Racial Disparities in Americas Justice System Research Paper

Racial Disparities in Americas Justice System - Research Paper Example Whereas the inequalities experienced in other areas of societies are steadily reducing, it is quite concerning that in the country’s criminal justice system, these inequalities continue to grow (LCEF & LCCR, 2000). A report by the National Council on Crime and Delinquency (NCCD), African Americans in the country are estimated to constitute about 13% of the country’s total population, however, despite this relatively low percentage, African-Americans are statistically estimated to constitute about 28% of all arrests. These figures by the NCCD are found to be similar to those of a report by Mauer (1999) that found that despite their constituting of only 13% of the total population, African Americans account for 40% of all the inmates that are currently being held in jails and prisons around the country. In addition to this, they also constitute about 42% of the total population on death row. In comparison, White American are estimated to make up about 67% of the country’s population and account for 70% of all the arrests that are made across the country. They account for 40% of all inmates that are held in prisons and local jails, this is a figure found to be similar to that of the African American population. Whites also make up about 56% of the total population that is currently on death row (Taxman & Byrne, 2005). Native Americans and Hispanics are noted to be alarmingly overrepresented in the United States Criminal justice system.  Ã‚  

Why Is HRT Prescribed For Menopausal Women

Why Is HRT Prescribed For Menopausal Women This dissertation to answer the research question (Why HRT is prescribed for menopausal women despite the risk of breast cancer?) was carried out as mentioned in the methodology section using the literature review methodology. The selected studies were appraised with the critical appraisal tools by the Public health resource Unit. The methodology of literature review had well assisted to review all the studies in the perspective of the other and divulge meaningful evidence and information which in a single study capacity would have been otherwise unnoticed. The Critical appraisal tools have assisted to review all the studies comprehensively to ensure there validity, reliability and applicability so that the result could be generalized to all the menopausal women population. The studies which have been reviewed were conducted in various settings with participants from all types of study population hence the results are a wholesome reunion of the existing predisposing factors with the associated risk of HRT in the incidence of breast cancer. ANSWER TO THE RESEARCH QUESTION Every doctor has the relief of the patient of utmost importance while prescribing a treatment and every treatment is meant to bring relief. And treatment has dose schedules, administration guidelines and perhaps side-effects which are generally explained by the doctor. But unlike other medicines there is a lot of unrest around the use of HRT though the associated risk when evaluated with other factors is not high. Keeping the results and conclusions derived from these studies in the present and elements for further research in front, it is seen that HRT does have benefits. These associated benefits with use of HRT according to this study are: 1) Use of HRT decreases the risk of death overall (Sellers et.al,1997) (Sener et.al, 2009) and is associated with recurrence, metastasis-free survival and better overall and disease-free survival than HRT nonusers in the univariate analysis irrespective of the start of menopause (Sener et.al , 2009) (Bonneir et.al, 1998) 2) HRT does not increase the risk of breast cancer when administered to women for whom other risk factors have been excluded (Tzingounis et.al, 1996). 2) There is an inverse relationship between HRT and mortality due to coronary heart disease, stroke and cancers other than breast (Sellers et.al, 1997) 4) Use of HRT gives fewer locally advanced cancers and smaller and better-differentiated cancers compared to non-users (Bonneir et.al, 1998). 5) HRT is a favourable prognostic factor for breast cancer. (Bonneir et.al, 1998) 6) Use of HRT counteracts the increased incidence of breast cancer with the lower incidence of other tumors. (Olsson et.al, 2001) 7) Long term HRT use has a favorable effect against colorectal and endometrial cancer. (Writing Group for the Womens Health Initiative Investigators, 2002) (Corrao et.al, 2008). 8) Use of trans-dermal HRT compared to the oral use of HRT is associated with lesser risk of breast cancer (Million women study collaborators, 2003) (Corrao et.al, 2008) which is presumed by the WHI, 2002. However these benefits depend on many other inter-connected factors of duration of use, age of the menopausal woman, past personal history of HRT used, family history related to breast cancer, dose of the HRT administered and type of HRT regime prescribed. These same factors affect the element of risk as well in the following way. 1) Risk of breast cancer may be increased with HRT use for duration of 5 years or less in women with family history of breast cancer (Sellers et.al,1997) (Olsson et.al, 2001). 2) Increased risk of breast cancer after prolonged use of HRT (Olsson et.al, 2001) (Sellers et.al, 1997) (Corrao et.al, 2008) (Sellers et.al, 1997) (Olsson et.al, 2001). This risk increased with increasing duration of use and decreased with time and reached at baseline with 5 years time. (Ewertz et.al, 2005) (Million women study collaborators, 2003) 3) Higher risk in current users than in past users which was greater for combined therapy than for other oral types of HRT (Million women study collaborators, 2003). 4) Women who used combined estrogen and progestin HRT regime are at increased risk of breast cancer (Stahlberg et.al, 2004) (Million women study collaborators, 2003) and Oral HRT use for long term had a higher risk of breast cancer than trans-dermal use of HRT (Corrao et.al, 2008). 5) Increased risk of breast cancer with current use of HRT in women of 50 years of age and above which increased with increased use. No increased risk in women between the ages of 40-49 (Ewertz et.al, 2005) (Million women study collaborators, 2003). 6) The risk of breast cancer increased in women who were current HRT users and had used OC in the past. (Lund et.al, 2007) 7) HRT users developed breast cancer at a younger age than non HRT users (Sener et.al, 2009). According to the synopsis of the issues and factors derived it can be concluded that there are benefits associated with use of HRT which mutually depend on the risk factors. And this is the reason why HRT is prescribed for menopausal women despite the risk of breast cancer. And these will again depend on gynecologist judgment and patients level of knowledge and awareness (2006). RECOMMENDATIONS To bring the optimal benefit with minimally associated risk, HRT could be prescribed to menopausal women for lesser duration which the studies present as 5 years. This duration which could be disputable and the age of the women also has to be considered with the link of different effects of HRT in different age groups would again depend on the individual gynecologists judgment and the patients compliance for regular follow up and mammographic screening. An attempt has been made to clear the otherwise existing dilemma of prescribing HRT or not but this again depends on many other factors which are most importantly the patients follow up and the doctors perception of the associated prescribing strategies. However more research is needed as within the limitations of this dissertation though it is possible to conclude that there are benefits associated with the use of HRT despite the risk of breast cancer; it is not possible to chalk out an effective prescribing strategy. And to bring any considerable changes a prescribing strategy and better patient compliance for follow-up would be needed. LESSONS LEARNT These total results, conclusions and opinions from the studies have presented some principle elements which could guide through the dilemma of prescribing HRT to yet another menopausal woman. 1) It is evident that duration has a role to play in the increase of the foresaid risk of breast cancer and that there is no risk with the use of HRT in the past. 2) A lot would also depend on the gynecologist or the physicians prescribing principles. It would be needed by them to follow some guiding factors like evaluating high-risk and low-risk women, family history and previous history of Oral Contraceptives which would vary for each patient. 3) A regular follow-up and timely check up as mentioned would help to catch otherwise unnoticeable breast changes. 4) Another factor which needs to be pursued for future research and studies is the type of HRT regimes. In routine HRT is prescribed orally hence less is known about other methods of administration which could perhaps assist in reducing the risk. 5) It would also be helpful to find if there is a link with the BMI and use of HRT. Generally obesity is linked to many diseases and unhealthy conditions and this would help to categorize women into high or low risk group. This dissertation has tried to bring up some associating factors which could help to extract the optimal benefits with lesser risk. This systematic approach has helped conduct this dissertation so as to answer the research question. However research in healthcare is never ending and is expanding every day (Aveyard, 2010). New studies with various designs are being conducted around this topic as I write my dissertation which will bring in more new opinions and evidences which will form base for yet another dissertation or study tomorrow to help develop a successful prescribing strategy.

Comparing the Opening Scenes of Romeo and Juliet and Macbeth Essay

The opening scene of any play is extremely important because it can play a major role in establishing key elements throughout the rest of the performance. The main elements are the characters, themes, language, settings and plot. The audience can form a basic idea of these elements involved to spark their interest in the play. There is a great deal of contrast between the opening scenes of â€Å"Macbeth† and â€Å"Romeo and Juliet†, both by William Shakespeare. The first scene of â€Å"Macbeth† by William Shakespeare is very short, but full of impact. The thunder and lightning alone give it a dramatic opening, which grabs the interest of the audience, as it is representative of evil. These dramatic sound effects help to set the eerie and supernatural atmosphere that Shakespeare wanted to create along with the witches. The witches introduce us to a dark, dangerous play, in which the theme of evil is central. The witches say little but we learn a lot about them from this first scene. The mood of the play is set in this opening scene, although the action doesn’t start until the next scene. The presence of supernatural forces in the opening scene of â€Å"Macbeth†, provides for much of the play’s dramatic tension and the mounting suspense. â€Å"When shall we three meet again? In thunder, lightning, or in rain?† This is the opening line of the play â€Å"Macbeth†. It immediately draws the audiences attention and captures their imagination, as the supernatural world fascinated people in Elizabethan England. At the time the play was first performed and at the time that Shakespeare was writing it, witchcraft was a great enemy of the state and people became enthralled by these peculiar, suspicious witches. Witch-hunts took place and many people were convicted o... ...beth† and â€Å"Romeo and Juliet† are utterly contrasting, they are both interesting and enjoyable in their own unique ways. Works Cited and Consulted Bradley, A.C. Shakespearean Tragedy. Toronto: Penguin Books Canada Ltd., 1991. Bryant, Joseph A., ed. William Shakespeare’s The Tragedy of Romeo and Juliet. New York: Penguin, 1990. Edwards, Terence. Twentieth Century Interpretations of Macbeth. New Jersey: Prentice-Hall Inc., 1977. Hunter, G.K. "Macbeth in the Twentieth Century." Aspects of Macbeth. Ed. Kenneth Muir Shakespeare, William. Tragedy of Macbeth . Ed. Barbara Mowat and Paul Warstine. New York: Washington Press, 1992. Watts, Cedric. Twayne's New Critical Introductions to Shakespeare: Romeo and Juliet. Boston: Twayne Publishers, 1991. Scott, Mark W. (Editor). Shakespeare for Students. Gale Research Inc. Detroit, Michigan. 1992 Comparing the Opening Scenes of Romeo and Juliet and Macbeth Essay The opening scene of any play is extremely important because it can play a major role in establishing key elements throughout the rest of the performance. The main elements are the characters, themes, language, settings and plot. The audience can form a basic idea of these elements involved to spark their interest in the play. There is a great deal of contrast between the opening scenes of â€Å"Macbeth† and â€Å"Romeo and Juliet†, both by William Shakespeare. The first scene of â€Å"Macbeth† by William Shakespeare is very short, but full of impact. The thunder and lightning alone give it a dramatic opening, which grabs the interest of the audience, as it is representative of evil. These dramatic sound effects help to set the eerie and supernatural atmosphere that Shakespeare wanted to create along with the witches. The witches introduce us to a dark, dangerous play, in which the theme of evil is central. The witches say little but we learn a lot about them from this first scene. The mood of the play is set in this opening scene, although the action doesn’t start until the next scene. The presence of supernatural forces in the opening scene of â€Å"Macbeth†, provides for much of the play’s dramatic tension and the mounting suspense. â€Å"When shall we three meet again? In thunder, lightning, or in rain?† This is the opening line of the play â€Å"Macbeth†. It immediately draws the audiences attention and captures their imagination, as the supernatural world fascinated people in Elizabethan England. At the time the play was first performed and at the time that Shakespeare was writing it, witchcraft was a great enemy of the state and people became enthralled by these peculiar, suspicious witches. Witch-hunts took place and many people were convicted o... ...beth† and â€Å"Romeo and Juliet† are utterly contrasting, they are both interesting and enjoyable in their own unique ways. Works Cited and Consulted Bradley, A.C. Shakespearean Tragedy. Toronto: Penguin Books Canada Ltd., 1991. Bryant, Joseph A., ed. William Shakespeare’s The Tragedy of Romeo and Juliet. New York: Penguin, 1990. Edwards, Terence. Twentieth Century Interpretations of Macbeth. New Jersey: Prentice-Hall Inc., 1977. Hunter, G.K. "Macbeth in the Twentieth Century." Aspects of Macbeth. Ed. Kenneth Muir Shakespeare, William. Tragedy of Macbeth . Ed. Barbara Mowat and Paul Warstine. New York: Washington Press, 1992. Watts, Cedric. Twayne's New Critical Introductions to Shakespeare: Romeo and Juliet. Boston: Twayne Publishers, 1991. Scott, Mark W. (Editor). Shakespeare for Students. Gale Research Inc. Detroit, Michigan. 1992

Promoting and Protecting Public Health

– Evaluate the effectiveness of promoting and protecting public health . Lung Cancer [pic] One of the campaigns is lung cancer campaign ‘got a cough, get a check! ’ it shows the symptoms of lung cancer, saying that if you are coughing a lot or if you cough up blood, neck pain and shortness of breath to see your doctor. This will mean that people can be checked earlier than leaving it for it to just get worse.Lung cancer is the most common cause of death ‘’it is known that smokers and ex-smokers have a particularly high risk of developing the disease: although most lung cancers are related to smoking, 10% of people with lung cancer have never smoked. ’’ (http://lungcancercampaign. org/patient-information/). Which links to the smoking campaigns, in 2013 the department of health launches new anti-smoking campaign which highlights cancer risks. ‘’ The campaign has been developed on the back of research which shoes that more than a third of smokers still believe that the health risks associated with smoking are â€Å"greatly exaggerated†. ’ (http://www. guardian. co. uk/media/2012/dec/28/new-year-anti-smoking-campaign-cancer-risks). This campaign will be advertised on the TV and also on billboards; I think that this campaign unlike other will be a lot more effective as the images I feel are disturbing. The campaign advert shows that when you smoke the chemicals you inhale cause mutations in your body, a mutation are how cancer starts. Every 15 cigarettes you smoke will cause a mutation. If you could see the damage you’d stop! [pic]After the advert it shows you were to go to quit smoking, by getting help and get the quit packages. Which is free from the NHS (one of the socio economic factors), the national no smoking day proves that ‘’helping over 1. 5 million smokers quit for good since 1984. And around three quarters of a million people make a quit attempt each No Smoking Day’’(http://www. nosmokingday. org. uk). Which shows that smoking campaigns are working as more people are trying to quit and lot of them are succeeding.Quitting smoking will be a big help on the amount of people who are being diagnosed with lung cancer. Another lung cancer campaign is the Roy Castle Lung Cancer Foundation, they have a website which shows people about lung cancer and then how to get in contact for help; they have supporting group to find out how to cope and understanding lung cancer will help the individual find what they need. They have many fundraising and events to help raise money for treatments and to make more campaigns on risks of lung cancer and symptoms of lung cancer.The Roy Castle Lung Cancer Foundation have many campaigns, one of them being supporting the plain packs on cigarettes as ‘’every year, another 340 000 children in the UK are tempted to try smoking’’ (http://www. roycastle. org/news-and-campaigning). [p ic] ‘November is lung cancer awareness month’ and ‘Women against lung cancer’ is some of the campaigns that they run. They also have a campaign aimed at young people who smoke which is known as the Anti-Tobacco Youth Campaign, it is a campaign to make younger people stop smoking at a younger age as the longer a person smokes the higher the risk of cancer is.It aims at making youngsters feel strong enough not be influenced to smoke by social factors. This foundation also wrote to the prime minister, to explain the statistics that they have found about the amount of people dying each year due to lung cancer and smoking. It also says what they want the government to take action on – continue to support work raising awareness of lung cancer signs and symptoms, protect lung cancer clinical nurse specialist posts, ensure continuation of national lung cancer audit and continue to support investment in stop smoking service provision.This is the link to the l etter they send to the prime minister —- http://www. roycastle. org/news-and-campaigning/Campaigns/Open-Letter-to-the-Prime-Minister. [pic] The graph above shows that the amount of deaths from lung cancer related to smoking is dropping after in 1964 it was at its highest rates, but the rate for women dying from smoking related deaths/lung cancer is increasing whereas for men it is decreasing. For lung cancer I feel like there is a lot of campaigns that are helping to minimise cancer for example the national none smoking day ‘’ helping over 1. million smokers quit for good since 1984. And around three quarters of a million people make a quit attempt each No Smoking Day’’. (http://www. nosmokingday. org. uk/). However although all these campaigns and advertising are helping, what happens if people don’t watch the TV much as they are working most of the day then have children, they don’t pay attention to the adverts and also don’t have time to go to different events like the national no smoking day holds.Therefore I think for the future the government should have more advertising on the risks of smoking around the public for example on the windows of the local shops, so when people go in to buy their packs of cigarettes they notice the warning. Also the price of cigarettes should continue to go up, with less jobs these days if people are having to pull out more and more money they may realise cigarettes are too much and they need to spend the money on supporting their family. Sexually Transmitted DiseasesUnfortunately there are not many campaigns for sexually transmitted diseases; one of the most popular ones that people know about is about chlamydia. The chlamydia campaign is the chlamydia screening campaign; it is encouraging people the age of 16-24 to get tested for chlamydia as there are no obvious symptoms for this STI. [pic] There is also a TV advert, from the health protection agency saying that how ma ny people do you need to sleep with before you get chlamydia. I think this campaign is affective as it is confidential, all you need to do it test a number to get a test send out then you post it in – no one needs to know hat you have taken one. Because it is confidential I think more and more people will feel confident to take the test after having sex with someone. However, because this is only for 16-24 year olds this is the bad point that if you are over 24 then you cannot take the test? So what happens if someone is over the age of 24 and think they have chlamydia, how do they get tested and treated? And the age of woman who are catching STIs are rising as there are more divorces these days, so this means they are finding more sexual partners. pic] ‘’Data from the Health Protection Agency (HPA) indicates a worrying increase in sexually transmitted infections with sexual health clinics reporting 482,700 new cases in 2009, which is an increase of around 12,000 on the previous year’’ (http://www. guardian. co. uk/society/2010/aug/25/sexually-transmitted-infections-hit-record-high). The government issuing C cards which is free condoms to attempt to address STI’s. However there are competencies around this, in this case it is called Gillick competencies i. e. he person needs to be assessed as capable and knowledgeable etc. Gillick competence is a term from the law to indicate if a child under the age of 16 is able to consent their own medical treatment. Relating to contraception the Gillick came up with the decision that the prescription of contraception was a matter for the doctor's discretion, and that they could be prescribed to under sixteen’s without parental consent. This is good as many sixteen year olds or under who are sexually active, don’t want to inform their mam or dad that they are having sex.So if they can go and get contraception without parental consent they it will be proven that more kid s are having protected sex. [pic] The chart above shows that over the 4 years from 2006 to 2010 rates aren’t decreasing; in fact there are more people now with chlamydia. There also was a huge increase in those affected with syphilis; although it did decrease a little it isn’t totally decreased. This makes me believe that what the government is doing to prevent STIS and make more people have safe sex isn’t working. They need a different or bigger approach to it!There aren’t enough campaigns on sexually transmitted infections the only one that people know of is the one on chlamydia, which is not linking with gonorrhoea as the test now covers both. I think that the government need to advertise more campaigns on the TV, as there isn’t many that is scaring people of what sleeping with many sexual partners is doing to them. I think it should be more disturbing, not just the symptoms advertised there should be adverts that show what it is doing to the bo dy especially in the long run if the infection is not treated. Reference ttp://lungcancercampaign. org/patient-information/ (accessed 8. 3. 13) http://www. guardian. co. uk/media/2012/dec/28/new-year-anti-smoking-campaign-cancer-risks (accessed 8. 3. 13) http://www. nosmokingday. org. uk (accessed 8. 3. 13) http://www. roycastle. org/news-and-campaigning (accessed 8. 3. 13) http://www. roycastle. org/news-and-campaigning/Campaigns/Open-Letter-to-the-Prime-Minister (accessed 8. 3. 13) http://www. guardian. co. uk/society/2010/aug/25/sexually-transmitted-infections-hit-record-high (accessed 8. 3. 13) http://www. nosmokingday. org. uk/ (accessed 27. 3. 13)

Sakamoto Ryoma’s Life and Beliefs

Part 1: Introduction a- In 1866 a young samurai of low bearing forged an alliance that would change a nation and bring about the end of 265 year old Shogunate. b- Sakamoto Ryoma was an Imperial Loyalist whose efforts were essential in bringing about the Meiji restoration. c- In 1853, Japan was introduced to the western world by Commodore Perry. Ryoma began to feel that Japan's policy of isolationism was becoming detrimental to their society.He and a few others dared to defy the will of their Shogun to restore power to the Emperor and open Japan to the West. d- Through his determined formation of an alliance and lans for a better future, Sakamoto Ryoma changed the course of an entire nation. Part 2: Section 1 a- Sakamoto Ryoma was born on January 3, 1836, the second son of a well-to-do family. In 1853, while Ryoma was in Edo mastering his already formidable skill in swordsmanship, Commodore Perry and his â€Å"Black Ships† sailed into Edo bay.The experience of seeing the ships had a profound effect on Ryoma and while he envied the power and technology of the west, he became a xenophobe. In 1854, Ryoma returned to his home domain of Tosa and for two years spoke to Kawade Shoryo, one f the few Japanese with knowledge of western culture. From him Ryoma learned the nuances of western political, economic, and social systems. Ryoma was interested in the fact that there were no class distinctions in America and began to feel that a reform in the Japanese government.He returned to Edo in 1856 and Joined the Tosa Loyalist Party a political group that wanted a reform in the Tosa government. Ryoma later left the group and Tosa as he felt that a reform was needed throughout Japan, not Just Tosa. Since no one was allowed to leave his clan on pain of death, Ryoma was forced to use the alias Saitani Umetaro. – â€Å"He was one of the youngest patriots, yet at the same time he wanted Japan to have its own ships like the Black Ships of the United States. † S ource: â€Å"Sakamoto Ryoma. † – New World Encyclopedia.