Isis A U.s. Threat - 1371 Words

ISIS: A U.S. Threat? ISIS (Islamic State of Iraq and Syria) is a terrorist group that is trying to build a caliphate in Syria, as well as evoking war with the United States. ISIS first started as a branch off of Al- Qaeda; until February 2014, when they broke away from Al- Qaeda. According to K.T. McFarland, a national security analyst, ISIS has raped and tortured it’s way through Syria and Iraq, killing those who won’t join their group.. They have managed to recruit thousands of citizens from around the world to join their cause. ISIS is a realistic threat to the U.S. and the world, and the US needs to stop them. Although most people think it is a good idea to eliminate ISIS, some Americans don’t like the idea of the U.S.†¦show more content†¦The U.S. can still be involved in stopping ISIS. Even though it’s â€Å"illegal†, it looks like President Obama will continue air strikes against ISIS. The U.S. has minorly been threatened by the leader of the terrorist group and they have beheaded two American journalists, which could be considered threats. The U.S. can also help take down ISIS from a political standpoint. So the idea that it is almost impossible for the U.S. to get involved with ISIS without it being illegal is just a misunderstanding. ISIS is a realistic threat to the U.S. and the world. They has already killed over 5,500 Middle Easterners in the last six months. (6) ISIS have beheaded two American journalists, James Foley and Steven Sotloff. A testimony from Didier Francois, a French journalist who was a hostage with Foley. Francois stated how the terrorists found a picture of James’s brother, John in his laptop. John serves in the Air Force. Because of this, Foley was subjected to the worst treatment out of the hostages. Francois said Foley was ‘one of the pillars of the group who never cracked even under the most difficult circumstances’. He was a regular victim of mock executions including being ‘crucified against a wall’. Francois said that Foley was an excellent man who stood up to the terrorists and frequently asked for other things for the other prisoners. ISIS’s leader, Abu Bakr al-Baghdadi, told American captives that he would â€Å"see them in New York† and that ISIS

Foreign Aid Essay - 620 Words

Foreign Aid Foreign Aid, charity, development assistance†¦whatever you call it, it has become a global activity. The assistance is delivered by various means: government-to-government, pooled multilaterally or channeled through non-governmental organisations of all sizes. Actually, the bulk of foreign aid is funneled through international financial institutions like the World Bank, which gives grants, loans and advice, and the International Monetary†¦show more content†¦A Trickle Too Little Whether America intentionally used food aid to turn Africans into consumers of wheat, and especially American wheat, is debatable. But David Sogge suggests that the political and economic interests of donor or lender countries usually influence who gets foreign aid and how. Relieving poverty has only relatively recently becomes a fundamental criterion for assessing aids success. Until about three or four years ago, explains Sogge, aid did not particularly take poverty into account. Poverty would be something that would be resolved once the benefits of broad development would trickle down to poorer people. Delivery Problems This trickle down theory, which says if you improve things at the top they will eventually improve things at the bottom, has not worked. In his book, David Sogge cites numerous studies that show how aid programmes have had a negative impact on economic growth and have usually created greater income inequalities. But can we place most of the blame on the givers of aid? Problems do occur once the money and materials arrive in the country of destination. Corruption and malpractice is an old one and it cuts across many systems of public assistance. Clearly this has occurred with foreign aid. One of the aid industrysShow MoreRelatedForeign Aid3759 Words   |  16 PagesEFFECT OF FOREIGN AID IN KENYA 1. 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[Bannock:1988 P.164] However, so as not to confuse foreign aid with the investments of multinational corporations or commercial banks, many economists require foreign aid to meet two distinct criteria: 1) Its objective must be noncommercial from the point of view of the donor and 2) it should be characterizedRead MoreThe Matter Of Foreign Aid1721 Words   |  7 PagesThe matter of foreign aid is complicated. Through our own policies, the policies of international organizations, and assorted agreements with numerous countries, our role in foreign aid has continued to change over the decades to meet the growing needs of the developing and developed worlds. While we try to aid the developing world to the extent of our capabilities, there are several elements to consider – some of which in the past have often been neglected. When providing aid to countries in needRead MoreThe Beginning Of Foreign Aid Essay1505 Words   |  7 PagesIntroduction: 1.The beginning of Foreign Aid All human beings regardless of their background require a set of resources to survive. These are food, water, shelter and clothing in addition to this, healthcare, education and sanitation are also essential for a person’s wellbeing. In 1949 Truman’s Inaugural Address â€Å"we must embark on a bold new program for making the benefits of our scientific advances and industrial progress available for the improvement and growth of underdeveloped areas† raisedRead MoreForeign Aid For Developing Countries2134 Words   |  9 Pagescountry. The failure of foreign aid proves this statement to be false. In a majority of cases where aid is given to developing countries, it simply does not work. They are still in the same situation, if not worse, then they were before they received aid. 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This creates large amounts of national debt, war, and in some cases enemies. I believe that the American government should leave other counties alone until they decrease nation debt, decrease unemployment rate, and end our current complications with other countries. For those of you who do not know what foreign policy is, it is the way that America’s government interacts with other countriesRead MoreThe Cons of U.S. Foreign Aid Essay1251 Words   |  6 PagesThe Cons of U.S. Foreign Aid As time progresses humankind seeks to better itself. We strive to make life easier, faster, and more efficient. Currently we have telescopes that can see objects light years away, satellites that can track you around the planet, cars that adjust the seat and steering wheel to separate drivers, and computers that fit in your hand and perform a million calculations a second. But not everyone in this world has this technology. In parts of the world there are peopleRead MoreEssay on The Benefits of Foreign Aid1625 Words   |  7 Pagesmisperception concerning how much of the federal budget is actually set aside for foreign assistance programs. Only one-half of one percent is actually allocated and spent through the agency, stated J. Brian Atwood, head of USAID, at the International Development Conference on January 1995. In addition, U.S. Foreign Assistance levels are at their lowest levels in over 50 years (Ten Questions Commonly Asked About U.S. Foreign Assistance Programs, March 6, 1995). The United States should continue providingRead MoreShould The United States Increase Foreign Aid?819 Words   |  4 PagesStates increase foreign aid? This is a topic that has come up many times in the past years. When it comes to politics and the people themselves, this is a very important debate. This goes much deeper than just losing money or helping a fellow country in need. 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Heart Failure The American Heart Association ( Aha ) /...

In the American Heart Association (AHA)/American College of Cardiology guidelines1, heart failure (HF) is defined as a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill or eject blood. A normal healthy heart is a muscular organ with four chambers, two on the right and two on the left, that pumps blood to the lungs and rest of the body2. The two upper chambers are called atria and the two lower chambers are called ventricles. The right atria take in oxygen-poor blood from the rest of the body and sends it back out to the lungs through the right ventricle where the blood becomes oxygenated. Oxygen-rich blood travels from the lungs to the left atrium, then on to the left ventricle, which pumps it to the rest of the body. In a patient with heart failure, the heart muscle has been progressively weakened and unable to pump enough blood through to the body. There are two main types of heart fa ilure: left-sided and right-sided. In left-sided or left ventricular (LV) heart failure3, the heart fails to properly pump blood out to the body. Right-sided or right ventricular (RV) heart failure is usually triggered by LV heart failure and it’s when blood accumulates in the lungs increasing fluid pressure, damaging the heart’s right side. LV heart failure can be further classified into two types, systolic and diastolic heart failure, depending on the ejection fraction (EF). In

Problems Facing Clinicians In Australia Rural Acute

Question: Discuss about theProblems Facing Clinicians In Australia Rural Acute. Answer: The Issue In Australia, the majority of the minority healthcare experts work in communities that are relatively distance from the major cities and consequently, these healthcare professionals have limited access to specialist services. Research shows that the rural clinical practice is often significantly different from that practiced by the metropolitan clinicians since it needs greater diversity of knowledge and skills in a setting where there are minimal support frameworks as well as limited resources (Lea et al. 2008; Baernholdt Mark 2009). In general, it is often difficult to define rurality (Muula 2007). Nonetheless, scholars agree that rurality is a reflection of smaller populations that are distant and isolated from a countrys major urban areas or cities with a corresponding limited access to diverse services and infrastructure. Incidentally, Jackson and Daly (2004) observe that in the rural context, acute care can be described as a health care level where a patient may receive treatm ent for various acute health conditions, including disease, surgery, disease, trauma, and disease. In the Australian setting, this type of health care provision is traditionally provided in multi-purpose services, district health services, and referral hospitals where a patient is given care services from a diverse nursing, medical and related health professionals. Subsequently, it is agreed that the rural health context is demographically, sociologically, and geographically different to the metropolitan health context (Wakerman 2008; Phillips 2009). Wakerman (2008) and Grobler et al. (2015) explicate that from a critical perspective, there is significant inequity in the provision of health care services in the rural setting when compared to the metropolitan settings. For example, studies show that the mortality and morbidity rates for the remote and rural populations of Australia are significantly higher than those of their metropolitan populations (Armstrong et al. 2007). The researchers attribute this situation to the poor availability of diverse health services as well as insufficient number of healthcare experts in the rural setting. In comparison to the metropolitan clinicians, the rural health experts, especially nurses and doctors, require a wide range of clinical skills in order to function in a more effective manner (Rosenthal, Zaslav sky Newhouse 2005; Murray Wronski 2006; Montour et al. 2009). Ideally, the implication of this observation is that the rural-based clinicians need to perform their duties as generalists as opposed to specialists. Consequently, there is a significant pressure on the rural clinicians to formulate and adopt an increased practice scope to address the diverse health care needs of their patients in the rural areas (Roberge 2012). The particular challenges that clinicians encounter in the rural health care service setting include: limited access to opportunities that can help them to develop their profession; lack of peer and supervision support; and lack of access to specialist practice exposure (Alexander Fraser 2001; Hegney et al. 2002; Charles, Ward Lopez 2005). Moreover, multiple studies indicate that access to career development is a significant problem that the rural clinicians are confronting (Lea Cruickshank 2005; Rosenthal et al. 2005). On the other hand, studies have also established that there is a strong correlation between job satisfaction and access to professional development opportunities. In this context, the major reasons that influence clinicians to leave the rural setting is because they lack reasonable, if any, access to the relevant continuing education as well as professional isolation (Hegney et al. 2002; Charles et al. 2005). Fundamentally, the inadequate access to mentoring and formal education increases the risk of new graduates feelings professionally isolated and are less likely to continue working in the rural health service sector (Mills et al. 2005; Mills et al. 2007). In the recent years, various empirical pieces of evidence suggest that the different generations at the workplace have distinct attitudes towards work (Wilson et al. 2008). The researchers observe that in most instances, the new graduates that enter the practice profession prefer to work in large and adequately-resourced health care facilities because it provides them with the necessary opportunities to develop their knowledge and skills in specialized practice, as opposed to the rural health care facility where they are compelled by circumstances to play a generalist role. In a nutshell, the clinicians in the rural acute care environment face a broad range of challenges that require immediate attention if the rural health care system in Australia is to be sustained. In this paper, a fictitious case study referred to as Wadula Puzzling Cube: Solutions to the Problems facing Clinicians in Australias Rural Acute Care Environment, is explored with an objective of proposing the solutions to the challenges facing the clinicians that are working in Australias rural health care sector. Puzzling the Issue Mary, a cardiac rehabilitation nurse expert in Mungallala, is not satisfied with her job at the local dispensary. On this occasion, shortly after leaving work in the evening, Mary is out for coffee with two of her colleagues, Tim and Grace, at the Mungallala restaurant. She sips her coffee, and then looks at both Tim and Grace, who are seated on the opposite side of the table. I am thinking of resigning from my work and finding a job in Melbourne. For about half a minute, Tim and Grace stare at Mary in disbelief, unable to reconcile with what they have just heard. What!, the two say in unison. Before Grace could speak, Tim asks Why are you thinking of quitting. You just started work six months ago! Mary takes another sip of her coffee, looks straight into Tims eyes, and replies. When I was hired at the dispensary, I saw the job as a great opportunity for me to develop my career. In fact, on the day that I received my appointment letter, I was extremely excited that my journey into be coming one of the best cardiac rehabilitation nurse expert had just begun. Mary pauses, sips her coffee, and continues, The dispensary does not provide me with an opportunity to develop my speciality. Instead, we are understaffed and I am forced to perform the general nursing roles instead of focusing on my field of speciality. Grace nods her head in agreement, and adds, I too have felt the same way since I started work here four years ago. However, due to the difficulty involved in getting a job in a large hospital like those referral hospitals in Melbourne, I have had to stay. Tim joins and says, I thought I was the only feeling the same way for the last two years. It seems we share that feeling. In my view, instead of us considering resigning from work and going to the metropolis to look for a job, we should find solutions to our problems. The community here needs us. Grace then asks, How can we compel the administration of the dispensary to support us to develop our profession? Tim jumped to answer, we can boycott work, picket, or demonstrate to the management. What do you guys think? Neither Mary nor Grace seems to agree to any of those suggestions. The three agree to meet the following day to discuss the way forward. Later that night, Mary talks to her elder, John, about the earlier discussion she had with both Tim and Grace. More importantly, she tells John about the important question that Grace introduced in the course of their discussion, which is, how can we compel the administration of the dispensary to support us to develop our profession? John reminds Mary about the importance of them not jumping into solutions about their problem. Rather, John encourages Mary and her colleagues to consider exploring the issue with a sense of curiosity as opposed to coming up with solutions, and reminded Mary of the significance of Why? rather than Why dont you? questions, which incidentally focus on establishing an understanding (Teare Prestoungrange 2004). In this regard, John advices Mary and her colleagues to consider restating their issue as a puzzle statement, for example, how can we work more effectively in order to impress the dispensarys administration, and in turn, support our access to profess ional development? John explains to Mary that the framing of the question in this manner will enable them to clarify their puzzle (how can we), and also provide them with a purpose for engaging in puzzling (in order to) (Walsh et al. 2008). Subsequently, John requests Mary and her colleagues to apply the Positive Unconditional Generative Question (PUGQ) test to the puzzle statement how can we work more effectively in order to impress the dispensarys administration, and in turn, support our access to professional development? (Cooperrider,Whitney Stavros 2008). Ideally, John explains to Mary that the importance of developing the puzzle statement using the approach his proposed approach was to ensure that it is stated positively so that there would be no implied criticism of her and her colleagues. Therefore, the puzzle statement would help Mary and her colleagues to develop a direction towards achieving a positive change with themselves as well as the dispensary (Cooperrider Sekerka 2003). Nonetheless, John explains to Mary that the next step that they should undertake as colleagues is to determine if their puzzle question sounded unconditional. Once they have established whether it is unconditional or otherwise, the n ext phase was to determine if was generative, in other words, does it have a solution from within or is it open to several possible questions. Overall, after a few refining to the puzzle question, the final phase is to come up with a puzzle statement (Walsh et al. 2008), which in this case should be, how can we best provide patients with customized health care to support in order to achieve high satisfaction, thereby stimulating the dispensary management to support the professional development of its employees. The Action Plan Overall, the final puzzle statement offers Mary and her colleagues the possible solutions to their problem: Formulate and implement patient tailored care to improve care output. Search and identify the organizations that offer distant learning programs and use their off-time to engage in career development. Request the dispensarys administration to facilitate employee mentorship programs in the health care facility. Reference Alexander, C. and Fraser, J., 2001. Medical specialists servicing the New England health area of New South Wales. Australian Journal of Rural Health, 9(1), pp.34-37. Armstrong, B.K., Gillespie, J.A., Leeder, S.R., Rubin, G.L. and Russell, L.M., 2007. Challenges in health and health care for Australia. Medical Journal of Australia, 187(9), p.485. Baernholdt, M. and Mark, B.A., 2009. The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of nursing management, 17(8), pp.994-1001. Charles, D.M., Ward, A.M. and Lopez, D.G., 2005. Experiences of female general practice registrars: are rural attachments encouraging them to stay?. Australian Journal of Rural Health, 13(6), pp.331-336. Cooperrider D, Sekerka L. 2003. Towards a theory of positive organisational change. In: Cameron K, Dutton J, Quinn R (eds). Positive Organizational Scholarship: Foundations of a New Discipline. San Francisco, CA,USA: Berrett-Koehler, 225240. Cooperrider, D., Whitney, D.D. and Stavros, J.M., 2008. The appreciative inquiry handbook: For leaders of change. San Francisco, CA: Berrett-Koehler Publishers. Grobler, L., Marais, B.J. and Mabunda, S., 2015. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. The Cochrane Library. Hegney, D., McCarthy, A., Rogers-Clark, C. and Gorman, D., 2002. Why nurses are resigning from rural and remote Queensland health facilities. Collegian, 9(2), pp.33-39. Jackson, D. and Daly, J., 2004. Current challenges and issues facing nursing in Australia. Nursing Science Quarterly, 17(4), pp.352-355. Kulig, J.C., Andrews, M.E., Stewart, N.L., Pitblado, R., MacLeod, M.L., Bentham, D., D'Arcy, C., Morgan, D., Forbes, D., Remus, G. and Smith, B., 2008. How do registered nurses define rurality?. Australian Journal of Rural Health, 16(1), pp.28-32. Lea, J. and Cruickshank, M., 2005. Factors that influence the recruitment and retention of graduate nurses in rural health care facilities. Collegian, 12(2), pp.22-27. Lea, J., Cruickshank, M., Paliadelis, P., Parmenter, G., Sanderson, H. and Thornberry, P., 2008. The lure of the bush: Do rural placements influence student nurses to seek employment in rural settings?. Collegian, 15(2), pp.77-82. Mills, J., Francis, K. and Bonner, A., 2007. The accidental mentor: Australian rural nurses developing supportive relationships in the workplace. Rural and Remote Health, 7(4), p.842. Mills, J.E., Francis, K.L. and Bonner, A., 2005. Mentoring, clinical supervision and preceptoring: clarifying the conceptual definitions for Australian rural nurses. A review of the literature. Rural and Remote Health, 5(3), p.410. Montour, A., Baumann, A., Blythe, J. and Hunsberger, M., 2009. The changing nature of nursing work in rural and small community hospitals. Rural and Remote Health, 9(1089), pp.1-13. Murray, R.B. and Wronski, I., 2006. When the tide goes out: health workforce in rural, remote and Indigenous communities. Medical Journal of Australia, 185(1), p.37. Muula, A., 2007. How do we define'rurality'in the teaching on medical demography. Rural Remote Health, 7(1), pp.653-653. Phillips, A., 2009. Health status differentials across rural and remote Australia. Australian Journal of Rural Health, 17(1), pp.2-9. Roberge, C.M., 2012. Who stays in rural nursing practice? An international review of the literature on factors influencing rural nurse retention. Online Journal of Rural Nursing and Health Care, 9(1), pp.82-93. Rosenthal, M.B., Zaslavsky, A. and Newhouse, J.P., 2005. The geographic distribution of physicians revisited. Health Services Research, 40(6p1), pp.1931-1952. Teare, R. and Prestoungrange, G., 2004. Accrediting Managers at Work in the 21st Century. Prestonpans, Scotland: Prestoungrange University Press. Wakerman, J., 2008. Rural and remote public health in Australia: building on our strengths. Australian Journal of Rural Health, 16(2), pp.52-55. Walsh, K., Moss, C., Lawless, J., McKelvie, R. and Duncan, L., 2008. Puzzling practice: A strategy for working with clinical practice issues. International Journal of Nursing Practice, 14(2), pp.94-100. Wilson, B., Squires, M.A.E., Widger, K., Cranley, L. and Tourangeau, A.N.N., 2008. Job satisfaction among a multigenerational nursing workforce. Journal of nursing management, 16(6), pp.716-723.