Tuesday, August 6, 2019

Franklin D. Roosevelts New Deal Essay Example for Free

Franklin D. Roosevelts New Deal Essay In the first hundred days of FDR’s presidency he passed fifteen major bills. One of the most famous was the proclamation nationally issued that all banks would be temporarily closed, forming the Emergency Banking Act. Other bills passed in this â€Å"Hundred Days of Action† include the Tennessee Valley Authority Act, the Beer- Wine Revenue Act, the creation of the Civilian Conservation Corps, and the Home Owners Loan Act. These and many other like bills were the shining light at the end of tunnel for Americans as Roosevelt came into office striving to end the Depression. Fireside chats, which were radio broadcasts, were a way for Roosevelt to connect with Americans on a more personal level while managing to give them a sense of comfort. He was able to give insight to the general public through these broadcasts. He gave Americans hope that things would be better and they put their trust in him. Successful in short term relief, the New Deal did not end the Great Depression but did push the economic circumstances to a higher quality. As far as long term effects are concerned our country’s governmental structure has been forever changed. After the New Deal’s policies were administered a dominant new political coalition was in place, in turn, creating Democratic majority that lasted for half a century. Roosevelt gave Americans something new and different to expect from government and pushed the country toward its post war boom that many say was the â€Å"golden age of American capitalism†. Through the New Deal and his presidency he formed our views and outlook to how the modern American government should and is conducted. Programs put in place by the New Deal gave hope to Americans in this morbid, bleak time. He gave us the layout in which we practice modern government. As said by Roosevelt, The country needs and, unless I mistake its temper, the country demands bold, persistent experimentation. It is common sense to take a method and try it: If it fails, admit it frankly and try another. But above all, try something. He tried and pushed forward through a troublesome, oppressive time that seemed as if it would not ever end. If he had not done so it is unimaginable to think what would have become of our country.

Monday, August 5, 2019

Community Health Needs Assessment Tools Health And Social Care Essay

Community Health Needs Assessment Tools Health And Social Care Essay The research need to generate qualitative and quantitative data regarding a particular community health need is directly proportionate to the impact that the particular health need has on the community and sometimes even the mortality/morbidity generated by the particular health problem. In this regard, in this current assessment we review the health needs of coal mining workers in West Virginia, USA to identify hazards and risk factors pertaining to their health, by virtue of their designated profession. Community health needs assessment is a rigorous project that serves the population under study by elucidating the current needs, reflecting the situation which is often not balanced between health providers, insurance schemes, health administration and/or community leaders. It also serves at identifying particular needs that are overlooked by healthcare officials that are either novel or problematical by elucidating perceived and expressed health and wellbeing needs. In other words, it can be a useful means to depict the selected communitys horizon in respect to health needs, healthcare shortfalls and aetiology, all useful areas for the facilitation of better public health management. In order to perform an accurate community health needs assessment, research should be grounded on an up to date background study of the selected populations demographics and census (socioeconomic, workforce and other) data, where available. Moreover, particular health factors should be taken into account by managing information currently disseminated through healthcare officials (such as mortality, disease prevalence, risk factors analysis). This research would also benefit from an on-site review of environmental and work related conditions, if possible. The most useful and widely used instrument to conduct a community health needs assessment and subsequent analysis is by means of a structured questionnaire based survey that will employ cross sectional and population specific items targeted at the current health need. Moreover, the instrument should be designed with attention to environment and state specific conditions, such as regulations and laws, insurance coverage and even so, local traditions and unwritten codes of conduct. For the above reasons, in this essay we will conduct a review of available information on the community of Coal Mining Workers in West Virginia, USA. After the acquisition and analysis of the pertaining data, we will present a structured survey instrument, aiming to identify health needs with respect to existing health problems and patient satisfaction. BACKGROUND-RESEARCH We searched a wide array of online databases and organisations providing demographic and other information for the population in question. We also conducted a MEDLINE search, to draw the picture of already identified health needs and/or needs assessments already conducted in this population. Search terms employed were coal workers, west Virginia, health needs, pneumoconiosis, interstitial lung disease, occupational hazard alone or in combination. West Virginia is a state in the Mid-Atlantic section of the USA, capital Charleston. The state is notorious for its mountain composition and significant coal mining industries. The mineral and coal resources in the area are vast, and West Virginia has been considered to have fuelled a great part of the industrial revolution of the developed world. Moreover, coal mining and related work constituted major part of the employment activities of the state, while still in the 21st century, it is believed that mining safety and environmental concerns are amongst the most challenging issues facing the state. In 2009, West Virginia was inhabited by 1,819,777 people. 5.6% of West Virginias population were reported as under 5, 22.3% under 18, and 15.3% were 65 or older. Females made up approximately 51.4% of the population (United States Census Bureau, 2010). Moreover, according to US Census Bureau Data, West Virginia is the third lowest in per capita income state. It also ranks last at median household income. Virginias adult population with a bachelors degree is the lowest in the U.S. At 17.3%. The main economy is coal, and the state is the lead in coal production, second only to Wyoming.From the West Virginia Office of Miners Health, Safety and Training we find that the West Virginia Coal Industry provides about 30,000 direct jobs in WV, including miners, mine contractors, coal preparation plant employees and mine supply companies. In particular 20,715 are registered as employees in the 188 active coal mines in WV, while an additional 4,842 work as an independent contractor. From the same source we read that for 2009, fatal accidents were 3, non fatal accidents 1,164 and the accident frequency was estimated to be   2.79%. Involved in accidents are mainly high voltage equipment, and areas in and around river load outs. But apart from fatalities, a major health problem for VW coal mining workers is pneumoconiosis, or black lung. The CDC has implemented a safety and health chapter regarding occupational Respiratory Disease Surveillance, and especially for coal miners, the Enhanced Coal Workers Health Surveillance Program (ECWHSP). The ECWHSP includes surveys that include specifically designed standardized health questionnaires, work histories, spirometry testing, radiographic examinations, and collection of other relevant health information, which are gathered in a specially designed mobile examination unit by trained personnel on site.Results of the ECWHSP 2009 survey on mine workers in West Virginia are shown on table 1: Finding Examined Rate Total Participation 1,884 20% 9,593 pneumoconiosis (>=1/0 or PMF). 93 5% 1,884 pneumoconiosis (>=2/1 or PMF). 43 2% PMF 24 1% advanced pneumoconiosis 35 2% have a chronic cough. 624 34% bring up phlegm from their chest. 690 38% have chest sounds of wheezing. 613 34% have had an attack of wheezing 738 41% have experienced dyspnea on level 741 41% have experienced dyspnea on a hill 1,119 62% have chest tightness 672 37% have chronic bronchitis. 142 8% have emphysema. 79 4% have had pneumonia 337 19% have asthma 132 7% have tuberculosis. 4 0% never smoked. 954 53% former smokers 455 25% current smokers 393 22% Although under a lot of argumentation, coal and in general volatiles (dust) have been proven by sufficient evident as causes of respiratory damage. In detail, in coal miners a significant association between the level of FEV1 and dust was found, even after adjustment for age, physique and smoking (Cowie ,1999; Soutar 1989). Some more interesting figures arise from the State Health Facts website, shown in Table 2: Measured index WEST VIRGINIA USA Age-Adjusted Invasive Cancer Incidence Rate per 100,000 Population, 2005 484.2 458.4 Births of Low Birth weight as a Percent of All Births, 2006 9.7 8.3 Number of Deaths per 100,000 Population, 2007 951.7 760.31 Life Expectancy at Birth (in years), 2005 75.3 78.0 Percent of Adults Who Have Ever Been Told by a Doctor that They Have Diabetes, 2008 11,9 8,2 Number of Deaths Due to Diseases of the Heart per 100,000 Population, 2006 236,9 200,2 Asthma prevalence among adults 9.0 8,2 Percentage of Adult Population Aged 21-64 Years Who Reported a Disability, 2007 22,4 12,8 The above figures need to be assessed in caution regarding the high prevalence of occupation of coal worker in West Virginia. Apart from the apparent pathophysiology of dust entering the lungs and rendering them chronically inflammatory, with signs of fibrosis and atelectasia or other interstitial pneumonic disease or pneumonoconiasis, health needs of coal mining workers are extended to a variety of diseases that are not as commonly identifiable at the first look. Although current screening methods and occupational policies do exist for these workers, they tend to be centred on respiratory diseases. Coal Mining however, is a demanding, time consuming manual labour that is often exigent and causes a variety of clinical manifestations. As such we can consider lower back pain, physical limitations (Galagher,2005) cervical spine degenerative changes, vibration-hazard related body changes, sudden coronary death (Kopytina et al, 1993), skin lesions (Begraca et al, 1991)and mental health changes (Lagunov,1991). Moreover, the coal mining community often has unmet needs on the level of healthcare access and utilization, that different stakeholders are usually unaware. In a study by Smith et al,2005 a community health needs assessment was the means to the provision of a community nurse and a revision in healthcare provision among former miners in Kent. Having reviewed the major components of community health needs assessment for mine workers in West Virginia and having conducted the appropriate background review, we propose the following questionnaire as a tool to conducting an effective and fruitful evaluation of perceived and actual health needs, in a community of mine workers. This tool comprises of a health needs assessment part, where the answers are left open and views are encouraged for propositions in order to facilitate the analysis of expected health and participation to health concerns. The second part is a standardized demographics and health questionnaire that is used widely in this form, with minor alterations in assessing the perceived health and demographic information of the study population in question. Emphasis is given on other diseases that might affect the coal mining community ( participants are requested to count five-5 major health concerns) and on perceived level of attention and care this community is receiving or should be receiving according to its needs. A question regarding their siblings health is put in the end to elucidate concerns that are also documented in the literature regarding out of site contamination with dust by coal workers that bring their occupational hazard in the family home or by dispersion in neighbourly areas (Pless-Mulloli et al, 2001). QUESTIONNAIRE: We are conducting a review of the Health Needs within the WV coal mining community. Along with statistical data and analysis we are also interested in your viewpoints. Instructions Part One: Health Problems There are several factors that influence or determine whether the people in your coal miners community are healthy. From the following list, please rank from 1-5 (1 being the highest priority) what you think are the top five health and disability issues affecting your community? Health Issue Your Ranking (1-5) Asthma / Respiratory Disease / Pneumoconiasis Cancer Cardiovascular Disease Depression / Psychiatric Disorders Diabetes Disability Drug and Alcohol use Nutrition Obesity Oral Health Physical Injury (including violence and accidents) Self harm / Suicide Sexual Health Smoking Other (please specify below) What do you think is needed to address the top three priority issues identified above and what difference will this make? Issue 1: Issue 2: Issue 3: What is needed? What is needed? What is needed? What difference will this make? What difference will this make? What difference will this make? How much influence do you think the following have as to whether people in your coal mining community are healthy? Please mark each factor with an X, ranking influence from 1-5 following with an X Influence (1 is most, 5 is least) Factors 1 2 3 4 5 Cost of services Ease of access to health services Education Employment Family support Housing Income Social Isolation Transport Community support Insurance status Other (please specify below) Your details Please provide us with some information about yourself. This will assist us with the analysis of the questionnaire results. Please mark the following that applies to you with an X Name (optional) Ethnic Group American German decent Hispanic Other Gender Male Female Age Range Children (aged 0 14) Adults (aged 25 64) Youth (aged 15 24) Older People (aged 65+) Where do you live? metropolitan area county How many years have you worked in the coal mining sector? ( number of years) Do you consider your self healthy? Yes No What is your principal concern? How often do you visit a doctor? List one preventive diagnostic test that you had the previous 6 months: ( colorectal screening, pap test, ECG, CXR, ultrasonogram etc): Does your employer offer health promotion/wellness programs? Yes No Type of health insurance( state) : In the following section, select which answer describes you. *Note that N/A stands for not applicable Always Sometimes Never N/A You wear a seat belt: You wear a helmet when riding a bicycle, rollerblading or skateboarding: You drive the posted speed limit: You eat at least 5 servings of fruits and vegetables each day: You eat fast food more than once a week: You exercise at a moderate pace at least 30 minutes per day, 5 days per week: You consume more than 3 alcoholic drinks per day (female) or more than 5 per day (male): You smoke cigarettes: You chew tobacco: You are exposed to secondhand smoke in your home or at work: You use illegal drugs (marijuana, cocaine, methamphetamine, etc.): You perform self-exams for cancer (breast or testicular): You wash your hands with soap and water after using the restroom: You undergo physiotherapy for lower back pain You apply sunscreen before planned time outside: You get a flu shot each year: You practice safe sex (condom or other barrier method, etc.): You take vitamin pills or supplements daily: You spend money on gambling more than once a month: You attend religious services regularly: You volunteer in your community (church, schools, civic organizations, etc.): You donate money to community based organizations (churches, non profit organizations, etc.): You get enough sleep each night (7-9 hours): You feel stressed out: You feel happy about your life: You feel lonely: You worry about losing your job: You feel safe in your community: You are afraid for your childrens health You feel that the government is liable for your health You feel that the government is liable for your childrens health

Sunday, August 4, 2019

Important Role of Prayer in Homers Odyssey :: Homer Odyssey Essays

The Important Role of Prayer in the Odyssey What is the importance of prayer or lack of prayer in the Odyssey? I think prayer and the lack thereof is very important in understanding this literary piece. In the beginning of the Odyssey prayer seems to be a pretty common thing, especially during the times of trouble. Telemakhos prayed numerous times that the gods would help him get rid of the suitors. While is prayer was not answered immediately, he was told what he had to do to find his father and get rid of the suitors. As long as Telemakhos followed Athena and did what she said, she was with him and helped him. She would disguise herself to help and protect Telemakhos as he began his journey. Penelope was the next instance of prayer. She prayed that the gods would ease her pain and protect her son. A higher being, possibly an angel was sent to her to tell her that things would be ok and to ease her mind. She was also usually put into a deep sleep. When Telemakhos and Penelope prayed, their prayers were heard and for the most part answered, maybe not in the way that they wished, but the way the gods felt would make Telemakhos a hero beside his father and give Penelope her dream of having her husband again. Odysseus on the other hand was a different story, he did not pray or just did not mention praying during his time of trouble. Why would he not pray? I believe Odysseus did not pray because of pride. I don't think that he could let go of his pride enough to pray. I think that he believed in the gods and trusted in them, but I think as a hero, he had to do things on his own. He wanted to be able to say that he did it just as he told the Kyklops in book IX: "'Kyklops, if ever mortal man inquire how you were put to shame and blinded, tell him Odysseus, raider of cities, took your eye: Laertes; son, whose home's on Ithaka!' 1" Although prayer was a way to get things done, it was not a method used by all the characters in the Odyssey. Each character was different. Telemakhos was a boy and needed help from a higher being in order to defeat the suitors. Penelope was a woman who was strong-minded, but not strong enough to get rid of the suitors.

Saturday, August 3, 2019

Dantes Lucifer: The Denial of the Word :: The Divine Comedy

The four words constituting the first line of Inferno 34, however, are and are not Virgil's own words. On the most obvious level, these words are his own in that the text attributes them to him. At the same time, they are not his, since they are a quotation of the first line of a hymn by Venantius Fortunatus.3 And yet, the last word, inferni, must be attributed to Virgil under all respects, for he utters it without borrowing it from the hymn that Venantius Fortunatus wrote in honor of the cross and Christ. Through Virgil, Dante the auctor, therefore, rewrites and parodies this sacred hymn at the conclusion of the infernal cantica exactly when the two wayfarers approach Lucifer.4 Although neither name is mentioned, both are conjured up. Inferno 34 thus begins by invoking a contrastive binomial, Christ and Lucifer. The irony inherent in the Christian hymn's adaptation for the purpose of announcing Lucifer's appearance to the Pilgrim stems, most strikingly, from subverting a text written for a sacred purpose and now employing it for a profane one.5 No longer the sacred poem ( «Vexilla regis prodeunt ») written by a Christian poet, the new and profane poem ( «Vexilla regis prodeunt inferni ») is proclaimed by a pagan, is dedicated, as it were, to Lucifer, and is inscribed within the book of the Commedia. Whereas the Christian Venantius writes a poem to his king, Christ, the pagan Virgil, unable to write a poem for the king whose law he opposed (Inf. 1:125), intones a poem to his de facto king, Lucifer, and he does so by borrowing and perverting a sacred text. In fine, Dante the auctor records this new hymn to Lucifer in his text, as if he were the scribe of Virgil the poet. This opposition between Christ and Lucifer is further emphasized by another textual element, which focuses on nomen. The Inferno, in fact, is the text where the word Dite __ Lucifer __ is inscribed and where the word Christ is never recorded. Thus a written sign characterizes Lucifer in the first cantica, whereas the text's silence typifies Christ. As we shall see, however, the meaning of this verbal presence and absence is ultimately turned around: Lucifer's presence becomes a failure, whereas Christ's absence signifies a victory. As a sign of his textual presence throughout the first cantica, Lucifer, the character whom the Pilgrim contemplates in the nethermost pit of the universe, is designated by means of various words and circumlocutions.

racismhf Prejudice and Racism in The Adventures of Huckleberry Finn :: Adventures Huckleberry Huck Finn Essays

Huckleberry Finn- Racist Mark Twain's novel The Adventures of Huckleberry Finn depicts how he is a racist. He shows it in many ways in which his characters act. All of the people in the towns are slave owners, and treat black slaves with disrespect. In the time period of the novel slavery was not legal, but racism was. Many scenes in his novel make slaves look like fools. Mark Twain does this purposely to make colored people look and sound like fools, because he is a racist person. Before even getting to chapter, one Mark Twain puts a notice on the book. "Persons attempting to find a motive in this narrative will be prosecuted; persons attempting to find a moral will be banished; persons attempting to find a plot in it will be shot" (Twain, 2). Twain uses this to show people how he is as a person. If you go against him, you may be prosecuted, banished or even shot. This most likely is because he was a racist and needed power. If slaves were to go against him, they will lose. Mark Twain uses these words to build himself up, and make himself sound like a more powerful person. Mark Twain uses characters that are very similar to him as a person. Huck's father, Pap, is a person like Twain. Pap is a drunken man that is very temperamental. He tells Huck of all the things that Pap feels is nonsense. Pap is always trying to be a powerful figure in Huck's life. Mark Twain probably uses Pap in the book to show readers that he is the same type of person. Twain uses this book to show that he is racist person, and used Pap to show that he is a power thirsty person as well. The Adventures of Huckleberry Finn is a book that was made to degrade the black population of America. Jim, a runaway slave, meets up with Huck after he runs away from Pap. When Jim and Huck see each other, Jim drops to his knees pleading Huck not to turn him in, or hurt him. Mark Twain does this to show that when a black slave and a white person meet the slave should drop to their knees before the white person.

Friday, August 2, 2019

How Thomas presents war in As the Teamâs Head-Brass Essay

In the poem, Thomas makes quite a few references and allusions to war. He uses the nature and weather described in the poems as metaphors for various aspects of the war. The blizzard that is mentioned in the poem could be interpreted as a metaphor for either death or war. â€Å"In France they killed him; it was back in march, the very night of the blizzard, too.† He chose blizzard due to the nature of them, violent, and hard to see through, possibly a reference to the â€Å"Fog of war†. The elm tree can be interpreted as an allusion to the dead soldiers, which have been killed by the metaphorical blizzard, the fact that Thomas mentions that the friend was killed on the night of the blizzard reinforces this allusion, and he uses words that are normally associated with dead combatants, such as â€Å"fallen† to reinforce this idea. â€Å"By a woodpeckers round hole† this could be interpreted as a bullet wound adding to the interpretation that the elm tree represents a dead soldier, also the way he specifically mentions that it’s a woodpecker hole, instead of just a normal hole could be a reference to machine guns, which were said to sound like woodpeckers. The way he has described the way the elm tree has fallen also brings images of dead soldiers, he describes it â€Å"strewed† which gives the image of the tree being messily felled and destroyed, almost like it’s a corpse in the field that’s just been left there, like the way bodies were just left to rot in No Man’s Land. He alliteratively likens the war and weather â€Å"about the weather, next about the war† which are common themes in his poems, normally using weather as a metaphor for things such as war, rather than directly stating it. Another allusion to the war is what the plough is doing; it’s making trenches in the field, and these were everywhere in mainland Europe during the First World War, another trench allusion â€Å"screwed along the furrow till the brass flashed; once more† the flash could be a reference to the muzzle flash that was made by the occasional rifle that was shot over no man’s land. The way the â€Å"once more† was placed in its own line instead of the end of the sentence could be to reinforce the repetitiveness of it, which continues day in and day out. This poem has many things that are related to his other poems. His use of nature is one. However, the poem can be interpreted alternatively as a commentary on the effects of the war on the English countryside, and in general the destruction of the English countryside, which is a recurring theme throughout most of his poems. The effects of the war can be seen in the poem. The lone ploughman who has been left to tend to the fields by himself because his friend has been killed in the war, and can also be a comment by Thomas on how the ploughman is becoming rarer and rarer as the mechanization of agriculture is becoming much more widespread as time passes, especially during a time of war where all able bodied people were wanted to fight in the trenches. He uses black humour as a coping device â€Å"If I could spare an arm, I shouldn’t want to lose a leg, If I should lose my head, why, so, I should want nothing more† He doesn’t mind if he loses a limb because he still has to endure the pain of it all, but if he loses his head, which can be interpreted as either going insane (this was the first war in which psychological disorders caused by the war were widespread) or literally losing his head, he would not mind because he would not have to suffer the problems of the world any longer. His specific use of a plough, instead of the countless other farming tools that he could have used in the poem could be a biblical reference â€Å"they shall beat their swords into ploughshares† – Isaiah 2:4 he references this bible passage because it shows the connection that weapons of war have with tools that are meant to be used to cultivate the means to sustain life. In the poem there is a theme of continuity, the poem bookended with the lovers going into the forest, and ends with them coming back out. The whole theme of ploughs also contributes to this theme of continuity, as they are constantly just going round and round in the field. The way the poem is structured also plays with the theme of the plough, with most sentences ending mid line instead of at the end of the line, giving it a plough like shape. Another bit of continuity seen in the poem is the amount of syllables in a line, more or less every line in the poem has 10 syllables, and it also written in iambic pentameter.

Thursday, August 1, 2019

Dbq 13 Industrial Revolution Beginnings

Several different aspects helped contribute to the start of the Industrial Revolution in England. Three major reasons were improved methods of farming methods, England’s abundant amount of natural resources, and the joining together of workers in factories. These all helped England to thrive in industry and soon start a revolution. Agricultural changes greatly impacted the start of the Industrial Revolution in England. Farming methods and inventions helped inspire the creation of inventions that would soon industrialize England.Inventions such as the seed drill and mechanical reaper helped make farming more efficient by making harvesting and planting much easier. (Doc. 7) Enclosure brought forth a great increase in farm output and profits. It created a mass production of goods. Farming was improved through the use of crop rotation, enclosure, the growing of turnips and the division on farms across the country. This improvement in farming caused a population boom, which soon le d to a higher demand for goods. (Doc. 8) A second factor of England that led to the start of the Industrial Revolution was their abundant amount of natural resources.England had access to several useful resources needed to industrialize, such as coal, iron, wool, and cotton. (Doc. 1) Coal was a vital source of power for it supplied energy for the steam engines, which were often found powering factory machinery. Iron was often useful in the construction of things, such as railroads. Iron had many purposes after it had been made cheaper and better quality. (OK) England was also aided by the amount of harbors it had and was often no more than 70 miles away from sea. (Doc. 4) A third reason the Industrial Revolution began in England was the joining together of the workers in the factories.Workers often used the assembly line to produce goods. It proved to much more efficient and increased factory output as well. Men working with a distinct job could produce thousands of goods in a day w here men who worked independently could hardly make twenty. (Doc. 3) Higher amounts of goods caused prices to fall, which led to the increase of population because people found food much more affordable now. With this efficiency, England began to advance in transportation as well. In reaction to this mass production of goods, faster methods of transportation were invented.The steam locomotive increased railroad growth and made the moving of goods much faster. (OK) Several different aspects helped contribute to the start of the Industrial Revolution in England. Three major reasons were improved methods of farming methods, causing a new found population boom; England’s abundant amount of natural resources, necessary for industrialization for they were often used for power sources; and the joining together of workers in factories, causing a mass production of goods and a further increase in population. These all helped England to thrive in industry and soon start a revolution.