Friday, September 6, 2019
The Death of a Salesman Essay Example for Free
The Death of a Salesman Essay The Death of a Salesman is one of Arthur Millers earlier plays and was written in 1949. The play is based in Yonkers, New York in 1940. Millers Father was in a substantial financial crisis as there was a recession which led the family business to be put in jeopardy. Due to the recession and the Miller financial crisis, Arthur had to pay for his own tuition to study journalism and play writing in the University of Michigan. All of Arthurs plays were based on his life and all of the experiences he had encountered. Miller wrote his plays this way as he would have a first hand account of the events. The Death of a Salesman is a disguise of Arthur Millers past time of his family businesss bankruptcy and financial crisis. In The Death of a Salesman, Willy Loman is in a crisis. Hes about to lose his job, he cant pay his bills, and his sons Biff and Happy dont respect him and cant seem to live up to their potential. He wonders what went wrong and how he can make things up to his family. Willy Loman is a small, old man who believes he is of no significance. He just hopes for his children to do the best and be happy with what they achieve in life. Willy elaborates with images from the past and convinces himself that all is ok. It isnt. His role idolises a great salesman of his time, now to be just of an old age that sells his personality and doesnt publicly display his withering mind and aggression. Linda Loman is Willys loyal wife and a loving heart to his hopes and ideas. She suffers as his mind deteriorates because she knows his mind is beyond help. She has always had faith in Willy and in all his respects. All she wants is to be happy with what she has but the family feuds are preventing her from doing so. Biff Loman is a 34 year old son of Willy who has been searching for himself while working on farms in the west to the dismay of his father. Happy Loman is the younger brother of Biff who tries in all he can to please his father and attempts to continue his fathers dream after the climax in the book. In the duration of this investigation, I am trying to find out To what extent does Miller uses relationships in Death of a Salesman to expose Willys weakening grasp on reality in act one? Linda and Willy have a very insecure relationship. They never discuss their thoughts and opinions in a one to one conversation and bottle up all of their emotions. Linda trys to help Willy as she knows he is under a lot of emotional troubles. The relationship is very one sided because Linda never finds the courage to stand up to him and lets him boss her around, loosing all senses of free will. Linda is a reserved individual and doesnt like to share her thoughts and opinions because she is intimidated by Willy as he will find bad ways of dealing with the anger and stress this may cause upon his relationship with Linda. Willy and Lindas relationship shows Willys weakening grasp on reality as he isnt able to admit defeat on anything and is unable to tell Linda of his incapabilities and weaknesses. As he is losing the plot and his mental capability, he thinks it is time to go. He decides for the extreme option of suicide, he isnt aware that he is leaving obvious clues and evidence of this mind turning attitude. Linda says during a conversation with her husband Willy dear youre the handsomest man in the world. This quote tells me that Linda is an admirer of Willy and doesnt want to put him down. She is trying many psychological techniques to stop him from losing himself, one of which is reassurance which would make him feel loved and cared for, to make him feel his purpose. Lindas reassurance seems to fail to please Willy as she just finds more evidence of attempts of suicide. All of Millers language corresponds with the characters predicted attitude as this is a generalisation speech of a person of this kind of attitude, for example; Willy being a socially insecure individual, the comments of the people around him reassure his thoughts and have made him become arrogant. Miller continuously puts a negative concept on the American Dream bring references to the negative factors. Another relationship which shows Willys weakening grasp on reality is the one shared by Ben and Willy, they both participate in an awkward relationship as Willy is jealous of Ben. Ben is a very self absorbed individual but despite he is idolised over, he is successful but an idiotic character. The man knew what he wanted then he went out and got it! This phrase tells us the he is an arrogant character who has achieved his own concept of the American Dream but is the gluttonous approach. Willy believes that Ben is some kind of hero but to everybody else, he is a bit short of a hero. As Willy is jealous of Ben, he feels he needs to live up to his brothers influences and he then lies to Linda about his achievements. Eventually, Linda discovers what Willy is doing and he then contradicts himself. These factors show that he is losing his grasp on reality because he isnt able to admit defeat and failure. This relationship is unstable because they are constantly trying to out-do each other and be better that the other. However this usually ends in family feuds or leading the lower person to become depressed. This causes tension between the two as well, making several situations awkward. Ben thinks that he is better that Willy and he thinks that Willy is of a lower social class to him. Willy knows Bens opinions and thoughts of these situations se he tries to do the opposite to Bens thoughts. Willy says to Ben, Oh sure theres snakes and rabbits out here and thats why I moved out here, why, Biff can fool any of these trees in no time! Willy says this to Ben because Ben doesnt understand why Willy moved to the City. Willy furthermore tries to make out that he likes living in the city and isnt just there for a job. Willy wants to try and make Ben see the real Willy Loman and not all the pain and disappointment beyond his smug grin. This contributes to Willys loosing grip on reality, as he always feels like he has to be better and sometimes he feels as though he has failed as a businessman. The reader can see this as Willy says to Linda, The man knew what he wanted and went out and got it! Walked into a jungle and comes out, the age of twenty one, and hes rich. He is talking about Ben, and Willy is implying that all his life he has worked as a businessman and never achieved; whereas Ben had achieved greatly and at such a young age also. He feels as though he isnt good enough and that he has to lie to Linda as he doesnt want her to think that he is useless, incompetent and that Ben in much better than him. The final relationship which Miller uses to show Willys weakening grip on reality is with Willys eldest son, Biff. When Biff and Happy were boys, they respected Willy as if he was a man of high importance. Linda told the boys, Few men are idolised by their boys the way you are. This quotation shows that Willy and the boys were close at one point but now Biff and Willy are constantly arguing with each other and Willy does this because biff isnt being the best he can be and fulfilling his true potential. Biff isnt successful in Willys eyes and I know this because Willy quoted Biff is a lazy bum. This quote shows that Willy thinks that Biff is worthless but then, when Willy contradicts himself by saying, If theres one thing about Biff, he is not lazy, this show a loss of grip on reality because he is constantly changing his mind. Arthur Miller uses several forms of dramatic techniques in the duration on the play, many of which reveal Willy Lomans weakening grasp on reality in unexpected forms. In the set, the walls are all just frames; therefore you can walk through them as if they werent actually there. This effect gives the viewer the feeling that Willy has lost his mind and isnt able to see the obvious and therefore dismays peoples perspectives on him, that he is a fool, idiotic and worthless. The laugh in the background is the laugh of a woman from Willys past, a woman Willy had an affair with. The woman is laughing at the deceitful lies Willy is telling Linda about his days earnings because he is keeping money aside for her and is leaving less money to support the family. Willy is under a financial crisis as he is putting his money towards the welfare of two women. The laugh symbolises society laughing at his because he is a fool and everybody knows it. Society mock Willy because he has to borrow money from his son in able to make his wife believe that he has more earnings than he does after he splits them two ways, also that his tricks are obvious and manipulative upon Linda.. All of the dramatic devices are effective because they show societys opinion of Willy Loman, just a depressed elderly man in marriage and financial troubles. To conclude, the relationships in this family are all messed up and have come undone. The relationships are a straight jacket on the familys communication and chains are weighing Willy and Linda down, to the point, suicide is an option. The boys, Biff and Happy are being unsociable towards Willy and he isnt able to cope with all of the dilemmas that he is putting up with at that point. (I dont know what else to write in the conclusion, I have followed the guidelines but I dont know how to conclude about the relationships.)
Thursday, September 5, 2019
Intervention to Reduce Progression of Diabetes
Intervention to Reduce Progression of Diabetes Developing an Intervention to Reduce Progression and the Development of Complications from Diabetes Mellitus in Adults in Glasgow. Introduction Type 2 diabetes is a serious medical condition that is increasingly prevalent in developed countries (International Diabetes Federation, 2013) and the most common variants of the condition are Types I and II. Type I patients have a deficiency in their pancreatic beta cells which leaves them unable to produce insulin. Thus in these individuals, some control over the condition can be achieved using insulin therapy (Schilling, 2007). Type II diabetics, have cells that have become resistant to the effects of insulin resulting in a delayed reduction in blood glucose (Skrha et al., 2010). There are additional types of diabetes; gestational, and a variety of Type III diabetes, however, the overwhelming majority of cases are of Type II with a significant minority of type I cases (Hardt et al., 2008). Complications of Diabetes Regardless of the underlying aetiology, the long-term complications of diabetes are similar. Excess blood glucose is thought to drive increases in oxidative stress both directly and via the derangement of mitochondrial energy pathways (Cade, 2008). Long term macrovascular damage will inevitably increase the risk of coronary heart disease (CHD), and ischaemic heart disease, with diabetics estimated as having a 3 and 5-fold increased risk of CHD mortality for men and women respectively (Loveman et al., 2008). Cerebrovascular disease is also a consequence of the chronic macrovascular damage with similar increases in stroke risk (Naci et al., 2015) Since each organ has its own microvascular supply, chronic hyperglycaemia also results in diffuse and widespread damage to a variety of body organs. As a result, diabetic complications include visual disability due to diabetic retinopathy; the leading cause of blindness in working age adults in the UK (Fowler, 2008; Kempen et al., 2004). In addition, patients suffer end stage renal disease from diabetic nephropathy (Adler et al., 2003), diffuse impairments of autonomic and somatic neural function, including pain perception, due to diabetic neuropathy (Stirban, 2014; Voulgari et al., 2013). Furthermore, the combination of microvascular damage, and reduced pain sensation, usually in the lower limb, results in many patients developing ulceration and necrosis of the inferior surface of the foot, the most common cause of non-traumatic amputations in the UK (Elraiyah et al., 2016). Costs of Diabetes In addition to the significant cost to the individual suffering with diabetes in terms of reduced personal health and quality of life, there are significant financial costs in treating the condition. In 2010-11, the total cost of diabetes to the UK was estimated at à £23.7bn (Hex et al., 2012). This was comprised of à £9.8bn in direct costs related to treating the disease, and à £13.9bn in indirect cost (e.g. lost productivity through absenteeism, early retirement or unemployment, (Hex et al., 2012)). More recently, the direct costs were estimated at à £13.7bn in 2012 (Kanavos et al., 2012). Within these direct costs, only around a quarter is directly spent on treating diabetes its self, and the remaining three quarters is spent on treating the complications following from the disease, (e.g. CHD, retinopathy, liver failure, diabetic foot, neuropathy (Kanavos et al., 2012)). Risk Factors for Diabetes There are a variety of factors that have been identified that places individuals at risk of developing type II diabetes, these include; having a family history of diabetes, obesity assessed using body-mass index, hypertension, visceral adiposity, adverse blood lipids, smoking, and impaired fasting glucose control (Lyssenko et al., 2008). Notably, several of these risk factors, including blood lipids, BMI, hypertension and visceral adiposity, are shared risk factors for CHD, which may in part explain the elevated risk of CHD in diabetics (Haffner et al., 1998). Indeed the clustering of these risk factors has been shown to be predictive of both CHD and diabetes (Haffner et al., 1998) and are collectively referred to as the metabolic syndrome. Moreover, these risk factors, appear to primarily be related to obesity in general, and excessive visceral adiposity in particular (Wozniak et al., 2009). Early work by West and colleagues (1978) demonstrated a strong positive association between rates of obesity and rates of diabetes with a variety of populations. Since then, the epidemiological link between excess body fat and risk of developing type II diabetes in particular has been repeatedly supported. For example, in the Nurses Health Study (Chan et al., 1994) females who had a BMI of greater than 35 kg.m-2 had a risk of diabetes 95 fold higher than those with a BMI of less than 21 kg.m-2 . Epidemiology of Diabetes The incidence and prevalence of diabetes have increased dramatically in the last two decades. Currently, the World Health Organisation estimates that diabetes effects around 9% of the adult global population (International Diabetes Federation, 2013) with variations in prevalence ranging from 26.4% in Kiribati to 1.54% of the population in Manin (International Diabetes Federation, 2013). Overall the UK ranks relatively favourably; in the same data from 2014, the UK had a prevalence of 3.9% (172nd out of 193 countries). Despite this relatively low ranking, the UK, in line with many developed countries, has experienced a rapid growth in the proportion of the population suffering with diabetes. Between 2007 and 2015 the number of patients diagnosed with diabetes increased by 75% from two to three and a half million cases (Diabetes UK, 2015). There are also an estimated half a million undiagnosed individuals at any one time. Indeed, the absence of overt symptoms in the early stages of the disease means that it is not uncommon for patients to have had the disease for several years prior to diagnosis, and confounds attempts to accurately calculate prevalence rates. Scotland has experienced similar increases, with the number of individuals diagnosed with diabetes increasing markedly over the last decade. The Scottish Diabetes survey (2014) demonstrated that the number of individuals with diabetes doubled from approximately 100,000 to 200,000 individuals between 2002 and 2007 despite a stable population of 5 million. Currently estimates for Scotland indicate that there are 276,500 diabetics in Scotland resulting in an overall prevalence that is a third higher than the UK average at 5.2% (NHS Scotland, 2014). Diabetes and Deprivation While the reasons that link indices of deprivation to diabetes are likely multifactorial, they undoubtedly exist. Individuals living in the most deprived areas of the UK are 2.5 times more likely to suffer from diabetes than those in the least deprived areas (Diabetes UK, 2006). Moreover the complications arising from diabetes such as CHD and stroke are more than three times higher in the lowest socio-economic groups and those with lowest educational achievement are twice as likely to have heart disease, retinopathy and poor diabetic control (Diabetes UK, 2006; International Diabetes Federation, 2006). The cause of the increased risk is not clear, however many of the risk factors such as obesity, smoking and physical inactivity, are also higher in those areas with the greatest degree of deprivation (Diabetes UK, 2006; International Diabetes Federation, 2006). From the data outlined above, the development of diabetes is a serious chronic medical condition that can result in early morbidity and mortality and is associated with significant personal and healthcare costs. Despite many of the risk factors for its development being modifiable, it remains a significant and increasing health risk that has a disproportional focus on the areas of greatest deprivation. Given that there is strong evidence that Glasgow has higher rates of both deprivation and type 2 diabetes than the rest of the UK, the aims of this paper are to discuss methods of describing the degree of the problem in Glasgow, as well as identifying, implementing and evaluating initiatives designed to reduce the burden of Type 2 diabetes within that area. Epidemiological Investigation of Diabetes in Glasgow The Centre for Disease Control defines public health research as consisting of four phases, public health tracking, public health research, health intervention programmes, and impact and evaluation (CDC, 2015). Thus before designing and implementing a diabetes focused health initiative, it is necessary to first establish that there is a public health need within Glasgow. This can be undertaken using primary or secondary data sources. Although secondary data sources are repositories of data that have been collected for some purpose other than the investigators main research question, Bailey et al. (2012) suggest that secondary sources also have several advantages. Typically, they are large data sets, and their use is highly cost efficient, as the data collection has already taken place. In terms of this investigation into Diabetes prevalence in Glasgow, there are a number of possible secondary data sources. The most directly relevant data is from the Scottish Diabetes Survey, the most recent data for which covers 2014 (NHS Scotland, 2014). In the most recent report, there is evidence that diabetes is a specific public health concern in Glasgow. For example, while it is not surprising is that Glasgow has the highest number of diabetics, around 22% of Scotlands diabetic population, since it is also the most densely populated region. However, this also translates to the region having the highest age adjusted prevalen ce of diabetes within Scotland at 5.8%. Furthermore the Greater Glasgow and Clyde (GGC) NHS board is criticised as falling behind other NHS health boards within Scotland, in its system of managing and screening its diabetic population in order to limit the progression of the disease. In addition, the Scottish Public Health Observatory (SPHO) provide a number of secondary data sources which may be valuable in triangulating conclusions and include; mortality rates, primary care information from GP practices, the Quality Outcomes Framework (QOF) detailing the performance of GP practices in dealing with key health issues, the Scottish Diet and Nutrition Survey, and the Health Education population survey (Scottish Public Health Observatory, 2015). In addition, both English and Scottish governments produce databases of indices of multiple deprivation (IMD), which can be useful when attempting to standardise the degree of a public health issue by deprivation level. This secondary data should be supported with primary evidence of the population of interest. While there are a number of research designs that could be used to collect primary data on Glasgow residents with diabetes, in this instance a cross-sectional observational design would be most useful. This method has several advantages, it is cost effective, requires only a single group, and each participant is only required to be assessed at a single time-point. This means that it becomes feasible to assess relatively large numbers of people (Bailey Handu, 2012). The limitations of this method are that it represents a single point in time and as a result, cannot be used to determine the sequence of events for a given set of exposures and outcomes. Therefore, it is not possible to infer causality from cross-sectional data. This type of research is most useful for determining prevalence rates for a specific condition (Bailey Handu, 2012).. An ecological study design might also be used, however, in this case, there are wide variations in income levels and deprivation levels within specific postcodes. Thus the possibility for the data to be affected by unknown confounding variables is significant. Similarly a case control study design has some additional control regarding possible confounders, but is again limited in being retrospective in nature and is predominantly used for rare diseases, which type 2 diabetes is not (Greenfield, 2002). Experimental designs such as prospective cohort studies or randomised control trials are the most internally valid designs to attribute causation of a condition to a specific exposure. However, they would not be appropriate in this instance, as they time consuming, expensive, and typically include far fewer individuals. Thus in order to use this type of study, the cost would be greater than the cost of any proposed intervention. In addition, while such designs are internally valid, they often lack ecological validity. That is, while the exposure and outcome can be linked in the study, at the population level, individuals may experience exposure to several predicating factors, and several protective factors. Thus, it is not always straightforward to transfer the findings from a highly controlled study to individuals (Peat et al., 2008). In order to undertake the cross-sectional survey, would require defining a series of areas (e.g. roads or school catchment areas) within specific post-codes to act as the sample frame. The survey data would be collected on these areas. The main problem with collecting this kind of data is a low response rate (Levin, 2006), and the possibility that individuals may responder or not due to the influence of some other factor introducing some systematic bias into the data. The main protection from this is to maximise the response rates. This is best done using face-to-face interviews with individuals in the sample frame (Levin, 2006). Diabetes Interventions The evidence for the type of behaviours that are useful in limiting the adverse complications of diabetes, have been the subject of several large scale epidemiological studies. In the UK the UK Prospective Diabetes Study (UK Prospective Diabetes Study, 1998) and its 10 year follow up (Holman et al., 2008) evaluated the effect of managing type II diabetes through diet alone, versus aggressive management aimed at restricting blood sugar concentrations. The data from the study indicated that while both the aggressive intervention only lowered blood sugar for one year, this translated into significantly lower rates of complications at the 10-year follow up. In the US, the Diabetes Control and Complications Trial (DCCT, 1993) and its 10 year follow up (the Epidemiology of Diabetes Interventions and Complications EDIC (Nathan et al., 2005)) also demonstrated that limiting increases in blood sugar, by maintaining concentrations within strict individualised limits, reduced the incidence of c omplications at the 10 year follow up by 57%. Similar reductions in adverse outcomes have also been found when diabetics have measures of blood lipids, blood pressure, nephropathy, retinopathy and diabetic foot complications assessed at regular intervals. It is also noteworthy that the Greater Glasgow and Clyde NHS region regularly performed in the lowest quartile of Scottish NHS authorities for implementing each of these evaluations (Scottish Diabetes Survey 2014). In long-term conditions such as Type 2 diabetes, the most appropriate strategies to control and manage the condition is for patients, to recognise themselves as stakeholders in their own treatment and to take ownership of the critical aspects of their care such as pharmacological treatment, dietary modifications and physical activity recommendations (National Institute for Health and Care Excellence, 2015). There have been several interventions that have aimed to use patient education to allow for a greater degree of self-management with a resulting closer control of risk factors for diabetic complications. Most recently Minet et al. (2010) evaluated the efficacy of 47 RCT studies aimed at improving diabetic patient education, and found that there was a significant reduction in the degree of hyperglycaemia experienced by the patients at the 6 and 12 month follow up time points. Similar meta analyses have supported the role of education in reducing the incidence of nephropathy and dia betic foot (Elraiyah et al., 2016; Loveman et al., 2008). Given that the UKPDS (1998) demonstrated that even short term reductions in blood glucose can reduce the numbers of patients who progress to sever complications, and given that the majority of the financial burden in treating type 2 diabetes is related to complications rather than the disease its-self. It seems clear that patient education could significantly improve the prognosis of diabetics as well as reduce the costs of future treatment. Implementing an Intervention in Glasgow Having identified a suitable educational intervention, the next stage is to ensure its faithful and appropriate replication within patients with Diabetes in Glasgow. A limitation of much of the available research is that interventions are predominantly applied in academic settings, and the effectiveness of interventions in community and primary care settings are frequently lower than anticipated from the scientific literature. This is a continuing challenge for implementing evidence-based strategies for public health issues. Kilbourne et al. (2007) recommend the REP framework, which although originally devised for faithful implementations of HIV educational programmes has been evaluated and found to help improve the effectiveness of other public health interventions. In order to use the REP framework for educational programmes aimed at Diabetics in Glasgow, the four stages of the REP framework would be developed. Pre-condition requires the identification of a suitable educational intervention. In this phase it is important that the chosen intervention is both feasible and appropriate for the setting in which it will be used. Pre-implementation requires that all staff involved in the intervention undergo training not only in the interventional educational curriculum, but also in the underpinning theories that shaped the original intervention. Implementation requires the educational programme is rolled out to diabetics within Glasgow, and that feedback is sought from stakeholders including patients undergoing the education. In this way it is possible to modify the intervention to better fit the situation, while still remaining faithful to the initial conceptual design. Finally, maintenance and evaluation requires further feedback regarding the effe ctiveness of the intervention, as well as ongoing support for partners who are delivering or helping ensure the continuation of the intervention. Monitoring an Evaluation For the proposed educational intervention, the evaluation would use the RE-AIM framework. This is the most widely adopted model for evaluation of public health interventions originally proposed by Glasgow and Colleagues (1999). This framework proposes the evaluation of five key elements of the intervention. Reach assess the number of individuals from the target population who received the interventions. Efficacy evaluates the degree to which the education intervention improved patients ability to manage their condition (e.g. better control of blood glucose, maintained or lowered blood pressure). Adoption would focus on the number of patients receiving the educational intervention whose behaviour was altered as a result. Implementation attempts to assess the degree to which the intervention was faithful to the evidence base upon which it was designed or was there pragmatic or other issues that meant the interventions was poorly delivered, or delivered in a manner not originally envisa ged. Maintenance attempts to quantify the degree to which the intervention becomes self-sustaining. This can be at an institutional level, i.e. does the health authority feel the programme is sufficiently successful to continue its development. However, it can also be at the individual level, were patients value the intervention and it becomes part of the persons habitual processes. Conclusion The aim of this paper was to investigate an intervention aimed at reducing the complications of type 2 diabetes in individuals diagnosed with the condition, living in Glasgow. It has established that in order to implement any such strategy, it is necessary to evaluate the degree of the problem using secondary and if required primary sources of data. In addition, any intervention should be evidence based, and attempt to replicate those interventions that have been demonstrated to be successful. This should be attempted in a strategic and structured manner in order to ensure high fidelity conversion from research evidence to intervention. The intervention its-self needs robust evaluation to determine if it was effective, and if not was it because of a failure of the underpinning theories or a failure in delivery. Unless they are well managed, individuals with Type 2 diabetes are at a significant risk of serious and life threatening complications. Educational interventions may be one wa y to provide effective strategies to enable better outcomes and reduced personal and financial costs. References ADLER, A.I., et al., 2003. Development and progression of nephropathy in type 2 diabetes: the United Kingdom Prospective Diabetes Study (UKPDS 64). Kidney International. 63(1), pp. 225-232. BAILEY, S. and HANDU, D., 2012. Introduction to epidemiologic research methods in public health practice. Jones Bartlett Publishers. CADE, W.T., 2008. Diabetes-related microvascular and macrovascular diseases in the physical therapy setting. Physical Therapy. 88(11), pp. 1322-1335. CDC. 2015. Public Health Cycle [Online]. [Viewed 4th April 2016]. Available From: http://www.cdc.gov/ncbddd/hearingloss/publichealth.html. CHAN, J. M., RIMM, E. B. COLDITZ, G. A. 1994. Weight gain as a risk factor for clinical diabetes mellitus in women. Diabetes Care, 17, 961-9. DIABETES CONTROL AND COMLICATION TRIAL RESERCH GROUP, 1993. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl j Med. 329(14), pp. 977-986. DIABETES UK 2006. Diabetes and the disadvantaged: reducing health inequalities in the UK World Diabetes Day 14 November 2006. A report by the All Parliamentary Group for Diabetes and Diabetes UK. https://www.diabetes.org.uk/Documents/Reports/Diabetes_disadvantaged_Nov2006.pdf. DIABETES UK. 2015. Diabetes Facts and Stats November 2015 [Online]. [Viewed 20th March 2016]. Available From: https://www.diabetes.org.uk/Documents/Position statements/Diabetes UK Facts and Stats_Dec 2015.pdf. ELRAIYAH, T., et al., 2016. A systematic review and meta-analysis of adjunctive therapies in diabetic foot ulcers. Journal of Vascular Surgery. 63(2), pp. 46S-58S. e2. FOWLER, M.J., 2008. Microvascular and macrovascular complications of diabetes. Clinical Diabetes. 26(2), pp. 77-82. GLASGOW, R.E., VOGT, T.M. and BOLES, S.M., 1999. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American Journal of Public Health. 89(9), pp. 1322-1327. GREENFIELD, T. 2002. Research Methods for Postgraduates, London, Arnold. HAFFNER, S.M., et al., 1998. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine. 339(4), pp. 229-234. HANLON, P., et al., 2005. Why is mortality higher in Scotland than in England and Wales? Decreasing influence of socioeconomic deprivation between 1981 and 2001 supports the existence of a Scottish Effect. Journal of Public Health (Oxford, England). 27(2), pp. 199-204. HARDT, P.D., BRENDEL, M.D., KLOER, H.U. and BRETZEL, R.G., 2008. Is pancreatic diabetes (type 3c diabetes) underdiagnosed and misdiagnosed?. Diabetes Care. 31 Suppl 2 pp. S165-9. HEX, N., et al., 2012. Estimating the current and future costs of Type 1 and Type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabetic Medicine. 29(7), pp. 855-862. HOLMAN, R.R., et al., 2008. 10-year follow-up of intensive glucose control in type 2 diabetes. New England Journal of Medicine. 359(15), pp. 1577-1589. International Diabetes Federation 2006. Diabetes, deprivation and outcomes in a wealthy world. Diabetes Voice, 51, 37-40. INTERNATIONAL DIABETES FEDERATION. 2013. IDF Diabetes Atlas [Online]. [Viewed 20th March 2016]. Available From:https://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf: IDF. KANAVOS, P., VAN DEN AARDWEG, S. and SCHURER, W., 2012. Diabetes expenditure, burden of disease and management in 5 EU countries. LSE Health and Social Care. KEMPEN, J.H., et al., 2004. The prevalence of diabetic retinopathy among adults in the United States. Archives of Ophthalmology (Chicago, Ill.: 1960). 122(4), pp. 552-563. KILBOURNE, A.M., et al., 2007. Implementing evidence-based interventions in health care: application of the replicating effective programs framework. Implementation Science. 2(1), pp. 1-10. LOVEMAN, E., FRAMPTON, G.K. and CLEGG, A., 2008. The clinical effectiveness of diabetes education models for Type 2 diabetes: a systematic review. Health Technology Assessment. 12(9), pp. 1-136. LYSSENKO, V., et al., 2008. Clinical risk factors, DNA variants, and the development of type 2 diabetes. New England Journal of Medicine. 359(21), pp. 2220-2232. MINET, L., et al., 2010. Mediating the effect of self-care management intervention in type 2 diabetes: a meta-analysis of 47 randomised controlled trials. Patient Education and Counseling. 80(1), pp. 29-41. NACI, H., et al., 2015. Rethinking the appraisal and approval of drugs for type 2 diabetes. BMJ Open. 351(h5260),. NATHAN, D.M., et al., 2005. Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research Group: Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. N Engl J Med. 353 pp. 2643-2653. NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, N. 2015. Type 2 diabetes in adults: management: NICE guidelines [NG28] [Online]. [Viewed 20th March 2016]. Available From:https://www.nice.org.uk/guidance/ng28: NIHCE. NHS SCOTLAND 2014. Scottish Diabetes Survey 2014. Scottish Diabetes Survery Monitoring Group. PEAT, J., BARTON, B. ELLIOT, E. 2008. Statistics Workbook for Evidence-Based Health Care, Wiley-Blackwell. SCHILLING, J. A. 2007. Diabetes Mellitus: A guide to patient care, Ambler, USA, Lippincott. SCOTTISH PUBLIC HEALTH OBSERVATORY. 2015. Overview of Key data sources [Online]. [Viewed 4th April 2016]. Available From: http://www.scotpho.org.uk/publications/overview-of-key-data-sources/introduction. SKRHA, J., CERIELLO, A. GITT, A. K. 2010. Chapter 6 Microvascular and Macrovascular Complications. In: HALAN, P. (ed.) DIAMAP 1 : Roadmap for Diabetes Research in Europe. http://www.diamap.eu: European Union. STIRBAN, A., 2014. Microvascular dysfunction in the context of diabetic neuropathy. Current Diabetes Reports. 14(11), pp. 1-9. UK PROSPECTIVE DIABETES STUDY (UKPDS) GROUP, 1998. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). The Lancet. 352(9131), pp. 837-853. VOULGARI, C., PAGONI, S., VINIK, A. and POIRIER, P., 2013. Exercise improves cardiac autonomic function in obesity and diabetes. Metabolism. 62(5), pp. 609-621. WEST, K.M., 1978. Epidemiology of diabetes and its vascular lesions. Elsevier. WOZNIAK, S.E., GEE, L.L., WACHTEL, M.S. and FREZZA, E.E., 2009. Adipose tissue: the new endocrine organ? A review article. Digestive Diseases and Sciences. 54(9), pp. 1847-1856.
Wednesday, September 4, 2019
Sociological areas of criminology on moral panic
Sociological areas of criminology on moral panic Before discussing the social areas of crime. We have to understand what crime is? if any body breaks the criminal laws it may be defined as crime. (sociology making..,2009,page- 556) In sociological aspect of crime sociologists believe that crime cannot be properly understood without examining the surrounding social, political and economical context. The sociological areas of studying crime is really massive. Sometimes the criminals may be caught and sometimes they may not. Some criminals use to advertise themselves and some keep silence. The numbers of crime is always high than the numbers shown. Sociological study of crime is basically the case study of those criminals who breaks the rules of society and not advertise themselves because ht behaviour is always much problematic and painful. The study of crime is always tough because the researchers need to find the subject. In sociological approach the study depends on the way which highlights that how anyone does crime. What social conditions compailed the person to do a crime and be a criminal. Sociological criminology seeks to explain crime`s relationship to social and environmental change. Another area of social criminology is based on marxism theory. It highlights that crime is ultimately the result of conflict between different social classes. This theory believes that basically laws are made by the group that is in power, to control people who are not in power. This is conflict theory of crime or critical criminology. Another sociological areas of criminology is social process criminology which explain that how people criminals. In this study basic focus is on criminal behaviour as learned behaviour. So, we can say that in sociological areas of criminology we emphasis on social situations responsible for crime. (sociology making..,2009,page- 557) Sociological areas of family Family is the strongest bond of society. It is the main institution of society which is found within the households. Family always changes across time and place and its a social construction. (mckie et al,2005,page- 445) In sociology areas of family we study the various theoretical approaches to the family. Some sociological approaches of families are functionalist, feminist and new rights perspective. The functionalist theory of family is based on socialization. It emphasis that the family socialise its members and this socialisation is beneficial for both family and the society. Feminist approach is the study based on the position of a men within a patriarchal society. The new sight perspective is the study that how family teaches its members that what is wrong and what is right. Another sociological areas of family is the study of decline in family. This area is based on the study of social problems related with family. This study is mostly based on western society. First part of this area is based on family violence. Family is a good and peaceful place but according to this study family can be a dangerous place to be. This problem is mostly caused in nuclear family. Domestic violence is another s ocial problem of family. Physical force applied on women and children caused by aggressiveness is the part of domestic violence. In simple words we can say that the sociological area of family describes both benefits and problems of the society caused by the family. Sociological areas of media Present age is the age of media. Media is unseparated part of today`s life. Most of the information we gathered from the media. In one hand media educates us and in other it is the real source of connecting people. Many types of media is present in today`s society like television, radio, newspaper, internet, etc. We can say that without media we cannot imagine the normal life. It is the accepted part of life. We spend our maximum part of time and money for using media. In (1998, brigs and cobley) extend his views to assert that as we more into the new millenmium the media are increasingly a central part of our lives, our cultures and global economics. (sociology making..,2009,page- 685) Because of this mass effect media has vast sociological area. It shows a very effective role in society different writers analayse and identified the different aspects of media in society. (Mcquail ,1994) drawed a red sketch on media`s social areas. As (mcquail ,1994) described some important social areas of media is as follows:- Information: Ã ¢-Ã Media circulates the information about different conditions and events of world and society. Ã ¢-Ã It indicates the relation of power. Ã ¢-Ã Media facilitate the innovations, adaptions and progress. Correlation: Ã ¢-Ã Media explains, interprets and comments on the meaning of events and information. Ã ¢-Ã Media provides support to established authority and norms. Ã ¢-Ã Media does consensus building. Ã ¢-Ã Media sets orders of priorities and signalling relative status. Continuity: Ã ¢-Ã Media expresses the dominant culture and recorganises subcultures and new cultural developments. Ã ¢-Ã It forges and maintaines common values. Entertainment: Ã ¢-Ã Media provides amusement, diversion and means of relaxation. Ã ¢-Ã Media reduces social tension by the resource of entertainment. Mobilization: Ã ¢-Ã Media campaigning for societal objectives in the sphere of polities, war, economic development, work and sometimes religion. (Mcquail, 1994:79), (sociology making, 2009, page-712) In conclusion we can say that media has the power to change the attitudes and behaviour of society. Media is an important factor of socialization. Media influences on the individual, the group, the institution or culture in general. Moral panics In the words of (stanlay cohen, 1987) moral panic is a condition, episode, person or group of persons became defined as a threat to societal values and interests. (http://en.citizendium.org/moralpanic) As (stanly cohen, 1987) described in his book (Folk devils and moral panics) some moral panics of society are:- Ã ¢-Ã Young, working- class, violent males, youth culture and juvenile delinquency. Ã ¢-Ã School violence. Ã ¢-Ã Bad drugs, wrong drugs used by wrong people at wrong times. Ã ¢-Ã Child abuse, sexual and satanic. Ã ¢-Ã Sex, violence and blaming media. Ã ¢-Ã Welfare cheats and single mothers. Ã ¢-Ã Pornography. Ã ¢-Ã Refuges and asylum seekers. (http://en.citizendium.org/moralpanic) The idea of moral panic was originally developed to explain the demonization of young people as a social problem and the scapegoating of certain subcultural groups in particular. (sociology making..,2009,page- 735) Jock young used firstly the term moral panic to describe the impact upon public anxiety of creation of `drug squads` in 1960s. Then this concept borrowed by (Stan cohen, 1972) in his classic study of mods and rockers and their treatment by the media and the police in the early 1960s. Stanley cohen, 1972 showed in his work that how media intervention gave from to different subcultural groups and represented them as threatening `folk devil`. In nineteenth century the famous sociologist (person, 1983) used the idea of moral panic to explore the fears generated by the emergence of urban gangs. As (person, 1983) conclude cited in (Toynbee,1983) that every era has its young gangs that catch the terrified imagination of the respectable. Every era also has its myth about a previou s golden age of traditional values, a time when it was safer to walk the streets. Intervention of media gives youth subcultures national exposure and degree of uniformity and definition. (sociology making, 2009, page-734-735)
Tuesday, September 3, 2019
Tale of Two Cities Analys :: essays papers
Tale of Two Cities Analys Government has been an essential part to any civilization for as long as human kind has existed. People who disagree with the government have also existed for just as long. Whether the the government was so simple that the leader was the strongest in the tribe, or whether the government was so complex that it involved thousands of people to make one decision, it always was challenged and eventually changed. The means of change are quite diverse. Assassination, protests, war, petitions, and more are amongst the large list of means for governmental reform. Revolution has also been a frequent method to try to achieve the desired change. Revolutions have made profound impacts in history, for both the better and for the worse. Charles Dickens is among those who believe revolution is not a efficient means for change of government, or social reform. His classic novel, A Tale Of Two Cities, clearly and profoundly shows the negative impacts of revolting against the government, to the ! reader. He also shows the reader that there is a better way to improve the government. That better way is illustrated through Sydney Carton. He not only becomes an unexpected hero in A Tale Of Two Cities, but he also symbolizes Charles Dickens solution to achieving social reform. Sydney Carton first entered the story as a lonely man. Appearing rather insecure and having low self esteem, his role in the story was unknown to the reader. He seemed to only be focused on helping others. One late night with his colleague, Mr. Stryver, Cartons basically pathetic demeanor was confronted, ^Carton, addressed his friend... ^your way is, and always was, a lame way. You summon no energy and purpose. (Dickens, A Tale Of Two Cities, 95). Then later that night , Climbing into a high chamber in a well of houses, he threw himself down in his clothes on a neglected bed, and its pillow was wet with wasted tears (97). Both are examples of Cartons character. Most view him as a loser. Mr. Stryver, with the assistance of a little alcohol, clearly made that point, and sadly enough Carton realized it. At that moment he finally realized who he was becoming, and it depressed him beyond words. At that moment a new Carton emerged. This new Carton was someone who cared! for others. He wanted people to think that his actions were motivated by simply wanting to make a difference in the lives of those he cared for. One person he deeply cared for was Lucie Manette. She eventually became his motivation to change and renew his own life.
Fahrenheit 451 by Ray Bradbury :: Ray Bradburys Fahrenheit 451
In the 1950 novel Fahrenheit 451, Ray Bradbury presents the now familiar images of mind controlled worlds. People now live in a world where they are blinded from the truth of the present and the past. The novel is set in the, perhaps near, future where the world is in war, and firemen set fires instead of putting them out. Books and written knowledge is banned from the people, and it is the firemen’s job to burn books. Firemen are now the policemen of this time. Some people have rebelled by hiding books, but have not been very successful. Most people have conformed to this world. Guy Montag, a fireman, is a part of the majority who have conformed. Throughout the novel Montag goes through a transformation, where he changes from a Conformist to a Revolutionary. Guy Montag has never questioned his job before the day he met Clarisse McClellan. This is the first time where Montag is confronted with the idea that, he doesn’t understand the whole truth about books. Monta g meets Clarisse as he is one day walking home from work, and they strike up a conversation. During their conversation Montag is questioned why books are illegal and why firemen burn the books. She also asks him if he had ever read any of the books that he burned. His reply was that it is against the law. Clarisse even asks, "… long ago [did] firemen put fires out instead of going to start them?"(Fahrenheit 451, page 38) Montag replies by telling her that that is nonsense, and that "Houses have always been fireproof,…"(Fahrenheit 451, page 38) Here you can see how brainwashed and blinded the truth is for the people. Clarisse says good night to Montag, and right before she leaves she asks him, "Are you happy?"(Fahrenheit 451, page39) Before Montag can reply Clarisse is gone, and she leaves Montag pondering her question. As he tells himself that her question was nonsense, he starts to realize that he is not happy with his life. Someone else who changed Montag’s thinking, changed it by their actions not by tell him anything. One day the firemen got a call with an address of someone who was hiding books. The firemen, doing their job like always, went to the house to find the books and burn them. When they got there they had found the books, but when they went to burn them the person who owned the books would not leave them.
Monday, September 2, 2019
Human Resources Management Essay
The role of a Human Resource department is ever changing in todayââ¬â¢s volatile business environment. Over the years HR have become strong strategic partners within an organization by providing functions such as recruitment, training and development and retention. Human Resources in order to be strategic works directly with all levels of management in an effort to help with strategy and the growth of the company to meet their vision. One very important aspect is talent acquisition. Having the right people in key roles within the company is vital to the success and growth of any company. Performing this function includes preparing a job description, recruiting, and then setting compensation. A crucial tool used by many HR departments is the process of job evaluations and performance review. These aspects of the HR Department makes sure that the employees are performing the specific task for their job description proficiently and per the companies guidelines, as well as being able to determine whether the employees deserve a raise or any other compensation to award their performance. Human resources is a critical part of an organization in order to keep the company functioning and profitable they are an important part of finding the right employees, with the right skills and qualifications to fit into open positions. METHOD OF JOB ANALYSIS: When a new job is created or a vacancy occurs, it is the role of a HR representative to fill that void. In order to perform this function they need to first understand what role they are trying fill is and what skills and responsibilities this new role would require. By conducting a job analysis they are able to further define important elements of any job and then search for the person or people that are the most qualified and would be a good fit for the company. As important as it is to perform a job analysis before looking for that new candidate, it is equally as important to select the correct job analysis method. Some popular job analysis methods are Observation, Individual Interview and Structured Questionnaires. Organizations choose methods based on various guidelines that are all linked to the job responsibilities of a position, company culture and size of the organization. Each organization must select which methods are the best match for their candidate search. The Observat ion method includes studying someone while they perform their job in an effort to better understand the tasks and duties necessary to this particular job. The advantages are the observer can obtain first-hand knowledge and information about the job being analyzed. This can provide an accurate picture of the candidate ability to do the job at hand. Other Job Analysis methods such as the interview or questionnaire only allow HR to indirectly obtain this information. With other methods there is a risk of omissions or exaggerations are introduced either by the incumbent being interviewed or by items on the questionnaire. The next method is the Interview method; this method involves conducting interviews of the person leaving this position to gain insights into what duties they perform. Interviews can also be conducted on other employees performing the same job but in most cases start with the HR manager. The advantages are that it allows the incumbent to describe tasks and duties that are not observable by anyone else and for the incumbent to give an overview of what their job entailed while they were in that position. The disadvantage is the candidate can exaggerate or omit tasks and duties that the new employee will need/have to perform to be successful in this position. The interviewer must be skilled and ask the proper questions in order to get the appropriate answers in order to get the full scope of the job duties of this position and to effectively do the appropriate job analysis. The Structured Questionnaire method uses a standardized list of work activities, called a task inventory, then jobholders or supervisors may identify as related to the job. It must cover all job related to tasks and behavior. Each task or behavior should be described in terms of features such as difficulty, importance, frequency, time spent and relationship to performance. The disadvantage is that responses may be difficult to interpret and are open-ended. Combining these methods will provide HR with a well-rounded description and analysis for the candidates. Furthermore this allows you to get the perspective from a few different angles. These methods help the HR managers find the ideal candidate for the position. IMPORTANCE OF TASK STATEMENTS AND KSA STATEMENTS: A task is an action designed to contribute a specified result to the accomplishment of an objective. It has an identifiable beginning and end that is a measurable component of the duties and responsibilities of a specific job. Knowing the tasks that have to be performed, helps you to identify the KSA that the candidate must possess in order to perform to the companies standards. In some cases you will train someone of the required KSA. Knowledge statements refer to an organized body of information usually of a factual or procedural nature which, if applied, makes adequate performance on the job possible. A body of information applied directly to the performance of a job function. Skill statements refer to the proficient manual, verbal or mental manipulation of data or things. Skills can be readily measured by a performance test where quantity and quality of performance are tested, usually within an established time limit. Ability statements refer to the power to perform an observable activity at the present time. This means that abilities have been evidenced through activities or behaviors that are similar to those required on the job. The creation of these statements will take considerable thought and insight. However, the rewards of conducting this due diligence before taking on the task of hiring a new employee, makes the process very simple and less stressful. Everything is clearly defined and above all, measurable in the future. RECRUITMENT AND SELECTION: Once the Job analysis, Task statements, KSA statements and the job description are completed, the next step is to search for candidates. I believe the best place to begin the job search is from within the organization. My reason for this is that the employees are already indoctrinated into the organization culture. Internal job postings are a great start to the process of recruiting new employees. They have a great familiarity with the company and may be able to attract potential job candidates. The benefits of internal recruiting can be the cost which tends to be less costly because you are not using an outside service or source. Internal recruiting can promote growth from within the organization. Many large companies encourage internal promotion as a source of friendly corporate culture. External sources can also be beneficial if the company is looking for a fresh start or someone with some new ideas. External recruiting can help to diversify an organization while bringing in needed competencies. Hiring externally can be done through various ways such as Internet job boards, and staffing agencies. External hiring might be more costly but may provide more outstanding candidates. Whichever the organization decide internal or external, the position needed to be filled will determine the order of the search. Once you have started recruiting it is time to view your potential qualified candidates. The key in the selection process is to choose a strategy for screening your candidates so that you are able to view the people that or most qualified for the position. Organizations also make use of many outside agencies when completing the selection process. Drug screening and reference checks are often done by a third party. Many companies are beginning to incorporate assessment tests and activities into the selection process to insure additional training is not necessary for potential candidates. These screenings can be very important in weeding out the wrong candidates and keeping potential good fits for the position in place for the interview/hiring process. PERFORMANCE EVALUATIONS: Performance evaluations need to be in place to support decisions made by management and the HR department. When annual reviews come up it is imperative to be able to look back at documentation created throughout the year in order to document areas that need improvement as well as back up reasons for raises and demotions. These evaluations can also be used to teach as they may show areas that need improvement as well as provide backup for recognition of a job well done. The performance evaluations need to be structured and performed in a timely manner as well and managers need to be trained appropriately has to how to conduct these evaluations. Companies might also want to consider individual and peer evaluations as well as another source of employee evaluations just to see how the employee rates themselves compared to their managers as well as to what their peers have to say as well using these evaluations can give the HR department a better comparison on how each employee is doing by allowing others in the department to evaluate each other and to compare them to the managers evaluation of each employee. Although there can be some disadvantages to individual and peer evaluations is that the employee might over state him/herself and with peer evaluations you might get some bad evaluations because someone doesnââ¬â¢t like you. Although they are still good to have and or try in order to get a better review of the employee. COMPENSATION: Compensation is a tool used by management for a variety of purposes to help reach organization goals. Compensation is a systematic approach to providing monetary value to employees in exchange for work performed. Compensation may achieve several purposes assisting in recruitment, job performance, and job satisfaction. Compensation may be adjusted according the business needs, goals, and available resources. Compensation strategies have to be designed to meet the objectives of the company. Many people associate compensation with money but when looking for a job, many compensation packages are designed with a package of products in mind Its not always about the money aspect which a lot of employees tend to think they are which needs to be explained in great detail when hiring new employees. Salary is just one key to total compensation. Benefits and some intangible items help to complete these packages and make many jobs more enticing. Benefits packages that include: â⬠¢ a good heal th plan might attract some employee while stock options entice others. â⬠¢ Non-monetary compensation strategies such as company recognition for performance, fair treatment and safe and healthy work environments and dress codes might attract or retain employees. â⬠¢ Organizations must provide the right balance to attract and retain employees. The balance must also encourage great performance and productivity. These steps need to be maintained in order to keep turnover down and employee moral up. I know of a lot of companies do things for their employees to show their appreciation which could be another great incentive. For example Christmas bonuses if employers can afford them, employee appreciation lunches/dinners, employee of the month etc. I donââ¬â¢t think that I would change anything about my paper because I did do extensive research on a HR Receptionist position to determining the skills, qualifications and experience needed for this type of positions. I think that maybe after seeing Cathy at work I would have hired someone more experienced than she apparently was who has worked in an office environment and possess the skills needed to perform the task at hand more efficiently. Other than that I think I did a pretty decent job at performing the job analysis as well as the recruitment and selection process considering that this is something that I have never done before it was a great learning experience in case I ever have to be put in a position of this magnitude. Being in HR is not an easy job from what I have experienced in this class and it definitely takes a person with skill to be effective in this position and to do it right there is so much information a person in human resources needs to know. I honestly didnââ¬â¢t realize how much actually went into this type of role in a company I always assumed human resources had the easiest job ever and I guess I was definitely wrong on that part and this class has shown me how wrong I was. This class was a great learning experience as far as the field of human resource management and as far as my paper is concerned I wouldnââ¬â¢t change much of anything except for what I had stated above about Cathy. RESOURCES: Achieved on June 11, 2012 ââ¬Å"Managersââ¬â¢ benefits: compensation or perks?â⬠http://www.bworldonline.com/content.php?section=Economy&title=Managersââ¬â¢-benefits:-compensation-or-perks?&id=53577 Achieved on June 12, 2012 ââ¬Å"Without Salary Increases, Will I Lose Top Employees?â⬠http://resources.hrbrainbank.com/without-salary-increases-will-i-lose-top-employees.html Achieved on June 12, 2012 ââ¬Å"Paying for Performanceâ⬠http://www.inc.com/magazine/20041101/benefits.html Achieved on June 12, 2012 ââ¬Å"The Power of Base Payâ⬠http://www.inc.com/articles/1999/10/19037.html Achieved on May 28, 2012 ââ¬Å"Management: Performance Managementâ⬠http://www.nd.gov/hrms/managers/guide/perfeval.htmlperson-105678.html Achieved on May 28, 2012 ââ¬Å"External vs. Internal Recruitingâ⬠http://www.ere.net/2007/06/13/external-vs-internal-recruiting-who-does-it-better/ Achieved on May 30, 2012 ââ¬Å"Personal Selectionâ⬠http://www.hr-guide.com/data/G311.htm Achieved on May 16, 2012 ââ¬Å"Job Analysis and Hiring the Right Personâ⬠http://www.articlesbase.com/management-articles/job-analysis-and-hiring-the-right-person-105678.html Achieved on May 17, 2012 ââ¬Å"Zeroing In on What Your Jobââ¬â¢s Aboutâ⬠http://www.mindtools.com/pages/article/newTCS_02.htm Achieved on May 17, 2012 http://www.doi.gov/hrm/pmanager/st12d.html
Sunday, September 1, 2019
Honesty Versus Justice and Due Process Versus Crime Control
Honesty versus Justice and Due Process versus Crime Control Lisa Moore University of Phoenix Ethics in Justice and Security CJA 530 March 07, 2010 Roger Long JD Honesty versus Justice and Due Process versus Crime Control The criminal justice system is built on a foundation of honesty and justice. For justice to work, the justice system, and criminal justice professionals must be honest. The word honesty, describes an individual that doesn't lie, cheat, steal, or abuse to get ahead for personal or professional gain. The word justice describes the concepts of moral rightness based on ethics, rationality and fairness. How can there be justice if the guilty go free or if the innocent pay for crimes he or she never committed. ââ¬Å"In order for this to occur, our legal system must be one that demands absolutely honesty, such as when someone is called to testify he or she is asked, Do you swear to tell the truth, the whole truth, and nothing but the truth? If false accusations and false evidence are presented against the innocent, they will be punished as if they are guiltyâ⬠(RealPolice, 2000). The place of honesty in a system that promotes justice has sparked a controversial issue among the Criminal Justice world, that honesty could be put on the back-burner when pursuing justice. For example when officers present false evidence to prosecutor in order to have a case against the accused when they believe he or she will not be found guilty. A good example of deception by law enforcement occurred in 1993, when ââ¬Å"Craig D. Harvey a New York State Police trooper was charged with fabricating evidence. Harvey admitted he and another trooper lifted fingerprints from items the suspect, John Spencer, touched while in Troop C headquarters during booking. He attached the fingerprints to evidence cards and later claimed that he had pulled the fingerprints from the scene of the murder. The forged evidence was used during trial and John Spencer was sentenced to 50 years to life in prisonâ⬠(New York Times, 1993. ) It is ââ¬Å"important that the officials within the justice system be held to higher standards in moral and ethical behavior. As the law enforcement arm of our legal system, Law enforcement officers take a front-line role in activating the laws our legislators create. If they arrest those they know are innocent, create fake evidence against the innocent, or otherwise undo the requirement of honest and honorable behavior, they undo the processes of the justice system from the very beginning, and therefore corrupt the whole processâ⬠(RealPolice, 2000). Honesty and justice are the entities that we depend on to distinguish between right and wrong, good and evil, legal and illegal. We depend on justice to keep us safe from evil and allow us to live our lives in harmony and peace, without chaos. According to John Locke (1690), we, as citizens, give up sovereignty to a government or other authority in order to receive or maintain social order through the rule of law under the Social Contract Theory. Crime control and due process models are ââ¬Å"two competing systems of values operating within criminal justice, the tension between the two accounts for the conflict and disharmony that now is observable in the criminal justice systemâ⬠(Hoffman, p. 12, 2000). Although they are both different systems both impact the way our judicial system is ran. ââ¬Å"When comparing the due process and crime control models, it should be kept in mind that proponents of both models embrace constitutional valuesâ⬠(Hoffman, p. 11, 2000). The concept of Crime Control Model is to get the criminal off the street and to protect the innocent. ââ¬Å"The Crime Control Model could perhaps be seen in a negative mannerism due to the fact that it assumes the alleged criminal is guilty even before they step foot into the court, this model supports those actions of the police and prosecutors to the fullest extentâ⬠(Zalman, p. 3, 2002). This ââ¬Å"model moves the alleged criminal through the system with the forethought that everyone is guilty until proven otherwise, and also limits the amount of plea-bargaining and appeals. The main objective of the criminal justice process should be to discover the truth or to establish the guilt of the accusedâ⬠(Hof fman, p. 11, 2000). The ââ¬Å"Due Process Model resembles an obstacle courseâ⬠(Zalman, p. 13, 2002). ââ¬Å"This system is far more realistic in the fact that it leaves room for error. It does not automatically assume that the alleged criminal is guilty before the case is proven. This system does not want to risk prosecuting an innocent personâ⬠(Zalman, p. 13, 2002) it ââ¬Å"demands the prevention and elimination of mistakes to the extent possible. The Due Process Model is said to be ââ¬Å"suspicious of those who are power hungry and merely looking to convict. The difference between the two models in this sense is that the Crime Control Model is based upon factual guilt and the Due Process Model is based upon legal guiltâ⬠(Zalman, p. 14, 2002). ââ¬Å"Due Process is also based upon equal treatment of the defendant. The reason that this is believed is because it is felt that errors are the cause for an invalid conviction. While the Crime Control Model strongly contradicts this view it can sometimes hinder a personââ¬â¢s rights within the systemâ⬠(Zalamn, p. 14, 2002). In the case of Charles Manson, the crime control model, was swift and took the criminal off the streets. ââ¬Å"Manson was found guilty of conspiracy to commit the Tate and LaBianca murders, carried out by members of the group at his instruction. He was convicted of the murders themselves through the joint-responsibility rule, which makes each member of a conspiracy guilty of crimes his fellow conspirators commit in furtherance of the conspiracy's objectâ⬠(Linder, 2002). The case of ââ¬Å"Roe v. Wade is a good example of the due process model, making it a crime in under Texas law to assist a woman to get an abortion violated her due process rights. The Court held that a woman's right to an abortion fell within the right to privacy protected by the Fourteenth Amendment. The decision gave a woman total autonomy over the pregnancy during the first trimester and defined different levels of state interest for the second and third trimestersâ⬠(Oyez Project, 2010). Both models have been opposing each other for years, the crime control model used by law enforcement is based on the assumption that the evidence in a case is reliable and factual not fabricated. Under the due process model the individual charged with a crime will have his or her rights protected To determine that one model is better than the other one would have ââ¬Å"to make a value judgment. Crime control reflects conservative values, whereas due process model reflects liberal values. In my opinion the due process model is unbiased, and follows the principles of the Declaration of Independenceâ⬠(Hoffman, p. 1, 2000). Too bad the two models cannot come together to form a model that would work for everyone. References (1993) ââ¬Å"Police Investigation Supervisor Admits Faking Fingerprintsâ⬠The New York Times Retrieved March 7, 2010 from http://www. nytimes. com (2000) ââ¬Å"Honesty in the Justice Systemâ⬠RealPolice Retrieved March 7, 2010 from http://forums. rea lpolice. net Hoffman, D. (2000) ââ¬Å"Great Debate in Criminal Justice: Should the Crime Control Model or the Due Process Model Prevailâ⬠Criminal Justice Cliff-Notes pgs. 1-12 Retrieved March 7, 2010 Linder, Doug (2002) ââ¬Å"The Charles Manson (Tate-LaBianca Murder) Trialâ⬠UMKC Law Retrieved March 7, 2010 from http://www. wikipedia. com Locke John (1690) ââ¬Å"Two Treatises Governmentâ⬠Project Gutenberg (10th edition)Retrieved March 7, 2010 from http://www. gutenberg. org/dirs/etext05/trgov10h. htm The Oyez Project, ââ¬Å"Roe v. Wade, 410 U. S. 113 (1973)â⬠Retrieved March 7, 2010 from http://oyez. org/cases/1970-1979/1971/1971_70_18 Zalman, M. (2002) ââ¬Å"Analysis of the Crime Control and Due Process Modelsâ⬠Criminal Procedure: Constitution and Society Retrieved March 7, 2010 from http://www. associatedcontent. com
Subscribe to:
Comments (Atom)