Zero Tolerance and Alcohol Laws

Zero Tolerance and Alcohol Laws Addiction Alcohol Use Drunk Driving Print Zero Tolerance and Alcohol Laws By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Updated on April 27, 2019 Chris Ryan / Getty Images More in Addiction Alcohol Use Drunk Driving Binge Drinking Withdrawal and Relapse Children of Alcoholics Addictive Behaviors Drug Use Nicotine Use Coping and Recovery Zero tolerance is the practice of adopting laws or policies that call for mandatory enforcement of violations without regard to severity, intent or extenuating circumstances. Fundamentally, zero tolerance laws and policies impose a penalty or consequence on all violations and infractions without any subjective judgment of the action or behavior. As it pertains to driving under the influence, zero tolerance refers to laws that make it illegal for persons under age 21 to drive with any amount of alcohol in their system. Prior to zero tolerance laws, most states had drunk driving laws that established legal limits for blood-alcohol content that applied to all drivers regardless of age. If a teenaged driver was drinking and driving, but had a BAC of under 0.08, for example, they were not guilty of driving under the influence. Depending on state law, they may be guilty of consuming or being in possession of alcohol underage, but not guilty of DUI. History of Zero Tolerance Laws Because drivers under the age of 21 are twice as likely to be involved in fatal vehicular crashes if they have been drinking than people over 21, the U.S. Congress passed the National Minimum Drinking Age Act in 1984 that forced states to raise the legal drinking age to age 21. By 1988, all 50 states had raised the legal drinking age to 21 and that laid the groundwork for the passage of zero tolerance laws. Illegal to Drink, Illegal to Drive The idea behind zero-tolerance laws is because it is illegal for people under that age of 21 to drink alcohol, it should, therefore, be illegal for them to operate a vehicle while drinking any amount of alcohol. All 50 states have now passed zero-tolerance laws that penalize underage drinkers for operating a motor vehicle with BAC levels as low as .01 or .02. In fact, in most states, an underage drinker can be charged with a DUI with a BAC level of .00 if the arresting officer smells alcohol on the driver. Zero Tolerance for Other Situations Zero tolerance can apply to other situations as well. Some states have zero-tolerance laws regarding riding in a vehicle with an open container. Regardless of how the opened alcohol container got there, how long it has been there, or who it belongs to, the law enforcement officer is compelled to take action if he observes an open container in the vehicle. Many school districts have passed zero-tolerance policies regarding weapons and drugs on campus. Students can be expelled or suspended from school for having any type of weapon or any type of medication in their possession. No mitigating or extenuating circumstances are considered zero-tolerance means zero. Of course, in reality, there are going to arise situations that do have extenuating circumstances, so blanket enforcement of zero-tolerance policies has drawn considerable criticism and has produced some outrageous incidents of unjust punishment.

The Argument Of The Tobacco Industry Essay - 877 Words

Tobacco is an argument that touches my feeling profoundly as my father used to smoke a lot and passed away because of it. When I read the article I can only see a rhetorical fight between parties where we basically know the truth but we pretend convincing ourselves that there must be a solution to meet everybody’ needs. Obviously the problem here is not just the tobacco; we could mention a lot of other products (specifically drugs) in commerce that are dangerous for our health. In the article, the tobacco companies argue the fact that they do not sell the concept of smoking but that the only role of the marketing is to help adults in making their choices relating the brand of the cigarettes. This concept to me could be translated as:† which brand would you like to get sick with?† (excuse my sarcasm). I definitively agree with the Supreme Court of Canada which states that â€Å"The State seeks to control the thought, beliefs and behavior of its citizens along the line it considers acceptable. This form of paternalism is unacceptable in a free and democratic society.† It refers to what tobacco companies argue against a ban where the state is telling smokers that they were not responsible of their own health, therefore comparing the state intervention as a role of a nanny. Well, I say: â€Å"Welcome to the nanny!† People need to be shaken. I know smokers that do not even remember why they started this habit. My former boss used to smoke in the office and sometimes he would light aShow MoreRelatedAnalysis Of Case Ban On Tobacco Ads By The Government Of India Essay760 Words   |  4 PagesAnalysis of case Ban on Tobacco Ads by the Government of India Introduction Can a ban of advertising on tobacco products keep young adults from developing the habit of smoking? Can it keep them away from trying it out? The Government of India thought so when it announced on Feb 6, 2001 that it intend to forward legislation to ban advertising on tobacco. I am going to examine the case for this proposed legislation. The announcement sparked a fierce debate over the issue. Is it ethical for theRead MoreBan All Advertising From The Tobacco Industry850 Words   |  4 Pages2001, there was an argument by the government of India trying to decide whether or not it was a good idea to ban all advertising from the tobacco industry. The government’s main goal was to find a way to reduce the number of teenagers using tobacco. The government believed that these advertisements encouraged teens to start smoking or to continue smoking if they were doing it already. As expected, this situation created a lot of tension between the government and the tobacco industry. This created twoRead MoreIndia s Ban On Tobacco Advertising849 Words   |  4 Pagesproposed a ban on tobacco advertisement in an effort to curb tobacco use with adolescents. It was met with sharp criticism from the tobacco industry. However, some saw it as a great move by the government in looking after the welfare of its citizens. I hope to explore in the essay each side’s voice as well as deal with the myriad of issues the government faced upon the bans proposal. Lastly I will give my opinion on what position the government should take. One the main arguments for this proposedRead MoreBanning Of The Law Of India1326 Words   |  6 PagesBANNING TOBACCO IN INDIA A case study in ethics management SUMMARY In order to better understand the complexities and difficulties of ethical decisions in the context of organisational management, we will examine one such decision made by the Government of India in 2001. 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In India specifically, a country that is renowned for its high use of tobacco production and use, the idea o f smoking has become a national crisis. With tobacco companies trying to push for freedom of speech† with advertisements, and the government attempting to assume a sense of responsibility, it seems almost impossible to find a solution that can encompass all perspectives. Pro-banning arguments Many feel that the Indian government should be allowed to intervene, especially whenRead MoreThe Dangers Of The Tobacco Industry974 Words   |  4 Pagesscientific findings? In the early 1950s, the Tobacco industry was in disarray over the release of a scientific paper, on several mediums, that demonstrated the connection between the carcinogens in cigarette smoke to several types of cancer. In reaction to this devastating paper, Tobacco executives banded together along with a public relations firm, R.J. Reynolds, in order to shroud the reality of the situation; the actions taken by the Tobacco industry, ranging from funding distracting research to

Literary Analysis Of The Love Song Of J. Alfred Prufrock

Literary Analysis of The Love Song of J. Alfred Prufrock The human psyche has perpetually been characterized by a nagging sense of doubt. When one makes the decision to follow through (or, rather, not follow through) with an action, it is unlikely that he does so without questioning whether he made the right choice; this is recurring theme in literature, evident in works such as Crime and Punishment and A Separate Peace. T.S. Eliot’s The Love Song of J. Alfred Prufrock explores the universal nature of hesitation and self-doubt as part of the human condition primarily through apt use of metaphor, syntax, and allusion. Eliot uses metaphor to relate accessible, physical entities and concepts to more abstract themes present in the poem. In†¦show more content†¦This disdain of superficiality contributes to Prufrocks inclination to avoid interactions with those who conformed to the shallow behavior that characterized the periods social decorum. He feels that everyone involved is putting on airs, participating in meaningless gathe rings in order to accomplish nothing, much like the measuring of coffee spoons. In line 57, Prufrock refers to himself as â€Å"sprawling on a pin.† This is a reference to the practice of sticking pins through live insects and watching them squirm, which was a common amusement for children at the time (Napierkowski 122). By establishing this comparison between Prufrock and an insect, Eliot describes the scrutiny that Prufrock believes himself to be under by relating it to a familiar, yet morbid childhood pastime. Not only does Prufrock feel the sting of a puncture wound that he is wriggling to be free of, but he is under the lens of his captors, painfully self aware and self conscious. The idea of â€Å"sprawling on a pin† also implies that Prufrock sees himself as a mere insect, a pest, lacking human capacities of expression. Eliot also uses syntax to establish thematic concepts. In stanzas 7 to 9, Prufrock muses about how he has â€Å"known them all,† (lines 4 5, 59,62) referring to the people andShow MoreRelatedLiterary Analysis Of The Love Song Of J. Alfred Prufrock Essay1336 Words   |  6 PagesA Literary Analysis of T.S. Eliot’s â€Å"The Love Song of J. Alfred Prufrock† T.S. Eliot was one among few poets and authors that dominated the years between the First and Second World Wars. Eliot showed his use of modernism techniques through â€Å"The Love Song of J. Alfred Prufrock†, creating a powerful reputation around the world, particularly as a member of The Lost Generation in the 1920s. Eliot moved to and settled in London where he worked with famous poets including Ezra Pound, and published hisRead MoreThe Love Song of J. Alfred Prufrock Essay1524 Words   |  7 Pagesï » ¿Question: Part A: Analyze the social and historical context of a particular poem Poem: T. S. Eliot, ‘The Love Song of J. 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Canilao April 2013 TABLE OF CONTENTS TITLE PAGE 1 TABLE OF CONTENTS 2 RESEARCH OUTLINE 3 CHAPTER I: INTRODUCTION 5 CHAPTER II: DISCUSSION 6 Thomas Stearns Eliot amp; Why He Writes PoetryRead MoreNarratology And The Love Song Of J. Alfred Prufrock Essay2087 Words   |  9 PagesNarratology and â€Å"The Love Song of J. Alfred Prufrock† Seymour Chatman writes of showing and telling as the distinctions that have been made when one is describing the narrative process (97). Although he goes on to explain how, in the study of the narrative discourse and narrative statements, the differences create ramifications that run much deeper than merely acts of showing and telling, the overall message remains the same: The narrative of any given story relates to how it is being shared, toRead MoreAnalysis Of The Appearance Theme By T. S. 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Just like Prufrock we readers have been witness to the pretentious triviality of others, the women who come and go/ Talking of Michelangelo (lines 13-14), and the lack of confidence which prevents the realization of desires. Eliots careful choice of epigraph from Dantes Inferno reverberates throughout this poem as the logic behind Prufrock sharing his feelings with his listener. JustRead MoreAnalysis Of Eliot s Poem The Wast e Land 1401 Words   |  6 Pagescharacters who fit the type of modern man as described by Fitzgerald, Faulkner. The title character of â€Å"The Love Song of J. Alfred Prufrock† is a perfect example of solitary and utterly incapable of expressing himself to the outside world. As Eliot grew older, and particularly after he converted to Christianity, his poetry changed. 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Pathology and Contemporary Treatment Alternatives Free Essays

According to the Centers for Disease Control and Prevention, asthma is a complex disease on the rise in the United States. Most at risk include poor or inner city minorities that present with inordinately high rates of mortality resulting from the condition (CDC, 2005). Asthma may also be on the rise due to environmental factors including increased pollution and exposure to environmental toxins that may affect lung capacity (CDC, 2005; Hwang et. We will write a custom essay sample on Pathology and Contemporary Treatment Alternatives or any similar topic only for you Order Now al, 2005; Yang, et. al, 1997; Wickman, et. al, 2003). Asthma is a serious, potentially life threatening condition for the millions of sufferers worldwide. Doctors are still working to determine the cause of this disease and finding new ways to treat it. While there is no cure for asthma yet, researchers have uncovered multiple treatment alternatives that help patients with asthma effectively control their condition. Education, public response and intervention are all critical success factors for predicting the quality of life for patients with asthma now and in the future. Research supports the use of a defined set of treatment protocols for assisting patients with asthma lead a better quality of life. The basis for treatment, anatomy and physiology of the respiratory tract and pathology of asthma in patients are all discussed in greater detail below. Normal Lung Function and Respiratory System The human body has two lungs located on either side of the chest. The lungs functions include passing oxygen from outside the body into our bloodstream and releasing waste materials in the form of carbon dioxide back into the environment (Gershwin Klingelhofer, 1992). During each breath the body inhales oxygen and exhales carbon dioxide (Polk, 18). Oxygen combines with carbohydrates and fat in the body to product energy. During the process of creating energy water and carbon dioxide are formed that are expelled through breathing. The lungs consist of several anatomical structures including the bronchial tubes that enable expansion and constriction of the muscles in the lungs and chest. These tubes consist of muscles that allow air to pass deep in to the lungs. Bronchial tubes consistently change width, increasing in girth as an individual inhales and becoming narrower upon exhalation. In a person with a well functioning respiratory system all parts of the airway function synergistically to ensure maximum intake of oxygen and exhalation of carbon dioxide with each breath. Air enters the body through the nose and mouth. It passes through the pharynx, larynx and trachea, all important parts of the airway (Polk, 18). The noses and sinuses act as conditioners adjusting the air temperature as it passes through other structures in the airway. The pharynx or back of the throat allows liquids and solids entering the airway to â€Å"drop out before entering the lungs† (Polk, 19). Likewise the larynx helps prevent other unwanted particles in the air from entering the lungs (Polk, 19). It is here that the body’s cough reflex lies. If something unwanted is present in the air being inhaled, the larynx will stimulate a cough reflex to help expel the object. While the larynx isn’t the only trigger for a cough reflect it is very important to the entire breathing process (Polk, 19). When a person inhales, the chest muscles in the body contract allowing the ribs to separate slightly. Air is then drawn into the lungs. The opposite happens when an individual exhales, allowing air to forcefully come out of the lungs. The abdomen is also involved in breathing. The abdomen attaches to the front and back of the ribs, pushing them up and out when breathing. Breathing thus incorporates the chest and abdomen. The more a person engages all the muscles and organs involved in respiration including the abdomen, the better able they are to take a full breath of air. In times of old doctors ascribed asthma to anyone having difficulty breathing regardless of the cause; during the 20th century however researchers refined asthma to include difficult breathing â€Å"Because of a problem that begins in the bronchial tubes of the lungs† (Polk, 15). Asthma is a complex disorder that doctors are still working to fully understand. While doctors have uncovered many potential causes for asthma, they are still not certain what exactly causes it and how to prevent it 100 percent in all patients. In patients with asthma, the ability of the bronchial tubes to adjust their width is often diminished, resulting in difficulty breathing. Children are often at increased risk for developing asthma, as their bronchial tubes are narrower to begin with than adult tubes, thus less change in width is evident even in healthy lungs. Exercise induced asthma is a form of asthma that results when the air present in the nose and sinuses isn’t prepared appropriately to pass through other parts of the airway (Polk, 19). Normally this form of asthma is easier to treat than severe forms of asthma whose cause is unknown (Hogshead, 1989; Guyton, 1991). During a bronchospasm attach involuntary spasms may prevent lung tissue from expanding to their normal size. Air can become trapped in the lungs. Cellular and structural changes often occur within the airway and lungs of patients with asthma, including thickening of the airway wall and inflammation (Saetta Turato, 2001). Normally as air passes through the lungs the bronchiols or airways get smaller. In a patient with uncontrolled asthma however, the sides of the airways typically become enlarged or inflamed (CDC, 2005). During an acute attack, the muscles or bronchiols surrounding the airways constrict, thus reducing the amount of air a person can pass in and out of their lungs (CDC, 2005). Once this constriction begins, mucus starts forming in the airways, causing even greater constriction and distress. Typical symptoms associated with an asthma attack include wheezing, chest pain and tightness, coughing and difficulty breathing (CDC, 2005). No one is immune from asthma. Children, adults and the elderly are all at risk. Some people are more at risk than others including people who smoke, those with seasonal allergies and anyone with recurring acute respiratory infections (CDC, 2005). Signs of asthma include physical qualities of the disease a patient, family member or doctor can easily identify such as dyspnea (trouble breathing) (Polk, 7). Symptoms include complaints generally associated with the condition, and may include headaches or chest pain, skin flushing and itching (Polk, 8). Dyspnea results from multiple conditions other than asthma including infections, allergies, foreign bodies present in the airway and associated factors (Polk, 8). It is important a clinician differentiate between asthma and other causes of the disease. Basis Contemporary Treatments For Managing Asthma The National Asthma Education and Prevention Panel consistently work with doctors to develop contemporary treatments to manage asthma (Moonie, et. al, 2005). Many of these treatments are based on empirical research that supports reduction of patients symptoms and prevention of chronic attacks. The goal of contemporary asthma care and treatment includes â€Å"control of asthma and good quality of life for asthmatic patients† (Gaga, et. al, 80). The basis for much of contemporary care is empirical based research, though trends are changing in an attempt to encourage doctors to improve patient awareness and education. Many asthma drugs historically are administered through inhalation. Inhalers are often prescribed â€Å"on an empirical basis rather than on evidence based awareness: (Virchow, 24). Much of the asthma management guidelines currently available offer â€Å"non-specific advice regarding inhaler choice† (Virchow, 24). As such it is important that GP work with patients to decide what the ideal inhaler is for all patients involved. The ideal inhaler according to Virchow (2005) is one that (1) is breath activated, â€Å"releasing medication only when all prerequisites for successful inhalation are met, (2) has a low intrinsic airflow resistance so children and elderly patients may use it and (3) is one that provides a flow-independent deposition of drugs in the lungs as well as feedback that reassures patients whether the drugs has been inhaled properly (24). Newman (2005) suggests the pressured metered-doze inhaler or pMDI delivers asthma medications in a reliable â€Å"multi-dose presentation† (1177). Key components of this devices help determine the amount of drug delivered to the patient. The researcher further suggests that pMDIs can be developed that are breath actuated and coordinated with â€Å"spray-velocity modifiers† to help patients unable to use â€Å"conventional press and breathe pMDI’s correctly† (Newman, 1177). Modern or contemporary pMDI’s according to Newman should also contain non-ozone depleting propellants, a sentiment confirmed by Virchow (2005) as well. Patients with severe refractory asthma require more comprehensive treatment. High-doses of inhaled corticosteroids are often insufficient for treating this form of asthma. Most require contemporary treatments including oral corticosteroid administration and use of immunosuppressants (Sano, Adachi, Kiuchi Miyamoto, 2005). Chronic use of these drugs however present a high risk for adverse side effects. A study conducted by Sano, et. al (2005) suggests that nebulized sodium cromoglycate â€Å"is expected to be a new second-line therapeutic option in severe asthma† (1). Gaga, et. al (2005) suggests that many doctors are not achieving good quality of life and control of asthma for patients. Their study of treatment outcomes for asthmatic patients in specialized care suggests that contemporary treatments should include more patient education combined with increased use of LABAs (Long-acting beta2-agonists) and leukotriene antagonists to help prevent bronchoconstriction and improve quality of life for patients. Despite multiple contemporary treatment choices, managing acute severe asthma attacks still present a tremendous health challenge to health care professionals (Barnard, 2005). Contemporary guidelines for treating acute emergency attacks currently include treatment with oxygen and inhaled beta 2 agonists, which can be administered continuously to help preserve life in acute patients (Barnard, 532). Patients discharged after such treatment should also engage in review of current medications and consider â€Å"a short course of oral steroids, a written asthma action plan and detailed advice about deterioration that may occur within 48 hours† (Barnard, 533). Butz et. al, (2005) are among a growing body of contemporary researchers that suggests that self management and patient education are critical success factors for treating patients with asthma in modern society. Their studies suggested home based educational programs that focus on accurate symptom identification and demonstration of â€Å"asthma medication delivery services† may improve patient quality of life and assist children with asthma and asthma like conditions (Butz, et. al, 190). Delaronde, Peruccio Bauer (2005) find that â€Å"individualized telephonic case management† from registered nurses specifically trained in contemporary asthma treatment may improve asthma medication use and subsequent quality of life for patients with asthma (361). This research correlates with a growing body of evidence supporting patient education and direct support as practical contemporary treatment practices. The basis for much of contemporary treatment lies in the gold standards or clinical practice guidelines outlined by the National Asthma Education and Prevention Program’s Expert Panel (CDC, 2005). These standards offer patients and health care practitioners specific guidelines for recognizing, diagnosis, treating and providing ongoing care to asthmatic patients. Because asthma is a difficult disease to diagnose, clinicians should utilize multiple diagnostic tools to determine whether airflow obstruction in patients results from asthma or other underlying conditions. Doctors should also acquire a comprehensive medical and family history and attempt to quantify the severity of a person’s condition (CDC, 2005). Other contemporary diagnostic criteria helpful for assessing a patients condition include lung function tests (also referred to as spirometry) (CDC, 2005). Because there is no cure for asthma at this time doctors must work to improve the quality of life for patients presenting with asthma as effectively treat acute attacks. Doctors also work with patients to prevent attacks and recurrent episodes. Not one treatment modality works for all people because every case of asthma is unique. Because of this doctors often use various medications including injections, oral medications, vapors and inhalers. Use of inhalers to expand airflow is currently one of the most common and effective long-term treatment choices for patients with asthma. Contemporary long lasting medical treatments should include use of corticosteroids to help reduce inflammation in the lungs and airways. Most patients will inhale these medicines or take them orally. Long acting beta2-agonists are also identified as effective long-term treatments for patients with asthma. While inhalers, nebulizers and other medications all serve the asthmatic population, education should also form the foundation for modern treatment practices. Multiple researchers have concluded that patient education is effective for improving the quality of life in patients with asthma. Education also ensures that patients understand how to use their medications and do use them to prevent acute attacks. Education may be particularly beneficial for children by helping them adopt healthy behaviors early on that can help control their condition. Asthma is a complex disease involving structural and physiological components. Patients with asthma face a life long and often debilitating condition that under severe circumstances may result in increased morbidity. Fortunately there are many treatments currently available that effectively manage this condition. Contemporary management and treatment of asthma is based on empirical research that suggests multiple forms of medication for preventing and treating acute asthma attacks. The most common forms of treatment include corticosteroid administration through inhalers or oral forms. There are other equally effective medical treatments however that may work well for patients depending on the severity of their illness. No two patients are alike with respect to the condition thus treatment must be tailored to the individual. New research suggests that doctors and patients focus on prevention and education to help improve patients quality of life and experience of their disease (West, 1990). Education that starts early, as when patients are children, is likely to be more effective than education that starts years after an individual has attempted to manage their disease using other methods. Adequate evidence suggests that the manner of delivery for education does not impact a patients success rate. Thus information may be distributed in person, in the home or even over the telephone if necessary. The currently body of literature available suggest that education in the classroom may also be an important avenue for teaching prevention and treatment in the future (West, 1990). It is important that researchers and doctors continue exploring new avenues for treating and preventing this insidious disease. How to cite Pathology and Contemporary Treatment Alternatives, Essay examples Pathology and Contemporary Treatment Alternatives Free Essays According to the Centers for Disease Control and Prevention, asthma is a complex disease on the rise in the United States. Most at risk include poor or inner city minorities that present with inordinately high rates of mortality resulting from the condition (CDC, 2005). Asthma may also be on the rise due to environmental factors including increased pollution and exposure to environmental toxins that may affect lung capacity (CDC, 2005; Hwang et. We will write a custom essay sample on Pathology and Contemporary Treatment Alternatives or any similar topic only for you Order Now al, 2005; Yang, et. al, 1997; Wickman, et. al, 2003). Asthma is a serious, potentially life threatening condition for the millions of sufferers worldwide. Doctors are still working to determine the cause of this disease and finding new ways to treat it. While there is no cure for asthma yet, researchers have uncovered multiple treatment alternatives that help patients with asthma effectively control their condition. Education, public response and intervention are all critical success factors for predicting the quality of life for patients with asthma now and in the future. Research supports the use of a defined set of treatment protocols for assisting patients with asthma lead a better quality of life. The basis for treatment, anatomy and physiology of the respiratory tract and pathology of asthma in patients are all discussed in greater detail below. Normal Lung Function and Respiratory System The human body has two lungs located on either side of the chest. The lungs functions include passing oxygen from outside the body into our bloodstream and releasing waste materials in the form of carbon dioxide back into the environment (Gershwin Klingelhofer, 1992). During each breath the body inhales oxygen and exhales carbon dioxide (Polk, 18). Oxygen combines with carbohydrates and fat in the body to product energy. During the process of creating energy water and carbon dioxide are formed that are expelled through breathing. The lungs consist of several anatomical structures including the bronchial tubes that enable expansion and constriction of the muscles in the lungs and chest. These tubes consist of muscles that allow air to pass deep in to the lungs. Bronchial tubes consistently change width, increasing in girth as an individual inhales and becoming narrower upon exhalation. In a person with a well functioning respiratory system all parts of the airway function synergistically to ensure maximum intake of oxygen and exhalation of carbon dioxide with each breath. Air enters the body through the nose and mouth. It passes through the pharynx, larynx and trachea, all important parts of the airway (Polk, 18). The noses and sinuses act as conditioners adjusting the air temperature as it passes through other structures in the airway. The pharynx or back of the throat allows liquids and solids entering the airway to â€Å"drop out before entering the lungs† (Polk, 19). Likewise the larynx helps prevent other unwanted particles in the air from entering the lungs (Polk, 19). It is here that the body’s cough reflex lies. If something unwanted is present in the air being inhaled, the larynx will stimulate a cough reflex to help expel the object. While the larynx isn’t the only trigger for a cough reflect it is very important to the entire breathing process (Polk, 19). When a person inhales, the chest muscles in the body contract allowing the ribs to separate slightly. Air is then drawn into the lungs. The opposite happens when an individual exhales, allowing air to forcefully come out of the lungs. The abdomen is also involved in breathing. The abdomen attaches to the front and back of the ribs, pushing them up and out when breathing. Breathing thus incorporates the chest and abdomen. The more a person engages all the muscles and organs involved in respiration including the abdomen, the better able they are to take a full breath of air. In times of old doctors ascribed asthma to anyone having difficulty breathing regardless of the cause; during the 20th century however researchers refined asthma to include difficult breathing â€Å"Because of a problem that begins in the bronchial tubes of the lungs† (Polk, 15). Asthma is a complex disorder that doctors are still working to fully understand. While doctors have uncovered many potential causes for asthma, they are still not certain what exactly causes it and how to prevent it 100 percent in all patients. In patients with asthma, the ability of the bronchial tubes to adjust their width is often diminished, resulting in difficulty breathing. Children are often at increased risk for developing asthma, as their bronchial tubes are narrower to begin with than adult tubes, thus less change in width is evident even in healthy lungs. Exercise induced asthma is a form of asthma that results when the air present in the nose and sinuses isn’t prepared appropriately to pass through other parts of the airway (Polk, 19). Normally this form of asthma is easier to treat than severe forms of asthma whose cause is unknown (Hogshead, 1989; Guyton, 1991). During a bronchospasm attach involuntary spasms may prevent lung tissue from expanding to their normal size. Air can become trapped in the lungs. Cellular and structural changes often occur within the airway and lungs of patients with asthma, including thickening of the airway wall and inflammation (Saetta Turato, 2001). Normally as air passes through the lungs the bronchiols or airways get smaller. In a patient with uncontrolled asthma however, the sides of the airways typically become enlarged or inflamed (CDC, 2005). During an acute attack, the muscles or bronchiols surrounding the airways constrict, thus reducing the amount of air a person can pass in and out of their lungs (CDC, 2005). Once this constriction begins, mucus starts forming in the airways, causing even greater constriction and distress. Typical symptoms associated with an asthma attack include wheezing, chest pain and tightness, coughing and difficulty breathing (CDC, 2005). No one is immune from asthma. Children, adults and the elderly are all at risk. Some people are more at risk than others including people who smoke, those with seasonal allergies and anyone with recurring acute respiratory infections (CDC, 2005). Signs of asthma include physical qualities of the disease a patient, family member or doctor can easily identify such as dyspnea (trouble breathing) (Polk, 7). Symptoms include complaints generally associated with the condition, and may include headaches or chest pain, skin flushing and itching (Polk, 8). Dyspnea results from multiple conditions other than asthma including infections, allergies, foreign bodies present in the airway and associated factors (Polk, 8). It is important a clinician differentiate between asthma and other causes of the disease. Basis Contemporary Treatments For Managing Asthma The National Asthma Education and Prevention Panel consistently work with doctors to develop contemporary treatments to manage asthma (Moonie, et. al, 2005). Many of these treatments are based on empirical research that supports reduction of patients symptoms and prevention of chronic attacks. The goal of contemporary asthma care and treatment includes â€Å"control of asthma and good quality of life for asthmatic patients† (Gaga, et. al, 80). The basis for much of contemporary care is empirical based research, though trends are changing in an attempt to encourage doctors to improve patient awareness and education. Many asthma drugs historically are administered through inhalation. Inhalers are often prescribed â€Å"on an empirical basis rather than on evidence based awareness: (Virchow, 24). Much of the asthma management guidelines currently available offer â€Å"non-specific advice regarding inhaler choice† (Virchow, 24). As such it is important that GP work with patients to decide what the ideal inhaler is for all patients involved. The ideal inhaler according to Virchow (2005) is one that (1) is breath activated, â€Å"releasing medication only when all prerequisites for successful inhalation are met, (2) has a low intrinsic airflow resistance so children and elderly patients may use it and (3) is one that provides a flow-independent deposition of drugs in the lungs as well as feedback that reassures patients whether the drugs has been inhaled properly (24). Newman (2005) suggests the pressured metered-doze inhaler or pMDI delivers asthma medications in a reliable â€Å"multi-dose presentation† (1177). Key components of this devices help determine the amount of drug delivered to the patient. The researcher further suggests that pMDIs can be developed that are breath actuated and coordinated with â€Å"spray-velocity modifiers† to help patients unable to use â€Å"conventional press and breathe pMDI’s correctly† (Newman, 1177). Modern or contemporary pMDI’s according to Newman should also contain non-ozone depleting propellants, a sentiment confirmed by Virchow (2005) as well. Patients with severe refractory asthma require more comprehensive treatment. High-doses of inhaled corticosteroids are often insufficient for treating this form of asthma. Most require contemporary treatments including oral corticosteroid administration and use of immunosuppressants (Sano, Adachi, Kiuchi Miyamoto, 2005). Chronic use of these drugs however present a high risk for adverse side effects. A study conducted by Sano, et. al (2005) suggests that nebulized sodium cromoglycate â€Å"is expected to be a new second-line therapeutic option in severe asthma† (1). Gaga, et. al (2005) suggests that many doctors are not achieving good quality of life and control of asthma for patients. Their study of treatment outcomes for asthmatic patients in specialized care suggests that contemporary treatments should include more patient education combined with increased use of LABAs (Long-acting beta2-agonists) and leukotriene antagonists to help prevent bronchoconstriction and improve quality of life for patients. Despite multiple contemporary treatment choices, managing acute severe asthma attacks still present a tremendous health challenge to health care professionals (Barnard, 2005). Contemporary guidelines for treating acute emergency attacks currently include treatment with oxygen and inhaled beta 2 agonists, which can be administered continuously to help preserve life in acute patients (Barnard, 532). Patients discharged after such treatment should also engage in review of current medications and consider â€Å"a short course of oral steroids, a written asthma action plan and detailed advice about deterioration that may occur within 48 hours† (Barnard, 533). Butz et. al, (2005) are among a growing body of contemporary researchers that suggests that self management and patient education are critical success factors for treating patients with asthma in modern society. Their studies suggested home based educational programs that focus on accurate symptom identification and demonstration of â€Å"asthma medication delivery services† may improve patient quality of life and assist children with asthma and asthma like conditions (Butz, et. al, 190). Delaronde, Peruccio Bauer (2005) find that â€Å"individualized telephonic case management† from registered nurses specifically trained in contemporary asthma treatment may improve asthma medication use and subsequent quality of life for patients with asthma (361). This research correlates with a growing body of evidence supporting patient education and direct support as practical contemporary treatment practices. The basis for much of contemporary treatment lies in the gold standards or clinical practice guidelines outlined by the National Asthma Education and Prevention Program’s Expert Panel (CDC, 2005). These standards offer patients and health care practitioners specific guidelines for recognizing, diagnosis, treating and providing ongoing care to asthmatic patients. Because asthma is a difficult disease to diagnose, clinicians should utilize multiple diagnostic tools to determine whether airflow obstruction in patients results from asthma or other underlying conditions. Doctors should also acquire a comprehensive medical and family history and attempt to quantify the severity of a person’s condition (CDC, 2005). Other contemporary diagnostic criteria helpful for assessing a patients condition include lung function tests (also referred to as spirometry) (CDC, 2005). Because there is no cure for asthma at this time doctors must work to improve the quality of life for patients presenting with asthma as effectively treat acute attacks. Doctors also work with patients to prevent attacks and recurrent episodes. Not one treatment modality works for all people because every case of asthma is unique. Because of this doctors often use various medications including injections, oral medications, vapors and inhalers. Use of inhalers to expand airflow is currently one of the most common and effective long-term treatment choices for patients with asthma. Contemporary long lasting medical treatments should include use of corticosteroids to help reduce inflammation in the lungs and airways. Most patients will inhale these medicines or take them orally. Long acting beta2-agonists are also identified as effective long-term treatments for patients with asthma. While inhalers, nebulizers and other medications all serve the asthmatic population, education should also form the foundation for modern treatment practices. Multiple researchers have concluded that patient education is effective for improving the quality of life in patients with asthma. Education also ensures that patients understand how to use their medications and do use them to prevent acute attacks. Education may be particularly beneficial for children by helping them adopt healthy behaviors early on that can help control their condition. Asthma is a complex disease involving structural and physiological components. Patients with asthma face a life long and often debilitating condition that under severe circumstances may result in increased morbidity. Fortunately there are many treatments currently available that effectively manage this condition. Contemporary management and treatment of asthma is based on empirical research that suggests multiple forms of medication for preventing and treating acute asthma attacks. The most common forms of treatment include corticosteroid administration through inhalers or oral forms. There are other equally effective medical treatments however that may work well for patients depending on the severity of their illness. No two patients are alike with respect to the condition thus treatment must be tailored to the individual. New research suggests that doctors and patients focus on prevention and education to help improve patients quality of life and experience of their disease (West, 1990). Education that starts early, as when patients are children, is likely to be more effective than education that starts years after an individual has attempted to manage their disease using other methods. Adequate evidence suggests that the manner of delivery for education does not impact a patients success rate. Thus information may be distributed in person, in the home or even over the telephone if necessary. The currently body of literature available suggest that education in the classroom may also be an important avenue for teaching prevention and treatment in the future (West, 1990). It is important that researchers and doctors continue exploring new avenues for treating and preventing this insidious disease. How to cite Pathology and Contemporary Treatment Alternatives, Papers

The Search for Order by Robert H. Wiebe

Summary Written by Robert H. Wiebe in 1967, the book, The Search for Order, is a perfect chronicle of the Americans’ search for economic, political, and social order between 1877 and 1920. The search kicked off immediately after the Reconstruction Era until 1920 just before the vagaries of the Great Depression set in.Advertising We will write a custom book review sample on The Search for Order by Robert H. Wiebe specifically for you for only $16.05 $11/page Learn More The Reconstruction, which was occasioned by the Civil War, failed and people started looking up to themselves and this change was supported by the growing industries. This shift from government dependence to self-actualization was at the center of the controversies that followed including the introduction of the Gold Standard, the agrarians’ fallout, and the bulging need for professionalism in the country among other issues. Theodore Roosevelt’s triumph to presidency co nsolidated the calls for professionalism in every aspect of the American livelihoods including politics. The First World War was a shocker to the US, which mistakenly thought it had enough diplomatic ties to control such an occurrence. The key concern in the book is the progressive movement that gripped the Americans, which seemed to be the genesis of the disorder that Wiebe seeks to address via this book. Critical Analysis Conventionally, by exploring the undying spirit for search for order amongst Americans from the late nineteen century, Wiebe, through the law of unintended consequences, highlights the ripe disorder that defined the American society at the time. One of the critical issues that I learnt from the book is the disorder that prevailed after the abortion of the Reconstruction and the subsequent quest for restoring order in the American society. Wiebe (1967) confesses, â€Å"Americans in a basic sense no longer knew who or what they were†¦The setting had altered b eyond their power to understand it and within an alien context they had lost themselves† (42). As aforementioned, Americans embraced professionalism in their dealings and thus they departed from the earlier way of handling issues via moral lenses. Americans embraced officialdom and thus â€Å"the heart of progressivism was the ambition of the new middle class to fulfill its destiny through bureaucratic means† (Wiebe 1967, 166). Unfortunately, while bureaucracy was initially meant to bring order and progression, it soon degenerated to chaos as the changing social, political, and the economic environment introduced new challenges. People wanted accountability from the government; however, this push was not strong enough following the government-engineered Reconstruction Era, which aborted miserably. People had lost faith in the same government that they wanted to be accountable. Therefore, in the raging confusion, the very ideals highly regarded in society like anticorrup tion started to wane. Corruption and political persecutions found their way back into the mainstream government. Unfortunately, the masses were too disorganized to voice their issues- they had neither inner push nor reason to champion for reforms. Therefore, â€Å"with no purpose beyond disclosure and conviction and very little organized support behind them, they captured the headlines, and then disappeared† (Wiebe 1967, 172).Advertising Looking for book review on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, as aforementioned, Wiebe’s purpose of compiling this book was to highlight how Americans realized order in a seemingly hostile and disorderly environment. Therefore, even though the author starts by highlighting a disorder, he quickly moves to the central theme and explores the journey to an ‘orderly America’. By the turn of the twentieth century, the cards were changing as alleg iance shifted from politics to professionalism. In a span of 11 years, Americans had three presidents all of which were progressives. President Theodore Roosevelt in particular was a darling to many Americans due to his liberal stand on governance. He brought order in a hitherto disorderly society grappling with the vagaries of a changing environment. While William Taft was somehow undecided on liberal issues, by the time he rose to power, the progressives had already been established and they carried on with Roosevelt’s spirit until Wilson Woodrow won the presidency and continued with restoring the order that Theodore had initiated. By 1912-1913, the American society had achieved domestic ‘order’ and so they started pushing for foreign policy and investments overseas. Unfortunately, as aforementioned, the outbreak of the First World War was a shocker to the Americans as their teething diplomatic ties were thrown into disarray and the disorder moved from domestic to the international arena. However, Wiebe is only concerned with the domestic order and as he closes up the book, he notes that the 1920s brought order in the American society –an order that had been elusive for many years. Conclusion Wiebe’s book, In Search for Order, is a masterpiece as it gives an impartial view of the American’s search for order immediately after the abortion of the Reconstruction all through to the 1920s after the First World War. The book is thematic and Wiebe does not dwell on the disorderly era for long, but he shifts to the theme of his book. He does this by dedicating a larger part of his book to the ‘search for order’ aspect. The book is informative and from it. I learnt of the Americans’ resilient journey towards ‘order’, which they ultimately realized according to Wiebe’s chronicles. Reference Wiebe, Robert. 1967. The Search for Order, 1877-1920. New York: Hill and Wang.Advertising We w ill write a custom book review sample on The Search for Order by Robert H. Wiebe specifically for you for only $16.05 $11/page Learn More This book review on The Search for Order by Robert H. Wiebe was written and submitted by user Eva Ross to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Russian Accounting Standards Essays - Free Essays, Term Papers

Russian Accounting Standards Essays - Free Essays, Term Papers Russian Accounting Standards The previous Russian accounting standards are still being used and creating much turmoil today. Financial statements are inaccurate turning profits into losses and changing losses into earnings (vice versa). One issue covered in the article was the strict enforcement of laws. The soviet central planners don't give accountants enough freedom for them to think for themselves. Instead of allowing accountants to set depreciation rates according to real wear and tear the state publishes a book dictating the life span of everything from wooden chairs to tools. Another issue covered in the article was the banking problems in the Russian nation. Russian banks keep obsolete equipment on their books for a long period. The Central Bank is attempting to change this and is pressuring the banks to disclose the true state of their finances. The two issues discussed in the article give the idea of a big cultural characteristic of the Russian nation. The use and understanding of Hofstede's chart was a useful resource when reading the article. The use of statutory control was clearly evident. As well as the use of secrecy for their financial statements and banking system was easily understood.

4 Inspirational Stories from the Hood to Make You Stop Feeling Sorry for Yourself!

4 Inspirational Stories from the Hood to Make You Stop Feeling Sorry for Yourself! Last summer, I made a promise at the end of a blog about participating in College Summit, a program that prepares inner city high school students to attend college: I announced I would return to the program in 2015. And I kept my promise! From July 23-26, 2015, I worked with four student leaders to find their unique stories and put them down on paper. I was inspired by all of them in different ways, and I’d like to share their stories with you. As you read about these young leaders, consider the things that stop you in your life. My four students each encountered situations that could have brought them down, but they did not give up on themselves or their dreams. Here are their stories (complete with typos and grammatical anomalies). Their names have been changed for purposes of this article. Benita Benita, in an initial writing exercise, referred to a â€Å"family situation† but did not say what it was. We told her we wanted to know more, and she said she didn’t write more about it because she would cry. I told her it was okay and welcome if she cried. In the next exercise, she revealed, tears streaming down her face, that her dad was arrested in front of her eyes when she was 12 years old, and then was quickly deported. He had been trying to do what he could to put food on the table. After her dad’s departure, Benita quit playing soccer; she and her two siblings quit school; and her mother quit eating for seven months. But the family ultimately was able to turn their lives around. Benita rejoined the soccer team; all the kids went back to school; and her mother opened a dance studio. Benita’s dream: to become a history teacher in the neighborhood where she grew up. How remarkable that this young woman wants to give back in the setting that holds so many painful memories. She is creating new and more positive ones. My dad would take us to Disneyland once a month or even once every week. Our family was very cheerful and probably the happiest people anyone knew. When we would be home or somewhere else we didn’t really have enough food for us to eat. But that didn’t matter to us, all we cared about was being so happy and energetic family. Jorge Jorge’s brother Paul was the first in their family to graduate high school and to go to college. He was Jorge’s idol. When Paul dropped out of college, Jorge began to doubt whether he himself had what it took to make it through college. He spoke about how he started to give up on himself, but he said it looks likely that he will graduate this year. What he didn’t mention (and what I found out from one of the college coaches at the program) was that he has a 3.8 GPA and super high SAT math scores for someone from his background. Jorge is passionate about computer science and he has started to regain confidence in himself. I see every reason why he is going to be the first in his family to graduate from college. First period I had a computer science class in which we created our own website, our own game, our own graphics and pictures, and a program for a small robot made out of Legos. Most people thought that this class was boring and pointless, but I honestly thought that this was one of the most fun classes. I wish that I had a computer with all the programs at home to finish it or continue onto something else on my own. Jennifer A fireball from the moment we started working together, Jennifer never shied away from the task at hand. This girl from the ghetto is tired of walking by drug addicts every day. She wants more for herself and for her friends and family. Daring to be different from her neighbors, she has excelled in music and theater wants to be an obstetrician. She’s the one who bandages up the bleeding when her family gets scraped up. And I’ve never heard someone so excited while talking about mitosis! Jennifer is unafraid of the 13 years of schooling she will undergo to reach her dream. Being happy with what I do is an awesome feeling but knowing that it could take me places I could never imagine is even better. I am Jennifer Johnson. I’m from the ghetto. And despite all the negative things that are happening around me I did the things that made me the happiest, and became somebody. Sandra I wouldn’t have guessed that this tiny quiet girl, who at first was reluctant to talk and told us all she had nothing to write about, was captain of her school’s 4-time winning cheer team. Her story of how she got there was inspiring, and even more inspiring was watching her unfold into a true writer. I compete to fight to the top, although there is no path there. I like taking a step forward knowing I can trip. My shoes aren’t always tied, and there will always be cracks and bumps on the floor, but I will tie my shoes, and nothing will stop me from taking another step forward and wanting to run. If you let your untied shoes, your role model’s downfall, your background, or a family crisis stop you from playing full out for your goals, I hope the spirit of Benita, Jorge, Jennifer and Sandra inspires you to keep reaching, fighting, and celebrating.