Friday, December 27, 2019

Deborah Tannen s But What Do You Mean - 864 Words

In her essay, But What Do You Mean? Deborah Tannen discusses how men and women s conversation styles differ in how they communicate with one another. The problem is that men and women have different perspectives. Tannen explains that the conversation rituals among women are designed to be polite and sensitive to others, while the conversation rituals among men are designed to maintain superiority (328). Tannen explores seven ways in which men and women miscommunicate : apologies, criticism, thank-yous, fighting, praise, complaints, and jokes. Being no fault of either party, conversation strategies between men and women are just naturally different, these miscommunications can make conversation awkward and sometimes can be misunderstood. Tannen explains when talking about apologies, when women apologize to much they make it look like they are at fault even though they may not be (328). This reminds me of my mother. Last week we went out to eat and she ordered some soup. When s he took her first bite she noticed it wasn t even hot. She called the waiter back to the table, apologized for bothering her, then politely ask her if she could bring her another bowl of soup because hers was cold. The waiter said she was sorry and that she would bring another bowl out right away. When the waiter returned with another bowl, my mom apologizes once again for any inconvenience she may have caused. I think my mom was just trying to be polite. Her apology as TannenShow MoreRelatedDeborah Tannen s Article, But What Do You Mean?955 Words   |  4 PagesWhat I Meant was†¦ In Deborah Tannen’s article, â€Å"But What Do You Mean?† she enumerates seven different ways that women and men tend to have a kind of struggle. Tannen discusses how the men and women have different ways of speaking. The seven main differences are classified and divided into: apologies, criticism, thank-yous, fighting, praise, complaints, and jokes. First, men don’t correctly interpret apologies; they often implicate blame with apology, synonymous with putting oneself down. On theRead MoreCommunication Gap Between Men And Women1386 Words   |  6 Pagesin the way that we communicate. What we say, how we say it, and how the opposite sex interprets what we are saying are all affected by gender. With so much focus on building a more compassionate and understanding world, how do we make that step that will bring us closer to closing the communication gap? We learn at a young age starting out that communication between girls and boys is completely different. Girls say boys are mean, and boys don’t know what girls mean, these different attitudes comeRead MoreGender Inequality1640 Words   |  7 Pages Misogyny and gender constructs, such as the ideal of beauty, hold women back in various aspects of their lives as discussed in the articles â€Å"Marked Women† by Deborah Tannen and â€Å"A Woman’s Beauty: Put Down or Power Source† by Susan Sontag. Men are viewed as the dominant sex and in our patriarchal society, they have all the rights women do not get to enjoy. This gender gap leads to less discussion and knowledge about the grievances that men face. The issues of misandry are discussed in â€Å"Man Bashing:Read MoreYou Just DonY Understand1838 Words   |  8 PagesYou Just Don t Understand by Deborah Tannen, Ph.D. William Morrow and Company, 1990 Reviewed by Laura Morrison That men and women are on different wavelengths when it comes to communicating is probably not news to you. However, Can We Talk? the cover story of the December issue of New Age Journal, provides some excellent new perspectives on this age-old problem. The author, Peggy Taylor, interviewed sociolinguist Deborah Tannen, who has written a book called You Just Don t Understand: WomenRead MoreThe Inequality Of People Based Off Of Race1369 Words   |  6 PagesIn the world we live in today, when you look around there are so many different types of people. Differences such as races, backgrounds, and also different people with different stories to tell. We live in a world of a diverse group of people, so different that we found it hard to make everyone equal. Some would think living in such a diverse world we would form a common ground and maybe unite together to be equal but that is far from true. No I m not talking about the inequality of people basedRead MoreSex, Lies, And Conversation Deborah Tannen848 Words   |  4 Pages In the essay Sex, Lies, and Conversation Deborah Tannen focuses on the differences and lack of communication between men and women though observations. She came to the conclusion that men were not lacking in their listening, but they were however listening in a different way than the women did. On the other hand, men aren’t the only people that have terrible communication skills. In many ways, these differences between the two genders can cause major conflict when not understood by the oppositeRead MoreWhy Are All The Black Kids Sitting Together?962 Words   |  4 PagesHave you ever walked into a school that was rich and had students that were low income there or vice versa? You just have to stop and think about education and how your status of income, your race/ethnicity, and the gender you are will have an impact in how you learn and move on into understanding the ways of other ideas not just education. Now that s what professional authors state as a fact. For example, yo u have Jonathan Kozol in â€Å"Still Separate, Still Unequal† state the differences between theRead MoreNeil Postman And You Just DonT Understand1868 Words   |  8 PagesBetween the books, You Just Don t Understand by Deborah Tannen, and the book Amusing Ourselves to Death, by Neil Postman I prefer the book You Just Don t Understand. I prefer Deborah Tannen s book because her claims about the hierarchy in men’s conversation versus the need for inclusivity in women’s conversation are interesting, as I had not acknowledged this significance in communication between the two genders before. Overall, I like Tannen’s book because it highlights stark contrast in communicationRead MoreDifferences Between Men And Women1746 Words   |  7 Pages Gender Differences in Communication Have you ever thought someone wasn’t listening to you? Or that your request is being ignored because the response wasn’t framed in a way it should have been? Maybe it’s because you were speaking to a person who was of a different gender. Men use short direct speech, while women use indirect dialogue. Therefore, when genders meet up there’s a gap in communication. Men and women unconsciously communicate differently in numerous ways, so by understanding each other’sRead MoreHow Do Men And Women s Need For Intimacy?967 Words   |  4 Pages How do men s and women s different conversational styles reflect men s need for independence and women s need for intimacy? There are two articles that explains the different between men and women. According to author Deborah Tannen, article, Sex, Lies, and Conversation: Why Is It So Hard for Men and Women to Talk to Each Other? He explains, how do they use the body language of communication. They have different socialization; for instance, girls use talk for intimacy, but boys use talk to

Thursday, December 19, 2019

The Mexican American Hispanic Patient - 1575 Words

Introduction It is essential when entering health care as a professional nurse to realize that health care workers, doctors, nurses, and other health care providers, form their own culture with their own beliefs and attitudes about the care that’s delivered and the patients whom they serve. Because there are significant barriers to health care for Hispanics, particularly those that are Mexican-American, in order to provide culturally competent care, the professional nurse must implement effective communication, convey respect to the patient, and take a thorough health history from each patient. The purpose of this paper is to discuss the background of the Mexican-American Hispanic patient, compare and contrast their culture to the culture of those that work in health care in the United States, and recommendations for the professional nurse using Purnell’s Cultural Theory for support and a reflection on Wellness Day for Health Promotion focusing on Hispanic heritage including Curande rismo. Hispanic Heritage According to the CDC Minority Health Report, people of Mexican heritage are the largest minority group in the U.S. and almost 30% of Hispanics in the United States lacked health insurance as of 2012 (â€Å"Minority Health,† 2014). The traditional form of health care practiced by those of Mexican-American heritage is Curanderismo, coming from the Spanish verb â€Å"curar,† which means â€Å"to heal.† This system regards the individual’s mind, body, and soul as inseparable and thereforeShow MoreRelatedThe Culture Of Hispanic Americans Essay1123 Words   |  5 Pagescloser look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco Barker, 2016). Impact on Rural Iowa In rural Iowa, there are few individuals who are knowledgeable of the Hispanic culture due to the small number of Hispanic individuals that have soughtRead MoreThe Prevelance of Diabetes in the Hispanic Culture1465 Words   |  6 Pagesunder colonial rule. In the Spring of 1846 American forces quickly occupied New Mexico and California, then invaded parts of Northeastern Mexico, Northwest Mexico and captured Mexico City. In the fall of 1847 the war ended with the Treaty of Guadalupe Hidalgo. This event was the greatest territorial expansion of the United States and was responsible for the annexation of approximately 80,000 Mexican citizens. In 1910 the Mexican Revolution forced Mexicans to cross the border into the United StatesRead MoreHealth Promotion998 Words   |  4 Pagescultures, in healthcare our understanding of each patient’s cultural values will help guide us in providing care that is individualized and respectful while at the same time providing evidence based care that is safe for our patients. To provide culturally competent care to patients nurses must be aware of their own culture before they can be aware of others cultures, each culture views health, wellness, illness and healthcare workers in a different light (Edelman, Kudzma, amp; Mandle, 2014, ChapterRead MoreMexican American And Mexican Americans Essay1126 Words   |  5 Pageslargest Hispanic-origin population in the United states are Mexicans (Gonzales-Barrera Lopez, 2013). Mexican American’s are considered minorities in the United States. There are many reason why I am choosing to explore Mexican Americans for this paper. As a m inority myself, I can relate to some of the struggles that Mexican American’s may face. However, there are some things that I will never relate to or know the personal aspect of the Mexican culture. Just like any other population, Mexican AmericansRead MoreCultural Diversity : A Health Care Professional1396 Words   |  6 PagesStates is the Mexican culture. Mexicans come from Central American Indians, Native Americans, Spanish, and Africans. The majority of Mexican immigrants live in Arizona, California, Colorado, Illinois, Florida, New Mexico, and Texas. However, Los Angeles has the highest Mexican population. People who come from Mexico speak many languages, such as Spanish, English, and indigenous Indian languages. While you work in a hospital you should always be aware of how to respectfully treat your patient. When treatingRead MoreHispanic Culture Appropriation1014 Words   |  5 PagesThe Hispanic Culture is beautiful because it varies from clothes, food, and music in the different types of Hispanics from North America, Central America, and South America. The Hispanic culture is being appropriated by people who dont care for it, they are being appropriated from people who want to make money off it. From Puerto-Ricans to Mexicans, Latinos are tired of their culture, who they are proud of and embrace without shame to be taken by companies, designers, and musicians. As a HispanicRead MoreUnderstanding The Mexican American Viewpoint On End Of Life Care1455 Words   |  6 Pagesof Mexican origin. According to Spector (2013), of the over 50.5 million Hispanic individuals living in the U.S, Mexicans make up the overwhelming majority of the Hispanic community. Understanding how Mexican-Americans traditionally view end-of-life care allows a health care worker to better serve the patient as the patient transitions from acute care to palliative care or hospice care. Cultural attitudes influence the process of decision making at the end-of-life. Understanding the Mexican-AmericanRead MoreMexican Americans: Perspectives on Death and Dying Essay1114 Words   |  5 PagesMexican Americans: Death and Dying Hispanics are the fastest growing minority in the United States, and the majority of them are Mexican in origin (Kemp, 2001). The Roman Catholic Church plays a vital role in the culture and daily life of many Mexican Americans. Consequently, healthcare personnel must become culturally competent in dealing with the different beliefs possessed by these individuals. Nurses must have the knowledge and skills necessary to deliver care that is congruent with the patient’sRead MoreHerritage Assesment1019 Words   |  5 PagesRN, MS August 26, 2012 Heritage Assessment The United States has become a multicultural country. Everywhere you look, you see a plethora of cultures that range from Hispanic and African to Asian and American Indian. The varied traditions and beliefs of a multicultural country impact how nurses implement patient-centered care. The best way to provide optimal care in nursing is to become better informed in how different cultures view health maintenance, protection, and restoration. TheRead MoreMental Health Among Latino Communities Essay1172 Words   |  5 PagesCommunities In the United States, the Latino American population has risen by over 40% within the past decade and accounts for over 17.1% of the Nations society. In 2050, the Latino Community is expected to make up nearly one-fourth of the population and 2/3 of the U.S. Hispanics are from the Mexican-American Subgroup. In the United States, there has been extensive research examining the prevalence of varying psychiatric disorders among the Latino Hispanic Communities. There are many deeply rooted and

Wednesday, December 11, 2019

Green Program for Pre School

Question: Discuss about the Case Study for Green Program for Pre School. Answer: Part A (a) Our environment today faces enormous threat from rapid urbanization, pollution, non-biodegradable materials and depletion of essential resources. Reduction of human carbon footprint is now extremely important to protect and sustain our environment (Houghton, 2009). Awareness and understanding of a healthier environment and resolution of potential conflicts must start at an early stage as children shall be responsible for reshaping the future of modern earth. Children of ages 3-7 are like porous sponges and they can observe and grasp information faster if learning starts during early childhood education(Wilson, 1996). An environmental Go Green program is proposed to implement recycling, reuse and waste prevention at the Tender Feet Nursery School by educating and engaging children. (b) The main goal of this program is to create awareness about the importance of recycling among the preschool staff and children and implement recycling schemes within the premises through a collaboration of administrators, teachers, custodians and children. The program will incorporate recycling knowledge into the preschool curriculum and daily activities creating a fun and easy atmosphere ((Lansburgh, 1976) (Pancheri-Ambrose Tritschler-Scali, 2013). It shall encourage children of preschool age to recognize and understand the importance of recycling, reuse and waste management hereby making them more conducive towards protecting their environment(Gibbons, 1996). Considering the number and population of students in preschools; they accumulate huge waste which includes paper, books, electronic equipments like computers and printers and food/composite material. An interim goal of the Go Green program (also referred to as green program) shall be to make the preschool more equipped in handling and recycling these wastes (Lund, 1992), thus creating an opportunity to save on costs. These costs shall be monitored by evaluating the purchase bills once the program has been implemented, thus reflecting upon a comparable reduction of costs in the preschool office, classroom and cafeteria materials usage. In the long-term, the Go Green program when successfully implemented at Tender Feet Nursery School shall set an excellent example and expectantly initiate duplication across other preschools, eventually stressing upon importance of recycling in society. Constant evaluation and monitoring through surveys and feedback will help to decipher progress of the preschool towards becoming more environments friendly and energy efficient hoping to decrease its carbon footprint. (c) The Go Green program shall follow guidelines of National Waste Policy of the Department of Environment, Government of Australia ( Department of Environment, 2009) which provides environment friendly approaches for waste management within the country. The recycling and reuse strategies implemented through this program will be useful to address administrative costs and put fewer burdens on environment. (d) Various resources are available on the World Wide Web to get information for designing and implementing the Go Green program. These are: (i) The Environmental Protection Authority website (EPA, 2016) containing sufficient knowledge and guidelines for environment protection and waste reduction. (ii) The ResourceSmartSchools website(Resource Smart Schools , 2013) containing information to assist schools in planning, designing, implementing, monitoring and evaluating green programs. (iii) Open-resource websites like Schools Recycle Right (SRS, 2011) and Virginia Recycling Association (VRA, 2016) in understanding the implementation of green programs within a school. (e) The Go Green program shall address waste management including reduce, reuse and recycle through active collaboration of administrators, office staff, custodians, teachers and young preschoolers. The recyclables from the preschool including paper, metal, glass, wood and electronics shall be moved into the recycling stream helping to keep many precious resources from ending up in a landfill. The preschool shall be able to reduce the quantity of waste generated in the premises and also lower the frequency for need of garbage collection. The Go Green program shall achieve the dual purpose of saving costs for the preschool and also educating and creating awareness in young children to care for and nurture the environment. The key steps towards implementation are: Formation of a green committee: Assignment of roles and responsibilities, spread of information and training of teachers and custodian staff. Waste assessment and data collection: assessment of the waste generated, data collection with help of maintenance staff. Implementation of recycling: recyclable collection and management, delivery to the recyclable contractor. Education and awareness of children: classroom learning and involvement in recycling activities. Monitoring and evaluation of the program: Feedback through surveys and discussions, liaison with local environment office and experts for advice. Part B Part B 1, 2 and 3: Main targets of the Go Green program Setting essential targets and related objectives will lie at the foundation of the Go Green program. These targets will then facilitate systematic planning, design, implementation and assessment of the program making it a success. Formation of a Go Green committee The first target of the Go Green program will be identification and organization of a committee (hereon referred to as the green committee). This green committee shall be largely responsible for planning, design, implementation, maintenance and assessment of the program(Neeper Dymond, 2012). It will also act as a connecting thread for all learning and activities (CedarRapidsCommunitySchoolDistrict, 2011). The key elements in the formation of green committee are: Membership: The green committee can consist of representatives of administrators, teachers, facilities and maintenance staff and/or parents who are willing to volunteer. The green committee must comprise of at least one person either an administrator or a warden who is familiar with overall functioning of the preschool. (ii) Definition of role and purpose: The green committee shall be planning a roadmap, undertaking research and coordinating learning and activities. They will form collaborations between specific departments within the preschool for implementation of the program. (iii) Form liaisons: At least one green committee member, preferably an administrator will act a liaison with recycling staff from the local neighborhood or a government organization. He or She shall connect with a recycling expert for advice and assistance for planning, design and compliance with ordinances. (iv) Regular discussions and meetings: The green committee shall hold brainstorming sessions, discussions and debates to obtain ideas and suggestions for design and implementation. The committee shall also hold private meetings at least quarterly or every month to evaluate the progress of the program. Implementation and supervision of the Go Green program Implementation shall start with waste assessment within the preschool premises to be followed by waste reduction and prevention. Efficient recycling shall require collaboration between teachers and maintenance staff for collection and sorting of recyclables and transporting these recyclables to an authorized recycle collection centre. The key elements of implementation are: (i) Waste assessment: The green committee shall first identify the various types and amount of waste generated at the preschool premised covering all areas like cafeteria, classrooms, teacher room and offices. The accurate calculation and estimation of the waste can be taken from the facilities and maintenance staff. The green committee will then identify and evaluate the methods currently being used for handling and disposing the waste. Further, alternative and environmentally agreeable approaches for disposal as well as recycling shall be formulated (Laustsen, 2007)(Underwood, 2007). (ii) Waste prevention, reduce and reuse: Waste assessment will help to identify materials which can be prevented from being disposed and could be reused including paper, wood, electronics, metal, glass etc. (Laustsen, 2007)(Underwood, 2007). This will enable the staff to be more organized and mindful to waste prevention. (iv) Recycling: The next step is to identify materials in the waste which can be classified as recyclables (n.d., 1990). The various categories of recyclables can be paper, plastic, glass, metal, wood and food/composite waste. After classification, collection points in classrooms, office, cafeteria and other activity rooms are to be identified (n.d., 1994). The recyclables will be collected in a separate marked container that is mostly placed aside the trash bin. Education and awareness in preschool children. The green program shall impart knowledge and understanding about the importance of recycling to the highly responsive and curious young children. Thus, different activities having recycling themes can be carried out(Ward, 2010) (Davis Elliot, 2014) (Erturk Kara, et al., 2015). This information shall encourage young minds to raise questions and perform discussions with their teachers and parents. The children will be encouraged and motivated to perform practical activities for recycling which includes collection and sorting of litter (Gibbons, 1996) (Edwards, et al., 2012). The key elements of education and awareness are: (i) Lessons and activities: Children must be encouraged to participate in lessons/co-curricular activities which focus on the importance and need for recycling and should involve use of rhymes, books, games, art and craft, discussions etc. (ii) Holding earth or environment day, nature walks to increase enthusiasm of the children towards the green program. Encouraging children to collect litter in containers during nature walks. (iii) Collection and sorting of recyclable materials can promote active participation of the children alongside fun. Part B 4. Resources The Environmental Protection Authority website (EPA, 2016) contains guidelines for environment protection and waste reduction. The ResourceSmartSchools website (Resource Smart Schools , 2013), Schools Recycle Right (SRS, 2011) and Virginia Recycling Association (VRA, 2016) contains relevant information to assist schools in planning, designing, implementing, monitoring and evaluating green programs. Part C Target 1: Formation of Go Green committee Action 1 Action 2 Action 3 Action 4 Objective Developing a support framework Developing collaboration between preschool administrators, local community and government recycling experts Gathering, analyzing relevant information and statistics Delivering progress reports Potential opportunity successful initiation design preliminary and long-term goals blueprint and final execution updating status to local government office Estimated $ saving $5000 p.a. as only school personnel to be part of the committee Capital cost None None None $500 for communications Payback period 0 0 0 0 Target objectives to be achieved during first implementation Target dates 2 weeks to implement 3 weeks to implement Budget None None None $500 for transportation, incidentals etc People responsible Administrators, teachers, volunteers Target 2: Program implementation Waste assessment Action 1 Objective Identify size, quantity and types of wastes generated Potential opportunity Assessment will aid correct implementation Estimated $ saving 50% reduction = $1000 p.a. Capital cost None Payback period 6 months Target 50% reduction in 6 months Target dates 1 month to implement Budget None People responsible All staff Waste prevention: reduce Action 1 Action 2 Action 3 Objective Copy, print documents in duplex setting, viewing information electronically administrative communications to be done electronically Donation of discarded furniture, electronics etc to a local charity Potential opportunity Reduce paper usage Reduce paper usage Reduce wood and electronics waste Estimated $ saving 40% reduction = $500 p.a. 50% reduction = $500 p.a. N/A Capital cost None None None Payback period 3 months 3 months N/A Target 80% compliance after 3 months 80% compliance after 3 months N/A Target dates 1 month to implement Budget None None None People responsible Administrators and teachers Waste prevention: reuse Action 1 Action 2 Action 3 Objective Place boxes in office, classroom for storing scrap paper Store unused stationery Usage of reusable and washable utensils and washcloth in cafeteria. Potential opportunity Reuse paper Reuse stationery Reuse cafeteria supplies Estimated $ saving 50% reduction = $500 p.a. 50% reduction = $500 p.a. 100% reduction = $1000 p.a. Capital cost None None $2000 for equipment and materials Payback period 6 months 6 months 2 months Target 80% compliance after 3 months 80% compliance after 3 months 100% compliance after 2 months Target dates 1 month to implement Budget None None $2000 for reusable cafeteria supplies, dishwasher People responsible Administrators and teachers Cafeteria staff Action 4 Action 5 Objective cartons, magazines, booklets, newspapers utilized for classroom art/craft activities Household recyclables like cardboard boxes, cartons to be reused in the classroom for storage. Potential opportunity Reuse Reuse Estimated $ saving 80% reduction = $300 p.a. 80% reduction = $300 p.a. Capital cost None None Payback period 3 months 3 months Target 95% compliance after 3 months 95% compliance after 3 months Target dates 1 month to implement Budget None None People responsible Teachers Teachers and parent volunteers Recycling Action 1 Action 2 Action 3 Objective Identify collection points, decide collection container number and type Adding recycling bins/containers to classroom, office, cafeteria having clear illustrations Collect and transport recyclable material to contracted recycling service provider Potential opportunity Implementation of recycling Collaborative recycling Transporting recyclables to final destination Estimated $ saving N/A N/A 50% reduction = $1000 p.a. Capital cost $500 for containers None $500 for external recycle services Payback period 3 months 3 months 6 months Target 95% compliance after 3 months 95% compliance after 3 months 100% compliance after 6 months Target dates 1 month to implement Budget $500 for leak proof, durable and portable bins/containers None $500 for transportation and contract services People responsible Teachers and maintenance staff Target 3: Educational and awareness of children Action 1 Action 2 Action 3 Objective Education and awareness activities Nature walks and excursions Collection and sorting of recyclables Potential opportunity/risk Children will gain a sense of ownership while having fun Children will be taught to identify safe litter for removal, avoiding unsafe, sharp or unknown objects. They must be given gloves Children will learn sorting of recyclables. Recycle bins Sorting activity must be done near a sink to encourage children to wash away visible unwanted items. Food waste recyclables must be monitored to reduce contamination. Estimated $ saving N/A N/A 50% reduction = $1000 p.a. Capital cost None $100 for consumables Payback period 1 year 1 year 1 year Target 95% awareness after 1 year Target dates 1 month to implement Budget $500 for teacher training $100 for disposable gloves and hand wash People responsible Teachers and children Part D Since the Go Green program has been proposed by me, it is evident that I shall be constantly available to provide support and assistance, most crucially during implementation and also the critical first year of execution. This support from my end shall include three aspects: providing information wherever necessary, acquiring volunteers when required and finally promotion of the program. The information shall be provided through email, telephone and personal meeting as and when needed by the green committee. This information will be delivered by thorough research using internet resources. Next, the volunteers shall be appointed from within the local community through telephone and door to door visits when needed. Finally, program promotion shall be carried out through posters, banners and pamphlets and word of mouth publicity. Through support and assistance from my end I shall ensure that the green committee and all preschool staff is well equipped to plan, design, implement and main tain the green program in a smooth and successful manner. 2. (a) The main aspects of the program which need to be evaluated are its overall efficiency, efficacy of recycling and the reduction in various costs (Carleton-Hug Hug, 2010) Also, an important criterion for green program evaluation is the presence of contamination in the recycling stream. This can lead to disintegration of program flow and thus needs to be instantly addressed. The information on possible contaminations can be accurately provided by recycle service provider after collections are transported out of the preschool premises. (b) The monitoring and evaluations shall be carried out largely by the green committee who are familiar with the various aspects of the green program. It is suggested that some monitoring could alternatively be done by members outside the green committee so as to eliminate bias or preconceived notions that may have settles into the committees functioning. Further, monitoring can also be supervised by recycling experts from either the local community or government energy office in liaison with the green committee. (c) To carry out monitoring and evaluation efficiently, regular feedbacks are required which should include staff response, level of enthusiasm and their contentment with the roles assigned. Further, information on recycling efficacy and efficiency will include aspects like zero contamination and overall reduction of costs. (d) The crucial information for carrying out monitoring and evaluation shall be obtained through the following methods: (i) Outreach to the teachers and custodians who are responsible for collecting the recyclable materials and supervising the transport of recyclables to the contracted recycle service provider. ii) Outreach to the contracted recycle service provider in order to evaluate known benchmarks and standards and whether they have been partially or completely achieved. (iii) Since children at the preschool are under supervision of teachers when learning and carrying out the practical tasks of collecting and sorting recyclable material, their attitudes, behaviors and responsiveness changes can provide crucial information (Ljung-Djrf, et al., 2015) (e) The teachers and preschool facilities and maintenance staff shall be largely responsible for collecting data to enable evaluation since custodians will mainly assist and facilitate waste assessment, collection of recyclable materials and supervision of transport of recyclables to the contracted recycle service provider. (f) Evaluations of the data shall be done by members of the green committee in liaison with recycling experts from either the local community or government energy office. (g) The results of monitoring shall be reported by the green committee to the recycling experts from either the local community or government energy office at least monthly during its first year of implementation and quarterly after that. A yearly comprehensive report must be submitted to the experts at the energy office. To ensure the sustainability of Go Green program, the green committee needs to develop a methodology for consistent monitoring of all outcomes of the program for at least duration of one year post implementation (Carleton-Hug Hug, 2010). Based upon the evaluation results, appropriate design alterations must then be suggested by the teachers for further scope of improvement as and when needed. Also, monitoring must be reinstated every first few months of the preschool terms in all succeeding years. The important factor of contamination in recyclables must be monitored and if this is a reoccurrence then necessary trainings need to be conducted to re-educate the preschool staff. Feedback data from staff can highlight if any members are looking for larger roles and responsibilities which they could be given in the future. This will assist in periodically evaluating the program to address the general response and thereby suggesting suitable design modifications (Ozturk, 2016). Therefore, for technical success of the Go Green program, two step monitoring and evaluation is suggested in which the green committee shall first include community volunteers to carry out different assessments which are then to be submitted to recycling experts at a local government establishment for comments. This can provide a stamp of approval and benchmarking by field experts. For making the green program sustainable in the preschool for years to come, the responsibilities have to be periodically rotated among the key administrators and teachers. Further, a robust monitoring plan will need to be identified which will include multiple approaches for identifying roles and responsibilities, re-education and training of teachers and custodians every year, routine newsletters and resources for each new green committee to smoothly take over the responsibility of the program and ensuring its success.

Wednesday, December 4, 2019

Tuskegee Syphilis Experiment Essay Example For Students

Tuskegee Syphilis Experiment Essay : Between 1932 and 1972, the U.S. Public Health Service (PHS) conducted anexperiment on 399 black men in the late stages of syphilis. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-* Copyright DueNow.com Inc. *Category:HistoryPaper Title:Tuskegee Syphilis ExperimentText:Between 1932 and 1972, the U.S. Public Health Service (PHS) conducted anexperiment on 399 black men in the late stages of syphilis. These men, forthe most partilliterate sharecroppers from one of the poorest counties in Alabama, werenever told whatdisease they were suffering from or of its seriousness. Informed that theywere beingtreated for bad blood, their doctors had no intention of curing them ofsyphilis at all. We will write a custom essay on Tuskegee Syphilis Experiment specifically for you for only $16.38 $13.9/page Order now The data for the experiment was to be collected from autopsies of the men,and they werethus deliberately left to degenerate under the ravages of tertiary syphiliswhichcaninclude tumors, heart disease, paralysis, blindness, insanity, and death. Oneof the doctorsinvolved said: we have no further interest in these patients until theydie. The sharecroppers easy to manipulate because they were poor and liked theidea offree medical care, said James Jones. He also said they were pawns in thelongest non-therapeutic experiment on human beings in medical history. The study was to compare blacks and whites reaction to syphilis, thinkingthat whitesexperienced more neurological complications from syphilis whereas blackswould havemore cardiovascular damage. How this knowledge would have changed clinicaltreatmentof syphilis is uncertain. It took almost forty years before someone involvedin the studytook a hard and honest look at the end results, concluding that nothinglearned willprevent, find, or cure a single case of infectious syphilis or bring uscloser to our basicmission of controlling venereal disease in the United States. When themedia caught ahold of the experiment in 1972, news anchor Harry Reasoner described it as anexperiment that used human beings as laboratory animals in a long andinefficient studyof how long it takes syphilis to kill someone. By the end of the experiment, 28 of the men had died directly of syphilis,100 weredead of complications of the disease, 40 of their wives had been infected,and 19 of theirchildren had congenital syphilis. To get the community to support theexperiment, one ofthe original doctors admitted it was necessary to carry on this studyunder the guise of ademonstration and provide treatment. At first, the men were prescribed syphilisremedies of the day, bismuth, neoarsphenamine, and mercury, but in suchsmall amountsthat only 3 percent showed any improvement. These token doses of medicinewere goodpublic relations and did not interfere with the true aims of the study. Eventually, allsyphilis treatment was replaced with pink medicine aspirin. To ensurethat the menwould show up for a painful and potentially dangerous spinal tap, the PHSdoctorsmisled them with a letter full of promotional hype: Last Chance forSpecial FreeTreatment. The fact that autopsies would eventually be required was alsoconcealed. Adoctor explained, If the colored population becomes aware that acceptingfree hospitalcare means a post-mortem, every darky will leave Macon County . . . Eventhe SurgeonGeneral of the United States participated in enticing the men to remain inthe experiment,sending them certificates of appreciation after 25 years in the study. Believe it or not, not only white people took part in the experiment, blackpeoplewere also involved. The experiments name comes from the Tuskegee Institute,the blackuniversity founded by Booker T. Washington. Its affiliated hospital lent thePHS itsmedical facilities for the study, and other predominantly black institutionsas well as localblack doctors also participated. Eunice Rivers, a black nurse, played a hugepart in theexperiment for 40 years. A lot of them did it for the promise of greatrecognition. ATuskegee doctor, for example, praised the educational advantages offeredour internsand nurses as well as the added standing it will give the hospital. NurseRivers said herrole as one of passive obedience: we were taught that we neverdiagnosed, we neverprescribed; we followed the doctors instructions! It is clear that themen in theexperiment trusted her and that she sincerely cared about their well-being,but notenough. Even after the experiment was exposed to public scrutiny, shepret ty much feltnothing ethical was wrong. .uc10ee9b4b969aa09f40ac471f9072837 , .uc10ee9b4b969aa09f40ac471f9072837 .postImageUrl , .uc10ee9b4b969aa09f40ac471f9072837 .centered-text-area { min-height: 80px; position: relative; } .uc10ee9b4b969aa09f40ac471f9072837 , .uc10ee9b4b969aa09f40ac471f9072837:hover , .uc10ee9b4b969aa09f40ac471f9072837:visited , .uc10ee9b4b969aa09f40ac471f9072837:active { border:0!important; } .uc10ee9b4b969aa09f40ac471f9072837 .clearfix:after { content: ""; display: table; clear: both; } .uc10ee9b4b969aa09f40ac471f9072837 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uc10ee9b4b969aa09f40ac471f9072837:active , .uc10ee9b4b969aa09f40ac471f9072837:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uc10ee9b4b969aa09f40ac471f9072837 .centered-text-area { width: 100%; position: relative ; } .uc10ee9b4b969aa09f40ac471f9072837 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uc10ee9b4b969aa09f40ac471f9072837 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uc10ee9b4b969aa09f40ac471f9072837 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uc10ee9b4b969aa09f40ac471f9072837:hover .ctaButton { background-color: #34495E!important; } .uc10ee9b4b969aa09f40ac471f9072837 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uc10ee9b4b969aa09f40ac471f9072837 .uc10ee9b4b969aa09f40ac471f9072837-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uc10ee9b4b969aa09f40ac471f9072837:after { content: ""; display: block; clear: both; } READ: Why Lady Macbeth Is More Guilty EssayOne of the scariest aspects of the experiment was how strongly the PHS keptthesemen from receiving treatment. When several nationwide campaigns to erasevenerealdisease came to Macon County, the men were prevented from participating. Evenwhenpenicillin was discovered in the 1940sthe first real cure for syphilistheTuskegeemen were deliberately denied the medication. During World War II, 250 of themenregistered for the draft and were consequently ordered to get treatment forsyphilis, onlyto have the PHS exempt them. Pleased at their success, the PHS representativestated: Sofar, we are keeping the known positive patients from getting treatm ent. The experimentcontinued in spite of the Henderson Act (1943), a public health law requiringtesting andtreatment for venereal disease, and in spite of the World HealthOrganizationsDeclaration of Helsinki (1964), which specified that informed consentwas needed forexperiment involving human beings. The story finally got into the Washington Star on July 25, 1972, in anarticle byJean Heller of the Associated Press. Her source was Peter Buxtun, a formerPHS venerealdisease interviewer and one of the few whistle blowers over the years. The PHS,however, remained unmoved, claiming the men had been volunteers and werealwayshappy to see the doctors, and an Alabama state health officer who had beeninvolvedclaimed somebody is trying to make a mountain out of a molehill. Finally because of the publicity, the government ended their experiment, andforthe first time provided the men with effective medical treatment forsyphilis. Fred Gray, alawyer who had previously defended Rosa Parks and Martin Luther King, filed aclassaction suit that provided a $10 million out-of-court settlement for the menand theirfamilies. The PHS did not accept the medias comparison of Tuskegee with the appallingexperiments performed by Nazi doctors on their Jewish victims during WorldWar II. Yetin addition to the medical and racist parallels, the PHS offered the same morallybankrupt defense offered at the Nuremberg trials: they claimed they werejust carryingout orders, mere cogs in the wheel of the PHS bureaucracy, exempt frompersonalresponsibility. The studys other justificationfor the greater good of scienceisequally stupid. Now my in opinion, Clinton said it best when he said: The United Statesgovernment didsomething that was wrongdeeply, profoundly, morally wrong. It was anoutrage to ourcommitment to integrity and equality for all our citizens. . . . clearlyracist. May 16,1997. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-