Sun and earth Assignment Example | Topics and Well Written Essays - 250 words

Sun and earth - Assignment Example The theory was supported across the world from Greeks and further through mathematical astronomy by Aryabhata (Indian); by Muslim astronomers, Persian scientist and astronomer Biruni and through various publications across the world. It has given a new paradigm to the world of astronomy and hence paved the way to our present thoughts about the solar systems and other galaxies which were discovered due the formulation of heliocentric theory (Encyclopedia Britannica). On the other hand, geocentric model provided the earlier view that the Earth is in the center while, the Sun, the stars and other planets revolve around it. The stars are spinning about the pole and those which are close to the equator are rising and setting each day. The theory laid the fundamental view that Earth is rock-solid and stationary. The pioneer of this theory was Aristotle but with the advent of early modern era and after the 16th century, geocentric views were replaced by heliocentric theory (Lawson,

Influenza Vaccination for Pregnant Health Care Workers

Influenza Vaccination for Pregnant Health Care Workers Jee Hae Kim Introduction A certain pregnant nurse was fired because of refusing to get a flu shot in Pennsylvania in December, 2013 (Murphy, 2013). Getting a flu shot is the one of the biggest issues for health care professionals who are especially pregnant health care workers. However, vaccination still remains the most effective way for preventing severe influenza illness. According Center for Disease Control and Prevention (CDC) and American College of Obstetricians and Gynecologists (ACOG), seasonal flu vaccination is recommended for all pregnant women (Goldfarb, Panda, Wylie Riley, 2011). But, why do they hesitate to get a flu shot? Current vaccination rate Flu vaccination rate for pregnant women is still low in the US. In 2005, the US achieved just 16% influenza vaccination coverage of pregnant women, and it is estimated that less than 10% of pregnant women who are at highest risk of influenza receive the vaccine (Broughton, Beigi, Switzer, Raker Anderson, 2009). Even with increased morbidity during pregnancy from seasonal influenza, only 11% of pregnant women were vaccinated during the 2008 through 2009 flu season (Dlugacz, Fleischer, Carney, Copperman, Ahmed, Ross Silverman, 2012). In addition, influenza vaccination rates have remained substantially below 50% for Health Care Personnel (HCP). Within the population of HCP, nurses have been shown to have lower influenza vaccination rates than physicians (Clark, Cowan Wortley, 2009). Although the rate is getting increase little by little, it is still low compared to physicians’ vaccination rate. Barriers for vaccination According to a certain survey, 58.3% of patients reported feeling scared about seasonal flu infection during their pregnancy (Goldfarb, et al., 2011). What are the main causes they are afraid of getting a flu shot? One of those reasons is that they have a fear uncertainly because they do not know specifically how safe flu vaccine is while they are pregnant. In addition, they do not know as well about how dangerous unvaccinated status is during pregnancy. Vaccinated nurses demonstrated greater knowledge about influenza and risk factors for influenza, while unvaccinated nurses believed they were not at risk (Clark, et al., 2009). These facts show that knowledge about safety of vaccine is one of the most important keys to decide whether they get a flu shot or not. Vaccine declination was associated with less knowledge about influenza, lower perceived susceptibility, and beliefs that the vaccine is not efficacious of safe (Eppes, Cameron, Gracia Grobman, 2013). Furthermore, health care workers in the obstetric field also have limited knowledge about the epidemiology of influenza infection and most of them do not consider influenza as a potentially serious disease (Broughton, et al., 2009). Political, social and economic backgrounds The states role is to reduce morbidity and mortality by nosocomial inflammation of influenza and maintenance of a reasonable health care workforce and to show that mandatory influenza vaccination is sensibly related to reducing the flu budget (Ottenberg, Poland, Jacobson, Koenig Tilburt, 2011). It can be one of the political reasons for getting a flu shot for health care workers and government forces them to vaccinate. In addition, we can concern about economic aspect. The commerce legislation can make the federal government regulate activity essentially that affects inter-state commerce, including parts of the health care industry which is related to the management infectious disease and prevention. With the public health service act, health and human services department in the US has organized the national vaccine plan, the national vaccine advisory committee, and the national vaccine injury compensation program (Ottenberg, et al., 2011). Through these mechanisms, the commerce legislation permitted the federal government to control, strengthen, or potentially obligate the vaccination of health care workers against influenza and ensure fair movement to arbitrate complaints related to vaccination (Ottenberg, et al., 2011). It shows that mandatory vaccination can lead saving budget for government because they do not have to pay for the treatment of the secondary infection for people due to influenza . Ethical concerns There are also possible ethical arguments underlying mandatory vaccination. Hospitals are enforcing health care workers to vaccinate for two primary reasons. The one is for supporting of the professional duty of health care workers to benefit for patients individually and to ‘Do No Harm’ and another is for meeting the shared obligations of hospitals and health care workers to protect the public health with infectious disease which is preventable (Ottenberg, et al., 2011). In these situations, we can think about the important questions such as â€Å"What are the obligations of health care workers to their patients?† or â€Å"Is it proper for patients to expect health care workers to get a flu shot because of influenza?† Possible solutions I suggest some solutions to promote vaccination for pregnant health care workers. First of all, the convenience of influenza vaccination is strongly needed such as using mobile vaccination carts. Instead of fixed date or time for vaccination, health care workers can have it depending on their schedules. Secondly, provision of free vaccination and peer vaccination is another good method for promoting vaccination. For example, some pregnant nurses who are already vaccinated could be a good model for other pregnant nurses who are not vaccinated yet. Thirdly, incentive programs also can be a great way for health care workers. If they can get extra pay, the rate of vaccination can be raised. Lastly, education about safety of vaccination for pregnant health care workers is the most effective method. Indeed, I had concerned about wearing a mask while they are working without vaccination, but this could be not a perfect prevention of pandemic influenza. Instead of this, it would be better to persuade them who refuse vaccination and to emphasize again about the safety of vaccination during pregnancy. Safety of vaccination during pregnancy There are already several studies to prove safety of vaccination during pregnancy. According to CDC, studies of a lot of pregnant women in scientific view have checked the safety of vaccination during pregnancy. These studies did not show any evidence of danger to pregnant women, even to the unborn fetus and to newborns of vaccinated women (CDC, 2013). In addition, the Food and Drug Administration’s (FDA) and CDC’s periodic monitoring of side effects’ occurrence has not raised safety concerns (CDC, 2013). Rumors and fears should not be an obstacle to promoting patient safety and public health. The implementation of mandatory vaccination should solve the ambiguous concerns and misconceptions of vaccine safety as well. Rates of serious side effects’ occurrence following vaccination, such as Guillain-Barrà © syndrome, are vanishingly low as no higher than 1 in 1,000,000 (CDC, 2013). Conclusion Among several solutions as I mentioned above, I guess the best way to promote the flu-vaccination rate for pregnant health care providers is education. An effective educational strategy should focus on known misconceptions and knowledge gaps. Furthermore, the influence of health care workers on patient vaccination coverage should not be underestimated. It has been shown that health care workers’ recommendations have positive effects on the likelihood of patients to be vaccinated (Broughton, et al., 2009). According to an article, women whose maternity care provider has recommended the vaccine are much more likely to receive it than those whose providers did not (Broughton, et al., 2009). It shows that how critical education affect not only pregnant health care workers, but also pregnant patients. I insist that health care workers should be vaccinated because reducing the transmission of preventable diseases cannot prevent any harm in the clinical care area. Health care worker vaccination of influenza is consistent with a collective professional accountability to treat all patients moderately and to use appropriate precautions against preventable harms. With mandatory health care worker vaccination, health care organizations should make sure that vaccination is an informed procedure. Health care workers should also get the information clearly about benefits and risks related to influenza vaccination and that vaccines are offered handily. Reference Broughton, D. E., Beigi, R. H., Switzer, G. E., Raker, C. A., Anderson, B. L. (2009). Obstetric health care workers’ attitudes and beliefs regarding influenza vaccination in pregnancy. Obstetrics Gynecology, 114(5), 981-987. Center for Disease Control (2013, September 3). Seasonal Flu Vaccine Safety and Pregnant Women. Retrieved March 17, 2014 from: http://www.cdc.gov/flu/protect/vaccine/qa_vacpregnant.htm Clark, S. J., Cowan, A. E., Wortley, P. M. (2009). Influenza vaccination attitudes and practices among US registered nurses. American Journal of Infection Control, 37(7), 551-556. Danzon, P. M., Pereira, N. S., Tejwani, S. S. (2005). Vaccine supply: a cross-national perspective. Health Affairs, 24(3), 706-717. Dlugacz, Y., Fleischer, A., Carney, M. T., Copperman, N., Ahmed, I., Ross, Z., Silverman, R. A. (2012). 2009 H1N1 vaccination by pregnant women during the 2009-10 H1N1 influenza pandemic. American journal of obstetrics and gynecology, 206(4), 339-e1. Eppes, C., Wu, A., You, W., Cameron, K. A., Garcia, P., Grobman, W. (2013). Barriers to influenza vaccination among pregnant women. Vaccine, 31(27), 2874-2878. Goldfarb, I., Panda, B., Wylie, B., Riley, L. (2011). Uptake of influenza vaccine in pregnant women during the 2009 H1N1 influenza pandemic. American journal of obstetrics and gynecology, 204(6), S112-S115. Murphy Carrie (2013, Dec 23). Pregnant Nurse Wrongfully Fired For Refusing Flu Shot Because Of Miscarriage Concerns. Mommish.com. Retrieved March 21, 2014, from http://www.mommyish.com/2013/12/23/pregnant-nurse-wrongfully-fired-refusing-flu-shot. Ottenberg, A. L., Wu, J. T., Poland, G. A., Jacobson, R. M., Koenig, B. A., Tilburt, J. C. (2011). Vaccinating health care workers against influenza: the ethical and legal rationale for a mandate.American journal of public health,101(2), 212.

Satire in Oscar Wildes The Importance of Being Earnest Essay -- The I

Satire in Oscar Wilde's The Importance of Being Earnest The Importance of Being Earnest is a comedy of manners, whereby Oscar Wilde uses satire to ridicule marriage, love and the mentality of the Victorian aristocratic society. It can also be referred to as a satiric comedy. What is a satire and what is Oscar Wilde trying to emphasize by employing it in his play? A satiric comedy ridicules political policies or attacks deviations from social order by making ridiculous, the violators of its standards of morals or manners. Usually, a satiric piece doesn't serve only as a form of criticism, but to correct flaws in the characters or to somehow make them better in the end. The pun on the word "Earnest" suggests two things; it stands for the name but also refers to honesty and integrity. It is also known as a `one joke' or a play on words. Though the name is spelt as "Ernest" the reader still recognizes the double meaning of the title. Two of the main characters, Jack and Algernon, strive to be "Ernest" and "Earnest" in the play, yet they both deceive others to escape lives which they grow tired of. They both hope to marry the girls that they love, yet they are starting the relationships base on false pretence and lies. It is ironic that they both call themselves "Ernest," a name that suggests honesty and sincerity, yet they both create stories to escape something or the other. Jack creates a brother called "Ernest" in the city that he uses as a `scape goat' to leave his prim and proper, respectable country life, whereas Algernon creates a friend by the name of "Bunbury" to escape his aunt's high class society parties. He shows his lack of interest in s uch social events when he tells Jack, She will place me next to Mary Far... ... and the stern mask that Lady Bracknell wears slowly turns into a smile. In conclusion, The Importance of Being Earnest strongly focuses on those of the upper class society and the vanity of the aristocrats who place emphasis on trivial matters concerning marriage. Both Algernon and Jack assume the identity of "Ernest" yet ironically, they both are beginning their marital lives based on deception and lies. Lady Bracknell represents the archetypal aristocrat who forces the concept of a marriage based on wealth or status rather than love. Through farce and exaggeration, Wilde satirically reveals the foolish and trivial matters that the upper class society looks upon as being important. As said earlier, a satiric piece usually has a didactic side to it. In this case, Lady Bracknell learns that the same person she was criticising is actually her own flesh and blood. Satire in Oscar Wilde's The Importance of Being Earnest Essay -- The I Satire in Oscar Wilde's The Importance of Being Earnest The Importance of Being Earnest is a comedy of manners, whereby Oscar Wilde uses satire to ridicule marriage, love and the mentality of the Victorian aristocratic society. It can also be referred to as a satiric comedy. What is a satire and what is Oscar Wilde trying to emphasize by employing it in his play? A satiric comedy ridicules political policies or attacks deviations from social order by making ridiculous, the violators of its standards of morals or manners. Usually, a satiric piece doesn't serve only as a form of criticism, but to correct flaws in the characters or to somehow make them better in the end. The pun on the word "Earnest" suggests two things; it stands for the name but also refers to honesty and integrity. It is also known as a `one joke' or a play on words. Though the name is spelt as "Ernest" the reader still recognizes the double meaning of the title. Two of the main characters, Jack and Algernon, strive to be "Ernest" and "Earnest" in the play, yet they both deceive others to escape lives which they grow tired of. They both hope to marry the girls that they love, yet they are starting the relationships base on false pretence and lies. It is ironic that they both call themselves "Ernest," a name that suggests honesty and sincerity, yet they both create stories to escape something or the other. Jack creates a brother called "Ernest" in the city that he uses as a `scape goat' to leave his prim and proper, respectable country life, whereas Algernon creates a friend by the name of "Bunbury" to escape his aunt's high class society parties. He shows his lack of interest in s uch social events when he tells Jack, She will place me next to Mary Far... ... and the stern mask that Lady Bracknell wears slowly turns into a smile. In conclusion, The Importance of Being Earnest strongly focuses on those of the upper class society and the vanity of the aristocrats who place emphasis on trivial matters concerning marriage. Both Algernon and Jack assume the identity of "Ernest" yet ironically, they both are beginning their marital lives based on deception and lies. Lady Bracknell represents the archetypal aristocrat who forces the concept of a marriage based on wealth or status rather than love. Through farce and exaggeration, Wilde satirically reveals the foolish and trivial matters that the upper class society looks upon as being important. As said earlier, a satiric piece usually has a didactic side to it. In this case, Lady Bracknell learns that the same person she was criticising is actually her own flesh and blood.

Kiki strike

Miller and is about independence, trust, friendship and adventure. It was published May 30, 2006 and is classified as Fantasy Fiction. The mall character in this book is Anna Fishbone who tells the story in first person. This book is about a 14 year old girl, Anna, who meets the strange Kaki Strike. Together they form a group, The Irregulars, consisting of 6 girls, each with a significant talent. They try to find the secret of the underground world under Manhattan, unlocking passage WAP, finding treasure and discovering mysteries.No one but themselves knows about the underground world. The crucial scene I have chosen Is In Chapter 8 when The Irregulars (Knack's group to discover the underground world of Manhattan) produce an explosion to break a lock and open another entry Into the Shadow City (underground world under Manhattan). When the explosion occurred this led to controversy and lack of trust between each of The Irregulars as Kaki Strike had pressured Dee Dee (an incredible tal ented chemist) to rate the explosion even though they were unsure whether it was safe or not and if they were under any water pipes. â€Å"If you don't trust me why are you here? † Kaki shouted. With her brows furrowed, nostrils flared, and white locks sticking out in every direction, she looked wild and dangerous. Dee Dee reluctantly pulled out two small vials. â€Å"Sorry Anna, I'm sure we'll be fine†) this quote is showing how hard it was for Dee Dee to make her own decisions and how Kaki forced her in a sneaky way create the explosion. Dee Dee flew back, hit her head and became unconscious and the explosion caused a flood throughout Manhattan.Anna carried Dee Dee out of the Shadow City with the rest of The Irregulars, when they got out they looked behind them and noticed that Kaki Strike (the leader of The Irregulars) was not with them, she abandoned them, and she had vanished. Kaki Strike took their treasure and gold they had found and Just left. The rest of The I rregulars felt ashamed in themselves as they believed every word Kaki said to them. †¦ Owing to have to face the fact that Kaki isn't who we thought she was,† Anna told the Irregulars but having trouble believing it herself. Kaki pressured all of the Irregulars to help her discover the Shadow City and take the treasure and gold that they found there; telling them that it would be equally shared out amongst each of them. This shows that people aren't always who they say they are and before you give them your trust you need to know everything about them and be sure that they are who they say they are.Trust takes years to build, seconds to destroy and years to break. Kaki strike By bothersome Kaki Strike is written by Kristin Miller and is about independence, trust, friendship main character in this book is Anna Fishbone who tells the story in first person. Manhattan, unlocking passage ways, finding treasure and discovering mysteries. No chosen is in Chapter 8 when The Irreg ulars (Knack's group to discover the another entry into the Shadow City (underground world under Manhattan). When

Irony in the Scarlet Letter

What if irony didn’t exist? If it didn’t, even at a minimal level, The Scarlet Letter wouldn’t be able to function in its complete and published form. Its frame and substructure of distinctly morose themes scrutinizing sin, knowledge, and the human condition would not exist without irony blistering beneath the surface. The symbolism and evocativeness of character names, for instance, the words â€Å"chill† and â€Å"worthless† can be derived from Roger Chillingworth, the â€Å"Black Man† in human disguise wouldn’t have the same clever power without the literary technique. Nathaniel Hawthorne’s The Scarlet Letter suggests that to find the true expression of each character, irony is essential, and must be employed and needled into the plot for the pages to turn with a weightier significance. â€Å"She's the embodiment of deep contradictions: bad and beautiful, holy and sinful, conventional and radical,† described Andrea Seabrook of NPR (National Public Radio). In order to see the veracity of this statement, the reader must note Hawthorne’s use in three major types of irony. The first type is situational irony, which is when the opposite of what is expected to happen, happens, and this is introduced in the first few chapters. For example, in Chapter II, the townspeople have perpetrated against Hester Prynne, exclaiming that she should feel ashamed as she stands on the scaffold bearing the scarlet letter â€Å"A† on her bosom. Yet, she stands there with â€Å"a marked dignity and force of character† and clasping her newborn child Pearl â€Å"with a burning blush, and yet a haughty smile, and glance that would not be abashed†¦Ã¢â‚¬  (Hawthorne 46) The intrinsic nature and indispensable quality of Hester’s character is perpetually fevered with strength, but it is most formidable and determined harbored by a backbone of obstinacy when she is standing on the scaffold. The townspeople have expected her to feel contrite, but if Hester stood revealing her remorse and penitence, she would be acknowledging society’s power and control over her, and that essentially, is not what Hester wants. Another example is from Chapter XI, Dimmesdale is held in reverence by the townspeople as an immaculate role model â€Å"[deeming] the young clergyman a miracle of holiness† (124) when in fact; he has committed an immoral act, being Hester’s paramour and Pearl’s secret father. Situational irony has served to be a steppingstone to the actual identity of Hester Prynne, Dimmesdale, and other major characters. It helps in showing the real thoughts and internal conflicts of a character in contrast with what is discerned by the society. The next type of irony Hawthorne used in The Scarlet Letter is dramatic irony, which is when the reader knows what the characters do not. According to Mark Flanagan of About. com, â€Å"Dramatic irony is when the words and actions of the characters of a work of literature have a different meaning for the reader than they do for the characters. This is the result of the reader having a greater knowledge than the characters themselves. For instance, in Chapter VIII, Reverend John Wilson, Boston’s senior clergyman, sat on an arm-chair and surveyed Pearl’s weirdly ethereal qualities, then proceeded to ask Pearl if she knew who her parents were, as stated in this quote, â€Å"â€Å"Pearl,† said he, with great solemnity, â€Å"thou must take heed to instruction, that so, in due season, thou mayest wear in thy bosom the pearl of great price. Canst thou tell me, my child, who made thee? † (96) This event developed subsequent to Hester’s visit in Governor Bellingham’s garden. There, she privately requested Reverend Dimmesdale’s aid in supporting that the governor does not take Pearl away. This is an example of dramatic irony because the reader knows that Dimmesdale and Hester are partners in sin, but the characters do not. Dramatic irony benefits the reader in that it satisfies their anticipation because of what they already know and they possess a greater idea of what is to happen next. Hawthorne’s use of this type of irony really generated a thrust of motivation to keep the reader more interested. The concluding stamp of irony Hawthorne enchanted into the novel is verbal irony. This literary device is manipulated to communicate differently, and principally the irreconcilable contrast of the literal meaning of the words, to emphasize, or make light of a circumstance or subject. A time that this occurs is from Chapter IV, when Chillingworth visited Hester at her prison cell, disguised as a doctor, and advised her to, â€Å"Think not that I shall interfere with Heaven’s own method of retribution. † (66) Here, Chillingworth insinuated that he would grant the right to God and Heaven to handle all retribution, yet he still sets out to njure and damage Dimmesdale himself. This is an example of verbal irony in that Chillingworth lied that he won’t accomplish any harm or take vengeance on the adulterer, but in due course, it is shown that Chillingworth is steadily destroying Dimmesdale as both he and especially Dimmesdale is growing weaker and more dismal. Verbal irony might be the more common of this literary technique, as it is used in todayâ €™s daily language. In the novel, is it used to give more support to the reader’s thoughts on what is already happening, and it helps to formulate finer insightful ideas. The novel is brimmed with well-constructed ideas of sin, hypocrisy, and love’s sweet disposition to sacrifice for another’s wellness, but behind the curtains of collectivism and Puritan’s unsmiling society is a personality that stands brighter than portrayed, and Hawthorne’s use of irony has carried that eager light out. His wonderful use of irony in the novel formulated a stronger, more meaningful substance to the story, clearly revealing each character’s internal and external conflicts. Nathaniel Hawthorne is the master of irony, splendidly using it to intensify the meaning of his marvelous literature. His substantial use of irony in The Scarlet Letter has become such a necessity that the pages could not turn seamlessly as it does without a real genius such as the virtuosic author. After learning the three types of irony Hawthorne utilized, the reader will be able to absorb the hearts and minds of the characters, the greater essence, and soul of the story, and will read on with increased and newer fervent thoughts and keener insight.