John Locke - Mind Essay Example for Free

John Locke Mind Essay Hume and Lockes conflicting views on the existence of personal identity stem from a fundamental disagreement in regard to memory. According to Hume we have an impermanent personal identity as a result of our constantly changing stream of perceptions. These mental experiences are usually triggered by impressions, or perceptions that involve a sense experience. These constantly changing streams of perception form the false identity. On the other hand John Locke proposes this concept that  says X has identity if the ideas of X cause an observer to have of x are the same at different times. The best capable observer is X themself, as they are there for every moment. For Locke all that is needed for personal identity is mental identity. Both these ideas of personal identity are intertwined with each respected philosopher’s views on memory. According to Hume, memory is unreliable. He believes projectivism tricks us into forming memories. This is true because Hume also says we can’t remember everything, but we project as if we do. The reason he imposes this is because he believes it causes us to assume we are the same in our memories as we are now. Hume says our memories are triggered by ideas, or perceptions caused by thinking about an impression, instead of actually experiencing it. These memories at best resemble one another, which means we confuse similar but different impressions of ourselves for an impression of a single unchanging self. Moreover, Hume says we do not have the same ideas as we do now and do in the past. As a result memory gives us false identity with what it remembers. With this, the nature of the human self is derived from these mental experiences. Although Hume maintains that personal identity is falsely assumed by humans, the ideas that arise from our memories are what forms one’s identity. The end result of personal identity is that individuals have a false sense of identity, but that this false sense of identity is what gives them their individuality. This whole process is reliant upon memory; hence memory is crucial in the development of the false self and individuality. Contrary to Hume, Locke believes memory is reliable. He insists that we are able to genuinely recall the same memories. Similarly to Hume, Locke agrees we don’t remember everything. Although he shares this belief, he feels what we do remember is enough. He continues this assertion as he points out we don’t remember everything accurately but we remember enough accurately. In doing this, we are able to accurately recall past ideas and compare them with present ones. This is how he reaches his point that memory is reliable. Since  our memories are reliable, our ideas in the past and the present can genuinely be the same. For Locke, the nature of the human self is formed through this process of linking old memories to new memories to create similarities. Like Hume, individuality is obtained when this process is complete and with it comes awareness of one’s self through time. While Hume and Locke have very differentiating opinions on the conception of personal identity relative to memory, they both agree that the end result will be a unique individual.

Role of Triage in Emergency Care

Role of Triage in Emergency Care OVERVIEW There is a consensus on the fact that there has been a significant increase in traffic to emergency rooms which has resulted in rapidly growing demand on the limited resources of emergency rooms worldwide. In 1980, there were more than 82 million visit to hospital Emergency rooms in the USA, and a large percentage were for non urgent medical conditions. One reason for this trend is that people know they can get medical attention immediately in the Emergency departments without the long wait for appointments. This has led to very high load of patients visit to emergency rooms; a pattern that holds true globally for non urgent patient visits to most pediatric emergency rooms ( Wilson FO etal ). Another reason given for overcrowding is the increase rural to urban migration of populations and also the increase in the standard of care provided in most emergency room. However, the resulting increase in demand for emergency medical care has not been matched by availability of resources in most healthcare systems and hence there is need for emergency room managers to adopt or develop tools and protocols to prioritize the urgency and acuity of conditions to allocate appropriate level of care. If this is not done, then there is a likelihood that very ill patients may end up waiting long hours with increased risk of morbidity and some may even die as a result of delay in life saving treatment or interventions. (Mirjam van veen and Harriette a Moll) DEFINITION Triage as a term actually originates from the French verb ‘trier’, which translates ‘to sort’. It was originally used by the military as a concept to deal with large number of casualties managed by very few human and material resources. The decision is made to prioritize who had the best chance of survival, and what level of care for the survivors (LE Slay,WG Rislan ) In the last 20 years, this concept has become applicable in response to the increasing traffic to the emergency rooms and several tools have been developed to assess, prioritize and sort patients coming to the emergency department according to a determined severity of illness or injury, the level of suffering, the likely prognosis and need for intervention with available resources. It must be clarified, that triage in itself is not a diagnostic tool but a systematically structured and methodical way of assessing the severity of patients conditions to determine their clinical priorities using their presenting symptoms and measurable physiological parameters and it aims to optimize the provision of emergency care efficiently to produce the best outcome for every patient by channeling patients to appropriate level and quality of care. Hence the factors that are considered are severity of illness, level of urgency and impact of life saving intervention to reduce mortality, as well as level of care needed baring limited resources. These factors can be measured objectively using mortality rate, number of admissions to critical care unit and wards as well as patients referred to low urgency care services. The development of different assessment scoring systems and other pediatric-specific scales were attempts to have an objective approach to the assessment of severity acuity and to help predict illness or injury outcomes in children. Hence the Pediatric Glasgow Coma Scale, the Yale Observation Scale, the Pediatric Trauma Score, the PRISM score (Pediatric Risk of Mortality score), different pain scales and various respiratory severity scoring systems were all attempts to provide common nomenclature and standardize the assessment of severity of sickness and to predict prognosis in the pediatric age group. However in practice the emergency room triage nurse needs a comprehensive, simple and efficient acuity stratificaton of the severity, to make rapid and effective decisions(Dieckmann, 2002). These led to development of various decision making tools or triage scales. Gerber Zimmerman and McNair had tried to described triage as simply a rating of patients clinical urgency, that eventually evolved into 2 levels of urgent, and non urgent. Triage scales are hence developed with the aim to rapidly identify very urgent cases requiring immediate or urgent life saving treatment, or efficiently direct them to appropriate level of care, and the variations of triage scales are due to functional differences in service provision as well as availability of resources. Though there is no fail proof scale of stratification because invariably cultural adaptations, level of sophistication of data collection, personal and environmental factors do influence every measurement tool. (Christ et al 2010 as per Azeredo et al) Fittzgerald in his doctoral thesis in 1989, showed it is actually a far more complex decision making tool using defined criteria to classify patients as either a simple 3, 4 or 5 level urgency scale, pioneering the objective distinction of the earlier urgency scales(Fitzgerald GT. Emergency department triage. Department of Medicine. Queensland, Australia: University of Queensland, 1989.) TRIAGE IN CHILDREN Laskowski-Jones and Salati (2000) had strongly elucidated that children should not be seen as little adults and must not be treated as such by healthcare professionals. This is because of obvious anatomical, physiological, as well as emotional and intellectual differences between children and adults which directly alter the presentation of this group of patients in the emergency department[Laskowski-Jones]. This makes it inapplicable to use adult triage criteria for children of pediatric age due to unique clinic-pathological characteristics that creates the potential for sudden and rapid deterioration when children present to the Emergency department, creating an absolute necesity for very accurate focused triage. There are evidence that in mixed emergency departments, adults tend to ‘be seen earlier than equally ill children resulting in unacceptable waiting times for very ill children, therefore again creating a need for specific pediatric triage scales.(Cain P, Waldrop RD, Jones J; improved pediatric patient flow in a general emergency department by altering triage criteria. Acad Emerg Med 3:65-71, 1996) The UKs Manchester Triage Systems MTS, the USAs Emergency Severity Index ESI, the Canadian Triage and Acuity Scale CTAS, and the Australian(National ) Triage Scale, the most widely used triage scales and by consensus the most studied were all eventually modified to contain specific parts for children, are all also made of five level of triage urgencies (van Veen and Moll) It is important to note that none of them had been developed ‘de novo’ specifically for the pediatric age group. The initial three-level systems which predominated in the United States typically used either levels 1, 2, and 3 or emergent–urgent–nonurgent classification assignments. These methods are driven by the underlying question, ‘‘How long can patients wait?’’ When evaluated, these three-level methods had been found to be highly unreliable and have been criticized because they lack validation with clinical outcomes. (Travers DA, Waller AE, Bowling JM, Flowers D,) The 5-level scales provided a better discriminated tool for pediatric patient triage in emergency department, which was shown to be more efficient in predicting resources utilizations including hospital admissions, length of stay, and resourse utilization.(Chang, Hsu) Though 5-level scales are similar to the adults, but they have pediatric clinic-pathological parameters. Level 1 is critical, level 2 is emergent, level 3 is urgent, level 4 is non-urgent and level 5 is fast track.(O’Neil KA, Molczan K: Pediatric triage: a tier, 5-level system in the United States. Pediatr Emerg Care 19:285-290, 2003) The MTS is a five-level scale that incorporates the UK National Triage Scale. It was developed in 1996 and then revised ten years later after thorough input by various experts.(Mackway-Jones et al 2006). Though it was designed predominantly for adults, the MTS eventually adapted six flow charts that relate specifically to children and hence in 2007 it became endorsed by the Royal College of Pediatrics and Child Health. WHAT IS ALREADY KNOWN? What is already established is that the true functional capability of an effective triage system is determined by their reliability and validity. Reliability is measured as both inter rater reliability which is a measure of the agreement between two or more separate individuals using the same scale. It is an affirmation that the agreement is beyond that presented by chance, and this can be statistically determined and analyzed using Cohen’s kappa k. Where K is equal to 1 if the raters are in perfect agreement, and K is equal to 0 if their agreement is absolutely by chance. So k is rated from 0.1-0.9 ( as poor to excellent agreement). Intra rater reliability measures the agreement of one triage rater agreeing on the same level of urgency when two different cases of same scenario present on separate occasions. Validity is a determination that a conclusion of a true urgency is in fact the true value for every clinical presentation. Whereas internal validity measures of the ability of the triage system to predict this true urgency within a system, external validity measures its reproducibility in a different setting. Hence experts agree that any triage has to have these characteristics to be seen as a legitimate tool of assessment and to perform as intended [Fernandez C]. It is also known that the four major triage scales, the MTS, ESI, CTAS, and ATS have been studied and validated for both internal validity and reliability in adults and have been used in ED triage by different health institutions. Some studies reported that the MTS and the Pediatric-CTAS both seem to be valid and reliable to triage children in pediatric emergency care. (Ma, Gafni and Goldman)This has been confirmed by van Veen and Moll in another review in 2009. The CTAS enables rapid stratification of patients at the time of first encounter based on 5 levels of urgency (risk and symptom severity). Each level has a targeted waiting period until the patient is examined by the doctor or to be reassessed again in the triage area to consider the possibility of waiting longer or to be seen immediately by the physician. The standards recommended by CTAS is that waiting time is 0 minutes for level 1, 15 minutes for level 2, 30 minutes for level 3, 60 minutes for level 4, and 120 minutes for level 5. (Murray M, Bullard M, Grafstein E; CTAS National Working Group; CEDIS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines. CJEM 2004, 6: 421-427.)

Adult Civic Education :: Education Adults Essays

Adult Civic Education Since democracy is the context and the condition for everything else that is valued—work, family life, religion, politics, recreation, and leisure—preserving its vitality and integrity must be a central objective of adult education. (Boggs 1991b, p. 54). In a democratic society, adults are frequently confronted with situations and events that require them to make decisions, not only about their own lives as citizens but also about their role as a citizen in a larger community. The answers to dilemmas facing adults in today's world are not clear cut and require the ability to struggle with understanding ideas that are subtle and multifaceted, to engage in serious talk with others, and to take action (Colby et al. 2003; C. Seaquist 2003, p. 11). Since September 11, for example, individuals have had to decide what it means when the "government announces 'specific and credible' clues of a possible terrorist attack" within the United States (L. Seaquist 2003, p. 11). Should they cancel plans for a vacation? Should they stay home and cover their windows with plastic using duct tape? Should they carry on as usual? Furthermore, they also have had to decide if the information itself is credible since being able to interpret intelligence is no w a part of being a citizen (ibid.). How can adult education support adults as they struggle with what it means to be a citizen in an increasingly complex world? This Brief examines the role of adult civic education in contemporary society and provides recommendations for its practice. Adult Civic Education: What Adult civic education, sometimes called adult education for democracy or citizenship education, has a number of purposes and helps individuals carry out both vertical (between the individual and the state) and horizontal (between individuals and groups and communities) aspects of citizenship (Keogh 2003). It involves not only learning about the rights and responsibilities of citizenship (e.g., voting), but also about how one participates in building a society by making informed decisions through dialogue, reflection, and deliberation (Boggs 1991a; Democracy and Peace 1999; Nash 1999). It moves beyond helping learners acquire information and knowledge to fostering the development of action designed to seek solutions to situations (Klaassen 2000). Equipped for the Future, a project of the National Institute for Literacy, for example, organizes content standards for the role of citizen/community member around four broad areas of responsibility as follows: "become and stay informed, form and express opinions and ideas, work together, and take action to strengthen communities" (http://novel.

Narcolepsy Essay -- Disorder Sleep Sleepy Health Essays

Narcolepsy Sleepiness, whether due to sleep apnea, heavy snoring, idiopathic hypersomnolence, narcolepsy or insomnia from any number of sleep-related disorders, threatens millions of Americans' health and economic security (1). Perhaps somewhat most concerning of these disorders are those that allow sleep without having any control over when it happens-idiopathic hypersomnolence and narcolepsy. The two are closely related in that both cause individuals to fall asleep without such control, yet narcolepsy occurs without any dreaming during naps (2). For years, narcoleptic people have been falling asleep in corners, concerned, as they have given numerous attempts to try to stay focused and awake. But besides the excessive fatigue that people experience, there surely must be more that can be associated with causing such sleepiness among people at an uncontrolled level. There might especially not be a reason involving the I-function of the brain, as people are not aware of when necessarily they will fall into their deep sleep. Narcolepsy has been clinically defined as a chronic neurological disorder that involves the body's central nervous system (CNS). The CNS is basically like a "highway" of nerves that carries messages from the brain to other parts of the body. Thus, for people with narcolepsy, the messages about when to sleep and when to be awake sometimes hit roadblocks or detours and arrive in the wrong place at the wrong time. This is why someone who has narcolepsy, not managed by medications, may fall asleep while eating dinner or engaged in social activities-or even at times when they are so focused on being awake, yet they cannot be due to their narcoleptic nature. In many cases, however, diagnosis... ...r personal grief. Works Cited: 1)Sleep Apnea, Snoring, Narcolepsy, Insomnia and Other Causes of Daytime Fatigue http://members.tripod.com/~sleephealth/sleepdisorderssleepapnea.html 2)Better Sleep Now! http://www.dreamdoctor.com/better/narcolepsy/6.shtml 3)Center for Narcolepsy: Symptoms and Diagnosis http://www.med.stanford.edu/school/Psychiatry/narcolepsy/symptoms.html 4)Living With Narcolepsy http://www.sleepfoundation.org/publications/livingnarcolepsy.html 5)Sleepnet.com Apnea Forum http://www.sleepnet.com/apnea18/messages/434.html 6)Seratonin: The chemistry of Well-Being http://www.angelfire.com/hi/TheSeer/seratonin.html 7)Sleep Channel: Narcolepsy http://www.sleepdisorderchannel.net/narcolepsy/treatment.shtml 8)Sleep: Alternative and Integral Therapies http://www.holistic-online.com/Remedies/Sleep/sleep_ins_food-and-diet.htm

Failure of Democracy Essay -- American History

Failure of Democracy According to David Herbert Donald in the article Why They Impeached Andrew Johnson, â€Å"Rarely has democratic government so completely failed as during the Reconstruction decade.† As voiced by Lincoln in his Gettysburg Address, the nation is a â€Å"government of the people, by the people, and for the people.† However, during the period of reconstruction, the government was far from this philosophy. Public opinion was all but ignored, and all matters were decided by either President or Congress. Southern voice in government policy was essentially nonexistent, and the former states were compelled by military rule to accept northern laws. Lincoln understood that in a democratic nation, the will of the public was very important, and he strove to act in accordance with their opinions. However, with the death of Lincoln, came a temporary end to these democratic principles. Andrew Johnson’s fundamental flaw was his inability to associate with the public and make decisions that were countenanced by a majority of the population. He was overly concerned with a swift integration of the former Confederacy into the Union. He acted spontaneously and irrationally without regard for other’s beliefs. â€Å"Johnson placed his own judgment over that of the overwhelming majority of northern voters, and this was a great error morally and tactically† (Garraty 421). Another mistake of Johnson was his alienation of the Republicans, the dominant party at the time. He consistently failed to cooperate with party leaders and agree on mutual resolutions to urgent problems that necessitated action. Johnsonian Reconstruction avoided the most controversial topic at the time – black rights. Nearly all Republicans, ranging from moder... ...uction era, democracy in the United States was completely unsuccessful, and most of the reason for this failure can be attributed to Andrew Johnson. A democratic government is meant to be indirectly run by the people, thus it is essential for their views to be considered. However, Johnson completely disregarded their opinions, and strove in vain to accomplish his own objectives. By doing this he alienated potential allies and his entire plan for reconstruction was disastrous. â€Å"Andrew John’s greatest weakness was his insensitivity to public opinion. In contrast to Lincoln, who said, ‘Public opinion in this country is everything,’ Johnson made a career of battling the popular will† (Donald 4). Johnson’s lack of political sagacity, his inability to cooperate with others, and his indifference to the will of the majority ultimately led to the downfall of democracy.

Speech Aboutlove

Speech about Love Love is known to be one of the most important human values. Everyone wants to love and to be loved! Virtually everyone is capable of this wonderful feeling. Love is of multifaceted nature. Sometimes because of it we may think that our  beloved people  have qualities they really do not have. At the same time, this  feeling  helps reveal all the positive features of  the person we love. Only true love is able to change people for the better. It makes us forgive and find happiness in the  happiness of a beloved man or a woman.Therefore,  love  is the most complex and the most deep human feeling. Sometimes love makes people do heroic things. Love can make life full of joy, fun and laughter. This feeling is able to give us a brand new life, help us gain new strengths and creative forces†¦ At the same time,  love is a very complex feeling  since it is associated not only with  tenderness and joy, but also with pain and tears. Everything is not a s simple as it may seem. That is why many writers compare love with  falling into the abyss. We are all different and we all express our love in different ways.The very notion of â€Å"love† has a completely different meaning to different people. But we all love and want  to be loved, and we are all united by this desire. This is the†¦greatest miracle. Those who don’t know what  love is†¦ Speech on Dreams Have you ever wondered how dreams come about†¦ whether the BFG really existed? That this huge giant would stalk around at night catching dreams to trap them into jars and blowing them into your ears to determine what sort of dreams you would have that night? Well, you will find out very soon. Good morning to one and all.Today, I will be delivering a speech on the topic ‘dreams'. I'm sure many of u here might find this topic strange. A speech? On dreams? You must be joking! Some of u might scoff. But perhaps, after listening, you might realiz e it is actually quite interesting. Did you know it is possible that you can get rid of your fear of something in your dreams, and that's because the things we are afraid of during the daytime often turn up again in our nightmares. We can make good use of this, however. It appears that some people deal with their daytime fears in their dreams.This was the case in the following example: A woman was awfully afraid of spiders. In a dream a big spider was approaching her. The hairy crawler came nearer and nearer, until it touched her. But she felt quiet, and not afraid. Afterwards she noticed that by day she was no longer afraid of spiders either. Sounds amazing? Well, this is not at all as mysterious as it sounds. ‘Overcoming your fear' in this way is also possible in your dream. Nightmares can be caused by some physical problem (a well known example is someone who dreams about fire and wakes up with a fever).Speech Friendship Friendship is when they push when you need it, but ne ver too hard and stand back when the time is right but never too far and the true test of friendship is if you’re willing to do it all back in a heartbeat. It’s when your life is so much better because your know them and they bring out the best that lies within. Good morning fellow classmates and Mr. Hampton. Today I will be talking to you about friendship and the important role that it plays in our lives. People today, in all this new world technology and thinking have lost sight of what a true friendship is.No way do friends have to be exactly the same, I mean come on friends do have similarities but they also have their differences. The key to opening up the world of friendship is not just to focus on the similarities but to accept each others faults because true friends do not judge each other. Friends love unconditionally. They do have their little angry moments from time to time but at the end of the day all is forgiven and forgotten. Why let something that happe ned in the past ruin what great friendship you could have together in the

Indigenous Religions Essay

(1) In chapter 2, the textbook author uses various terms for â€Å"indigenous religions†: traditional, aboriginal, indigenous, tribal, nonliterate, primal, native, oral, and basic. Select four or five of these terms and discuss why you believe each of those terms is applicable to the religions covered in this chapter. (2) Why do so many indigenous religions have such a reverence for nature? Indigenous religions have such a reverence for nature because they have deep respect for Earth. It has strong spirit, and lots of item that could contain spirit. Mother Nature offered them so much land to love and to do a favor back in return and shows their love to her. Nature is a living energy to some people belief the same as people. The word indigenous refers to land and earth as well, which involved nature itself. (3) Discuss several of the sacred practices that are common in indigenous religions. Some several sacred practices that are common indigenous religions are that they do are having dances around the fire. They sometime huddle together and do some kind of sacrifices or ceremony to show their holy respect for their belief. (4) Discuss the state of indigenous religions today. Short Answer Questions (2 points each): (5) What is animism? (6) In general, what is the relationship between the human and animal worlds among indigenous religions? (7) How do indigenous religions, in general, select their â€Å"sacred spaces†? (8) How are ancestors viewed in most indigenous religions? (9) What â€Å"big events† in life are usually marked by ceremonies in indigenous religions? (10) What is a taboo? What are some examples of taboos in our modern culture, and are they religious or cultural in nature? (11) What is a shaman, and what role does the shaman play in indigenous religions? Shaman is a scholar who help guide people on their spiritual journey.