Wednesday, January 29, 2020

Why Was There a Spanish Armada Essay Example for Free

Why Was There a Spanish Armada Essay England and Spain have had religious differences since Henry VIII changed England into a protestant country as a result of the divorce his first wife, Catherine of Aragon. When Henry died his son, Edward I, was a strong protestant and reinforced the protestant faith in England. When Edward I died at the age of 15, his half sister Mary became Queen. She was a strong Catholic, and this resulted in England returning to the Catholic religion which resulted in the persecution of non-Catholics. She married King Phillip of Spain who was also a devout Catholic. When Mary died, her half sister Elizabeth I became Queen of England, who immediately stopped the persecutions of non- Catholics and changed England back to protestant. The main reason for the Armada was because King Phillip of Spain wanted to take over England and to change it back to Catholic, just as Elizabeth had turned it protestant. King Phillip offered to marry Elizabeth thinking that he could have control over English politics and persuade her to keep the Catholic faith. After she refused his offer he made several failed attempts to kill Queen Elizabeth to replace her with a Catholic Monarch, Mary, Queen of Scotts. King Phillip was getting angry with Queen Elizabeth because she was letting English pirates attack Spanish ships as long as she got a percentage of the spoils. She also offered to help Protestants who rebelled against Spanish rule in the Spanish Netherlands. Elizabeth ordered the execution of her cousin Mary Queen of Scots, which convinced King Phillip to attack England. Queen Elizabeth knew that King Phillip had a big fleet of ships and lots of essential supplies. She sent the Royal Navy to do a surprise attack on the Spanish ships at the harbor in Cadiz. The British attacked and damaged several warships, some very severely. They also destroyed the barrels of food, water, and gun powder on the ships. They had to make new ones but they did not let the barrels dry long enough which caused the contents to spoil. The food rotted, the water became undrinkable, and the gun powder was useless. This delayed the Spanish Armada attack for one year.

Tuesday, January 21, 2020

Elie Wiesels Night Essay -- Essays Papers

Night In Night, by Elie Wiesel, there is an underlying theme of anger. Anger not directed where it seems most appropriate- at the Nazis- but rather a deeper, inbred anger directed towards God. Having once been a role model of everything a â€Å"good Jew† should be, Wiesel slowly transforms into a faithless human being. He cannot comprehend why the God who is supposed to love and care for His people would refuse to protect them from the Germans. This anger grows as Wiesel does and is a constant theme throughout the book. Early in Night, Elie Wiesel begins to express doubt about his faith. Some talked of God, of his mysterious ways, ...and of their future deliverance. But I had ceased to pray. How I sympathized with Job! I did not deny God’s existence, but I doubted His absolute justice. (42) A good example of the mental shift occurring within Wiesel, this passage. Having grown up as a child of extreme faith in God and his divine power, this is a striking contrast of spiritual views. Young Wiesel once spent hours praying to God when he had very little concerns (especially when compared to his concerns in the concentration camp). Now that he is in a very trying time, one would think that his faith would be something he would desire to find comfort in. The tone of the first sentence almost sounds sarcastic- as if Wiesel thinks it odd that his people would even consider praying at all. He seems to view himself as being above all of that, not needing his faith- as he felt it could (or would) do nothing to help save him. In Wiesel’s sympathizing with Job, I see a contradiction, however. Job was a man of tremendous faith in God who, even when everything (famine, pestilence, death of all of his family, disease, poverty) went wrong, he still had faith in God. Job never doubted that the Lord would sustain him and support him. While on the other hand, Wiesel has given up all hope that he will be rescued by his faith. He has not stopped believing in God, however. Perhaps he has stopped believing in the particular God he has grown up worshiping. The last sentence shows us that he still believes that there is a God, he simply no longer trusts him. He feels as though his people have been betrayed and God is allowing the Jews to become victims for no apparent reason. As Night progresses, Wiesel becomes increasingly more hostil... ...see the inner reckoning of Wiesel to the conflict he has been fighting within himself. Until now, Wiesel has felt guilty about his growing distrust in God. Since childhood, the focus of the young boy’s life has been spiritual- and now he feels betrayed. He even goes as far as saying that he, the accuser, is accusing God himself. Wiesel goes on to say that his was alone- â€Å"terribly alone.† There is nothing in this world- religion, man, love, mercy- except Wiesel himself. This is ironic, seeing that he and the other Jews were so tightly packed into first the ghetto, then the trains, finally the camps themselves. It would seem- physically, at least- that Wiesel was closer to more people at this point than ever before in his life. He tells us, however, that he feel as though he is terribly, terribly alone. Wiesel talks of feeling that he is stronger than God. He sees those around him as being weak because of their need for God. Needing anything while in captivity can only make him weaker and more vulnerable. Because Wiesel feels abandoned and has calloused over his need for God, he feels stronger than the rest of the Jewish people- stronger even than the One they need.

Monday, January 13, 2020

New Code Raises Standards of Pharmaceutical Ethics and Practice in UK Essay

1. Introduction Pharmacists play a role in the public health system and the provision of medical care public health system as critical as that of physicians. Most of the time, pharmacists only fill the prescriptions coming from physicians, but pharmacists often need to prescribe and dispense medicines on their own, especially over-the-counter drugs that people usually use for self-medication of common ailments.   With less prudence and circumspection, pharmacists may prescribe medicines that do more harm than good.   In recognition of these potential threats to the integrity of the pharmaceutical profession, the Royal Pharmaceutical Society of Great Britain (RPSGB) has developed a new code of ethics and performance framework, which provide that pharmacists and pharmacy technicians in the whole of UK receive quality education necessary for fostering the knowledge, skills, attitudes and values to provide a consistent and safe practice. In formulating the new pharmaceutical code of ethics, the Society, as the RPSGB is more popularly known in UK, noted how the profession has been smeared by controversies involving some of its members, regarding issues on assisted suicide, making a prescription error, sedating an unruly patient, dispensing high-cost drugs and recommending treatment that would allow parole7,,8.  Ã‚   This paper discusses the revised code of ethics for British pharmacists and pharmacy technicians as to the likelihood of its lifting the professional practice of pharmacy to new heights of ethical proficiency and integrity. 2. Literature Review The requirements of the revised code reflect key issues for modern pharmacy practice, such as encouraging patients to be involved in decisions about their care, respecting patient choice and working in partnership with other healthcare professionals8.   All the provisions of the code are supposed to reflect in the conduct, practice and performance of pharmacists and pharmacy technicians, designed as it is to promote and support a culture of accountability and professional judgment.  Ã‚   For this reason, the code sets out seven principles of ethical practice that pharmacists or pharmacy technicians need to observe in the pursuit of their profession.   2.1. Key Principles The revised code of ethics is based on seven principles, each of which is supported by requirements that explain the types of actions and behaviors expected of pharmacists and pharmacy technicians when applying said principles in practice. The seven principles are: 1) make the care of patients the pharmacist’s first concern; 2) exercise professional judgment in the interests of patients and the public, 3) show respect for others, 4) encourage patients to participate in decisions about their care, 5) develop professional knowledge and competence, 6) be honest and trustworthy, and 7) take responsibility for your working practices. Unlike previous versions, detailed standards and guidance will be produced separately from the code. Seven professional standards and guidance documents have also been developed to support and expand on the principles of the new code of ethics in the following areas: †¢ Patient consent †¢ Patient confidentiality †¢ Sale and supply of medicines †¢ Pharmacist prescribers †¢ Pharmacists and pharmacy technicians in positions of authority †¢ Advertising †¢ Internet pharmacy This means that people are forbidden to accept pharmaceutical work when they do not possess the necessary skills and competence7.   If they do have the proper knowledge and experience, the code says that the pharmacist should start work by establishing the scope of his role and responsibilities and clarifying any ambiguities or uncertainties about where his responsibilities lie.   In addition to complying with his legal and professional obligations, the pharmacist is also expected to keep up to date with and observe the laws, statutory codes and professional obligations relevant to his particular responsibilities8.   2.2. Role and Responsibilities If subject is a pharmacy owner, superintendent pharmacist or pharmacy manager in a hospital, trust, or other field of practice, the code obliges him to set the standards and policies for the provision of pharmacy services by his organization.   The idea is to make the organization – its premises, departments or facilities – properly maintained so that none of its activities would bring the pharmaceutical profession into disrepute.   For this purpose, all the medicines, pharmaceutical ingredients, devices and other stocks at the pharmacy premises or facilities are stored under conditions appropriate to the nature and stability of these products.  Ã‚   In hiring people, management of a pharmacy must conduct background check to ensure that they are qualified for the job and have no criminal records1. The code deems it important that the people employed in a pharmacy are conscientious enough to raise concerns about risks to patients or the public.   Thus, the pharmacy should emplace an appropriate and effective mechanism for staff to raise concerns about risks to patients or the public, including concerns about inadequate resources, policies and procedures, or problems with the health, behavior or the professional performance of others.   2.3. Ethical Development Ethical practice in any profession is commonly perceived to be the outcome of good education and training.   However, studies in the UK context reveal that classroom discussion and experiential clerkship training have no significant impact on the ethical decisions that pharmacists make later3.   In an interview of pharmacy students regarding parole and drug rationing, it was found that majority would recommend treatment to allow parole and restrict the use of expensive drugs6. The ethical choice here is between the benefits to the patient and the risks or costs to society. On physician-assisted suicide or euthanasia, few students expressed willingness to dispense any lethal dose of medication to terminally ill patients.   In cases of unruly patients, however, more students would dispense the appropriate sedative.   These responses give rise to questions so to whether pharmacy students are trained to be patient-focused in their future practice3. The code also specifies training on such aspects of pharmaceutical practice as good consultation skills and meticulous record keeping.   To the code, it matters if pharmacists forget to ask questions in a medication review or in dispensing a repeat prescription; or misinterpret body language and miss cues from patients about emerging problems. The reason is that pharmacists may be the only healthcare professional the patient is seeing routinely so it matters if they miss something or handle a clinical situation poorly.   2.4. Advertised Drugs A recent randomized controlled trial using model patients found that patient requests for advertised drugs were a stronger determinant of prescribing decisions than whether or not the patient had the condition the drug aimed to treat2. Another study of prescribing decisions in response to patient requests found that if a patient asks for an advertised brand, he usually receives it, although the physician is more likely to be ambivalent about these prescribing decisions6. These studies suggest a need for physicians and pharmacists to receive adequate training on how to respond to patient requests. The global withdrawal of the drug Rofecoxib from the market in 2004 illustrates this point. Rofecoxib was no more effective than alternative non-steroidal anti-inflammatory drugs in treating the symptoms of arthritis but it was widely promoted as safer and accepted by the public as such. Although there were studies that it brought the side effect of increased heart disease risks, the drug made it big in the market, with 80 million prescriptions worldwide3.   The market success of the drug is a testament to the triumph of marketing over science.   Only after the US Food and Drug Administration reported 35,000 cases of cardiac arrests and a congressional investigation was consequently held that the drug was pulled out.   The incident highlighted the need to ensure that health professionals are adequately prepared to evaluate promotional claims, and to assess and understand interactions with the pharmaceutical industry2. 3. Discussion Educators in many countries are clearly aware of the influence of pharmaceutical promotion on the health professions and wish to prepare students for this aspect of their professional lives. As a physician educator from India said, â€Å"†¦Whatever rational things we want to inculcate in them, that should be done in the student period itself. Once they taste big money then habits develop and later die hard9.†Ã‚   This is precisely the habit the code of ethics for UK pharmacists seeks to discourage. On pharmacy education, the literature agrees that there is no consistent, well-designed and deliberate approach to teaching students ethics during clerkship. Moreover, it has been observed that factors such as life experiences and normal maturation are likely to contribute to the students’ ethical development.   Acknowledging these limitations, the code simply seeks to determine if there were noticeable changes in the ethical decisions made by students at different points in their education. Since it was seen that classroom and clerkship experiences do not impact on the ethical decisions made by pharmacy students, the code encourages pharmacy schools to attend to this problem.   On top of the proposed agenda is a revision of the curriculum such that it can provide a deliberate and consistent ethical component to the clerkship experience5. A review of ethics literature in medicine and pharmacy found that pharmacy schools lag considerably behind medical schools in the integration of ethics into the curriculum1.   Additionally, medical schools were found to use a more patient-oriented approach to teaching ethics.   It is believed that a patient-oriented, clerkship-based approach could enhance ethics education and is worthy of further study.   The Society is thus currently making efforts to more effectively design and study alternative approaches to ethics education during clerkship, and throughout the pharmacy curriculum8. 4. Commentary The finding that pharmacy students do not learn ethical behavior from their classroom and clerkship experience in UK casts doubt on full compliance with the code of ethics for this type of healthcare professionals. The above studies conclude that students have a less defined professional ethical system, which may be due to a lack of pharmacy practice experience. They recommend that further studies be done to document the ethical growth and development of pharmacy students. Other authors have suggested that future studies longitudinally evaluate the influence of pharmaceutical education and training on the moral development and ethical behavior of students. Furthermore, it has also been suggested that ethics education should include both theoretical and practical components.   If the code of ethics has to influence the practice of pharmacists and pharmacy technicians, concerned authorities must take these suggestions to heart.   Otherwise, the code will only be good on paper.

Sunday, January 5, 2020

The Emperor Is Wearing No Clothes, By Mark Henkal

Mark Henkal is the self-described National Polygamy Advocate. In his speech â€Å"The Emperor is Wearing No Clothes,† he argues the case of why Christian polygamy should be accepted. He uses four main points to get his opinion across: grace-law hypocrisy, polygamists in the Bible, the meaning of adultery and one flesh, and prohibitions of leaders in the Bible. An individual with little to no Biblical knowledge might find that his argument makes sense. Just listening to the speech, without any critical thinking involved, might even persuade those with slightly more Biblical knowledge. Although outwardly he may seem to make solid arguments, there is much more to the polygamy argument than he brought forth. The first justification for polygamy that he presents is that it was not banned, but was regulated under the law, therefore causing polygamy to be an accepted form of lifestyle. The verses given to support this claim are Exodus 21:10, â€Å"If he marries another woman, he mus t not deprive the first one of her food, clothing, and marital rights,† and Deuteronomy 21:15, â€Å"if a man has two wives†¦,† but there are issues with how these verses are being used. The Bible is not addressing the issue of polygamy in these verses. They are being taken out of context and bent to please the will of one man; the former is under the context of servants and the latter is about the rights of the firstborn son. Based on this, I would say that this point invalid and not worth further discussion. The