Thursday, November 28, 2019

An essay discussing to which extent economic change during 1789-1939 was a factor in the changing nature of anti-Semitism.

An essay discussing to which extent economic change during 1789-1939 was a factor in the changing nature of anti-Semitism. The modern industrial age brought along with it a whole new school of thought, thought based on science and rationality rather than the waning belief in religion. The social and economic revolution also saw Jews in a new light, one in which they were not merely thought of as Jews, in the religious sense, but viewed now as a people with their own particular inherited characteristics. For this reason hating Jews for their religious beliefs became outdated as a more modern and racially based Jew-hatred took its place.Jew-hatred, in its older form, saw short temporary violence towards Jews. This is stark in contrast to modern anti-Semitism which, with its racial ideology, brought a more structured and sustained attack on the Jewish race. The grounds for this were based on the developed belief by anti-Semites that Jews were "an unwanted intruder, arrogant, skilled and power hungry" (P. Pulzer). A number of political parties with anti-Semitic policies formed during this period highlighting the fact that this new form of Jew-hating had permanent, long-lasting convictions.Progressive Jewish Thought and the New Anti-Semiti...Before Jewish emancipation Jews were forced to live in ghettoes, secluded from the rest of society. Violence against them was brutal but not permanent enough to produce a reconstruction of the Jewish position in society. As Jews became viewed as a race with undesirable enduring characteristics they became persecuted in a way that sought an permanent end to the Jewish influence in modern day life. This raised a number of potential solutions among anti-Semites that considered the elimination of the Jewish race.The cause of these changes in the nature of anti-Semitism can be related to the economic circumstances during this period; however this was not the only cause of this change. Other factors including the increased value of science, the growth of nationalistic ideas among European...

Monday, November 25, 2019

Free Essays on American Adam

Thoreau’s position on the West was a dichotomous one in comparison to Emerson’s. While he was in agreement with Emerson about the power and the pull of nature and the innate human need to be a part of it, he condemned the idea of conquering and taming the wilderness. In his most popular work, Walden, Thoreau was building upon the transcendentalist view that the mind is the true frontier. Starting in 1845, he moved onto Emerson’s land at Walden Pond and for â€Å"two years, two months, and two days† he lived a simple and self-sustained life (Woodlief) While there he kept detailed journals which were published as, Walden, in 1854. In Walden, he gives the reason for his stay in the woods, â€Å"I went to the woods because I wished to live deliberately, to front only the essential facts of life, and to see if I could not learn what it had to teach, and not, when I came to die, discover that I had not lived† (Thoreau 1692). Such reasoning is evidenc e that he too was calling into question the societal values of his day while searching for true meaning in a sort of pioneer experience. While at Walden Pond he realized, or rather criticized his society, â€Å"The nation itself with all its so called internal improvements, which, by the way, are all external and superficial, is just such an unwieldy and overgrown establishment, cluttered with furniture and tripped up with its own traps ruined by luxury and heedless expense . . . and the only cure for it as for them is in a rigid economy, a stern and more than Spartan simplicity of life and elevation of purpose† (Thoreau 1692-93). In effect it seems as if the idea of pioneering and simplicity in the natural world had become his â€Å"safety valve† in the face of â€Å"progress† and growth of the government and nation. Of course, it must be said again that the major idea of the frontier was in the cultivation of simplicity of the transcendental mind,... Free Essays on American Adam Free Essays on American Adam Thoreau’s position on the West was a dichotomous one in comparison to Emerson’s. While he was in agreement with Emerson about the power and the pull of nature and the innate human need to be a part of it, he condemned the idea of conquering and taming the wilderness. In his most popular work, Walden, Thoreau was building upon the transcendentalist view that the mind is the true frontier. Starting in 1845, he moved onto Emerson’s land at Walden Pond and for â€Å"two years, two months, and two days† he lived a simple and self-sustained life (Woodlief) While there he kept detailed journals which were published as, Walden, in 1854. In Walden, he gives the reason for his stay in the woods, â€Å"I went to the woods because I wished to live deliberately, to front only the essential facts of life, and to see if I could not learn what it had to teach, and not, when I came to die, discover that I had not lived† (Thoreau 1692). Such reasoning is evidenc e that he too was calling into question the societal values of his day while searching for true meaning in a sort of pioneer experience. While at Walden Pond he realized, or rather criticized his society, â€Å"The nation itself with all its so called internal improvements, which, by the way, are all external and superficial, is just such an unwieldy and overgrown establishment, cluttered with furniture and tripped up with its own traps ruined by luxury and heedless expense . . . and the only cure for it as for them is in a rigid economy, a stern and more than Spartan simplicity of life and elevation of purpose† (Thoreau 1692-93). In effect it seems as if the idea of pioneering and simplicity in the natural world had become his â€Å"safety valve† in the face of â€Å"progress† and growth of the government and nation. Of course, it must be said again that the major idea of the frontier was in the cultivation of simplicity of the transcendental mind,...

Thursday, November 21, 2019

What led to US military action in the Vietnam Research Paper

What led to US military action in the Vietnam - Research Paper Example China would continue to rule there for the next 1,000 years, until 939 AD when Vietnam would regain some measure of independence (Bureau of East Asian and Pacific Affairs). Following this, two families fought for control of the country, and civil war was common until the late 18th century (Bureau of East Asian and Pacific Affairs). A peasant revolt in 1802 again unified the country under one governor, but was beaten down by an emperor who ruled as Gia Long (Bureau of East Asian and Pacific Affairs). The Vietnamese, by the time of the entry of American troops into their country, were most likely used to seeing foreigners in their country. The Americans, however, were still about 150 years away. First were the French in 1855, which ruled Vietnam as a colony, along with Cambodia and Laos, and called it French Indochina (Bureau of East Asian and Pacific Affairs). The emperor of Vietnam remained in the country at Hue and was given very limited authority, but that was all (Bureau of East Asian and Pacific Affairs). In 1919, a young man known as Ho Chi Minh joined the French Socialist Party, and became fascinated by the teachings of V.I. Lenin (Lawrence). Lenin, while adamant that full-blown Communist revolution could only occur in countries with high industrialization, encouraged agrarian societies to form small cells of communist supporters (Lawrence). Ho Chi Minh not only believed in this principle, but believed that it formed a road map for him to carry out revolution and free Vietnam from colonial rule forever (Lawrence). The path to the Vietnam War had, in some ways, begun with his thoughts. Vietnam faced further occupation during World War II. The Japanese entered and quickly took over for France, forcing them to concede French Indochina (Lawrence). In the confusion of the final year of the war, Ho Chi Minh took advantage of the opportunity to bring his party to the forefront of politics by relieving a famine and feeding the starving masses of Vietnamese

Wednesday, November 20, 2019

The Piano Lession Essay Example | Topics and Well Written Essays - 1250 words

The Piano Lession - Essay Example Berniece is very stalwart in upholding family traditions. She has been very close to her father. She and her father had developed an obsession for the piano. Berniece’s perspective on piano shows her being very keen to preserve the past of her family. She resents racism too but protests against it within the limits of reasonability. The piano has the carving of her family’s history in the shape of pictures, blood and tears. These are invaluable for Berniece and she does not want to let go any part of that. In her point of view, her father stole the piano because he wanted to get close to the engravings that were on it. It shows that she has great love and respect for her family’s past and history. She also respects the feelings of her ancestors. She acts as a guard for her family’s past. She does not want the piano to be sold and thinks that her father would have approved her intentions. Berniece is a cleaning lady and she accepts the world the way it is. She has lost her husband and she blames Boy Willie for that. She has lost very much and all she is left with is the pleasant memories of the past. She chose to live close to the piano just like her mother, Mama Ola. She goes through almost the same type of tragedy that her mother had faced. She loves her mother very much which is shown by her cleaning of Mama Ola’s picture with love (Act 1, Scene 1, Part 1). Her decision of not agreeing to sell the piano shows that she is very attached to the memories of the past and the legacy of her family. She is so much attached to her past that she does not heed to the offer of Avery to court her (Act 2, Scene 2). She does not want her daughter, Maretha, to suffer from a similar nostalgia which is why she has not told her anything about what the carvings on the piano mean (Act 2, Scene 5). Boy Willie wants to sell the antique piano to buy the land in which his ancestors worked as slaves. His perspective on the piano describes his nature. He shows utter disregard for the family traditions. He thinks that if he sells the piano and is able to purchase the Sutter’s land, he would avenge his father and live at the â€Å"top† of life. His father was also as reckless as he is. He thinks that if he is able to sell the piano, his father’s wishes would be immortalized. It also suggests that his father is somewhat responsible for instilling a rash behavior in him. He looks at the piano as an object that can fulfill his desire to become rich. He thinks that his father would have done the same (Act 1, Scene 2, Part II). He does not care about what his family wants and upholds. He completely rejects the wishes of sister, Berniece. His decision to sell the piano shows his negative approach towards life which has made him a person who looks at easy ways to get rich rather than by working hard. Boy Willie thinks that the only way to stand neck to neck with the white people is to become wealthy. This is a common belief among the suppressed races of the world that they can get respect if they become wealthy. Boy Willie thinks that the white people have no right to look down on him and must treat him with respect. He can get his due respect by becoming rich and selling the piano is his only chance at that. He is a person who has received a lot of mental suffering due to the racism between blacks and whites. He has a lot of hatred for white people. His father worked for the white people all his life. He holds the

Monday, November 18, 2019

Public Adminstration Essay Example | Topics and Well Written Essays - 500 words

Public Adminstration - Essay Example Among several issues like the history of a government, its form and reform, stands the topic on governmental organizations and classifications, on which a number of authors have written. Among these outstanding authors is Luther Gulick in his 'Notes on the Theory of Organization' (1937). This discussion focuses on the component parts of Gulick's ideas relative to organizational classification, how they interrelate and contribute to the whole. In chapter 3 of the, 'The Craft of Public Administration', George Berkley and John Rouse attempt an Anatomy of Public Organisation. 'The article on the Machinery of Government Reform: Principles and Practice', (:Machinery of Government Reform Principles and Practice.htm) quotes the Haldane Report of 1918 on the 'distribution of government activities between government departments.' In effect, the Report proposes ten divisions in government ranging from Finance to Justice, despite recognising impossibility in 'co-operation between Departments in dealing with business of common interest" (Haldane 1918: 16). Contrary to the Heldane report, the American Public Administrator and Educator, Luther Hasely Gulick, 1892 - 1992, proposed four criteria for allocating government activities: purposes, such as furnishing water or conducting education; processes (employed), such as engineering, medicine, carpentry: place, for example Hawaii, Bos

Friday, November 15, 2019

Treatment and Quality of Life of Heart Failure Patients

Treatment and Quality of Life of Heart Failure Patients Compliance to treatment and quality of life of Sudanese patients with heart failure Mugahed AL-khadhera,*,Imad Fadl-Elmulab ,Waled Amen Mohammed Ahmedc Abstract Background: Heart failure is known to decrease the quality of life, especially in non-compliance patients with regards to medications and life style changes. Objective: The present study aimed to determine the level of compliance to treatment and quality of life of Sudanese patients with heart failure. Methods: This descriptive study was conducted on 76 patients with heart failure admitted to the Sudan Heart Institute. Demographic and clinical data including the compliance (medication, sodium restriction, fluid restriction, daily weights, exercises, and appointment-keeping) were collected. The quality of life was measured using the Minnesota living with heart failure Questionnaire. The data were collected from all patients and the analyzed using SPSS version 22 software. Results: Heart failure patients showed low compliance ranged between 11.84% and 75% of which the highest compliance was to medication (75%) followed by the follow-up appointments (71.05%), and the lowest compliances were to the fluids restrictions (11.84%), the weight monitoring (17.10%), regular exercise (21.05%), and the sodium restriction (27.6%). Quality of life score ranged between 62-97 score and the Mean (SD) 83.6 (7.82) which reveled of poor quality of life in most of Sudanese patients with heart failure involved in the present study. Conclusion: The study showed that patients with heart failure in Sudan have low compliance to treatment and poor quality of life. Key words Heart Failure, Treatment Compliance, Quality of life, Sudan Introduction: Heart failure incidence increases with age, increase from approximately 20 per 1000 individuals with age 65 to 69-year-old to more than 80 per 1000 individuals aging 85-year-old (1). In fact few epidemiological data on heart failure in Sudan exists and the recognition of the disease as a major health issue remains questionable, the prevalent of heart failure accounts for 2.5% of the population, and hence it is one of the major causes of hospital mortality (2). The WHO defined adherence as extent a person’s behavior –taking drugs, following a diet, and/or executing lifestyle modifications, follow the agreed recommendations from a health care providers (3). Poor compliance â€Å"noncompliance† usually refers to patients’ failure to follow health interventions as recommended by the health care provider, but it can also refer to the providers’ failure to act according to practice guidelines or standards of care(4). The factors affecting the compliance could be divided into patient-related factors, regimen-related factors, and health care providers-related factors (5). Non-compliance to medications and diet contributes in many cases to worsening heart failure symptoms. The compliance to prescribe medications or other caregivers recommendations such as lifestyle changes is a widely acknowledged problem leading to hospitalization ((6-8). The non-compliance of HF patients is a major problem and remains to be a continuous source of concern for patients. It is mainly for diet and fluid, daily weight and exercises (9). Quality of life (QOL) is defined as the individual’s unique cognition and a way to express feelings about his/her health status(10).Moreover, QOL is a good predictor of mortality and the need for hospitalization (11-13). Patients in class II and III heart failure of New York Heart Association (NYHA) classification cannot normally do their daily activities (9). Although, several studies on compliance of HF patients and their quality of life have been performed worldwide, to our knowledge this is the first ever study conducted in Sudanese HF patients, aimed to assess the compliance to treatment and quality of life in Sudanese patients with heart failure. Materials and Methods This descriptive study was conducted on 76 patients with heart failure admitted to the Sudan Heart Institute. A total of 76 Sudanese HF patients were randomly selected from Sudan Heart Institute in Khartoum, January-March 2014. The patients participated were above 20 years, confirmed diagnosed as heart failure by the cardiologist at least a month, already start HF treatment, in class II or III heart failure of NYHA, and with ability to communicate. The questionnaire consists of 36 questions of which 10 for demographic and clinical data, 5 questions for compliance, and 21 questions for quality of life. Demographic and clinical data were collected from medical records and/or by interviews. The demographic data included age, gender, educational level, and marital status, whereas clinical variables include left ventricular ejection fraction (EF), previous hospitalization in the past three months, and duration of HF. Revised HF Compliance Questionnaire was used (14), on a five-point scale (1=‘never’; 2= seldom; 3= half of the time; 4 =mostly; 5=‘always’) (15). the participant’s compliance to medications, diet, fluid restriction, exercise, weight, and appointment keeping was evaluated by asking patients to rate their compliance of the last week (drugs, diet modifications, fluid restriction, and exercises), the last month (daily weighing), and the last 3 months (appointment keeping) before hospitalization. The patients were divided into two groups; either compliant or noncompliant (16-19). Patients were considered ‘overall compliant’ the compliance with four or more of the six recommendations.(20) (Table 2). The quality of life data were collected and measured using the Minnesota Living with Heart Failure Questionnaire after translated to Arabic language (9). This instrument used most widely to evaluate quality of life in research studies (21-24) .Which Contains 21 questions and overall score of 105 (521) with possible answers ranging from 0 (no) to 5 (very much), (0= no; 1= Very Little ; 2= little: 3= moderate; 4= much; 5= very much). The final score is the sum points obtained for the 21 questions; it can therefore vary between 0 and 105. It evaluates how heart failure affects patients ‘physical (8 questions), emotional (5 questions), and socioeconomic (8 questions) dimensions (25). The sum of responses reflects the overall effects of heart failure and treatments on individual’s quality of life (9). Data was presented using descriptive statistics including frequency, percentage, mean with standard deviation (SD) and P-value of ≠¤0.05 was considered statistically significant for relationship investigations. Ethical approval was obtained from Al Neelain Ethical committee at Al Neelain University. All patients signed an informed consent before participate in the study. Results The study showed that out the 76 patients, 63.2% were male and 36.8% were female; the mean age was 61.4  ±13.5 years. The education levels were 34.2% of patients were illiterate, 32.9% had completed primary school, 19.7% secondary school, and 13.2% had university graduation (Table 1). Although the vast majority of the patients were chronic patients with diagnosis for more than 5 years, the participant ask to define what is the heart failure? Only 24% had basic conscious about their disease, the remaining 76% of patients had no idea what the heart failure is. Overall compliance among the patients was 28.95%, whereas 71.5% of the patients were classified as non-compliant. Of those compliance with medication was 75% and 70% compliance with appointment-keeping. In general most patients showed low compliance with diet restriction (27%), exercise (21%), weighing (17%), and fluid restriction (11%) (Table2). The quality of life data showed that poor quality of life, the score ranged from 62-97 score /105, and the Mean (SD) quality of life was 3.2 (1.3) which reveled of poor quality of life in most of Sudanese patients with heart failure involved in the present study .There is statistically significant in compliance and quality of life (p value= 0.002) in compression with patients who is noncompliant. Also statistically significant with improved NYHA classification, LVEF and quality of life (pTable 3). (Table.1): Demographic and clinical variables of the study population (n=76) in Sudan. (Table.2) Compliance (Medications, diet, Fluid restriction, Exercise, weight, and appointments keeping) in Sudan. (Table.3) Quality of life of heart failure patients in Sudan (N=76) Discussion The patients’ compliance in this study ranged between 11.84% and 75% of the patients. Although the differences in measurement instruments and differences in interventions, the result of the this study showed low compliance compared with other previous studies including knowledge of the patients about their illness, the hazard of high salt consumption, and the daily weighing. Study done by Baghianimoghadam MH, et al, reported that the disease knowledge in Iranian patients reached 38% (26), whereas our result showed that 76% of HF Sudanese Patients lack essential knowledge of their disease or what the heart failure is. According to definition of ‘overall compliance (16).The overall patients’ compliance of the present study was 28% compared with the study conducted by van der wal in which the overall compliance reached 72% of patients with HF(16). In the same study compliance with medication (98.6%), appointment keeping, salt restriction (79%), fluid restriction (73%), exercise (39%), and weighing (35%) where all higher compared with the results of the present study(16). Also the compliance level of present study is lower than Evangelista study which found higher levels of compliance more than 90% for (follow-up appointments, medications, smoking, and alcohol cessation), low compliance dietary 71% and exercise recommendations 53% (17). Medicati on compliance in the present study result is similar to the study done by kamlovi yayhd which found 74.7% that compliance to medication (27). This may be a reflection of lack of knowledge and training programs offered to HF patients in Sudan. The Minnesota living with heart failure questionnaire (MLWHFQ) showed that poor quality of life, the score ranged between 62-97 score /105, and the Mean (SD) quality of life was 83.6 (7.82) which reveled of poor quality of life in most of Sudanese patients with heart failure involved in the present study . It was also found that no correlation between age and quality of life (p value =0.925) ,this similar to study done by Kato N,et al (28), some studies found association between age and quality of life (29). We did not observe sex differences in quality of life ( p value =0.99 ), which similar to study done by Heo S, et al 2007 (29). But other studies have reported quality of life worse in female (30;31). Also we found marital status had no influence on QOL in our subjects (p value =0.34) , it is lower to study done by Luttik ML, which found differences in QoL between married patients and those living alone were most pronounced with regard to future expectations of QoL (6.5 vs 5.0, P=.00 (32). Our study shows there is statistically significant in duration of disease with QOL (p value =0.004), Also statistically significant with improved NYHA classification, LVEF and Quality of life (p In this study, the researcher found that total compliance was poor for HF Sudanese patients, compliance for drugs and appointments keeping were high but still in an unacceptable level. Compliance with diet, fluid restriction, activity and daily weighing was low. Also the study revealed that non-compliance negatively affects the quality of life of Sudanese HF patients. Based on result of present study, education and counseling are extremely needed to increased patients-knowledge about their disease, leading to more compliance and improvement of their quality of life.

Wednesday, November 13, 2019

Critical Analysis of War Photographer by Carol Ann Duffy :: English Literature

Critical Analysis of War Photographer by Carol Ann Duffy In his darkroom he is finally alone with spools of suffering set out in ordered rows. The only light is red and softly glows, as though this were a church and he a priest preparing to intone a Mass. Belfast. Beirut. Phnom Penh. All flesh is grass. He has a job to do. Solutions slop in trays beneath his hands which did not tremble then though seem to now. Rural England. Home again to ordinary pain which simple weather can dispel, to fields which don't explode beneath the feet of running children in a nightmare heat. Something is happening. A stranger's features faintly start to twist before his eyes, a half-formed ghost. He remembers the cries of this man's wife, how he sought approval without words to do what someone must and how the blood stained into foreign dust. A hundred agonies in black-and-white From which his editor will pick out five or six for Sunday's supplement. The reader's eyeballs prick with tears between the bath and pre-lunch beers. From the aeroplane he stares impassively where he earns his living and they do not care. Carol Ann Duffy was born in Glasgow in 1955. She grew up in Staffordshire and went to university in Liverpool. Having spent some time in London as a freelance writer, she now lives in Manchester. She has won many prizes and several awards for her poetry. Her poems, she says, 'come from my everyday experience, my past/memory and my imagination. People and characters are fascinating to me'. Many of her poems are based on true experiences and real people. In the 1970s Carol Ann Duffy was friendly with Don McCullin, a famous photographer whose photographs of war were widely published and respected. Her poem, "War Photographer", (from Standing Female Nude, 1985), is based on conversations she had with him. The poem works on a very personal level - it is based on the authentic experience of a war photographer - and on a much wider level, saying something about the views and attitudes within our society concerning things that happen much further away. People are glad to distance themselves from the harsh realities of war whilst keeping themselves informed of, and superficially sympathetic to these real life situations. The structure of this poem supports this dichotomy in that there are two contrasting worlds: the world of war zones ("Belfast. Beirut. Phnom Penh.") and the calmer world of "Rural England". The war photographer is the man who goes between these two worlds. The safe world of England is signified by the cliche of a typical Sunday: "The bath and pre-lunch beers" while the horror of war is expressed through