Tuesday, December 31, 2019

A History Of The World - 1811 Words

Jonathan Lund Mr. O’Donnell Period 3 15 December 2014 A History of the World in Six Glasses BEER 1. The discovery of beer is linked to the first civilizations because it led to the domestication of cereal grains, the development of farming, early migrations, and the development of river valley societies in Egypt and Mesopotamia. 2. The history of beer in the ancient world tells us that the early civilizations used beer from when they were born to when they died. Beer used to be a currency and a religious offering; in early civilizations they incorporated it into everyday life. 3. The sources the author uses include Egypt and Mesopotamia. He tells how beer helped Egypt in a multitude of ways as well as Mesopotamia. 4. The use for beer was†¦show more content†¦It was also much more expensive 2. The Greeks used wine in parties, and as a drink that was safer than water. They also used it medicinally, to clean wounds. 3. Wine developed a status symbol because only high social classed could attain it. Wine was very scarce, but eventually it spread among Greece and became more available. However, a lot of money was required for wine. 4. Wine was consumed to show power, it was done at parties and high class arrangements. Most people drank beer, but wine showed a sense of authority, as it was much harder to get than beer. 5. Wine differed in Rome from ancient Greece in many ways. Rome started to grow wine grapes instead of the Greeks grain. Also, the brand of the wine being consumed began to matter in Rome. 6. Wine had a lot to do with empire, medicine, and religion. Wine was associated with the rise and fall of empires. Wine lived on with Christianity after the fall of the Roman Empire. Wine also spread religion. Medicine advanced because they found out that wine helped to clean wounds, killing the bacteria in them. SPIRITS 1. The origin of distilled spirits was in Cordoba, by the Arabs. They wanted the miracle medicine of wine travel better. 2. Spirits and colonization are connected in many ways. One of them being that spirits led to the distilling in New England. As well spirits became very popular in colonies and united people together. 3. The production of spirits is connected to

Monday, December 23, 2019

Illegal Immigration Too Large a Burden on America

Illegal Immigration: Too Large a Burden on America â€Å"Households headed by illegal aliens imposed more than 26.3 billion dollars in costs on the federal government†¦and paid only 16 billion dollars in taxes, creating a net fiscal deficit of almost 10.4 billion dollars, or two thousand seven hundred dollars per illegal household† (Miller 1). Some people would argue that immigrants come to America to take jobs that no one else will do, but the illegal immigrants are in fact draining social services and stealing free health care benefits. In addition, immigrants pay little or no taxes to benefit the social services and health care providers that they drain. By doing so, the American tax payers must take on the high price of the American†¦show more content†¦Also by placing more restrictions on social aid programs, the tax payers won’t be so burdened with useless taxes to pay for illegal aliens, who don’t provide any benefits to the country. The Unit ed States should make educated skilled workers a priority in the immigration policy and place more restrictions on social aid to solve the immigration crisis. Lori Newman, writer for the Greenhaven Press, reminds us, â€Å"every legal immigrant before 1924 was examined for infectious diseases upon arrival and tested for tuberculosis. Anyone infected was shipped back to their country of origin†¦today†¦illegal aliens simply cross our borders medically unexamined, hiding in their bodies any number of diseases’ (Newman 3). In 1924, only the healthiest and most educated could be admitted entrance in to America, the land of opportunities, now the poorest and least educated immigrants with innumerable amounts of diseases flood into our country every day. Those with diseases once rare in our country infect and burden the American health care system. The United States should enforce more restrictions on social and the immigration policy so we can stop these diseases from in fecting our people. America should stop trying to enforce rights that do not exist on people who should not be in our country and pay more attention to those dying becauseShow MoreRelated The Burdens of Illegal Immigrants and Illegal Immigration Essays1050 Words   |  5 PagesThe Burdens of Illegal Immigrants and Illegal Immigration    The United States was formed by the immigration of many people from all over the world. Americans take pride in knowing that we are a people of vast ethnic backgrounds and culture. However, at the present time, the flow of illegal immigration, as well as a large influx of other legal immigrants is placing a strain on our land of huddled masses. Legal immigration to the United States can easily be handled and is welcomed by mostRead MoreIllegal Immigrants And The United States1418 Words   |  6 PagesAn illegal immigrant, who works for their keep in an unknown country, contributes to taxes, stays out of trouble, and just wants a better life in a foreign country, on unknown land should be recognized for their contribution to that particular society. An illegal immigrant is a person who migrates to a different country in a way that is in violation of the immigrant laws of that country. Immigration has been a divided topic for many years in America- illegal immigrants are sometimes see n as a burdenRead MoreEssay Granting Illegal Immigrants Citizenship 1247 Words   |  5 PagesAn illegal immigrant, who works for their keep in an unknown country, contributes to taxes, stays out of trouble, and just wants a better life in a foreign country, on unknown land should be recognized for their contribution to that particular society. An illegal immigrant is a person who migrates to a different country in a way that is in violation of the immigrant laws of that country. Immigration has been a divided topic for many years in America- illegal immigrants are sometimes seen as a burdenRead MoreIllegal Immigration And The United States1388 Words   |  6 PagesIllegal immigration has plagued the United States since immigration laws were created, and has worsened in recent history. Since Ronald Reagan’s Immigration Reform and Control Act of 1986 provided amnesty for 3 million illegal aliens in exchange for increased border security, millions of people have entered the c ountry illegally. Over the past 30 years, the illegal immigrant population of the country has more than doubled from 5 million in 1986 to over 11.5 million in 2015. It has become one of theRead MoreThe Is The American Dream? Essay2305 Words   |  10 PagesRather, America boasts the image of the self-made, autonomous entrepreneur. Through hard work and dedication, any person can achieve limitless success despite current financial status. It is for this reason that many illegal immigrants are willing to risk everything for themselves and their families. There is but one, simple thing standing between the land of opportunity and any man, and that is the written consent of Uncle Sam himself. All of America’s wondrous aspects and ideals may seem too goodRead MorePersuasive Essay On Illegal Immigration1459 Words   |  6 PagesImmigrants have been coming to America way before the declaration of Independence in 1776. The United States of America has had immigrants from every nat ionality in the world seeking a better life or to pursue economic opportunities that may not be available in their native home. The majority of immigrants in the late nineteenth century arrived in the country on boats. Denial of entry were for the individuals whom are criminals, anarchists, or carriers of disease. Immigrants has the ability toRead MoreSyrian And The Syrian Civil War1191 Words   |  5 Pagesendured very difficult times in recent years due to a large amount of internal conflict and structural collapse on a political level. Due to the current state of our nation and nations abroad, we should not allow Syrian refugees to enter the U.S. at this time to ensure the safety of those already in the country. The Situation in Syria In recent years, there has been an extreme shift in the desire for change throughout Syria on a political level. The large surge of Syrian refugees is a direct result of theRead MoreAmerica Needs Immigration Reform Essay1034 Words   |  5 PagesImmigration reduction refers to a movement in the United States that advocates a reduction in the amount of immigration allowed into the country. Steps advocated for reducing the numbers of immigrants include advocating stronger action to prevent illegal entry and illegal immigration, and reductions in non-immigrant temporary work visas (such as H-1B and L-1). Some advocate a tightening of the requirements for legal immigration requirements to reduce total numbers, or move the proportions of legalRead MoreThe Benefits Of Immigrants During The United States946 Words   |  4 Pagesimmigrants into the United States. Some citizens judge that immigration is an impending threat to national security, and that the U.S. should close the borders up for good. The U.S. should not consider that because everything negative that occurs in the U.S. is not due to immigrants. The government can stop illegal immigration right now, but would it not affect the U.S. more to do so? Restrictionists claim that large-scale immigration, legal and illegal has depressed wages, burdened government resources,Read MoreHuman Smuggling And Human Trafficking1525 Words   |  7 PagesHuman smuggling is defined as the act of facilitating, transporting or aiding the illegal entry of a person or persons across an international border, deliberately evading the country s immigration laws. Human trafficking is similar, but not quite the same since the person being trafficked has not given consent, while smuggling is under an agreement between smuggler and customer. A victim of trafficking is also usually treated as possession to be controlled and exploited (Human Trafficking Gale)

Sunday, December 15, 2019

Challenges Faced by the TCL of Household Brands Free Essays

From the political perspective, China’s accession to the WTO, the competitiveness of home appliances market will be growing; TCL will have to accept the challenge of many household brands. These challenges will bring our goods to exchange a big impact. Now farmers are getting richer, the consumption level increases. We will write a custom essay sample on Challenges Faced by the TCL of Household Brands or any similar topic only for you Order Now Later there will be more and more people use appliances. From economic factors, the current domestic economic impact of the economic crisis is not large, but gradually changed the domestic economy was getting better and better, the city people and rural people’s spending power is increasing, but because the more tired goods more price increases Fast, so people need the degree of electronic products become low. From technical factors, the people now need more and more domestic TV, the products are constantly updated. However, the domestic production technology of new technologies, is still smaller than the level of international production technology, production technology, we may be big blow, and perhaps only get a small fee. From the social and cultural factors, China’s population structure is complex, each of the requirements for electronic products are not the same, especially for mobile phone consumption among young people account for a large position. The consumption level of each person is different; the products are not the same need, so that people differ greatly in need of electronic products. As a large electronics company, TCL has been facing a lot of competitors. Fields in plasma, Panasonic, 20% market share and become market leader, Panasonic is the vanguard of technology with technology. In the LCD TV market, market share reach of first place, Sharp at 28% of the market occupies the second place. The stolen Chang Hong is the first to enter the field, and put the largest companies, in terms of Chang Hong’s rear-projection TV screen, functionality and price point of view still holds in the country’s most eye-catching position. For TV, the buyer has a strong bargaining power, because most buyers of TV consumers, individual consumers will be very concerned about product prices. TV is not a necessity in life, is increasingly supported by computers and other electronic information products to replace, consumers are not eager to buy. Many electronics manufacturers, greatly reduced in order to seize the market price of the TV as an electronic information products consumers great choice, convenient channels of information, the information consumers want to know the market very easily. TCL is the internal environment from the following points. TCL lot of resources, from the tangible assets of view, TCL Company continued the production of emerging products. Many people like TCL’s electronics products. TCL latest production of LCD TVs, to protect people’s eyes, can also reduce the energy consumption of the TV. From the perspective of intangible assets, TCL won many awards. For example, in 2009, received 60 years in China Brand Image Award; TCL’s brand value in 2009 for the first time exceeded 400 billion Yuan. ?(Docin, 2011) TCL has a very good team, TCL of all employees are aware, do not build an internationally competitive corporate culture, can not become internationally competitive enterprises. How to cite Challenges Faced by the TCL of Household Brands, Papers

Saturday, December 7, 2019

Stand By Me free essay sample

The four main characters of the story Stand by Me are Gourde Elegance, Chris Chambers, Teddy Decamp, and Vern Testis. Gourde Elegance is a 12 going on 13 year old boy from Castle Rock, Oregon. His older brother Denny was killed in a jeep accident, this leads to Sorties mother ignoring him and his father hating him. Chris Chambers is one of the four boys who traveled to find the boy who was killed Ray Borrower. Chrisms dad is an alcoholic, and his brother is friends with the groups bully. Teddy Decamp is the craziest person out of the group. His dream job is to work for the army.But when his father held his ear against a stove he got a hearing impairment. Finally Vern Testis is the short larger kid of the group. He is often picked on by Teddy and He has a brother, Billy, who is a part of Aces bully gang. We will write a custom essay sample on Stand By Me or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 2. The relationship between Cordite and his father is not a strong relationship after Sorties older brother Denny was killed in a jeep accident. This leads to Sorties mother ignoring him and his father hating him. Gourde and his father are so distant because Gourde new his father was not proud of him. Denny had so much potential.Denny was a high school football star who would have received a scholarship had he been alive to attend college. When he passed Sorties father would rather Gourde be dead and Denny still alive. Teddy and his fathers relationship is different from Gourde and his fathers because Teddys father is a ragging man he held Teddys ear against a stove gave him a hearing problem. Both fathers are abusive and not fit to be parents. Chris believed in Gourde he said Gourde wish the hell was your dad. You wouldnt be going around talking about taking these stupid shop courses if I was.Its like God gave you something man, all those stories you can make up. And He said, this is what we got for way kid, try not to lose it. Kids lose everything unless theres someone there to look out for them. And if your parents are too bucked up to do it, then maybe should! 3. The meaning of the deer in the story Stand by Me is a scene offresh air it acts as a picture of true nature of the boys. It shows how they are still children, with innocence and how their problems and situations in life are simply obstacles in their journey through life. It also shows Sorties conscious, he is in-tune with his creativity as an aspiring writer. He has an ability to tell colorful stories and tap into his imagination. 4. The significance of the story Gourde makes up to his friends about The Revenge of Land-A-Hogan is important because it shows that the children are still children they have a running imagination, they have not grown up yet, they still have their childhood innocence. The childrens response to Sorties story was a lot of questions and how and why also what happened next they ere very excited to find out the ending and what was yet to come. . Chris learns a difficult lesson when trying to right a wrong he has committed. He learns a valuable lesson because Chris stole the milk money in school once, but he tried to give it back, unfortunately the person he decided to give it to, kept the money and Chris was branded a thief, but its mainly because of his family reputation that he was also described as a delinquent. Chris learned that you cannot always trust the people you may think are your rinds and that you will be labeled by your peers for what they think you are not really who you are. . Think the boys decided not to take the boys body back to castle rock because to many questions would be asked, the Aces gang would kill the boys and moving the body would be disrespectful. The boys realized throughout the movie that they are only kids. They still have their whole lives ahead of them. That dont need to have the unnecessary questions of why, how, what asked by family and friends on how they found the body and why they didnt call the cops. The boys went on this adventure because they wanted to find the missing boys body.But that wasnt the real reason, all the boys had a story, they all didnt want to stay at home. The boys wanted to go out and live, grow up. So this was one excuse to give purpose to their lives and give them something to strive for. 7. At the end of the movie Gourde says l never have friends later on like the ones I had when I was twelve Gourde is trying to tell the viewers that when you are 12 everything is easy, the only thing you have to worry about is tenting home on time. If that) you friends are always there for you. When you grow up and start a family you will have so much responsibility and things to take care of. But when your 12 life is easy. You and your friends will be friends forever. The things you do with the friends you had when you were 1 2 were memorable and exciting. You will never forget the memories you made with them. 8. Yes, I see this movie as a fall for innocence because the kids are so young, they are just kids.

Friday, November 29, 2019

Libya Moammar Gaddafi

Introduction Libya is one of the smallest countries in Africa. Situated in North Africa, the country has its capital in Tripoli. It is associated with a relatively small population that mainly consists of Arab ethnic groups. Libya’s economy thrives on the export of oil and the manufacturing sector. Being a socialist country, resource allocation is determined by government policies.Advertising We will write a custom essay sample on Libya: Moammar Gaddafi specifically for you for only $16.05 $11/page Learn More The political system in the country is poorly developed and is characterized by lack of democracy, crime against humanity and lack of freedom (Daoud, 2011). Consequently, the country has recently faced serious political unrest that has attracted the interest of the international community. This paper analyzes the leadership of the country’s rule, Moammar Gaddafi, before the political unrest. The political, economic and social situation in Libya will be illuminated. Aspects of the Government Nearly all aspects of the government of Libya are influenced by Gaddafi. He has ignored the country’s constitution and introduced his own political ideologies outlined in his publication referred to as the Green Book (Simpkins, 2010). The executive branch of the government consists of the ‘Jamahiriya sector’ led by a prime minister and is responsible for running the government. It also consists of the ‘revolution sector’ led by Gaddafi. The â€Å"revolution sector is not elected and has unlimited term in office† (Simpkins, 2010). Besides, it dictates and influences all decisions made by the Jamahiriya sector. The legislative consists of the â€Å"General People’s Congress (GPC) which is made up of 2700 members† (Peters, 2006). It is responsible for appointing the cabinet and key government officers. However, all appointments are approved by Gaddafi through the revolution se ctor. Elections are done indirectly through various Congress representatives and only those approved by the revelation sector are elected. Political parties are prohibited in the country. The judiciary is controlled by the revolution sector and the constitution is based on Islamic law and Italian civil law (Peters, 2006). However, â€Å"the revolution sector has veto powers over the constitution† (Mittelman, 2011). The government controls all aspects of the economy. These trends show that Gaddafi exercises autocratic rule through the revolution sector. This gives him the opportunity to influence all aspects of the government through his political ideologies. Gaddafi’s Power Base as an Undisputed Leader Gaddafi’s autocratic rule has been perpetuated by the political structure he created in the country and his influence over the military. The country’s military is not independent and is being led directly by Gaddafi and his loyal generals. He has used his p ower over the military to avert political opposition from both internal and external interest groups.Advertising Looking for essay on government? Let's see if we can help you! Get your first paper with 15% OFF Learn More He has also established a ‘revolution court’ that handles cases related to â€Å"political and crime against the state† (Simpkins, 2010). As the head of the revolution sector, he has full control over the ‘revolution court’ and can thus use it to suppress political opposition. The veto power of the revolution sector gives him the opportunity to manipulate the constitution in order to justify his leadership (Mittelman, 2011). Besides, he influences the outcomes of elections since only those approved by the revolution sector are elected. This means that his political opponents can not be elected to any public office. Even though the GPC is supposed to be an independent body, he uses its members to spy on political opposit ion. Due to his influence in the government, he has been able to use state resources to defeat his political opponents. These trends describe Gaddafi’s power base and are responsible for his extended rule. Standard of Living in Libya Despite the political discontent associated with his leadership, Gaddafi has facilitated improvements in the social welfare of his subjects. Before the current political unrest, â€Å"Libya’s infant mortality rate was the lowest in Africa† (Bruce, 2009). The country’s life expectancy was 74 years which was the highest in the continent. Unlike other African countries, Libya has been able to feed over 95% of its population from its resources. For example, in early 2011, the government eliminated all taxes on food imports following the rise in food prices in the international market (Bruce, 2009). This was meant to improve food distribution. Even though the government controls the economy, distribution of wealth has been relativ ely uniform. Currently, the country has the highest â€Å"gross domestic product (GDP) at purchasing power parity per capita of $ 15,000† (Bruce, 2009). The government has been able to help over 93% of the population to live above the poverty line. Distribution of key services such as education and health has been done fairly through subsidies and special considerations to disadvantaged groups (Solomon, 2008). Therefore, inequality is relatively low in the country. However, corruption and inefficiency in the government is still a threat to achieving higher levels of equality. Law and Order Libya’s constitution is based on Italian civil law and Sunni Islamic laws that provide the framework for maintaining law and order in the country (Simpkins, 2010). The judicial system is characterized by a hierarchy of courts. These include the summary courts, courts of first instance, appeal court and Supreme Court. Freedom of speech is limited in the country (Peters, 2006). The gov ernment has control over the state owned and privately owned media. Any statements against the government are prohibited and punishable. Civil liberty is also limited in the country. For example, freedom of association through unions and political parties are prohibited (Peters, 2006). Collective bargains are also discouraged by the government. Cases of forced labor have also been reported especially in the military. The judicial system is ineffective since it is influenced by the government. The crime rate in the country is relatively law as compared to other African countries.Advertising We will write a custom essay sample on Libya: Moammar Gaddafi specifically for you for only $16.05 $11/page Learn More This is attributed to the severe punishments associated with the Islamic laws used in the country (Peters, 2006). For example, striking workers can be imprisoned for very many years and capital punishment is still in common use (Peters, 2006). Acts of terror are minimal within the country. However, the country’s government has always been accused of sponsoring acts of terror in Western territories. Relationship with Foreign Powers In 1970s the country focused on establishing political ties with Middle East countries such as Palestine. During this time it focused on countering the influence of Western countries in Africa as well as Middle East. Thus it closed â€Å"UK’s and America’s embassies in its territories† (Swart Solomon, 2008). Libya also established strong political ties with the former Soviet Union due to their bilateral trade in weapons. However, the relationship ended in 1987 when Libya breached the terms and conditions of using the weapons (Swart Solomon, 2008). Following the failure of Arab countries to challenge UN’s sanctions on Libya in 1990s, the country terminated its relationship with most countries in Middle East. Consequently, the country has focused on establishing bilat eral relationships with â€Å"neighboring North African countries such as Egypt, Tunisia, Morocco and Sub-Sahara African countries† (Swart Solomon, 2008) in the last ten years. From 2003, the country decided to open up to the international community through trade and participation in international bodies. For example, it served for two years as the representative of Africa in the UN Security Council (Swart Solomon, 2008). Currently, Libya trades with European countries such as Italy and Germany. At the moment, the country has its greatest affiliation to African countries especially in the North and East of the continent due to three reasons. First, Gaddafi is committed to establishing a United Africa with a central government (Bruce, 2009). Thus he needs to win the support of most African countries. Second, most African countries are its trade partners (Bruce, 2009). The country sells its oil in Africa and imports its food from the same. Finally, most African leaders suppor t Gaddafi’s political ideologies of de facto leadership (Swart Solomon, 2008). This forms the basis of his association with such leaders and their countries. Economic and Educational Development Libya has one of the most stable economies in Africa and this can be justified by the following trends. In 2009, it realized a â€Å"real GDP of $ 85.00 billion† (John, 2009). The country’s GDP per capita over the same period was $ 13,400 which was the highest in Africa (John, 2009).Advertising Looking for essay on government? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, the growth in the country’s real GDP reduced in 2009 by 0.7% due to the financial crisis (John, 2009). Currently the growth rate of its GDP has picked up as the effects of the financial crisis recede. Oil and natural gas are the main natural resources in the country. Agriculture is least developed due poor climate and soil. However, it produces wheat, barley and fruits. Currently, it imports 75% of its foodstuffs. Petroleum, textile and food processing are the main industries in the country. Libya’s export in 2009 was valued at â€Å"34.24 billion while its imports over the same period totaled 22.11 billion† (John, 2009). This means that it had a surplus of trade which is very rare in Africa. The education system in Libya is highly subsidized by the government with elementary education being compulsory. However, there are inadequate qualified Libyan teachers. Besides, the â€Å"secondary school enrollment rate especially among female students is very l ow† (John, 2009). Higher education and training is also not well development due to government’s interference with the activities of Universities. The institutions of higher learning are also not enough and this explains why the government sponsors its students to pursue higher education in foreign countries. Reasons for the Discontent The political discontent in Libya occurred due to the following reasons. First, the citizens were interested in regaining their liberty and freedom (Hillston, 2011). The political reforms demanded by the public include a wider democratic space and a functioning judicial system. Second, the government was not popular due its crime against humanity (Gatung, 2011). It has been accused of detaining citizens for years without trail, torture and use of excessive force on those opposed to it. Third, Gaddafi has isolated Libya from other countries for a long time. Consequently, the citizens want to be integrated with the rest of the world in orde r to enjoy the economic, social and political benefits associated with such integration. Finally, the socialist government is corrupt and inefficient in achieving rapid economic growth (Hillston, 2011). Thus the citizens are interested in a free market system that encourages private ownership of property and competition. Therefore, the main causes of the discontent are lack of civil liberty, lack of freedom and too much of government involvement in the economy. Priority Problems In order to achieve rapid restoration of peace and stability in Libya, the following problems should be given priority. First, lack of civil liberty and freedom must be addressed as soon as possible. This is because it is the main cause of the current political discontent (Hillston, 2011). The citizens will be satisfied with government of the day if they are able to exercise their freedom and enjoy their civil rights as provided for by the constitution (Linlelater, 2000). Second, democratic space should be e xpanded in Libya. The widespread political opposition will only stop if the citizens are given an opportunity to expresses their political opinions. Besides, the citizens’ political opinions must be honored in order to ensure stability (Mittelman, 2011). This means that the citizens must be given an opportunity to elect their leaders directly. In order to ensure credibility of the elections, the voting process should be facilitated by an independent body. Third, significant reforms are required in the government. Key aspects of the government such as the judiciary and the legislature should be empowered in order to achieve their purposes. The various branches of the government must have clearly defined responsibilities and the autonomy to execute their duties in order to maintain their effectiveness. The citizens’ concerns such as lack of freedom and political oppression can be addressed if the government has well developed institutions and frameworks that facilitate s ocial and political change (Peters, 2006). Finally, economic reforms are needed in the country. Even though the quality of life is high, the rate of economic growth is still low and the distribution of resources is not efficient. This is attributed to the inefficiency of the socialist government in promoting economic activities in the country. Thus the government’s involvement in the economy should be minimized. This will help in improving efficiency in distribution of resources. Besides, it will facilitate rapid economic growth. Steps I would take to Change the Country As Libya’s leader, I would address the above mentioned problems as follows. In order to implement political reforms, I would restructure the government. I would abolish the revolution sector and its veto power over the constitution and all other branches of the government. The executive branch of my government would consist of an elected president, a vice president and a cabinet of qualified professiona ls. I would establish an independent judicial system. This would involve eliminating the revolution court and replacing it with the Supreme Court as the highest court in the country. The judges would be approved by the legislature before being appointed in order to prevent corruption and nepotism (Weber, 2009). An independent and effective judicial system will help in protecting the rights and freedom of the citizens (Roskin, 2006). I would also establish a legislative branch that is directly elected by the citizens instead of congressional representatives. This would help in improving democracy since the citizens’ decisions on leadership will be implemented through their vote. I would facilitate the formation of political parties and introduce regular national elections conducted by an independent body. I would abolish the Green Book and amend the current constitution in order to incorporate the views and political concerns of the citizens. The legislature would be responsib le for the formulation and interpretation of laws. This would help in protecting the rights of the citizens (Mittelman, 2011). My economic reforms would involve limiting government’s role in the economy to regulation, enforcing law and order and protecting the citizens from potential exploitations by the producers in order to improve efficiency. However, I would maintain subsidies especially in education and healthcare sectors in order to improve the welfare of the population (Roskin, 2006). Finally, I would focus on integrating the country with the rest of the world by establishing political ties with most countries. This will not only help in changing the world’s perception of Libya, but will also open up business opportunities for the country (Weber, 2009). Deployment of Resources I would adopt a hybrid system to facilitate efficient distribution of resources. This means that I would adopt the concepts of both socialism and capitalism in order to achieve equality an d rapid economic growth. My decision is based on the following reasons. First, the current socialist system facilitates corruption and nepotism in resource distribution (Bruce, 2009). Second, it has succeeded in promoting equality but has failed to enhance rapid economic growth. Third, a capitalist system would encourage inequality since the poor will not be able to access most services such healthcare and education. However, it would encourage rapid economic growth through â€Å"profit maximization, competition and freedom of choice† (Salvatore Diulio, 2003). Therefore, a hybrid system would be better since it maximizes the benefits of both capitalism and socialism while minimizing the demerits associated with them. In order to achieve the above objectives, I would establish a free market system that encourages private ownership of property (Salvatore Diulio, 2003). This would be supported by appropriate legislations that provide a framework for its operation. Public enter prises would be privatized in order to promote efficiency (Frank, Bernanke, Kaufman, 2007). Besides, profit remittance by such companies would be replaced by profit taxations. The government’s role in the economy would be to ensure healthy competition, protecting private property and rights of citizens as well as enforcing law and order. Key sectors of the economy such as healthcare, education and security will be controlled by the government through subsidies, regulation and direct delivery or provision of services. However, the private sector too would be allowed to participate in such sectors. The free market system would enable the government to realize high tax revenues which would be used for national projects such as development of infrastructure. Type of Leader I would like to be a president whose leadership is based on democracy and the rule of the law. This means that my focus would be on promoting democracy in the country. Upholding democracy will help in engaging the population in the affairs of the government (Swart Solomon, 2008). Consequently, my government will be people centered. A government that focuses on the needs of the people is likely to gain public approval which translates into political stability (Linlelater, 2000). Besides, it will help me to achieve rapid political change and economic growth since my objectives will be informed by the felt needs of the citizens. I will promote the rule of the law by ensuring that the constitution forms the basis of the operations of the government. Respecting the constitution will help in achieving the overall objectives and goals of the country (Roskin, 2006). My priorities will include promoting rapid economic growth, enhancing democracy and improving the relationship of Libya with the international community. Assistance from Foreign Powers Due to the scope of the political, social and economic reforms needed in the country, I would seek the following forms of assistance from foreign pow ers. To begin with, I would seek expert advice from the foreign powers in regard to restructuring the government. This is because the current system of governance needs a complete overhaul (Swart Solomon, 2008). Thus replacing it with a new one will require a lot of expertise that Libya does not have (Bruce, 2009). Second, I would seek financial support from foreign powers. Implementing reforms such as restructuring the government and the economy requires a lot of financial resources. For example, establishing new branches of the government such as the legislature and amending the constitution will necessitate spending on a lot of research, civic education and referendum (Weber, 2009). The current budget can not support all these reforms since a better part of it is used to provide services to the citizens (John, 2009). Therefore, I would need financial assistance either in the form of loans or grants from foreign powers. The western powers in particular are likely to offer such su pport if they are promised that it will be used for political reforms. Finally, I would seek technological support from foreign powers in order to achieve rapid economic growth. At the moment the manufacturing sector in Libya â€Å"accounts for 20% of the real GDP† (John, 2009). However, the full potential of the sector can not be realized due to lack of appropriate technology. I would thus adopt an open market policy to encourage the foreign powers to invest in the country (Salvatore Diulio, 2003). Such investments will facilitate technological transfers into the country. Besides, I would seek financial support in the form of grants to facilitate research and development in Libya. Conclusion The above discussion indicates that Libya has a fairly stable economy and better quality of life as compared to other African countries (Bruce, 2009). However, the political and governance system in the country has failed to achieve its mandate (Daoud, 2011). There is no democracy and f ormal governance system. The country’s leader has abandoned the constitution and introduced his own political ideologies that enable him to extend his stay in office. Consequently, he has been able to influence all aspects of the government and avert political opposition. The implication of these trends is that the level of political oppression has increased in the country (Hillston, 2011). Consequently, the discontent that has been building up in the country recently degenerated into political unrest (Hillston, 2011). Thus in order to restore peace and stability in the country, the government must implement political, social and economic reforms. Such reforms would include strengthening the various branches of the government, restoring the supremacy of the constitution and promoting democracy through elections. References Bruce, R. (2009). Qaddafi’s Libya in world politics. The Middle East Journal, vol. 63 (3), 509-510. Daoud, A. (2011). Deffection of Moussa Koussa me ans the Gaddafi’s regime is crambling. The North Africa Journal, vol. 20 (3), 225-260. Frank, R., Bernanke, B., Kaufman, R. (2007). Principles of economics. New York: McGraw-Hill. Gatung, J. (2011). Libya: the war is on. Web. Hillston, D. (2011). The Libyan no fly zone: responsibility to protect and international law. Foreign Policy Journal, vol. 47 (3), 101-120. John, B. (2009). The changing Libyan economy: causes and consequences. The Middle East Journal, vol. 62 (1), 75-91. Linlelater, A. (2000). International relations: critical concepts in politics. New York: Routledge. Mittelman, R. (2011). Freezing and seizing Qadhafi’s assest. Harvard National Security Journal, vol. 2 (1), 130-134. Peters, R. (2006). Crime and punishment in Islamic law. Journal of Islamic Studies, vol. 18 (2), 244-246. Roskin, M. (2006). Political science. Boston: Pearson Prentice Hall. Salvatore, D., Diulio, E. (2003). Principles of economics. New York: New York. Simpkins, J. (2010). Libyaâ €™s legal system and legal research. Web. Solomon, J. (2008). Gaddafi revamps Libya’s economy. Web. Swart, G., Solomon, H. (2008). Libya’s foreign policy in flux. African Affairs, vol. 104 (416), 469-492. Weber, C. (2009). International relations. London: Tylor and Francis. This essay on Libya: Moammar Gaddafi was written and submitted by user Bobby B. 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.

Monday, November 25, 2019

Medicine and law Essay Example

Medicine and law Essay Example Medicine and law Essay Medicine and law Essay Introduction It is now a firmly established belief that legal and ethical considerations are integral to medical practice in the planning for the care of the patient. With the advances in medical sciences and growing sophistication of the legal framework in modern society as well as increasing awareness of human rights and changing moral principles of the community at large, doctors and other healthcare workers alike are now frequently caught in difficult dilemmas in many aspects arising from daily practice. Examples are plenty such as the duty to respect informed consent, truth-telling, breach of confidentiality, disclosure  of medical errors, rationing of scarce health resources, biomedical research, organ donation, etc. Besides, there is also growing anxiety both within the medical profession and in the community regarding increasing trends of complaints and lawsuits against doctors. From the bitter experience of many doctors who were engaged in complaint or lawsuits in the past, many of them had resulted from failing of their doctor-patient communication skill or inadequate ability to comprehend and resolve dilemmas in clinical settings. Medical ethics has developed into a well based discipline which acts as a bridge between theoretical bioethics  and the bedside. 1 The goal is to improve the quality of patient care by identifying, analysing, and attempting to resolve the ethical problems that arise in practice. 2 In addition to our moral obligations, doctors are also bound by laws and official regulations which form the legal framework regulating medical practice. It is now a universal consensus that legal and ethical considerations are inherent and inseparable parts of good medical practice across the whole spectrum. The disciplines of law and ethics in medical practice overlap in many areas and yet each has its unique parameters and distinct focus. Legal and Ethical Regulations of Medical Practice in History In ancient Egypt, practice of medicine was subject to legal restrictions. The right to practise was restricted to members of a certain class, and all doctors had to learn and follow the percepts laid down by their predecessors. Obviously, this was to protect the public from quackery. Fees for the doctors were paid by the State. If unsatisfactory results followed a course of treatment that had departed from the orthodox, the doctor responsible would be liable to punishment, which could be very harsh. Similar legal restrictions on medical practice were also  found in other early civilizations such as Babylon and India. 3 Throughout the history of mankind, medical legislation has continuously evolved to regulate the practice of medicine. The fundamental objective is to safeguard the standards of the medical profession and to protect the public against unskilled vendors of medicine who would be as injurious to the community as other criminals. The Justinian Code of the Byzantine Empire in 529 AD is probably the earliest law code found to contain clauses to require educational standard and proof of competence of doctors by examinations. It also restricted the number of doctors in each town and penalties were imposed for malpractice. By 12th century, there were well established medical legislations in Italy, namely the edict of Roger II of Sicily in 1140 and Frederick II in 1224, to prescribe organized medical teaching, set courses, examinations and qualifications. 3 In Hong Kong, laws on public health and medical practice, essentially an adoption of the English Acts, had been introduced from the early days. In 1884, the first Medical Registration Ordinance was enacted to regulate the practice of medicine in the territory. Nowadays, the Hong  Kong Medical Council is established and empowered by law to perform the following major functions: (a) assessment of qualifications and maintenance of Register of Medical Practitioners, and registration is the only valid licence to practise medicine; (b) formulating guidelines on the ethical and professional standards; (c) investigation of complaints of professional misconduct; (d) supervision of medical education and training; and (e) assessment of fitness to practise where a doctors health is of concern. 4 In addition to legal regulation, there were also codes of medical ethics to guide the doctors for proper conduct. The earliest code of medical ethics is the Hippocratic Oath originated in Greece in the 5th century BC, which evolved to regulate the standard of conduct and care by 4 MEDICAL SECTION August 2003 the medical profession at that time. 3 Indeed, the spirit of this 25-century old Oath was restated in the Declaration of Geneva by the World Medical Association in 1948. The Declaration is the basis of the modern version of the International Code of Medical Ethics, which was first formulated by the World Medical Association in 1949 with subsequent amendments by the World Medical Assembly  in 1968 and 1983 in Sydney and Venice respectively. Meaning of Law and Medical Ethics in a Nutshell In its simplest context, law can be defined as enforced rules devised by the State to govern the behaviour of its members for the mutual benefits of all. Observance of the rules must be guaranteed by some kinds of sanction directed against the rule breakers. In addition to laws for the general public, doctors are bounded by certain specific rules stipulated in statutes as well as code of professional conduct laid down by the official regulating authority, namely the Medical Council, and administrative codes  set by the institutions. Together, they form the legal framework regarding the practice of medicine, violation of which may lead to criminal or civil liability, or disciplinary actions. In addition to legal obligations, there are also expectations of society for the doctors and the goal of the profession based on long established moral principles of self-evident value, which define the moral framework of medical practice. Medical ethics can be defined as a self-imposed code of conduct accepted voluntarily within the medical profession, the observance of which depends on ones conscience and moral values. Law and medical ethics are both dynamic and are in a constant state of change with time due to changing circumstances and societal values. Thus, new legislation and court decisions give rise to changes of the law and new ethical issues emerge in response to challenges created by new technology, law or other influence. There is also wide difference in law from country to country because of factors regarding religion, culture, traditions, political systems and social standards. Fundamental Principles in Medical Ethics5 Medical ethics is an applied ethics which involves examining specific controversial issues such as abortion,  breach of confidentiality, end-of-life care, rationing of scarce medical resources. The objective is to try to identify the issue concerned, analyze it with reasoned ideas and arguments and arrive at a viable and morally acceptable resolution for it. In the realm of medical practice, it is difficult to hold rules or principles that are absolute in view of the many variables that exist in the context of clinical cases as well as new issues that arise as a result of changing circumstances and belief. Nevertheless, over the years, there are certain fundamental principles that have won a general acceptance as guideposts in the  moral analysis of ethical dilemmas in medicine. The fundamental principles that apply generally to medicine or health care at large are: (a) respect of patients autonomy; (b) the principle of nonmaleficence, i. e. , the duty to avoid harm or injury to patients; (c) the principle of beneficence, i. e. , the duty to do good to your patients, relieve their pain and suffering and to save life if you can; and (d) the principle of justice and act fairly. The values that encompass the four fundamental principles in medical ethics are self-evident. They are considered to be doctors prima facie duties to the patients  and society. It is necessary for a doctor to take all of them into account when they are applicable to the clinical case under consideration. Not infrequently, when two or more principles apply, they may be in conflict. For instance, the decision to operate on a case of acute appendicitis involves at least two competing prima facie duties on the part of the doctor. At one end, the doctor is obliged to provide the greatest benefit to the patient by performing an immediate appendectomy. At the other end, surgery and general anesthesia carry risks and the doctor is under the obligation to avoid causing harm to the patient. The resolution adopted must base on a balance between the demands of the competing principles by determining which carries more weight in the particular case. In the case of appendicitis, a generally accepted rational calculus holds that the patient is in far greater risk of harm from a ruptured appendix if the doctor do not act, than from the operation and anesthesia if the doctor proceed to surgery. Law and Medicine Broadly speaking, medical matters come into interaction with law in four aspects: (a) legislation and administrative regulations affecting medical practice; (b) court judgments  on problematic or controversial ethical issues in medicine; (c) medical matters or personnel may become subjects of lawsuits when issues of medical malpractice or alleged medical negligence arise; and (d) use of medical matters as evidence in courts for other criminal or civil proceedings such as cases of homicide, rape, wounding, workmans compensation, insurance claims and the like. The Interaction of Law and Ethics in Medical Practice Despite their distinctive roles, law and medical ethics overlap in many areas. It is indeed difficult to dissociate the legal and ethical basis of the professional duties of  doctors. For instance, both law and medical ethics address to issues of confidentiality, euthanasia, abortion, use of dangerous drugs, medical malpractice and the like. MEDICAL SECTIONVol. 8 No. 6 5 Both law and medical ethics aim at safeguarding a good standard of medical practice within the community. The overriding consideration is to ensure the health and welfare of the general public. It is fundamental that doctors should be law abiding or they may face civil/criminal consequences due to breach of the standards prescribed by legal requirements. On the other hand, an ethics percept that is not adopted into  law may be a significant professional and moral guidance but it is generally not enforceable. Often, lawmakers (courts and legislature) do take into account the views of medical profession, which may include ethical principle, when crafting laws affecting medical practice. Thus, ethical standards can be incorporated in the legislation and become part of the legal standards. At times, a doctors prima facie ethical duty may clash with his legal obligation. A notable example that often occurs is when the duty of confidentiality has to be breached by a court order and refusal to disclosure  amounts to contempt of court. It is true that law is the established social rules for conduct which, in most instance, incorporates ethical standards to which the society subscribe. However, there are also instances when laws may be bent to reach socially compelling results, which can deviate from what is ethical. An entire society can become morally corrupt. No doubt, the doctors in Nazi Germany and Japan who had participated in the most notorious human experimentations during the Second World War were ethically wrong and were convicted of war criminals in subsequent trials, although  their behaviour were not legally wrong under their social standards at that time. Growing Attention to Legal and Ethical Issues in Medical Practice Attention to legal and ethical issues in medical practice is growing intense in recent years both within the medical profession and in all sectors of the society. The ethical issues raised by new medical advances and the rapidly changing public values have provoked much debates among medical professionals and in other disciplines including lawyers, philosophers, sociologists, theologians, mass media and the community at large. Large scale  programmes such as the human genome project, end- of-life care, priority setting, rationing of medical resources, womens health have attracted profound research interest in their ethical, legal and social issues. The propensity to litigate is also on the uprising trend in recent years. This is part and parcel of the general trend that people nowadays are more conscious of litigation in all areas of life, particularly in the light of the increased awareness of their legal and human rights as well as rules of law. During the past century or so, medicine has evolved more as a science than as a mystical art. The media has also reduced the complex medical sciences to a level that will allow the general population to comprehend. Moreover, consumerism is now firmly established in medical practice and this has been promoted on a wide scale by patients rights organizations as well as authorities through public education and introduction of charters and performance pledges. In recent decades, there has also been a fall of the traditional paternalism in medical practice. Thus, the patients and their families are now more ready to speak up to protect their rights, to raise questions or doubts on the conduct  and skill of their doctors. Furthermore, issues of infringement of patients rights, malpractice and medical negligence are now attracting wide media coverage. This has undoubtedly served to alert the general public to such possibilities. The increase in medical negligence claims and litigation on issues of malpractice in recent years is reflected both in the number of lawsuits and the tremendous sum of monetary value involved. There is now greater availability of lawyers as well as compensation claim agencies who are ready to assist the patients and their families to institute legal actions against their doctors. A greater proportion of the general population is now aware that the courts can and, on occasion, do provide substantial monetary compensation for personal injury. This has obviously enhanced the growing compensation awareness in the public mind. Even in a lawsuit that has not been successful in proving the defendant doctors liability to the plaintiffs personal injury, it can still devastate the doctors career because of the media coverage it receives. The new wave of class-action lawsuits against healthcare professionals and organizations in North America is particularly worrying. The assembling of a  group of plaintiffs instead of a single plaintiff greatly expands the defendants exposure to liability. Besides, it is also likely that the media attention on such a case will attract additional potential plaintiffs. 6 Another factor that has been suggested by some health care professionals is the depersonalization of the doctor- patient relationship. It is undoubtedly easier to sue a relatively anonymous defendant, such as a hospital consultant, than to sue a family doctor whom one has known for years, and this is even truer of hospital authorities. The Scope of Law and Ethics in Medical  Practice The scope of law and ethics in medical practice is expanding all the time. Any attempt in listing out the core topics can neither be complete nor prescriptive. Some topics are of interest to doctors of all specialties whilst some topics are more important to particular specialties. The following list is based largely on the consensus statement of the teachers of medical ethics and law in 6 MEDICAL SECTION August 2003 UK on a model for core curriculum in medical ethics and law within medical education: 1. Official regulations of medical practice (a) Statutes laid down by legislature e. g.  Cap 161 Medical Registration Ordinance Cap 134 Dangerous Drugs Ordinance Cap 137 Antibiotics Ordinance Cap 138 Pharmacy and Poisons Ordinance (b) List of Misconduct in a Professional Respect issued by the Medical Council of Hong Kong7 2. Foundations of doctor-patient relationship1,5 (a) Doctors obligation of fidelity – patients expect that doctors are trustworthy, knowledgeable and competent. Doctors are looked upon as trustees of patients medical welfare, always acting in the interests of the patients. We owe a duty of not causing harm to our patients (the principle of nonmaleficence). We also have a duty to do good  to our patients if we can (the principle of beneficence). (b) Respect of patients rights, including the basic principle of human rights and their relations with moral and professional duties. (c) Respect of privacy and confidentiality – the doctor- patient relationship is essentially founded on trust and confidence. Doctors are expected to respect for patients privacy and disclose patients information only when justified. At times, there is often conflict of interest between individuals or between and individual and the public with regard to disclosure of patients information. There is also  legal requirement to protect privacy in the general sense (Cap 486 Personal Data (Privacy) Ordinance). (d) Respect of patients autonomy informed consent and refusal to treatment are basic patients rights. There are several related issues regarding the determination of patients capacity to share in decision-making (patients competence), the principle of risk-benefit equation to decide how much information to be given to patients (therapeutic privilege) and the concept of surrogate decision in cases of incompetent patients. Difficult dilemmas can arise when this is in conflict with other prima facie duties of the  doctors such as the situation when emergency interventions are required in cases of incompetent patients. (e) The difficult patients, noncompliance, hostile patients and abuse of patients rights. (f) Breach of duties leading to medical negligence or malpractice claims. 3. Death and related issues (a) The definition and diagnosis of death. (b) The persistent vegetative state – what is the meaning of human life: an organism or a person with body and mind? Is there a need for advancing the definition of life; from somatic death and brain stem death to neocortical death? 8 (c) End-of-life care – whether life support decision is  to prolong life or suffering? Difficult issues of medical futility, forgoing life-sustaining treatment, doctor-assisted suicide and euthanasia have immense ethical and legal implications. A fundamental question for doctors is whether letting to die is the same as euthanasia. 8 (d) Legal and ethical issues in organ transplantation. 9 (e) Death certification and disposal of dead bodies. 10, 11 (f) Coroner and medico-legal investigations of death. 12 4. Reproductive medicine and genetics (a) The management of infertility – the legal and ethical issues in artificial insemination and surrogate motherhood. (b) The control of fertility – sterilization and other forms of contraception. (c) The right of foetus – the legal13 and ethical issues in abortion and the question of maternal-foetal conflict. (d) Prenatal screening and wrongful life, genetic counseling and eugenics. (e) Genetic therapy – whether it is to treat the abnormal or to improve the normal. (f) Cloning of human being – its legal and ethical considerations. 5. Biomedical human research and experimentation (a) The legal14 and ethical15 regulations. (b) Ethics committee consultations. (c) The discrepancy between developed and developing countries. 6.  Special issues in psychiatry (a) Legal16 and ethical justification for detention and treatment without consent. (b) Informed consent in patients suffering from mental illness – the question of competence by the state of mind. (c) Conflicts of interests between the patients, families and the society. (d) Mental disorders and crime – mental disorders and liabilities of an individual and issues of compulsory treatment for offenders (especially in cases of sex offenders); the role of psychiatrist as an expert witness. 7. Special issues in paediatrics (a) Consent in minor. (b) Conflicts of interest between parental rights, the  rights of the child and the duty of the paediatrician. (c) Legal and ethical issues in cases of child abuse. 17 (d) The paediatricians role in child protection. 8. Healthcare delivery and resource allocation18 (a) Dilemmas in deciding a fair distribution of scarce medical resources and the rights of individual patient to healthcare services. (b) Healthcare cost crisis: its political, social and economic implications. 19 (c) The criteria for rationing healthcare resources and MEDICAL SECTIONVol. 8 No. 6 7 the sustainability of the healthcare services – does rationing simply means cutting or trimming  healthcare budget? What is a fair healthcare policy? What is the direction of healthcare reform? (d) Ethical considerations in the business aspects of healthcare – economic constraints, models of remuneration, professional freedom. The issues related to Health Maintenance Organizations and other managed care providers. (e) Responsibility of individuals for their own health. (f) Global distributions of healthcare resources: a gross unevenness. 9. Quality assurance (a) Continuity of care for patients. (b) Communications between doctors and patients, doctors and doctors. The duty to consult when  necessary. (c) Peer review and clinical audits, continuous medical education. (d) Truth-telling, disclosure of medical errors and incompetent colleagues. 20, 21 (e) Healthcare complaints – what is a fair and user- friendly mechanism to receive and resolve complaints. 10. Use of medical matters as evidence in courts (a) The medical witness – a doctor may be called to attend courts to give professional or expert evidence, or both. The objective of medical evidence is to assist the court in determining the truth and hence enabling justice to be done. A medical witness must have impartiality, reliability,  clarity and relevancy. His duty is to give evidence on a scientific objective manner commensurating with his role as a doctor as well as his expertise. (b) The issue of hired gun. (c) Conflict between a doctors duties to his patient and his role as a medical witness. Conclusion In recent years, teaching of law and ethics in medical practice has emerged as a core curriculum in both undergraduate and postgraduate medical education in many developed countries such as the US, Canada, UK, Australia and New Zealand. 22, 23 Research and discussion papers on clinical ethics and reports on medico-legal  cases now constitute a significant contribution to the expansion of medical literature, which have enriched our knowledge in the areas with widening scopes. 2 This is perhaps a major area that the medical education and training in Hong Kong need to catch up. Doctors are now expected to have knowledge and understanding of the principles of medical ethics and the legal responsibilities of the medical profession. They should also have the ability to recognize complex legal and ethical issues arising from clinical practice and sound decision-making skills to resolve them. 24 Often there is  no single or universal answer to such issues. The views within the medical profession as well as the public change constantly with time and vary from one country to another. It is therefore prudent for doctors to keep themselves informed about the current views, and when in doubt, be ready to consult their peers, lawyers and ethicists. References 1. Fletcher JC, Hite CA, Lombardo PA, Marshall MF, eds. Introduction to Clinical Ethics. Frederick Maryland: University Publishing Group, 1995. 2. Siegler M, Pellegrino ED, Singer PA. Clinical ethics revisited. BMC Medical Ethics 2001; (available from: biomedcentral. com/1742-6939/2/1). 3. Camps FE ed. Gradwohls Legal Medicine, Chapter 1. Bristol: John Wright Sons Ltd. , 3rd edition, 1976. 4. The Medical Council of Hong Kong Homepage: mchk. org. hk. 5. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. New York: Oxford University Press, 4th edition, 1994 6. Lightstone S. Class-action lawsuits medicines newest legal headache. JAMC 2001;165(5):622. 7. Medical Council of Hong Kong. Professional Code and Conduct: For the Guidance of Registered Medical Practitioners. Hong Kong: HKMC, revised 2000. 8. Arras JD, Steinbock B, eds. Ethical Issues in Modern  Medicine, Part II: Defining Death, Forgoing Life-Sustaining Treatment, and Euthanasia. Mountain View, California: Mayfield Publishing Co. , 4th edition, 1995. 9. Cap 465 Human Organ Transplant Ordinance, Law of Hong Kong. 10. Cap 174 Births and Deaths Registration Ordinance, Law of Hong Kong. 11. Cap 132 Public Health and Municipal Services Ordinance, Law of Hong Kong. 12. Cap 504 Coroners Ordinance, Law of Hong Kong. 13. Cap 212 Offence Against Persons Ordinance, Law of Hong Kong. 14. Cap 278 Medical (Therapy, Education and Research) Ordinance, Law of Hong Kong. 15. Council for International Organizations of Medical Sciences. International Ethical Guidelines for Biomedical Research Involving Human Subjects. CIOMS, revised 2002. 16. Cap 136 Mental Health Ordinance, Law of Hong Kong. 17. Social Welfare Department, Government of HKSAR. Procedures for Handling Child Abuse Cases. Hong Kong: SWD, revised 1998. 18. McKneally MF, Dickens BM, Meslin EM, Singer PA. Bioethics for clinicians: 13. Resource allocation. CMAJ 1997;157: 163-7. 19. Health and Welfare Bureau, Government of HKSAR. Lifelong Investment in Health: Consultation Document on Health Care Reform. Hong Kong: 2001. 20. Hebert PC, Levin AV, Robertson G. Bioethics for clinicians: 23. Disclosure of medical error. CMAJ 2001;164(4):509-13. 21. Burrows J. Telling tales and saving lives: Whistleblowing The role of professional colleagues in protecting patients from dangerous doctors. Medical Law Review 2001;9: 110-29. 22. Position Statement: An ethics core curriculum for Australasian medical schools. Med J Aus 2001;175: 205-10. 23. Doyal L, Gillon R. Medical ethics and law as a core subject in medical education. BMJ 1998;316:1623-4. 24. Australian Medical Council. Goals and objectives of basic medical education. Guidelines for assessment and accreditation of medical schools. Canberra: AMC, 2000.

Thursday, November 21, 2019

Behaviors leading to insomnia Essay Example | Topics and Well Written Essays - 500 words

Behaviors leading to insomnia - Essay Example Other symptoms that manifest because of this condition are waking up too early and suffering from fatigue upon waking up (Morin et. al., 2011). Insomnia often manifests itself as either primary insomnia or secondary insomnia. Primary insomnia refers to sleeplessness that is not caused by any underlying condition while secondary insomnia is caused by an underlying medical condition (Buysse, 2013). The various medical conditions that can cause insomnia include asthma, arthritis, cancer, pain or medication being ingested by a person (Jarin, Chen, Ivers & Morin, 2013). This condition also manifests in self, depending on its duration, as either acute or chronic. Acute insomnia lasts a shorter time, a few weeks, while chronic insomnia lasts longer. There are varied effects that arise because of insomnia. Most of the effects of insomnia affect the quality of life and performance of daily tasks (Sasa et. al., 2010). In rare cases, insomnia results in death and this type of insomnia is referred to as fatal familial insomnia. First, insomnia decreases the quality of life in the form of lack of alertness and poor memory during the day (Sasa et. al., 2010). People who suffer from insomnia are more irritable, make more mistakes and develop poor relationships with their colleagues and spouses (Calhoun et. al., 2014). Insomnia further affects the concentration and performance of the brain. Those who suffer from this condition often suffer from mental health conditions such as nervousness, irritability and fatigue (Watts, Coyle & East, 2011). The lack of sleep affects the concentration span and focus. The brain requires several hours of sleep for it to achieve optimum concentration to perform tasks. Insomnia compromises the brain’s ability to process information. The effects of insomnia are numerous and influence the lives of people significantly (Morin et.