Black lives matter the history and existence of racial inequality in the united states Essay Example for Free

Black lives matter the history and existence of racial inequality in the united states Essay â€Å"Hands up. Don’t shoot.†[1] This is a refrain shouted by #BlackLivesMatter activists throughout the United States. #BlackLivesMatter is a movement that gained national momentum in 2014 after acts of police brutality resulting in the death of black Americans such as Mike Brown and Eric Garner. In both of these cases, the respective police officers involved were not indicted for the death of American citizens.[2] This prompted the reaction: â€Å"black lives matter†; the livelihood of black people should and must be as important as that of white people. Throughout history, people of African descent in the United States have not equally enjoyed the same life and opportunities as other Americans due to racism, defined by public health scholars Jennifer Jee-Lyn Garcia and Mienah Zulfacar Sharif as â€Å"system of structuring opportunity and assigning value based on race, that unfairly disadvantages some individuals and communities, and advantages others.†[3] In the early 1900s, multiple doctors brought attention to the disparity in the morbidity and mortality of diseases, many that result from poor living conditions, between black and white Americans. Lawrence Lee, a doctor writing in 1914, noted: â€Å"that tuberculosis and other respiratory diseases and still-births cause a death-rate of 917.9 per 100,000 against a rate of 354.7 for whites.†[4] In 1927, a movement in favor of eugenics took hold, beginning with the Buck v. Bell ruling.[5] This United States Supreme Court case gave doctors the authority to designate cert ain people more fit to breed than others and supported the procreation of the so-called â€Å"fit† and limited that of the â€Å"unfit† through means such as forced sterilization.[6] During this time, forty percent of the â€Å"unfit† people sterilized were non-white.[7] However, #BlackLivesMatter activists demonstrate that racist agendas that are viewed as history in truth have ongoing effects to this day that negatively impact the daily lives and public health of African Americans. Opponents use the social media hashtag #AllLivesMatter, expressing the view that all people deserve equal rights and access to basic necessities, regardless of race. #AllLivesMatter is distinct from the #BlackLivesMatter movement in that it does not acknowledge the past and present inequity in the quality of life between white Americans and those of African descent. #BlackLivesMatter has given voice to a historically oppressed class of people and opened a discussion on how the eugen ics movement has compromised that of black Americans and how this can be corrected and how future racially-charged infractions can be prevented. The racialization of medicine has  ­Ã‚ ­Ã‚ ­Ã‚ ­had a significant role in the development of the eugenics movement. Garcia and Sharif define racism as â€Å"system of structuring opportunity and assigning value based on race, that unfairly disadvantages some individuals and communities† and claims that â€Å"racism as a social condition is a fundamental cause of health and illness.†[8] The eugenics movement is one that is founded on the racist ideology that was detrimental to the African American community. Negative eugenics was carried out through marriage restriction, forced sterilization, and confining the â€Å"feeble-minded† to colonies. The restriction of marriage through issuing marriage licenses was critical in the racist agenda of eugenics. It was illegal to have children outside of wedlock.[9] Virginia in particular banned inter-racial marriage. By doing so, Virginia politicians and eugenicists were intentionally preventing people from having mixed ra ce children, something they saw as undesirable.[10] #AllLivesMatter activists would argue that the eugenics movement was not focused on African Americans, as many of the victims of eugenics were white. In Buck v. Bell, a case heard by the United States Supreme Court that secured eugenic doctors’ ability to forcibly sterilize the feeble-minded, the defendant was Carrie Buck, a white woman.[11]   Proponents of #AllLivesMatter would note that eugenic doctors instead targeted individuals of lower socio-economic status. Some of the diagnostic criteria for detecting feeble-mindedness included â€Å"cold and clammy hands and excessive pallor or blushing.†[12] While many of the victims of the application of negative eugenics were of lower socioeconomic status, it cannot be ignored that the eugenics movement grew from calls to improve black public health in the early 1900’s. Advancements in germ theory allowed for doctors to understand that diseases are transmissible r egardless of race; as a result, doctors emphasized the need for sanitary living conditions for black Americans.[13] Historian Andrea Patterson claims that â€Å"public health measures were hijacked by eugenicists†[14] – rather than these public health measures benefitting blacks, they, in part, created an environment in which eugenicists had reason to believe that people of particular racial background were predisposed to certain illnesses. Although Buck v. Bell enabled the eugenics movement to impact people of all races, the racist political regimes that preceded it supported the development of eugenics.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Paternalism was a major contributing factor to eugenic’s establishment. In 1915, Doctor L. C. Allen posited that â€Å"the negro health problem is one of the white mans burdens, and it is by no means the least of those burdens.†[15] It was his belief that the disproportionately high morbidity and mortality rates of diseases such as tuberculosis and syphilis among black Americans were the responsibility of the white population to resolve. Allen credited the strict supervision of slave owners over black slaves for the lack of illnesses related to an unclean living environment and sexually transmitted diseases while slavery was legal.[16] According to Allen, â€Å"freedom has not benefited his health, nor improved his morals,† where â€Å"he† refers to African Americans.[17] Without white slave owners to ensure that African Americans bathe, clean their living spaces, and do not engage in promiscuous sex, Allen clai ms that African Americans did not properly take care of themselves. His answer to this perceived problem is for white Americans to champion a public health reform by way of changing the educational curriculum for blacks. Allen’s proposed â€Å"industrial education† would consist of teaching African American children proper hygiene and cater to their future career prospects, which mainly consist of service or manual labor roles.[18] By singling out a minority group to be segregated for the purpose of a different education based on race, Allen’s â€Å"industrial education† plan would have been an institutionalized instance of structural racism. Black Americans would have been denied access to an equal education, and by virtue of that, they would be further limited to the jobs available to them. Although this plan did not come to fruition, the ideas behind it lingered. Eugenic doctors felt that it was for the betterment of all humankind to promote the procre ation of those with what these doctors deemed desirable traits while simultaneously diminishing or altogether ceasing the procreation of the â€Å"unfit.†[19] The widespread belief that eugenics existed in order to improve the global gene pool is paternalistic. The socio-economic elite utilized their position of power to further their self-interested ideology at the expense of those below them, particularly African Americans. Mass incarceration of African Americans is a modern practice that in many ways is a continuation of eugenics. Victims of eugenic sterilization told their stories in a 2011 testimony in North Carolina arranged by The Governor’s Task Force to Determine the Method of Compensation for Victims of North Carolina’s Eugenics Board. One such victim was Elaine Riddick, a black woman. Her son, Tony Riddick commented on the ongoing systemic racism in the United States, saying, â€Å"A young man nineteen years old, first time convicted, nonviolent offense, you give him fifteen to twenty years in prison. Now look at what happens, now he can no longer be a father, his mother loses a child.†[20] Though the testimony took place a few years before the #BlackLivesMatter movement gained momentum, these sentiments are the same as those felt by activists today. #BlackLivesMatter advocate and doctor Mary Basset argues in â€Å"#BlackLivesMatter — A Challenge to the Medical and Public Health Communities† that â€Å"there is the great injustice in the daily violence experienced by young black men. But the tragedy of lives cut short is not accounted for entirely, or even mostly, by violence.†[21] Indeed, as Tony Riddick pointed out, systemic racism has cost many black Americans the ability to lead a productive life in society and often the ability to reproduce. In the mid-twentieth century, this took the form of the eugenics movement. People designated â€Å"feebleminded,† a categorization for the so-called unfit of society, were often sent to colonies to live out their lives and forcibly sterilized.[22] Though eugenics has been abolished, similar practices occur today. When a person is sentenced to a prison sentence that spans their prime reproductive years, they are segregated from the rest of society and are much less likely to raise a family.[23] Tony Riddick drew a comparison between eugenics and mass incarceration, likening each to genocide.[24] Flaws in today’s criminal justice system have allowed a form of racial genocide to perpetuate in the United States. A quick internet search of the hashtag #BlackLivesMatter will bring up a sizable list of names that activists for the movement mourn as preventable deaths. Though many people know of Tamir Rice, Eric Garner, and Mike Brown, lesser-known but equally important people are added to the list of casualties regularly. One such person is Joyce Cornell, a fifty-year-old black woman who died in jail on July 22, 2015. Cornell was arrested for failing to pay court fines, a minor offense. Cornell experienced severe nausea and vomiting and was not granted medical treatment or water. She passed away one day later from dehydration.[25] These people, every black person who has lost their life early from preventable causes, represent a public health epidemic. Structural racism has decreased the life expectancy of black people living in the United States.[26] As Garcia and Sharif argue, it is necessary to â€Å"reshape our discourse† and consider racism a public health issue in order to begin to combat its effects.[27] It is vital that positive change happens for the betterment of our fellow Americans. This process begins with recognizing that racism exists and that #BlackLivesMatter. Bibliography Allen, L. C., M.D. THE NEGRO HEALTH PROBLEM. The American Journal of Public Health, 1914. Accessed February 8, 2016. Bassett, Mary T., M.D., M.P.H. #BlackLivesMatter — A Challenge to the Medical and Public Health Communities. The New England Journal of Medicine 372, no. 12 (March 19, 2015): 1085-087. Accessed March 11, 2016. Buck v. Bell.  274th  ed. Vol. 200. U.S. Supreme Court, 1927. Dorr, Gregory Michael. STERILIZE THE MISFITS PROMPTLY†: Virginia Controls the Feebleminded. In Segregations Science: Eugenics and Society in Virginia, 107-36. Charlottesville: University of Virginia Press, 2008. Garcà ­a, Jennifer Jee-Lyn, Ph.D., and Mienah Zulfacar Sharif, MPH. Black Lives Matter: A Commentary on Racism and Public Health. Am J Public Health American Journal of Public Health 105, no. 8 (August 2015): E27-30. doi:10.2105/ajph.2015.302706. Governor’s Task Force to Determine the Method of Compensation for Victims of North Carolina’s Eugenics Board.   Final Report to the Governor of the State of North Caroline (Pursuant to Executive Order 83).   Raleigh, NC, 2011. Hutchinson, Woods. The Importance of Negative Eugenics Or the Prevention of Ill-Bornness.,. The American Journal of Public Health 3 (1913): 238-42. Knapp, Andrew, and Dave Munday. Lawyers Say Woman, 50, Died after Being ‘deprived of Water’ at Charleston County Jail. Post and Courier. February 24, 2016. Accessed April 21, 2016. http://www.postandcourier.com/article/20160224/PC16/160229636. Lee, Lawrence, M.D. THE NEGRO AS A PROBLEM IN PUBLIC HEALTH CHARITY. The American Journal of Public Health 5 (1915): 207-10. Patterson, Andrea. Germs and Jim Crow: The Impact of Microbiology on Public Health Policies in Progressive Era American South.Journal of the History of Biology  42, no. 3 (Fall 2009): 529-59. doi:10.1007/s10739-008-9164-x. [1] Jennifer Jee-Lyn Garcà ­a, Ph.D. and Mienah Zulfacar Sharif, MPH, Black Lives Matter: A Commentary on Racism and Public Health,  Am J Public Health American Journal of Public Health105, no. 8 (August 2015): e27, doi:10.2105/ajph.2015.302706. [2] Garcia and Sharif, e27 [3] Garcia and Sharif, e27 [4] Lawrence Lee, M.D., THE NEGRO AS A PROBLEM IN PUBLIC HEALTH CHARITY.,  The American Journal of Public Health  5 (1915): 207. [5] Buck v. Bell.  274th  ed. Vol. 200. U.S. Supreme Court, 1927. [6] Woods Hutchinson, The Importance of Negative Eugenics Or the Prevention of Ill-Bornness.,  AJPH  3 (1913): 238. [7] Gregory Michael Dorr, STERILIZE THE MISFITS PROMPTLY†: Virginia Controls the Feebleminded., in Segregations Science: Eugenics and Society in Virginia(University of Virginia Press, 2008). [8] Garcia and Sharif, e27 [9] Dorr, 112 [10] Dorr, 111 [11] Dorr, 129 [12] Dorr, 113 [13] Andrea Patterson, Germs and Jim Crow: The Impact of Microbiology on Public Health Policies in Progressive Era American South,  Journal of the History of Biology  42, no. 3 (Fall 2009): 541, doi:10.1007/s10739-008-9164-x. [14] Patterson, 529 [15] L. C. Allen, M.D., THE NEGRO HEALTH PROBLEM.,  The American Journal of Public Health  5 (1915): 194. [16] Allen, 195 [17] Allen, 194 [18] Allen, 200 [19] Hutchinson, 240 [20] Governor’s Task Force to Determine the Method of Compensation for Victims of North Carolina’s Eugenics Board.   Final Report to the Governor of the State of North Caroline (Pursuant to Executive Order 83).   Raleigh, NC, 2011, D-10 [21] Mary T. Bassett, M.D., M.P.H., #BlackLivesMatter — A Challenge to the Medical and Public Health Communities,  The New England Journal of Medicine  372, no. 12 (March 19, 2015): 1085, accessed March 11, 2016. [22] Dorr, 120 [23] Garcia and Sharif, e28 [24] Governor’s Task Force to Determine the Method of Compensation for Victims of North Carolina’s Eugenics Board, D-10. [25] Andrew Knapp and Dave Munday, Lawyers Say Woman, 50, Died after Being ‘deprived of Water’ at Charleston County Jail, Post and Courier, February 24, 2016, accessed April 21, 2016, http://www.postandcourier.com/article/20160224/PC16/160229636. [26] Garcia and Sharif, e28 [27] Garcia and Sharif, e27

Buying My First Car Essay Example for Free

Buying My First Car Essay A Bit of Memoir We rounded the corner and there it was, the stout, perfect looking black Jeep Cherokee that my dad and I had just driven and hour to look at. It looked like every other one that I had seen in pictures, but there was the feeling that this one could possibly be mine. The week before, I had been furiously searching Craigslist and Jeep Forum classifieds looking for a Jeep, particularly a Cherokee with low miles, little to no rust, and the right price, between the years 1997 and 1999. With the tight guidelines that I had for the car, it made it hard to find one. However, acquiring a Cherokee was only the first part; I had many plans once I had one of my own, plans to lift it and put some big mud tires on it, along with some other jeep essentials. My friend had his lifted Cherokee for a few months, and I had wanted one just like it for quite a while. After calling up multiple private sellers and used car dealerships, I had found one not far from me. A used car dealership had three Cherokees, all with low miles, and relatively fair prices. My dad and I decided to go check them out, with the hopes of being able to talk the salesman down a few hundred dollars. After driving a half hour or so, we arrive at the dealership, and there, parked in the front three spots were the jeeps. We made our way over and I was instantly checking them all out, making sure that I kept my cool. The salesman comes out, a big guy who looks like he could be on steroids, and he and my dad started talking. Instantly, like any used car salesman, he goes right into telling us about how awesome these Jeeps are, that they’re in perfect condition. We had narrowed down the three jeeps to one, and naturally we wanted to take it to a local mechanic. Most people would have no problem with this, but this guy did. After he refused to let us take it to our mechanic, we were turned off. In addition, he had given us a price on the phone, and then he told us a higher price when we were there talk ing face to face. At that point we were out of there. I was truly upset; I had mgotten my hopes up that I would be driving one of those Jeeps home. My dad told me not to be upset, and that we would find another one that same day. Still at the dealership, we were still sitting in our parked car; both of us on our iPhones looking up classifieds near our area. I find one that looks good, and it’s only a ferry ride away. This one was from a private seller and she had just listed it up that morning, so my dad called her up immediately. We told her we could come to see it that day, and she agreed. We raced to catch the next ferry, which we barely made. Driving off the ferry ramp, we headed to the address the lady gave us. We ended up in a somewhat rough neighborhood, but we decided we came too far to turn around because of some Mexicans with baggy shorts down to their ankles and flat brim hats. We finally got there, and there it is, sitting on the side of the road outside a small conventional house. The lady walked out her front door, and I was already looking under the jeep and checking it out. Everything is checking out, the miles were low, there were very little signs of rust, and I was getting excited. Eventually I was behind the wheel and out for a test drive. The engine ran a little rough, but it was nothing I couldn’t fix on my own. So my dad and I are sitting in the car on the other side of the block, and he asks me if I want it. I, of course, said yes, and we went back and worked a price out. Even though the lady only came down from her price a mere 50 dollars, we still ended up making the deal. Finally, my own car, and the exact one I wanted. I drove it all the way home with no plates, riding on the hopes that the police weren’t out that night. It was exciting to finally be driving the car that I would call mine. I was already imagining the I remember parking it on the ferry and looking at it from the upper deck of the parking garage. I got it home and everyone came out the front door of my house as I pulled down the driveway. It seemed as if my family was more excited about it then I was, which puzzled me. I felt proud of myself for finding the Jeep and being able to bring it home the exact same day. All the weeks of searching for a car had amounted to this one day, where it all happened in a matter of hours.

Acupuncture for Chronic Headache in Primary Care

Acupuncture for Chronic Headache in Primary Care Research Critique Introduction Research involves the use of systematic procedures to answer an inquiry. It involves data collection, synthesis and analysis in the light of the question or inquiry; and formulation of conclusions and recommendations, (Badke, 2004). General types of research include experimental studies which â€Å"are used to test the effect of a treatment or intervention†, (Peat, 2001, p. 16). Clinical trails fall under the broad category of experimental trials. Clinical trials are controlled experiments with patients, which range from â€Å"studies to prevent, detect, diagnose, control and treat health problems to studies of the psychological impact of a health problem and ways to improve people’s health, comfort, functioning, and quality of life†, (Brooten, 2006, p.86). Generally, clinical trials can be categorised into either randomised trials or non-randomised trials. This paper will try to evaluate the scientific research conducted by Vickers and colleagues (2004), entitled: Acupuncture for chronic headache in primary care: large, pragmatic, randomised trial, which was published on 15 March 2004 at the British Medical Journal. This particular topic was selected due to its relevance to this field of study. Numerous insights from this field of study and valuable best practice information in quantitative research methods can be gained from undertaking this critiquing task. This critique will be carried out using the research framework for critiquing health research formulated by Caldwell and co-workers (2005), which provides a comprehensive set of criteria against which the elements of the research article by Vickers and colleagues (2004) can be appropriately measured. This paper will first evaluate the overview of the study, including the abstract, literature review and the methodology used. Next, it will critically analyse issues concerning resear ch ethics, data protection and research funding. Then, it will evaluate the reliability, validity of the research results, including the sampling methods employed. It will then identify the specific strengths and weaknesses of the research article. Finally, the concluding judgement about the research article will be presented. Below are the definitions of selected important terms used in the research article: Acupuncture – pertains to the â€Å"technique of traditional Chinese medicine, in which a number of very fine metal needles are inserted into the skin at specially designated points†, (â€Å"Acupuncture†, 2007). ANCOVA – stands for ‘analysis of covariance’ which is a statistical treatment that combines analysis of variance (ANOVA) and regression; whereby â€Å"the predictable component of the individual differences can be removed with regression analysis†, (Anderson, 2001, p. 283). Chronic – â€Å"all impairments or deviations from normal that have one or more of the following characteristics: are permanent; leave residual disability; are caused by nonreversible pathological alteration; require special training of the patient for rehabilitation; or may be expected to require a long period of supervision, observation or care†, (Sidell, 1997, p. 1) Negative binomial regression – â€Å"is one of a class of mixed Poisson models that mix a second source of variance with the Poisson variance to account for overdispersion†, (Cohen, et al., 2003, p. 531). Outcome measures – â€Å"reflect patient health status at either the individual or the aggregate (population) level†, (Stommel Wills, 2004, p. 234). Randomised trial A randomised trial is a clinical trial that pertains to â€Å"an experiment in which therapies under investigation are allocated by a chance mechanism†, (Brooten, 2006, p.86). Sham Treatment – is the experimental treatment that â€Å"has no effect and which subjects cannot distinguish from the active treatment â€Å"(Peat, 2001, p. 20). Critical Analysis In March 15, 2004, the BMJ Publishing Group Ltd, a wholly owned subsidiary of the British Medical Association, published the research article in its medical journal, the British Medical Journal (BMJ). Its â€Å"print BMJ has been published continuously since 1840, and now appears in four weekly editions, varying only in their advertising content. Together, their circulation totals about 122 000 copies, of which 10 000 are distributed outside Britain†, (BMJ, undated). Its website provides â€Å"the full text of everything published in the print journal since 1994, as well as much material unique to the web†, (BMJ, undated).These make the BMJ Publishing Group Ltd. an influential and authoritative source of medical articles. The authors are recognized medical practitioners with different fields of specialisations. Andrew Vickers is an assistant attending research methodologist at the Integrative Medicine Service, Biostatistics Service, Memorial Sloan-Kettering Cancer Center in New York; Rebecca Rees is a research officer at the Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre), Social Science Research Unit in London; Catherine E Zollman is a general medical practitioner from Montpelier Health Centre in Bristol; Rob McCarney is a research officer at the Department of Psychological Medicine, Imperial College in London; Nadia Ellis is lecturer Department of Health and Social Sciences, Coventry University in Coventry; and both Peter Fisher, who is the director of research and Robbert Van Haselen who works as the deputy director of research are from Royal London Homeopathic Hospital. Thus, based on their qualifications, the authors have the credibility, needed knowledge and e xpertise to engage in an extensive scientific study such as the article being evaluated. The article is appropriately titled as Acupuncture for chronic headache in primary care: large, pragmatic, randomised trial, since it essentially focussed on the effectiveness of the use of acupuncture to relieve chronic headache. Moreover, the title expressly implies that the methodology utilizes a large sample in the randomised trial. The abstract appears to be concise and complete. In a few paragraphs, the essential research components were summarised in the abstract, namely: (1) the research objective; (2) setting; (3) participants; (4) interventions; (5) main outcome measures; (6) results; and (7) conclusions. The abstract provides the complete key information that the readers need to fully understand the article. The introduction explained the health costs related to headache, which is the main topic of the article, including the need to apply other approaches in its treatment, particularly, acupuncture. The introduction also provides the main aim or rationale of the study, whi ch was: â€Å"to estimate the effects of acupuncture in practice† in general; and â€Å"to determine the effects of a policy of ‘use acupuncture’ on headache, health status, days off sick, and use of resources in patients with chronic headache compared with a policy of avoid acupuncture†, in particular, (Vickers et al., 2004). However, the literature review was limited to only one source of published work – the Cochrane review of 26 randomised trials. This would be very insufficient in terms of the extent of evaluating available sources of information related to the topic of the study. Moreover, it does not provide a comprehensive evaluation of scholarly work from which the rationale of the study could be based. The study is a quantitative research, since the data obtained are represented in the form of numbers and statistical treatment was employed to interpret the data gathered (Grinnell Unrau, 2005, p. 62). Despite the lack of implicit statement of the hypothesis, the audience or reader can obtain a general notion or idea of what is being tested (the effectiveness of acupuncture in the treatment of chronic headache). However, the variables were not clearly defined. Nevertheless, the procedures employed in the methodology were intricate and systematic. The participants were clearly identified and adequately described in the study. In the accrual of patients, several stages were established to facilitate the flow and recruitment of participants. Figure 1 in the appendix illustrates the flow of participants in the study. Moreover, ethical principles were upheld during the conduct of participant recruitment. Since most legal instruments expressly prohibit the use of human subjects for medica l research, the researchers obtained written informed consent from the participants. The researchers implemented a system to ensure randomization of the study through a ‘password protected database’, thereby eliminating the potential for bias and subsequently improving the quality of the results. As Peat (2001, p. 28), explains: â€Å" in randomised controlled trials, the quality of the evidence is improved if measurement bias, such as observer or reporting bias, is reduced by using objective outcome measurements and if observers are blinded to the group status of the subjects. The method of data collection proves to be valid and reliable, as evidenced by the relatively high number of treatments (12 treatments) employed over a sufficient length of time (3 months). Moreover, a follow-up procedure was implemented to generate â€Å"a global estimate of current and baseline headache severity†, (Vickers, et al., 2004). This further enhanced the validity of the results. The large sample size helped ensure the reliability of the results. Additionally, t he use of measurable outcomes such as the Likert scale of headache severity helped eliminate bias by extending common measurement criteria for the respondents. The article correlated its results with the findings in â€Å"prior literature on acupuncture†, (Vickers, et al., 2004), suggesting a high degree of validity of results generated. The presentation of results was systematic and at the same time, clear and comprehensive. The results portion explained the process of participant recruitment including the flow of participants through the trial, patient compliance and dropout rate and their characteristics. It also provided a clear explanation of data that were obtained with accompanying tables and graphs. Thus, the audience can easily comprehend the results obtained. In the discussion, the results generated were translated into the main findings of the study which were stated in a clear, yet simple manner. Moreover, the strengths and the limitations were identified and discussed clearly. The strengths of the research article are anchored on its methodology, such as in the recruitment of participants with a large sample size, the implementation of a system to conceal the randomization and the meticulous follow-up procedure one year after the experiment. Such procedures helped ensure that the research findings are reliable and valid. On the other hand, one of the limitations of the study is the absence of sham acupuncture for the participants, thereby failing to consider the potential placebo effects. Additionally, the participants were not blinded in the study; thereby raising the possibility of bias in terms of the participants’ assessments of their headache scores. In terms of the literature review, the article failed to provide an objective evaluation of a sufficient body of literature related to the topic of the research. Thus, it failed to address the gaps in knowledge related to acupuncture and chronic headache due to the lack of an extensive evaluation o f available literature. Conclusion In the final analysis, the research article serves as an additional source of authoritative and credible information regarding the use of acupuncture for the relief of chronic headache. The findings of the study strongly support available scientific evidence. The weaknesses of the research article discussed above can serve as important considerations for researchers who are planning to engage in a similar undertaking – they must evaluate a substantial body of literature to gain insight into the currently available information and subsequently identify knowledge gaps. Moreover, future randomised clinical studies in acupuncture should include a sham treatment to be able to consider potential placebo effects; and blinding of participants must be observed to eliminate bias. Bibliography Acupuncture. (2007). In The Columbia Encyclopedia (6th ed.). New York: Columbia University Press. Anderson, N.H., 2001. Empirical Direction in Design and Analysis. Mahwah, NJ: Lawrence Erlbaum Associates. Badke, W.B., 2004. Research strategies: Finding your way through the information fog. (Second Edition). New York: iUniverse, Inc. British Medical Journal. Undated. Available from: http://resources.bmj.com/bmj/about-bmj. [Accessed: 18 April, 2008]. Brooten, D., 2006. Clinical Trails. In: Encyclopedia of Nursing Research (Second Edition). Joyce Fitzpatrick and Wallace, J.J., (Eds). New York: Springer Publishing Company. Caldwell, K., Henshaw, L., Taylor, G., 2005. Developing a framework for critiquing health research. Journal of Health, Social and Environmental Issues, 6(1), 45-54. Cohen, J., Cohen, P., West, S.G. and Aiken, L.S., 2003. Applied Multiple Regression / Correlation Analysis for the Behavioral Sciences. Hillsdale, NJ: Erlbaum. Grinnell, R. M., Unrau, Y. A., (Eds.), 2005. Social Work Research and Evaluation: Quantitative and Qualitative Approaches (7th ed.). New York: Oxford University Press. Peat, J. K. (Ed.), 2001. Health Science Research: A Handbook of Quantitative Methods. Crows Nest, N.S.W.: Allen Unwin. Sidell, N. L. , 1997. Adult Adjustment to Chronic Illness: A Review of the Literature. Health and Social Work, 22(1), 5+. Stommels, M., Wills, C.E., 2004. Clinical Research: Concepts and Principles for Advanced Practice Nurses. Philadelphia: Lippincott Williams and Wilkins Vickers, A.J., Rees, R., Zollman, C.E., McCarney, R., Smith, C.M., Ellis, N., Fisher, P., 2004. Acupuncture for chronic headache in primary care: large, pragmatic, randomised trial. Available from: http://www.bmj.com/cgi/content/full/328/7442/744. [Accessed: 15 April 2008]. Appendix Figure 1Flow of Participants Through the Trial Source: Vickers, et al., 2004

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1/9/14 Henry Graham Greene was an influential 20th century author who was able to combine serious literary recognition with present day popularity whose collections impact the modern world today. Greene is notorious for religious studies and involved in making changes to the literary world, enabling readers to further explore theological concerns. Leaving an imprint on literature, many study his works and still celebrate his legacy all over the world. Rebelling against his own beliefs and suffering with bipolar disorder , many aspects of Greene’s life remain unrecognized which encourages many to study his impact on the present day. Native to Berkhamsted, England, Greene was born October 2, 1904 to parents Charles and Marion Raymond Greene, who were first cousins. Greene grew up in the St. John’s House, a boarding school where his father was the housemaster. Accustomed to a large family, Greene spent his childhood summers with his uncle at the Harston House, another boarding school, where he learned to read. As a boarder at the St. John’s House, Greene was bullied and spent years in depression with several attempts of suicide. At the age of 16, Greene was sent for psychotherapy in London, later returning to his former home to continue as a day student. Beginning his first year at Oxford University, Greene became a member of the Communist party. Although leaving this party quickly, Greene wrote profiles on Ho Chi Minh and Fidel Castro to relay his studies (Coleman 529). A rough period in his life encouraged Greene to seek religious outlets that influenced his works as did his political affiliations. In 1926, greene converted from Anglicanism to Roman Catholicism. The reasoning for this transformation was to seek cure to the sufferin... ...ligion and social ideologies. Recently, a documentary further exploring Greene’s early life and career was released drawing attention to his change to writing. Greene’s novels, poems, and plays are still being produced into films and performed in theaters across the globe. Each year, Graham Greene is recognized at the Graham Greene International Festival held in Berkhamsted on his birthday, October 2, to further promote his studies and gather fans to discuss. Modest about his literature and a confusing character to understand, Greene left the impression among many that his career was merely a sign from his youth to express what he knew, and what he could explore and discuss with others: â€Å"My two fingers on a typewriter have never connected with my brain. My hand on a pen does. A fountain pen, of course. Ball-point pens are only good for filling out forms on a plane.†

Essay --

According to the film â€Å"Too Big Too Fail† the cause of the crash was from home loanings. Which in the case banks started to give out loans to people that owned homes. Giving out loan to homeowners the banks started to gain a lot of money. Later on in the process the owners of the banks began to go overboard by giving out more loans. And since the banks were lending out more loans , homeowners thought they could afford it. Reasons why the housing market crashed according to the film was because banks gave homeowners loans even if they could not afford it. The banks had their pride set to high, because they never thought that the housing market would ever crash or go down, so they invested securities in wall street. So the banks bought insurance on consumer loans. Which consumer loan is â€Å" a loan that establishes consumer credit that is granted for personal use, usually unsecured and based on the borrowers integrity and ability to pay† (Free Dictionary). When the housing market dropped the homeowners could not pay the banks their money back. In which the insurance companies could not pay...

Food and Agriculture in Panama Essays -- Panama Farming Agricultural E

Food and Agriculture in Panama Agriculture is big business in Panama. Not only does it account for much of the country's exports (over 50%), but subsistence farming still employs many Panamanians who only grow enough food to feed their families (nationalencyclopedia.com). The main crop in Panama is bananas by a large margin, and is also one of the countries largest exports. Besides bananas, the other main exports are sugar and coffee beans, while the largest domestic crops are corn, rice, cocoanuts, tobacco and the exotic root vegetable yucca (Bennett 78). In spite of the fact that agriculture employs a large portion of the population and uses approximately half of the land, agriculture in Panama is in trouble. Panama’s tropical maritime climate poses some restrictions to the growth of crops, but the troubling issue at hand is the erosion of soils. As Panama’s population grows rapidly and the rainforest is cleared, overuse of soils and improper agricultural methods are threatening t he growth of crops and draining Panamanian soils. As much of Panama’s political history and current economy is tied to agriculture, this is an issue that will raise many questions for the future of Panama. Bananas have a long history in Panama. Bananas are grown best in humid lowland regions, and in Panama, this means on the Atlantic side of the country (Bennett 70). Production does, however, extend to the Pacific side of Panama with successful irrigation methods (Bennett 71). United Fruit, an American company, moved into Panama in 1899, and owned as much as 70% of the Panamanian banana industry up until the 1970’s (country-studies.com). As bananas can count for as much as 33% of Panama’s total exports, very li... ...e and thus crop yields are declining (Croat 465). To avoid an agricultural crisis, sustainable agricultural practices must be developed and implemented in Panama. Works Cited Bennet, H. (1926). Agriculture in Central America. Annals of the Association of American Geographers, Vol. 16, No.2. pp. 63-84. http://www.country-studies.com/. Agriculture. Retrieved 11/27/07 from www.country-studies.com/panama/agriculture.html. Croat, T. (1972). The Role of Overpopulation and Agricultural Methods in the Destruction of Tropical Ecosystems. Bioscience, Vol.22, No. 8. pp. 465-467. http://www.frommers.com/. Food and Drink. Retrieved 11/27/07 from www.frommers.com/destination/panama/3285020880.html. www.nationsencyclopedia.com . Panama Agriculture. Retrieved 11/27/07 from www.nationsencyclopedia.com/economies/Americas/Panama-AGRICULTURE.html.

Little Red Riding Hood Revisited Essay

People often ask me about the large grey wolf hide I keep hanging above the fireplace. I will admit it does seem rather odd for a young girl to have such a thing, and I assure you that the story behind it is even stranger. A story I have told many times to guests and passers by, and I always get the same look of disbelief, but I assure that this story is as true as they come. Walking to my Grandmother’s house was not a strange occurrence for me I had done many times, only this time would be far different. I had no idea of the events that were to unfold as I opened the door and entered Grandmother’s cabin. Grandma, are you there? † I called out as I entered the cabin. I made sure to move cautiously so that I did not hit my knees on anything in the dark. â€Å"I am in here darling. † I heard my Grandmother respond from the bedroom. I lit a lantern, and moved into the room where I found my grandmother lying peacefully in her bed. â€Å"Grandmother, I brought you fresh bread and vegetables from the market,† I exclaimed proudly as I removed my red overcoat and tossed it onto the rocking chair in the corner. â€Å"I will be back in a few minutes Grandmother. I am going to put on some stew, I hope you are hungry. â€Å"Oh, you have no idea, my dear. † My Grandmother said in somewhat of raspy whisper. â€Å"Grandmother, what is wrong with your voice? † â€Å"Oh nothing my dear, I think I am coming down with a bit of a cold. † Her voice, although sweeter than I remembered it, sounded forced and uncomfortable. Thinking nothing of it, I resumed my post, slicing vegetables and warming the broth over the fire. One by one as I finished making my cuts, I slid the slices into the broth, first the carrots, followed by onions and celery, and finally finishing with the tomatoes and potatoes. My stew was coming along nicely so I heated up some water on the side and began to boil tea leaves in a kettle to try and ease my grandmother’s sore throat and relieve her cold. â€Å"Red, how is everything going in there sweetie? † My grandmother queried anxiously from her comfortable perch in the bedroom. â€Å"Everything is coming along just fine Grandmother,† I replied, a little irritated. I had no idea why my Grandmother was in such a mood today, I had never seen her be this pushy and hurried. I stirred the stew one more and removed it from the fire in order to let it cool down as I made my grandmother a cup of tea. I ladled fresh hot soup into one of the bowls on my Grandmother’s counter, and then placed it along with a glass of tea on a wooden tray, and presented it to my Grandmother while she remained in bed in the dimly lit corner of the room. â€Å"Thank you my dear,† She said eerily. â€Å"I just don’t think I am in the mood for this stew. † â€Å"Grandmother, what are you talking about? † I exclaimed, â€Å"This is your favorite soup, you have made this soup for me since I was a little girl. † I paused and waited for a response but none was given. â€Å"Grandmother? † I peeped cautiously becoming more and more worried about what was going on. Grandmother? † I peeped again. Another long pause passed without as much as a whisper from Grandmother. I quickly grabbed the lantern that I had lit earlier and brought it close to the bed, shining as much light as I could on the growingly creepy situation. As I peered into my Grandmother’ s eyes, I noticed they looked strange. I looked closer, locked in her gaze, and, without even noticing, I whispered aloud, â€Å"Grandma, what big eyes you have. † â€Å"All the better to see you with my dear. † She answered in a strange tone that was as unfamiliar to me as her lack on interest in her favorite soup. Stranger still than her tone was the unmistakable largeness of her mouth, and even more so her teeth. I never remembered seeing her teeth that large. â€Å"Grandmother, what big teeth you have,† I muttered. â€Å"All the better to eat you with,† She replied. I gasped aloud as the shocking realization began to sweep over me. The loving Grandmother I had always known had been replaced by an unusually large wolf. I jumped out of the chair, and made a move for the door when the wolf, moving like lighting, blocked my path. â€Å"Why the rush? † asked the wolf slyly, with an air of arrogance. He quickly reached out for my throat, but underestimated me as I dodged and crawled through his legs. â€Å"You can’t run from me! † the wolf exclaimed as I used every once of energy I had to sprint through the front door and out into the forest. I could hear the loud crackling of breaking twigs and the scratch of the wolf’s claws against the hard frozen bark as he gave chase. I kept zigging and zagging, trying my hardest to remain a hard target for the wolf, but I could feel his breath getting closer and closer to my neck. Suddenly, in the distance I noticed an outline of a man, walking through the forest. I turned my sprint in his direction, and pumped my legs with everything they had left. With every step closer to the man, I felt more and more assured that I might yet live to see another day. â€Å"Help†¦Ã¢â‚¬ ¦Help! † I yelled at the top of my lungs to the stranger in the distance. He turned around and I could see a lumberjack’s axe in his hands. I ran and ran, until finally I could reach out and grab the man. When I did, I turned around and noticed that the wolf was no longer behind me. â€Å"What is it, my dear? † The man asked in a calm voice as if not a single thing was out of place in the forest. Sir, a massive wolf has eaten my grandmother, and is chasing me. † I cried out as if my life depended on it. â€Å"Sweetheart, I see no wolf,† The man replied. Right at that exact moment, I noticed a large shadow over the man’s shoulder and looked up to see the wolf soaring through the air out of the trees. The wolf landed perfectly with it’s paws on my shoulders pinning me to the ground, but not attacking, just holding me there. â€Å"Oh, that wolf,† The man said calmly without so much as a hint of worry. â€Å"You did not tell me that you had met my pet. † â€Å"What are you talking about? † I sobbed loudly. Do you have any idea how hard it is to train a wolf? † The man jested. â€Å"Especially to train one to hide people’s relatives and lure little girls out to the forest. † â€Å"My Grandmother is alive? † I asked immediately. â€Å"Of course, she is. I have no taste for bitter old women. † The man seemed almost pleased with himself as one does when an elaborate plan comes together. â€Å"Enough of the small talk. † The man muttered casually. â€Å"Time to get you dressed out and ready for the dinner table. † I looked up, and watched as the man lined up the axe with my throat, and slowly raised it over his head. I had no choice but to close my eyes, and prepare myself for the inevitable. Just then, I heard the loud crack of a rifle, and looked up to see a horrifying grimace on the man’s face. I felt a drop hit my face as I noticed the red pool begin to grow on the man’s chest. His strength fading quickly, he dropped the axe. I reached up desperately, and grabbed the axe as it made its descent and caught it firmly in my hands. Rising to my feet I noticed the man lying on the ground clutching his chest and breathing heavily. Without so much as a moment’s hesitation, I drew the axe above my ead, and brought it swiftly down on the man’s neck, ending his suffering and life. I looked around frantically searching for the wolf, for I knew I wasn’t out of danger yet. Confirming my suspicions, I noticed the wolf running through the woods headed right for me, I raised the axe, ready to defend myself, when I heard another shot from a rifle, and watched as the wolf hit ground and slid to my feet dead. Shocked and relieved, I looked around for my savior. Camouflaged well I couldn’t find anyone. â€Å"Hello! † I shouted into the seemingly empty woods. My heart leapt with joy as I heard a familiar voice call back to me. Over here dear,† I ran toward the sound and looked upon the face with the familiar voice. â€Å"Grandma! † I shouted wildly. â€Å"I thought you were dead. † â€Å"Not at all dear, it would take more than an overgrown wolf to get the best of this old lady. † Surprised at this seemingly impossible turn of events, I went to ask her how this was possible, but all I could muster was a whimper. â€Å"I see you are shocked my dear, let me explain,† She said, calm as could be. My Grandmother then told me the story of how the wolf had taken her to a cave and left her there, presumably to take post in her bed. What the wolf and the hunter had not known was that Grandma was a widow, and had to fend for herself in the woods. She had been hunting this forest since she was a young woman some 25 years ago. That night Grandma and I ate quite a stew complete with wolf meat. Dinner was over and the dishes were clean, and, as Grandma sat by the fire cleaning her rifle, I relaxed after a hectic day in the rocking chair and dozed off under the warmth of my brand new cloak, a long over-sized wolf pelt which I gladly wore over my old red one.