Thursday, May 21, 2020

Drugs in Prison Essay - 3335 Words

Abstract This research paper will consist of an analysis of the use and abuse of illicit drugs within the prison systems on a global basis. With information gathered from various sources such as the internet and one on one interviews with an inmate in a male correctional facility and a former inmate of a female correctional facility I intend to show the rampant flow of drugs in and out of the prison system, the control of (or lack there of) by prison officials, the drug gangs and dealers in correctional facilities, the rate of addiction, and treatments available to inmates suffering from addiction. The introduction of drugs into the prison system has been an issue for corrections staff for many years. Prison officials†¦show more content†¦Even though the men and women behind the walls are segregated from the outside world, the same trials and tribulations you or I must deal with each day are also dealt with by inmates. When looking at the reason why inmates feel the need to escape from reality, the same reasoning factors apply to those whom are not incarcerated choosing to abuse drugs. Low self-esteem, the inability to cope with the crime or crimes committed that caused incarceration and the deterioration of family relationships are just a few of the reasons inmates use to turn to the use of drugs. At one point in time the high percentage of men and women who are drug abusers were a minority in the prison population worldwide. In 1998 Paul Turnbull explored the prison population and found Â…30% of prisoners in the United Kingdom, two thirds of the prison population in the United States, and 25% of probation and prison population in Sweden are believed to be dependent drug users (Turnbull and Webster 1998).# Studies have also found that inmates with previous drug abuse history are in fear of punishment when requesting treatment. Inmates who need to have drug treatment do not receive any assistance as their fear of punishment is overwhelming thus causing inmates to continue with their drug behavior. The drug treatment options available to inmates varies on the country in which the individual is incarcerated. TheShow MoreRelatedOvercrowded Prisons and the War on Drugs1178 Words   |  5 PagesThe War on Drugs One must wonder if the war on drugs helps or hinders our American Criminal Justice System when you look at the overwhelming impact it has had on crowding issues within our prisons. At the present time there are over 1.5 million people in prison, 59.6 % for drug offenses alone. The war on drugs started over 100 years ago in San Francisco, California when the first law against drugs was enacted to stop the smoking of opium. In all actuality, this law was against the ChineseRead MoreShould Drug Addicts Be Prison? Essay1771 Words   |  8 PagesIn discussions of drug addicts, one controversial issue has been whether to send drug addicts to prison or rehab. The issue presented is the cause of why drug addicts are sentenced to jail time rather then being sent to a rehab facilitation. Due to how addicted they are to drugs, many believe that prison will help them, Drug addicts should be placed in a rehab center so that they can get the help that they need. Addiction may be a societal problem, but more than anything else it is an individualRead More Drugs in the Prison System Essay3203 Words   |  13 PagesDrugs in the Prison System This research paper will consist of an analysis of the use and abuse of illicit drugs within the prison systems on a global basis. With information gathered from various sources such as the internet and one on one interviews with an inmate in a male correctional facility and a former inmate of a female correctional facility I intend to show the rampant flow of drugs in and out of the prison system, the control of (or lack there of) by prison officials, theRead MoreShould Violent Drug Offenders Be Prison?1049 Words   |  5 PagesThere has been debate over whether non-violent drug offenders belong in prison. Some believe all drug offenders should be put in prison, others believe that it depends on circumstances, and, still others believe only violent drug offenders should be incarcerated. Overcrowding is one point of contention. It seems as though the slightest infraction can land a person in prison. Violence is rampant, whether inmate versus inmate or inmate versus guard. Rehabilitation or education is practically non-existentRead MoreIs Drug Treatment a Viable Alternative to Prison Time? Essay1113 Words   |  5 PagesPrisons and county jails are extremely over populated, so over populated that in some jails inmates are sleeping on the floors. According to Senator Jeanne Shaheen (From Senator Jeanne Shaheen: Prison Overcrowding, 2011), the federal prisons are currently 35 percent over their capacity. The overc rowding is costing the criminal justice system and taxpayers more money to transfer inmates to other facilities and in lawsuits brought by inmates against the prisons. With the prisons and county jailsRead MoreThe Private Prison System War On Drugs And Mass Incarceration883 Words   |  4 PagesThe Private Prison System War on drugs and Mass Incarceration A private prison or for-profit prison is a place in which individuals are physically confined or incarcerated by a third party that is contracted by a government agency. Private prison companies typically enter into contractual agreements with governments that commit prisoners and then pay a per diem or monthly rate, either for each prisoner in the facility or for each place available, whether occupied or not. Such contracts may be forRead MoreAmericas War on Drugs - The Prison Industrial Complex Essay911 Words   |  4 Pagesviewing the documentary: Americas War on Drugs - The Prison Industrial Complex, it is clear that the Criminal Justice System is in desperate need of reconstruction and repair with policies such as the mandatory minimum sentencing act which has proven to be unsuccessful and unjust in its efforts to deter criminals from committing illegal acts as seen with the increase of incarcerations of the American people and the devastating effect it has had on those in pris on and the family members of those incarceratedRead MoreWomen Who Use Drugs Are Caught Up Within A Cycle Of Prison And Reoffending1052 Words   |  5 PagesWomen who use drugs tend to be caught up in a cycle of prison and reoffending. The article written by Margaret Pereira is her personal account of the damaging effect that incarceration can have on a woman and her family. Pereira posits that something should be done to curb the cyclical nature of drug use and incarceration. She notes that since the advent of the war on drugs the amount of offenses created by arresting drug users has increased the workload of officers significantly, rather thanRead MoreShould Drugs Be Legalized?1239 Words   |  5 Pages80-90% of all inmates are incarcerated due to drug related crime or robbery to help pay for their drugs that they owe money on. For these inmates dealing with drugs is something very normal in their lives. Drugs being involved in prisons is also something that is very similar to the world. Prison guards find an inmate trying to smuggle in drugs at least once a week. As seen on Orange is the New Black in many episodes in season 2 and 3 the inmates smuggled in tobacco for cigarettes and Nicky got inRead More235764916 CJA 394 Week 1 Criminal Justice Overview Paper SAMPLE page only1665 Words   |  7 Pagesï » ¿ Select one of the following issues: †¢ Racial profiling †¢ Prison overcrowding †¢ The war on drugs †¢ Increased use of technology †¢ Cultural diversity Write a 1,050- to 1,705-word paper addressing how your selected issue affects the criminal justice system as a whole. †¢ Describe some of the change(s) the criminal justice system as a whole has made in response to the issue you selected. †¢ Include your opinion on whether the changes are sufficient. Should more changes be made, and if so, what changes

Wednesday, May 6, 2020

Practical Implementation Tips Type 2 Diabetes (T2Dm).

Practical Implementation Tips: Type 2 Diabetes (T2DM) 1. Identify those at high risk of T2DM on your practice register The State of the nation 2016 (England): time to take control of diabetes1 report from Diabetes UK warns us that 5 million people in England are at high risk of developing T2DM. We have high quality evidence from several international diabetes prevention studies2 that early lifestyle intervention can reduce both long-term progression to T2DM, and long-term incidence of cardiovascular all-cause mortality. Based on this evidence, the NHS Diabetes Prevention Programme3 was launched during 2016 to provide individualised lifestyle support for those at high risk of T2DM. NICE Public Health Guidance 38 â€Å"Prevention of T2DM†¦show more content†¦If repeat test is also 48mmol/mol, then a diagnosis of T2DM can be established o If HbA1c 42-47mmol/mol this suggests high risk of diabetes; follow flowchart above o If HbA1c 30kg/m2 †¢ Previous macrosomic baby weighing 4.5kg †¢ A family history of diabetes (1st degree relative with diabetes) †¢ A minority ethnic background with a high prevalence of diabetes (e.g. South or East Asian, Middle Eastern, Afro-Caribbean, Hispanic) †¢ Previous GDM †¢ 2+ glycosuria on antenatal screening (or 1+ on two or more occasions during pregnancy) NICE NG3 Diabetes in Pregnancy11 recommend we diagnose GDM as follows: †¢ A FBG ≠¥5.6mmol/l or a 2-hour blood glucose post 75g oral glucose tolerance test ≠¥7.8mmol/l †¢ As you can see, these thresholds are much lower than we would use to diagnose T2DM in the non-pregnant individual; we need to ensure that we do not miss this significant diagnosis GDM greatly increases the risk of future T2DM12, however, many women with GDM are unfortunately lost to follow-up after pregnancy, often understandably due to busy family lives13. NICE NG3 Diabetes in Pregnancy11 recommend we follow-up those with GDM as follows: †¢ Offer lifestyle advice and check a FBG at 6-13 weeks after birth in those women with GDM. Do not routinely offer an oral glucose tolerance test o Pragmatically, this could comprise part of the routine 6-week post-partum check †¢ If the FBG is ≠¥7mmol/l, a diagnosis of T2DM can be

Apush Notes Chapter 8 Free Essays

string(51) " numerous where the Anglican Church was strongest\." A. P. U. We will write a custom essay sample on Apush Notes Chapter 8 or any similar topic only for you Order Now S. History Notes Chapter 8: â€Å"America Secedes from the Empire† ~ 1775 – 1783 ~ I. Congress Drafts George Washington 1. After the bloodshed at Lexington and Concord in April of 1775, about 20,000 Minutemen swarmed around Boston, where they outnumbered the British. 2. The Second Continental Congress met in Philadelphia on May 10, 1775, with no real intention of independence, merely a desire to continue fighting in the hope that the king and Parliament would consent to a redress of grievances. a. It sent another list of grievances to Parliament. . It also adopted measures to raise money for an army and a navy. c. It also selected George Washington to command the army. 1) George had never risen above the rank of colonel, and his largest command had only been of 1200 men, but he was a tall figure who looked like a leader, and thus, was a moral boost to troops. 2) He radiated patience, courage, self-discipline, and a sense of justice, and though he insisted on working wi thout pay, he did keep a careful expense account amounting to more than $100,00. II. Bunker Hill and Hessian Hirelings 1. In the first year, the war was one of consistency, as the colonists maintained their loyalty while still shooting at the king’s men. 2. In May 1775, a tiny American force led by Ethan Allen and Benedict Arnold, surprised and captured the British garrisons at Ticonderoga and Crown Point. 3. In June 1775, the colonials seized Bunker Hill (before known as Breed’s Hill). a. Instead of flanking them, the Redcoats launched a frontal attack, and the heavily entrenched colonial sharpshooters mowed them down until meager gunpowder supplies ran out and they were forced to retreat. 4. After Bunker Hill, George III slammed the door for all hope of reconciliation and declared the colonies to be in open rebellion, a treasonous affair. 5. The King also hired many German mercenaries, called Hessians, who, because they were lured by booty and not duty, had large numbers desert and remained in America to become respectful citizens. III. The Abortive Conquest of Canada 1. In October 1775, the British burned Falmouth (Portland), Maine. 2. The colonists decided that invading Canada would add a 14th colony and deprive Britain of a valuable base for striking at the colonies in revolt. a. Also, the French-Canadians would support the Americans because they supposedly were bitter about Britain’s taking over of their land. b. General Richard Montgomery captured Montreal. c. At Quebec, he was joined by the bedraggled army of General Benedict Arnold. d. On the last day of 1775, in the assault of Quebec, Montgomery was killed and Arnold was wounded in one leg, and the whole campaign collapsed as the men retreated up the St. Lawrence River, reversing the way Montgomery had come. e. Besides, the French-Canadians, who had welcomed the Quebec Act, didn’t really like the anti-Catholic invaders. 3. In January 1776, the British set fire to Norfolk, Virginia, but in March, they were finally forced to evacuate Boston. 4. In the South, the rebels won a victory against some 1500 Loyalists at Moore’s Creek Bridge, in South Carolina, and against an invading British fleet at Charleston Harbor. IV. Thomas Paine Preaches Common Sense 1. In 1776, Thomas Paine published Common Sense, which urged colonials to stop this war of inconsistency, stop pretending loyalty, and just fight. 2. Nowhere in the universe did a smaller body control a larger one, so Paine argued, saying why tiny Britain had to control gigantic America. . He called King George III â€Å"the Royal Brute of Great Britain. † V. Paine and the Idea of â€Å"Republicanism† 1. Paine argued his idea that there should be a â€Å"republic† where senators, governors, and judges should have their power from the consent of the people. 2. He laced his ideas with Biblical imagery, familiar to common folk. 3. Hi s ideas about rejecting monarchy and empire and embrace an independent republic fell on receptive ears in America, though it should be noted that these ideas already existed. a. The New Englanders already practiced this type of government in their town meetings. . Some patriots, though, favored a republic ruled by a â€Å"natural aristocracy. † VI. Jefferson’s â€Å"Explanation† of Independence 1. Members of the Philadelphia Congress, instructed by their colonies, gradually moved toward a clean break with Britain. 2. On June 7, 1776, fiery Richard Henry urged for complete independence, an idea that was finally adopted on July 2, 1776. 3. To write such a statement, Congress appointed Thomas Jefferson, already renown as a great writer, to concoct a Declaration of Independence. a. He did so eloquently, coming up with a list of grievances against King George III and persuasively explaining why the colonies had the right to revolt. b. His â€Å"explanation† of independence also upheld the â€Å"natural rights† of humankind. 4. When Congress approved it on July 2nd, John Adams proclaimed that date to be celebrated from then on with fireworks, but because of editing and final approval, it was not completely approved until July 4th, 1776. VII. Patriots and Loyalists 1. The War of Independence was a war within a war, as not all colonials were united. . There were Patriots, who supported rebellion and were called â€Å"Whigs. † b. There were Loyalists, who supported the King, often went to battle against fellow Americans, and were called â€Å"Tories. † c. There were those who didn’t care, and these people were constantly being asked to join one side or another. 2. During the war, the British proved that they could only control Tory areas, because when Redcoats packed up and left other areas, the rebels would regain control. 3. The Patriot militias constantly harassed small British detachments. 4. Loyalists were generally conservatives, but the war divided families. a. Benjamin Franklin was against his illegitimate son, William, the last royal governor of New Jersey. 5. The Patriots were generally the younger generation, like Samuel Adams and Patrick Henry. 6. Loyalists were most numerous where the Anglican Church was strongest. You read "Apush Notes Chapter 8" in category "Papers" 7. There were also those who sold to the highest bidder, selling the British and ignoring starving, freezing soldiers (i. e. George Washington at Valley Forge). 8. Loyalists were less numerous in New England, where Presbyterianism and Congregationalism flourished. VIII. The Loyalist Exodus 1. After the Declaration of Independence, Loyalists and Patriots were more sharply divided, and Patriots often confiscated Loyalist property and resell it (good way to raise money). 2. Some 50,000 Loyalists served the British in one way or another (fighting, spying, etc†¦), and it was an oddity that the Brits didn’t make more use of them during the war. IX. General Washington at Bay . After the evacuation of Boston, the British focused on New York as a HQ for operations. a. An awe-inspiring fleet appeared off the coast in July 1776, consisting of some 500 ships and 35,000 men—the largest armed force seen in America ever until the Civil War. b. Washington could only muster 18,000 ill-trained men to fight, and they were routed at the Battle of Long Island. c. Washington escaped to Manhattan Island, cross ed the Hudson River to New Jersey, reaching the Delaware River with taunting, fox-hunt calling British on his heels. d. Crossing the Delaware River at Trenton on a cold December 26, 1776, and surprised and captured a thousand Hessians who were sleeping off their Christmas Day celebration (drinking). e. He then left his campfires burning as a ruse, slipped away, and inflicted a sharp defeat on a smaller British detachment at Princeton, showing his military genius at its best. f. It was odd that General William Howe, the British general, didn’t crush Washington when he was at the Delaware, but he well remembered Bunker Hill, and was cautious. X. Burgoyne’s Blundering Invasion 1. London officials adopted a complicated scheme for capturing the vital Hudson River Valley in 1777 which, if successful, would severe New England from the rest of the colonies: a. General Burgoyne would push down the Lake Champlain route from Canada. b. General Howe’s troops in New York, if needed, could advance up the Hudson and meet Burgoyne in Albany. c. A third and much smaller British force commanded by Colonel Barry St. Ledger would come in from the west by way of Lake Ontario and the Mohawk Valley. 2. However, Benedict Arnold, after failure at Quebec, retreated slowly along the St. Lawrence back to Lake Champlain, where the British would have to win control (of the lake) before proceeding. a. The Brits stopped to build a huge force, while Arnold assembled a tattered flotilla from whatever boats he could find. b. His â€Å"navy† was destroyed, but he had gained valuable time, because winter set in and the British settled in Canada; they would have to begin anew the next spring. 1) Had Arnold not contributed his daring and skill, the Brits most likely would have recaptured Ticonderoga and Burgoyne could have started from there and succeeded in his venture. 3. Burgoyne began his mission with 7000 troops and a heavy baggage train consisting of a great number of the officers’ wives. a. Meanwhile, sneaky rebels, sensing the kill, were gathering along his flanks. 4. General Howe, at a time when he should be starting up the Hudson, deliberately embarked for an attack on Philadelphia. a. He wanted to force an encounter with Washington and leave the path wide open for Burgoyne’s thrust; he thought he had enough time to help Burgoyne if needed. b. Washington transferred his troops to Philly, but was defeated at Brandywine Creek and Germantown. . Then, the fun-loving Howe settled down in Philadelphia, leaving Burgoyne â€Å"to the dogs. † d. Ben Franklin, in Paris, joked that Howe hadn’t captured Philadelphia, but that â€Å"Philadelphia had captured Howe. † 5. Washington finally retired for the winter at Valley Forge, where his troops froze in the cold, but a recently arrived Prussian drill master, Baron von Steu ben, whipped the cold troops into shape. 6. Burgoyne’s doomed troops were bogged down, and the rebels swarmed in with a series of sharp engagements, pushing the St. Legers force back at Oriskany while Burgoyne, unable to advance or retreat, surrendered his entire force at Saratoga, on October 17, 1777. a. Perhaps one of the most decisive battles in British and American history. XI. Strange French Bedfellows 1. France was eager to get revenge on Britain, and secretly supplied the Americans throughout much of the war. 2. After the humiliation at Saratoga, the British offered the Americans a measure that gave them home rule—everything they wanted except independence. 3. After Saratoga, France finally was persuaded to enter the war against Britain. a. Louis XVI’s ministers argued that this was the perfect time to act, because if Britain regained control, she might then try to capture the French West Indies for compensation for the war. b. Now was the time the strike, rather than risk a stronger Britain with its reunited colonies. 4. France, in 1778, offered a treaty of alliance, offering America everything that Britain had offered, plus recognition of independence. a. The Americans accepted with caution, since France was pro-Catholic, but since they needed help, they’d take it. XII. The Colonial War Becomes a World War 1. In 1779, Spain and Holland entered the war against Britain. . In 1780, Catherine the Great of Russia took the lead in organizing the Armed Neutrality (she later called it the Armed Nullity) that lined up all of Europe’s neutrals in passive hostility against England. 3. America, though it kept the war going until 1778, didn’t win until France, Spain, and Holland joined in and Britain co uldn’t handle them all. 4. Britain, with the French now in the seas, decided to finally evacuate Philadelphia and concentrate their forces in New York, and even though Washington attacked them at Monmouth on a blisteringly hot day in which scores of men died of sunstroke, the British escaped to New York. XIII. Blow and Counterblow 1. French reinforcements, commanded by Comte de Rochambeau, arrived in Newport, Rhode Island in 1780, but flares sometimes erupted between the Americans and the French. 2. In 1780, feeling unappreciated and lured by British gold, General Benedict Arnold turned traitor by plotting with the British to sell out West Point. a. When the plot was discovered, he fled with the British. b. â€Å"Whom can we trust now? † cried George Washington in anguish. 3. The British devised a plan to roll up the colonies from the South. a. Georgia was ruthlessly overrun in 1778-1779. b. Charleston, South Carolina, fell in 1780. . In the Carolinas, Patriots bitterly fought their Loyalist neighbors. d. However, in 1781, American riflemen wiped out a British detachment at King’s Mountain, and then defeated a smaller force at Cowpens. e. At the Carolina campaign of 1781, Quaker-reared tactician General Nathanael Greene distinguished himself with his strategy of delay. 1) By slowly retreating and losing battles but winning campaigns, he helped clear the British out of most of Georgia and South Carolina. XIV. The Land Frontier and the Sea Frontier 1. 1777 was known as the â€Å"bloody year† on the frontier, as Indians went on a scalping spree. . Most of the Indians supported Britain and believed that if they won, it would stop American expansion into the West, and save Indian land. 3. Mohawk chief Joseph Brant, recently converted to Anglicanism, and his men ravaged the backcountry of Pennsylvania and New York until check by Americans in 1779. 4. In 1784, the pro-British Iroquois (the Oneidas and the Tuscaroras had sided with the Americans, the other four with the British) signed the Treaty of For Stanwix, the first treaty between the U. S. and an Indian nation. a. Under its terms, the Indians ceded most of their land. 5. Even in wartime, pioneers moved west, showing their gratitude to the French with such town names as Louisville while remembering the Revolution with Lexington, Kentucky. 6. George Rogers Clark, an audacious frontiersman, floated down the Ohio River with about 175 in 1778-1779 and captured forts Kaskaskia, Chohokia, and Vicennes in quick succession. 7. The tiny American navy never really hurt the British warships, but it did destroy British merchant shipping and carried the war into the waters around the British Isles. 8. Swift privateers preyed on enemy shipping, capturing many ships and forcing them to sail in convoys. XV. Yorktown and the Final Curtain. 1. Before the last decisive victory, inflation continued to soar, and the government was virtually bankrupt, and announced that it could only repay many of its debts at a rate of 2. 5 cents on the dollar. 2. However, Cornwallis was blundering into a trap. a. Retreating to Chesapeake Bay and assuming that British control of the seas would give him much needed backup, Cornwallis instead was trapped by Washington’s army, which had come 300 miles from New York, Rochambeau’s French army, and the navy of French Admiral de Grasse. . After hearing the news of Cornwallis’ defeat, Lord North cried, â€Å"Oh God! It’s all over! † 4. Stubborn King George wanted to continue the war, since he still had 54,000 troops in North America and 32,000 in the U. S. , and fighting did continue for about a year after Yorktown, especially in the South, but America had won. XVI. Peace at Paris 1. Many Brits were weary of the war, since they had suffered heavy reverse in India and the West Indies, the island of Minorca in the Mediterranean had fallen, and the Rock of Gibraltar was tottering. . Ben Franklin, John Adams, and John Jay met in Paris for a peace deal. a. Jay suspected that France would try to keep the U. S. cooped up east of the Alleghenies and keep America weak. b. Instead, Jay, thinking that France would betray American ambitious to satisfy those of Spain, secretly made separate overtures to London (against instructions from Congress) and came to terms quickly with the British, who were eager to entice one of their enemies from the alliance. 3. The Treaty of Paris of 1783, Britain formally recognized the USA and granted generous boundaries, stretching majestically to the Mississippi on the west, the Great Lakes on the north, and to Spanish Florida on the South. a. The Yankees also retained a share in the priceless fisheries of Newfoundland. b. Americans couldn’t persecute Loyalists, though, and Congress could only recommend legislatures that confiscated Loyalist land. XVII. A New Nation Legitimized 1. Britain had ceded so much land because it was trying to entice America from its French alliance. a. Remember, George Rogers Clark had only conquered a small part of the land. 2. Also, during the time, the American-friendly Whigs were in control of the Parliament, which was not to be the case in later years. 3. France approved the treaty, though with cautious eyes. 4. In truth, America came out the big winner, and seldom, if ever, have any people been so favored. XVIII. Makers of America: The Loyalists 1. Loyalists were conservative, well-educated, thought that a complete break with Britain would invite anarchy, and felt that America couldn’t win against the more powerful army in the world. . Many Britons had settled in America after the Seven Years’ War, and they had reason to support their home country. 3. Thousands of African-Americans joined the British ranks for hope of freedom from bondage. a. Many Black Loyalists won their freedom from Britain. b. Others suffered betrayal, such as when Cornwallis abandoned over 4000 former slaves in Virginia and when many Black Loyalists boarded ships expecting to embark for freedom and instead found themselves sold back into slavery. c. Some Black exiles settled in Britain, but weren’t really accepted easily. . Most Loyalists remained in America, where they faced special burdens and struggled to re-establish themselves in a society that viewed them as traitors. 5. Hugh Gaine, though, succeeded. a. He reopened his business and even won contracts fro the new government. b. He also published the new national army regulations authored by Baron von Steuben. c. When New York ratified the Constitution in 1788, Gaine rode the float at the head of the city’s celebration parade. d. He had, like many other former Loyalists, become an American. How to cite Apush Notes Chapter 8, Papers