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Wednesday, January 29, 2020

Types of Constitution Essay Example for Free

Types of Constitution Essay * Written and Unwritten Most constitutions are enacted or codified, either in a single document or series of documents. Many countries have followed the models of the US or French constitutions. The UK constitution is considered to be unwritten, despite key documents such as the Human Rights Act 1998 which could be viewed as constitutional documents there is no systematic code. The only other states not to have entirely written constitutions are New Zealand and Israel. * Rigid and Flexible The ease with which a constitution can be altered is a factor. Some are classed as rigid if they require a special process before they can be changed. This process is usually more onerous and so restricts the ability to change a constitution compared to other laws. To amend the Bill of Rights in the US Constitution requires a two thirds majority of both Houses of Congress and ratification by three quarters of State legislatures. In the Republic of Ireland amendments must be passed by the legislature and then approved by a majority in a referendum. The UK constitution is described as flexible as it requires only the normal procedure to pass on Act of Parliament, essentially a majority in both the Houses, to change any written law elements. The UK constitution also includes non legal rules which can be changed without any formal procedure. * Supreme and Subordinate A supreme constitution is not subject to any external superior force. A subordinate constitution is drafted and introduced in a country by an external sovereign power, so could be amended by that external power. At the core of the distinction is whether the constitution provides the highest form of law in the land. For example subordinate constitutions can be found in federal systems and in countries which have gained partial independence but are a limited government. The UK constitution is viewed as supreme. Although, the constitutional impact of UK membership of the European Union (EU) is debated. It can be argued that UK sovereignty is limited by EU treaties but it can be seen this limitation is voluntary, under an Act of Parliament European Communities Act 1972 and therefore does not alter supremacy. * Federal and Unitary The internal division of power within a state is an important aspect. In a unitary state only the central government has primary law making powers, powers may be delegated to lower tiers only. In a federal state, both the central government and the individual territories comprising the federation have primary powers. For example, in US the individual States have autonomy to legislate on some matters. Despite devolution, the UK remains a unitary state, with Parliament having the ultimate law making power over all the constituent nations. * Republican and Monarchical In republics, there is no monarchy and there will normally be a President, who is a directly elected Head of State, such as in the US. In some republics the President can be restricted to a more formal role of a figurehead, such as Italy or Germany. The UK remains monarchical, with the Queen as Head of State. The monarch continues to hold formal powers under the royal prerogative, although in practice these are exercised by the elected Government.

Tuesday, January 21, 2020

Good Characteristics to Live By in The Chosen by Chaim Potok :: essays research papers

Qualities of a Good Person What are things that make someone a good person? Is it their ability to get along with other people? How about the choices that the person makes? Or is it the way that he or she treats his or herself and others? All of the qualities make someone a good person. In the novel The Chosen by Chaim Potok, Danny and Reuven learn many qualities that make them to be better people. Respect, responsibility, and honesty are all important qualities for one to have in order to become a better person. Respect is a characteristic that all people should show in every aspect of their lives. It is very important to show respect in a work situation. People must show respect to their bosses in order to keep their jobs. Even more important is for people to have a respectful manner when dealing with their clients. If they do not show respect for the client, then the client will find somebody else to do business with. Another place that respect should be shown is at home. Parents must show respect for their children so that the children will listen to them. Disrespectful parents will find it difficult to have a good relationship with their children. Children who show respect for their parents and siblings will find it much easier to receive more privileges. A lack of respect towards the members of one?s family can create a very uncomfortable home life. Having an uncomfortable home life can cause grades to go down and ability to function well with others to decrease. People should also hav e respect for themselves. Having respect for oneself makes that person have better feelings for his or herself. If people cannot respect themselves then how are they going to be able to show respect for others? Also respecting oneself makes it easier for other people to respect that person. The ability to take responsibility for ones jobs and actions is a very important quality for a person to show. One place that it is extremely important to take responsibility for oneself is at work. People are given tasks that they are to perform in order to receive a paycheck. In order to continue to have a job people must take the responsibility to complete their assigned tasks. If they do not take that responsibility, they may just find themselves out of work. Not only does it allow people to have a job, but it can also lead to raises and promotions in honor of their actions.

Monday, January 13, 2020

Chapter summaries for Better by Atule Gawande Essay

Mr. Gawande starts his literature on washing hands. He introduces two friends a microbiologist and an infectious disease specialist. Both work hard and diligently against the spread of diseases just like Semmelweis who is mentioned in the chapter. Something I learned, that not many realize, is that each year two million people acquire an infection while they are in the hospital. Mainly because the clinicians only wash their hands one-third to one-half as many times as they should. Semmelweis, mentioned earlier, concluded in 1847 that doctors themselves were to blame for childbed fever, which was the leading cause of maternal death in childbirth. The best solutions are apparently the sanitizing gels that have only recently caught on in the U.S. Then there was an initiative to make the sanitizing easier for all. The engineer Perreiah came up with solutions that gave the staff more time which was revolutionary in itself but the format worked only under his supervision. After he left it all went down the drain, so, Lloyd a surgeon who had helped Perreiah decided to do more research and was excited when he encountered the positive deviance idea, the idea of building on people’s capabilities instead of trying to change them. The idea worked and even got funding for ten more hospitals across the country. At the end of the chapter Dr.Gawande ponders upon the idea of how many he has infected because of his lack of cleansing. Chapter 2: The Mop-Up This chapter starts off with the difficulty of diligence. Yet there are some who have managed to deliver that expectation on an incredible scale. The task of distributing polio vaccines to millions of people, many in rural areas, was evidently a long and complicated task. The WHO had a team of only hundreds and had to teach the necessary vaccination procedures to the volunteers and local representatives, people who went door to door in all of these areas. Their target for the introduction of the vaccine was 90%.It was definitely complicated to try to keep the supplies in a constant outpour when there were only so many. For example, the vaccines needed to stay on ice to be effective. Something that seemed counterproductive and bothersome was the lack of information in some places. For example, some villagers didn’t even know the vaccines were coming that day so they had been missed and others blinded by their ignorance didn’t want to vaccine their children. One such case led to a woman who refused the vaccines for her child but later went on to regret it when her own daughter’s legs lay limply aside. Gawande traveled with a Pankaj who made rounds checking on the progress of the volunteers and making corrections as necessary. The diligence in reporting gave the WHO the necessary information to learn from that mop-up. The commitment to accumulating meaningful data and the commitment to studying and learning from that data is just as important as the actual process of vaccination itself. Chapter 3: Casualties of War Casualties of War, covers the efforts of battlefield surgeons in Iraq and Afghanistan to save as many wounded in the wars as possible. A Forward Surgical Team (FST) can set up all their equipment in the combat zones in less than 60 minutes. The travel time of a seriously wounded soldier from the frontlines back to the US averages 4 days; in Vietnam, it occurred in an average of 45 days, which as any doctor knows every second is crucial. The focus of the FSTs is â€Å"damage control, not definitive repair.† The wounded are then sent on to a temporary treatment facility immediately; if their injuries are serious they are then sent back to the US within a few days. The goal is for each level of treatment to give the patient the best chance for survival and then trust the next step in the chain to do its part to carry on the treatment. Gawande relates the incredible story of one individual with blast injuries who was opened up at the FST, received life-saving surgery and had arteries tied off, then he was cleaned out, packed with ice, and sent on an air evacuation; still left open from surgery with a note taped to him explaining what was done to the nearest combat hospital and a new surgical team. By analyzing the patterns of injuries and treatment, other basic life-saving measures were implemented. For example, soldiers coming into treatment were found to be without their Kevlar. When asked why? They would complain about the weight, the heat, and the discomfort. Orders were issued that Kevlar was to be taken seriously and the injuries became less frequent. Gawande’s point is that reporting is vital to diligence just as it was for the WHO supervisor fighting malaria; these doctors recorded the details and results of each case. They understand, as Gawande writes, that â€Å"vigilance over the details of their own performance offered the only chance to do better. Chapter 4: Naked The chapter is titled â€Å"Naked† and concerns the exam room etiquette that doctors and patients expect from one another and often uncomfortably tiptoe around. There is an allusion to a movie that has the female patient separated by a dark blanket like screen from the doctor. The doctor’s son who is about six years old is the communicator. Even though they are clearly audible to each other they wait until the boy speaks to them. This is the matter of decency. According to this literature some doctors feel uncomfortable with the whole process. There is really no established ground as to how to go about it. The author relates anecdotally that some patients and doctors find that having a â€Å"chaperone† present makes things worse. For example, when asking a female nurse to come in when a male doctor is examining a female patient makes the patient more nervous than before. The patient perhaps did not sense a cause for concern and is then put on the defensive. Most of all it’s about trust. The author relates occasions in which he felt aversion for the gowns but when the matters seemed to get to awkward or difficult he resulted to the exposing gowns. One out of every two hundred physicians is disciplined for sexual misconduct. Interns of both sexes on an average have had at least one incident of patient-initiated sexual behavior. So it is not uncommon for the situation to be more than just tricky. The chaperone helps both sides, the patient and the doctor, if any situation were to arise. Chapter 5: What Doctors Owe What Doctors Owe, the fifth chapter of Better continues the discussion of doing right and focuses on malpractice lawsuits. The main focus of this chapter is a doctor-turned-malpractice lawyer; he stands out because most doctors hate malpractice suits. Even the lawyer says he hated them as a doctor. He said he was sued three times and two were nuisance suits with no basis, but the third was a case in which he made a medical error which led to the harm of his patient. He appeared to feel legitimately bad about it. He argued that the system allows those who are harmed to come forward and receive some compensation which makes them better able to deal with their injury. Former Dr.Lang took up a case against Dr.Kenneth Reed for the Barbara Stanley trial. Reed had diagnosed melanoma on Barbara and insisted an extensive surgery was needed and she refused it because it seemed disfiguring to her. He got a ‘second opinion’ and the tests for melanoma came back negative. Two years later the growth reappeared. She died but not before telling Lang she wanted to sue Reed. Doctors strive to care for patients as best as possible, but of course there are instances where they make honest mistakes or are plain negligent, and that has to be addressed because it is the patient who pays. The downside of malpractice, as Gawande argues it, is that it is an essentially adversarial system which pits patients against doctors against insurance. He argues that it brings out the worst in all parties involved. Chapter 6: Piecework Piecework, is on doctors’ pay and its inevitable connection to the health insurance industry. According to this chapter every hospital has a Master Chart of prices for every imaginable health care procedure. Everything from a checkup to a surgery is listed with the price which is later charged to a patient, which inevitably is forwarded to an insurer. This raises an interesting question because it also sets limits on what doctors can make. If you are paying doctors via the Master Chart, then the more diagnosis they perform, the more they are getting paid. Either that or they can charge above the standard rate. One such doctor mentioned in this chapter did just that. He was considered an expert in a certain field and charged nearly ten times the standard rate. He also mandated payments in full by patients, none of this pay-through-insurance mess. He did great business and was paid more than most doctors while doing less work. Another potential solution was attempted by a doctor-run health care cooperative in Vermont. Several doctors with different specializations grouped together and charged patients a flat rate, while they took flat salaries. They were therefore able to manage the efficiency of their medical care. Their network grew, and eventually they added doctors of other specializations. Eventually the co-op became one of Vermont’s biggest insurers, ironic because they were trying to get away from the big insurance methods. Sure enough, size brought problems. The head and founder of the network left after a certain point, somewhat disappointed with the outcome. He cautions at the end of the article that at some point soon, the apparently untenable insurance and reimbursement system will need to be changed for the benefit of do ctors and patients. Chapter 7: The Doctors of the Death Chamber The Doctors of the Death Chamber. This sections starts off with the death of Michael Morales by lethal injection. Under the typical protocol the anesthesiologist administers the sodium thiopental which is expected to halt breathing within a minute of the administration. Then the paralytic agent is introduced, followed by a fatal dose of potassium chloride. Then later, the judge found that at least eight patients had not stopped breathing when the technicians gave the paralytic agent. The California Medical Association, the AMA, and the ASA immediately opposed such participation in a prisoner’s death as a clear violation of the medical ethic codes. The author was intrigued by how the Doctors and Nurses sorted between acting skillfully, acting lawfully, and acting ethically in such situations. Ever since the Gregg v. Georgia matter only two prisoners were executed by firing squad, three by hanging, and eleven by gas chamber. Pages 132 and 133 had details about the extent of each form of punishment. Some like the famous George Wallace were unlucky and had to endure physical pain for an extended amount of time. Many doctors, even though forbidden from participating, still take part in the execution. Some will help or just pronounce the prisoner dead, either way they can’t help feeling they are doing something wrong as reported by some of the interviewed doctors. They can’t help but feel they themselves are the executioners. Chapter 8: On Fighting This chapter is based on the â€Å"fight† so to say some patients have to deal with. The story of a high school history teacher is an example of someone who was willing to risk the complications of life just to be able to live it. He had a reappearing cancer in his left kidney. Through many setbacks he was last seen in a long-term care facility. Despite the great advancements in his health he seemed to be in worse shape physically than before and then he was confronted with the realization that he might not be able to walk ever again. Not only are they, the patients like Thomas, fighting but so are the doctors in charge. Another story about a young twelve year-old Callie had a similar reappearing tumor that came back just as big as before despite all the treatment. Although her family kept fighting, eventually her parents thought it was too cruel to keep Callie living such a difficult life. Many cases have been found that just by the doctors’ fight for a patient’s survival the odds get better for the patient. Many premature babies thought dead were brought back to life and were even able to live as a normal a life as possible. The topic of this chapter was: Never Stop Fighting, because even when the odds are against your favor there is always that one person we wished the doctors never stopped fighting for. Chapter 9: The Score The Score starts off with Rourke’s experiences as a doctor delivering babies. Then the moment comes when she herself has to give birth. She knew the process and wanted the procedure to go as smoothly as possible. The thing she was most afraid of was losing control of what was done to her. The chapter delves deeply into the process of giving birth. For example, the dilation of the cervix, etc. Needless to say it is a complicated process which in consequence led to many child and young women’s deaths earlier on in history. The most problematic is the exiting of the child’s head. There have been many methods that can be effective if used correctly, but deadly in other situations for liberating the child. The concept of the forceps when it first appeared had been kept secret for more than a century. The device was developed by Peter Chamblin. The score relates to the Apgar score that was created to ‘measure’ the child’s chance of survival rate. Th is helped some cases that looked frugal before that, look hopeful. Chapter 10: The Bell Curve This chapter deals with the outliers overall. Dr. Gawande relates a story about a child named Annie. Annie was diagnosed with cystic fibrosis. It is a recessive disorder therefore, despite ten million people carrying the gene; about a thousand American children are diagnosed with it per year. Her parents took her to Cincinnati Children’s and despite the hospitals effort they were negligent to say that they were not among the country’s top centers for children with cystic fibrosis. It used to be assumed that differences between doctors and facilities were insignificant. When plotting a graph of the results for each hospital it was expected to see a shark’s fin but instead what was seen was a bell curve. LeRoy Mathews was at the top of that bell curve. As other hospitals adapted to Mathew’s ideas his facility just kept improving at a tremendous rate. In 2001 CF tried a new approach with its patients. They were open. They were willing to speak about how other facilities were doing versus theirs. Berwick a former pediatrician was giving grants to hospitals that were willing to try his idea. Not a single family left the program. CF improved greatly after that. Warwick was another positive deviant. He was aggressive, and inventive. He came up with a cough to be able to get the more accumulated mucus out. The chapter sums up with the overall constant fight against settling for the average. Chapter 11: For Performance For Performance. This chapter sums the book up and is its own piece. It starts off with an introduction of a fellow doctor of his who has CF. Then we are led to a see how a certain Dr.Motewar in the Nanded hospital deals with the mass of people needing attention and care. The man was of ordinary appearance yet he saw at least 36 patients in three hours, most had serious complications. What was astounding to the author were the many skills developed by these doctors. He had lower expectations so to say. There was a man who died from a treatable lung collapse because of the lack of instruments. It is very common for patients to have to go out and buy their own medical instruments and medications for the procedures to be held. Dr.Motewar and his colleagues had developed a better procedure for ulcer removal despite the conditions and lack of equipment they have. Many techniques that seem almost crude and basic were actually life saving. The doctors from which the author observed in the chapter had their own methods which would not have ‘flown’ in the United States. This chapter’s topic was about the never-ending search for a better performance in any situation you have.

Saturday, January 4, 2020

Hamlet, Play and the Movie Essay examples - 532 Words

Hamlet is a tragic play, written by William Shakespeare between 1599 and 1602, but as years have gone by, there have been made many movies produced in order to visually illustrate how the events of the play occurred. This allows the film directors interpretation of Hamlet to have an effect on the audiences understanding of the play, because they understand the play the same way as the director. One of the most significant act and scene in the whole play is Act I Scene V. The film work of Hamlet orchestrated by the director really focuses on being exactly as the written play by William Shakespeare. The written work of Hamlet and the movie directed by Franco Zeffirelli have many similar scenes. Act I Scene V is one of the most important†¦show more content†¦In movie version of Hamlet there is a lot of emphasis put into the feelings Hamlet has towards his mother. During the movie, there is lot of physical presence shown on screen when Hamlet and his Gertrude begin to argue. Th e interpretation of Franco Zeffirelli propose that further plot development due to the fact that Hamlet’s character is being given more internal conflict to overcome, which also connects to the hypothesis that Gibson’s Hamlet is stronger, both physically and mentally, in comparison to the original Hamlet. Also, Gibson’s Hamlet being stronger shows the impact of the setting on the story of Hamlet, because everyone cast appears either healthier or stronger than one would imagine them from Shakespeare’s original Hamlet. Plus, in the original play there are references made about the â€Å"heavy-headed revel† that causes other nations to â€Å"clepe us drunkards and with swinish phrase† (Hamlet I.iv.21-23). Shakespeare’s Hamlet is becoming enraged thinking about his Uncle tarnishing the reputation of his nation with his excessive drinking and partying. However, Gibson’s Hamlet shows an efficiently operating town with broken barriers between social classes and small gardens and farms. In the original Hamlet not a lot of information is given about the general public, but what is known is that Hamlet does not mix with paupers except for the traveling theater group. The two pictures of Hamlet’s world are very different from oneShow MoreRelated H amlet the Play and the Movie Essay547 Words   |  3 PagesHamlet the Play and the Movie Hamlet by William Shakespeare is a story about a king that was murdered by his brother and the prince has been asked by his father?s ghost to avenge his murder. The original story line has been altered a few times since it has been written. The original Hamlet the play and the altered Hamlet the movie are shown differently in many different ways. Hamlet the movie with Mel Gibson shows different things than the play, but there are three major differences betweenRead More Laertes in the Play and Movie Version of Hamlet Essay886 Words   |  4 Pages Laertes in the Play and Movie Version of Hamletnbsp;nbsp; In the 1990 version of Hamlet starring Mel Gibson, Laertes is portrayed in a very poor light. He seems to have no redeeming qualities whatsoever. At certain points during the written play, Laertess actions may be taken entirely differently than they are conveyed in the movie. In the film version of Hamlet, all of Laertess negative aspects are much more pronounced. As presented in the movie, Laertes is a sore loser. The text versionRead MoreHamlet Comparison Essay: Movie vs. Play2586 Words   |  11 Pagesit is a literal representation or a spin, directors like to show viewers the way they perceive the text. 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Franco Zeffirelli’s version of Hamlet was released in 1990, with Mel Gibson playing as hamlet, Glenn Close as Gertrude, Alan Bates as Claudius, and lastly Helena Bonham Carter as Ophelia.Read MoreComparison of a Play within a Play in Hamlet Essay779 Words   |  4 Pages In the first movie, the camera stays close to everybodys face. It seems to zoom in on characters that are speaking and does not try to capture the listeners reactions to those who are speaking. Also, the lighting is very dark and the scene is closed in. The background scenery of a castle room is very small and closed in. This makes the room not actually seem like a real castle room because castle rooms are always shown as big, lavish, well-kept rooms. 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The movie is full of jaw-dropping plot twists surrounding betrayal, love, loyalty, murder, and, overall madness. From the intense, heated arguments to the somewhat sweet, heartfelt moments, this play has it all. The audience witnesses Hamlets emotional outbursts throughout the play as he struggles to figure