetic planning methods (for instance, every street extends to the... ...sterplan." http://www.dpz.com/projects 8 Duany Plater-Zyberk & Company. "St. Louis." http://www.dpz.com/projects 9 Duany Plater-Zyberk & Company. "Hillsborough." http://www.dpz.com/projects  · Duany Plater-Zyberk & Company. "San Juan Bautista. (Architecture)" http://www.dpz.com/projects 10 Rohn, David. "Chesterton, Ind., Development Project Incorporates Environmental Concerns." Indianapolis Star. July 30, 2001. 11 Coffee Creek Center. "Ecology." http://www.coffeecreekcenter.com/pages/design/ecology.htm  · Coffee Creek Center. "Design Code Book." http://www.coffeecreekcenter.com/media/mediaattn/CCC-Codebook_web.pdf 12 Miller, Jason. "New Towns - Issaquah Highlands, Washington." The Town Paper. http://www.tndtownpaper.com/Volume 5/issaquah_highlands.htm 13 Duany Plater-Zyberk & Company. "Oakhurst. (Suburban Retrofits)" http://www.dpz.com/projects

Healthcare Reform: Healthcare Thats Concerned With Health Essay

One of the greatest issues facing the nation today is the number of people who do not have access to health care coverage. Americans are struggling to pay medical bills and are accumulating medical debt at an alarming rate. Approximately two-thirds of the working-age population are uninsured or underinsured and did not seek health care due to the cost. â€Å"More than two in five adults in the 19-to-64 age group reported problems paying medical bills† (Quality of Care, 2010). Their difficulties include not being able to afford medical attention when needed, running up medical debts, dealing with collection agencies about unpaid bills, or having to change their lifestyle to repay medical debts. Health-care costs are limiting what the consumer can pay for daily necessities. Of those facing mounting medical bills, â€Å"39 percent used all their savings, 30 percent incurred large credit card debt, and 29 percent said medical bills left them unable to pay for basic necessit ies such as food, heat or rent† (Nicholson, 2010). The United States' health care system relies heavily on private health insurance, which is the primary source of coverage for most Americans. According to the Center for Disease Control, â€Å"approximately 58% of Americans have private health insurance† (American Health Journal). Before the development of medical insurance, patients were expected to pay for all of their health care costs out of their own pockets, under what is known as the fee-for-service business model. During the 1920s, hospitals began offering services to individuals on a pre-paid basis, leading to the development of Blue Cross organizations and Health Maintenance Organizations (HMO) during the 1930’s to the 1940’s. After much success with Blu... ...2058015621). Nations Health. 2007; 37(8)  © 2007 American Public Health Association New health reform benefits. (2010, August 17). Chattanooga Times Free Press, B.6. retrieved September 6, 2010, from ProQuest Newsstand. (Document ID: 2112796951). Noam N Levey. (2010, September 3). Benefits cost workers more: Survey shows employees are asked to shoulder entire increase in health insurance. Chicago Tribune, p. 21. Retrieved September 6, 2010, from Chicago Tribune. (Document ID: 2128253731). Quality of Care; Prognosis Health Information Systems Teams up With Excellence in Healthcare to Improve Quality of Care and Ease CMS Core Measure Reporting. (2010, August). Managed Care Law Weekly, 1778. Retrieved August 15, 2010, from Research Library. (Document ID: 2107852331). Sultz, H., Young, K. 2009. Health Care USA. Jones and Bartlett Publishers.