Investigation of Human Disease Essay Example | Topics and Well Written Essays - 1500 words

Investigation of Human Disease - Essay Example Without vitamin K, the levels of these clotting factors will be significantly decreased leading to bleeding tendencies. Liver diseases such as cirrhosis, hepatitis, and atrophy all lead to failure of liver to secrete bile which is necessary for fat metabolism and its absorption together with vitamin K therefore, decreasing absorption of vitamin K as well. Laboratory results are prolonged bleeding time, PT and prolonged to normal PTT, normal platelet count, decreased levels of coagulation factors except VIII, decreased thrombin time and fibrinogen levels (Guyton & Hall, 2008). Warfarin (Coumadin), an oral anticoagulant functions by antagonizing vitamin K through the enzyme epoxide reductase which blocks vitamin K to be reduced in its active form. Thus the Vitamin K-dependent clotting factors as well as the anticoagulant proteins C and S which are produced in the liver are rendered inactive. About 97% of warfarin is tightly bound to plasma protein primarily albumin. Toxicity of the dru g is dose dependent in which single intake of 10-20 mg only leads to mild intoxication. Meanwhile, chronic intake of small quantities of even 2-5 mg daily can result to considerable anticoagulation effects particularly with ingestion of interacting drugs. Likewise, superwarfarins are long acting and are utilized primarily as rodenticides can be highly potent resulting to extended adverse effects with dose as little as 1 mg. Laboratory findings are prolonged bleeding time and PT and decreased coagulation factors II, VII, IX, and X. The main consequence of warfarin or superwarfarin poisoning is bleeding (Olson, n.d.). VKOR (Vitamin K epoxide reductuse) can indicate dosages of warfarin and is encoded by the gene VKORC1. Vitamin K is fat-soluble and is needed as cofactor for the carboxylation of ?-carbon of the glutamic acid residues of the vitamin K-dependent clotting factors namely II, VII, IX, and X. The process is a vital stage for calcium and phospholipid to bind with these protein s. Epoxide reductase and ?-glutamylcarboxylase are important enzymes for metabolism and renewal of vitamin K. Genetic mutations involving these enzymes lead to their defective functioning eventually decreasing also the function of the vitamin-K dependent clotting factors. Laboratory findings are prolonged PT aPTT, and bleeding time, and decreased factors II, VII, IX, and X. Clinical manifestations of the disorder are characterized by hemorrhages ranging from mild to severe that may be apparent at birth. Medical interventions include replacement therapy with fresh frozen plasma or PCCs (Fauci, A., et al., 2008). Patient 2: Laboratory results: Marginal low thrombin time Diagnosis: Factor V Leiden Factor V Leiden mutation is present in about up to 15% of Caucasians. Genetic mutation of glutamine to arginine substitution at 506 position results to a factor V that is resistant to cleavage by protein C. Consequently, a significant antithrombotic counter-regulatory mechanism is lost result ing to a hypercoagulable state which may predispose a patient to develop thrombus formation (Kumar, et al., 2010). APC acts to inactivate factors Va and VIIIa via activation of thrombomodulin by thrombin. Protein C attaches with thrombomodulin producing then APC. Activated protein C also attaches with protein S on surface membranes of platelets. With this, APC can now lyse activated factors V and VIII. But with factor V Leiden, factor V

White People and Black Girl Essay Example for Free

White People and Black Girl Essay Since African American literature started back in the 18th century, the majority of these writings mainly focused on racism, ethnicity, and the struggle of African-American people. Nadine Gordimer and Patricia Smith are but two contributors to this area of literature. In my paper I will compare and contrast the short story by Nadine Gordimer, â€Å"Country Lovers†, and the poem, â€Å"What It’s Like Being a Black Girl†, written by Patricia Smith. In both pieces of literature, the focus is put on the racial background and ethnicities, considering that the main characters or protagonists are black women, dealing with some degree of discrimination because of the color of their skin. It is common knowledge that racism has been a major issue which has tainted society, and the African-American people, particularly females have been dealing with the effects of racism, and have experienced the effects of discrimination and racism. (Clugston, 2010). In the short story â€Å"Country Lovers†, a forbidden love between a black girl named Thebedi and a white male named Paulus, is depicted. In the story, two main characters are brought together since early childhood, spending much of the childhood days with each other. As they grow up, they became even closer, eventually falling in love. They soon realize that the racial politics of the time would not allow them to maintain their relationship simply because, Paulus, being the son of a white farm owner and Thebedi, the daughter of a black farm workers, would be unable to show or share their love publicly. I found that there were many dramatic effect throughout this entire story. For example, when we read about the part were Paulus is going way to school, â€Å"This usefully coincides with the age of twelve or thirteen; so that by the time early adolescence is reached, the black children are making along with the bodily changes common to all, an easy transition to adult forms of address, beginning to call the old playmates missus and baasie little master. † (Clugston 2010). When Paulus watches Thebedi wading in the water, is the part of the story where I interpreted the loss of innocence and the description of a forbidden love. â€Å"The schoolgirls he went swimming with at dams and pools I may bring farms were bikinis but the site of their dazzling bellies and thighs in the sunlight had never made him feel what he felt now when the girl came up to the bank and sat beside him, two drops of water beading offer dark legs the only points of light in the earth -smelling deep shade. They were not afraid of one another, they had known one another always; he did with her what he had done that time in the store room at the wedding, and this time it was so lovely, so lovely, he was surprised†¦ And she was surprised by it too he could see her dark face that was part of the shade, with her big dark eyes, shiny and soft water, watching him attentively: as she had when they used a huddle over their teams of mud oxen, as she had when he told her about attention weekends at school. â€Å"(Clugston, 2010). It is towards the end of the short story where you realize the racism. It begins when Paulus arrived back home from college over the holidays, and finds out that Thebedi had given birth to a child. When he decides to go and see Thebedi and the child, he said, â€Å"You haven’t been near the house with it? † (Clugston, 2010). His reaction alone reiterated the fact that such a thing would not be tolerated in his community. As the story continues, Paulus returned to the head later on: it states, â€Å"She thought she heard small grunts from the hut, the kind of insufficient grunt that indicates a full stomach, a deep sleep. After a time, long or short she did not know, he came out and walked away with plodding stride (his father’s gait) out of sight, towards his father’s house† (Clugston 2010). For me as a reader, it became apparent that Paulus actually killed the child. After analyzing that particular part of the story it became evident that Paulus was afraid the relationship between him and Thebedi would become common knowledge, so in murdering the child, it would serve as a cover-up as if nothing happened between two of them. In the ending of the story, the police assumed the baby’s body and charged Paulus with murder. During the trial, the story states that Thebedi took the stand. â€Å"She cried hysterically in the witness box, saying yes, yes (the gilt hoop earrings swung in her years), she saw the accused pouring liquid into the baby’s mouth. She said he had threatened to shoot her if she told anyone† (Clugston 2010). A year later, when she returned to the courthouse, she tells the court that, â€Å"she said that she had not seen what the white man did in the house† (Clugston, 2010). Because she altered her testimony, â€Å"The verdict on the accused was â€Å"not guilty† (Clugston, 2010). In the poem â€Å"What It’s Like to Be a Black Girl† seems to depict a very similar theme. In the poem, Patricia Smith tends to use rigid and strong words in order to show the seriousness of the topic she is writing about. From the very beginning of her poem, â€Å"First of all,† I sense of how the story is going to be told and is laid out for the reader. It presents the audience with a picture of a young black girl transitioning into black womanhood, a place where being a black girl as well as being a black woman is often not a welcome thing. To help the reader understand the thoughts that run through the mind of this puberty stricken young girl, she writes,† Its being 9 years old and feeling like you’re not finished, like your edges are wild, like there’s something, everything, wrong† (Smith, 4) This particular poem, in my opinion, is how racism and discrimination, both of race and gender, affects this young girl as she is transitioning from a young black girl, into a young black woman, while trying to accept all the changes that are happening to her. In the line, â€Å"Its popping a bleached white mop head over the kinks of your hair and primping in front of mirrors that deny your reflection. † describes how this young girl wishes to look like other girls in order to be accepted in society. I found several tones in this poem that included not only pain and suffering, but courage is well. The poem discusses this young lady’s loss of innocence as a direct result of being raped. In the line, â€Å"It’s dropping food coloring in your eyes to make them turn blue and suffering the burn in silence,† in my opinion is the showing of this young girl’s pain of being raped by a white person. Since the color blue plays a significant role in this line, it shows not only this suffering, but the despondency this young black girl is experiencing. In both the poem and a short story, the main characters have been negatively affected by the discrimination of a society in which the color of their skin is not accepted. Both of the female characters lost their innocence, the only difference being, that Thebedi lost her virginity under the mask of the forbidden love, and the young girl in the poem lost her virginity is a direct cause of her rape. The sufferings of both characters is basically the same because the color of their skin and nothing else. The gender plays a very important role, but only after the race they belong to, as well as the alarming situation of the issue is accurately brought into the light and both of these literature works. It clearly indicates the suffering in the pain both these women experience. (Fluehr-Lobban, 2010). The mindset of a common young black girl is accurately presented in the poem â€Å"What It’s Like to Be a Black Girl†, and shows the effects that the society leaves on the mind of young black girls who wish to have the appearance like white girls simply because white girls are accepted in the society and the black are usually misused, refused, and disrespected. (Clugston, 2010) Both the story as well as the poem distinguish ethnicity and radical backgrounds, as well as explaining how women experienced cruelty for white racists. I found limited separation between race and gender issues within both authors work simply because they elaborated the fact that they could not, and would not be on the same side with sexists or races. While reading Patricia Smith poem, it gave me the impression she was demonstrating her anger to the fact that white patriarchy confines and limits black women. Black females have been tormented by discrimination racism, and ethical and racial discrimination, as characterized in both the poem and short story can be affirmed as a depiction a reflection of racism and its effects on society. (Dovidio, Gaertner, 1996). In conclusion, I truly feel that both authors share the same sentiments. First and foremost, both of their main focus was on the role of the black female. Not only did the Explorer the victimization of the black woman, but also brought to light their emotional struggles as well as her experiences. I also feel that both authors were the obstacles of racism and feminists’ society that same time expressed that defeat does not mean giving up, but offers the opportunity to conquer negativity in life. References Clugston, R. W.(2010), â€Å"Country Lovers, Nadine Gordimer. In Journey into Literature (ch. 3): retrieved from http://content. ashford. edu/books/AUENG125. 10. 2/section/h3. 2 Clugston, R. W. (2010), Poems for Reflection. In Journey into Literature (ch. 12. 2): retrieved from http://content. ashford. edu/books/AUENG125. 10. 2/section/12. 2 Fluehr-Lobban, C. (2010). Race and Racism: An Introduction, Rowman Altamira: pp. 111-116 Dovidio, J. F. , Gaertner, S. L. (1996). Affirmative action, unintentional racial Biases and inter group relations. Journal of Social Issues, Vol. 52, pp 51-75.

Inappropriate Use of Social Media in Healthcare

Inappropriate Use of Social Media in Healthcare The rapid growth and widespread use of social media has changed the way many people communicate and share information. Social media include various websites such as Facebook and Twitter which are the two most popular social networking providers, video sharing websites like YouTube, a variety of blogs which enable users to post their own articles and allow visitors to leave feedback, discussion forums and other social networking platforms of communication that people can use for educational or other purposes. In recent years a huge number of people around the world have become active users of social media. Network of Global Agenda Councils Reports (2011-2012) showed that worldwide more than 1.2 billion of people use social media, a number that accounts for 82% of all internet users around the world (Councils, 2012). Many of these users explore internet in order to access medical information and other to share their concerns about health related issues or to seek out medical treatment. Furthermore many healthcare professionals such as physicians, pharmacists and nurses use social media as a platform of communication to promote patient health and safety as well as an education tool (Frances Griffiths, 2012). However irresponsible and misuse use of social media can result to a number of unpleasant situations. Both healthcare providers and patients should be aware of the risks of using social platforms of communication. Potential risks among others include the breach of personal data, the publication of poor quality medical information and the underestimation concerning the seriousness of a situation from a healthcare professional either due to lack of adequate information or due to provision of incorrect or inaccurate data provided by a patient during an online consultation (Harlow, 2012). In UK there is not any specific guidance provided from the Health and Care Professions Council, but it has been made clear that social media should be used within the relevant standards of conduct, performance and ethics. It recognises that social networking is a valuable way to communicate and share information but also points out that the healthcare professionals who will decide to use it as part of their work must make sure that will behave with honesty and integrity for the best interest of the public protecting patient confidentiality and exhibiting their professionalism at all times (Health Professions Council Newsletter: Issue 34 April 2011). Nevertheless in the past have been reported many incidents of inappropriate use of social media and unprofessional behaviour where patients personal data disclosed on the internet without their consent or cases where patients offended because of comments made from other users related to their health status. Guardian reported that between 2008 and 2011, were carried out 72 separate actions by 16 trusts against staff for inappropriate use of social media. Some of these cases were related to the breach of personal data and some other were associated either with posting of racists or sex comments or with sharing of inappropriate pictures and videos through public internet forums. These incidences encouraged British Medical Association to provide guidance to its members about how to use social media in an appropriate way. (Laja, 2011). The use of social media allows patients to interact with healthcare professionals in a rapid and cost-effective way. Also gives them the ability to participate on their own care in order to manage their health and monitor their treatment by having quick access to medical journals and having view of different treatment options before and during consultation from their doctor and by using health related online applications. Likewise social media used from healthcare professionals to connect with individuals from different geographical areas in order to contribute on their health improvement by providing them with medical documents and by creating discussion forums on health related topics. This advantage gave them the opportunity to expand their activities introducing new services such as the online consultation and the provision of different treatment options at low cost. There are cases where social media used to promote communication both among patients and among Healthcare Professi onals. Patients have the ability to share their concerns and discuss about common diseases or possible medical treatments and on the other hand Healthcare Professionals are enabled to share information, experiences and ideas supporting their lifelong learning (KPMG, 2011). Some social networking platforms are free to the public but to some other the patients will have to pay if they need an online consultation by a healthcare professional or if they wish to discuss and share their concerns with other healthcare providers or other patients that suffering from the same condition. In UK operate websites like NetDoctor.co.uk which is provided and operated by National Health Service (NHS) and offer a wide range of services such as pregnancy email service and online doctor diagnosis from registered UK-based General practitioners, discussion forums and online applications like symptom checker that help patients to get a better understanding of their healthcare needs. NHS in UK uses social media in order to improve public health by providing health related information through NHS choices. Also it has been integrated to other social media such as Facebook, Twitter and YouTube to promote its services and offer a broad spectrum of applications. For instance onlin e healthy life style advisor, smoking secession programmes and body mass index (BMI) health weight calculator. These services and applications enable patients to decide whether or not they require visiting a doctor for further advice retaining their privacy. However this way of communication can be very ineffective, as examining and interpreting medical notes without the availability of a full medical history and with the absence of physical exams can be a serious threat to the patient (Britton, 2012). In addition diagnosis can become unreliable due to lack of information and accuracy of data provided by the patient or due to underestimation of the seriousness of the situation, making online consultation inferior to a face to face consultation. Internet usage statistics showed that the adults that are active users of Facebook and Twitter in UK come to 37.4 million and 15.5 million respectively (Ayres, 2012). Considering this amount of people it is easy to understand how important is for Healthcare Professionals to use social media wisely and with professionalism. Inappropriate use of social media can affect healthcares personal and professional life. Many of them choose to disclose patients personal data for maintaining an easily accessible online medical record for personal use but they are unaware that many of that information (including videos or pictures) they upload on the internet in some cases can be accessed, used and spread from the general public without control (Thompson LA, 2008). It is therefore Healthcare professionals ethical and legal responsibility to protect patient confidentiality at all times on the internet as well as to other media. Some social networking platforms give the ability to the users to set privacy settings in order to prevent uncontrolled distribution of data and to put restrictions to individuals seeking access to information that have been chosen to be kept private (Thompson LA, 2008). However concerns have been raised in the past related to protection of personal data. Many social networks upload and share data without considering any legal or ethical considerations. Publishing personal information of patients without their consent can result to legal implications. In UK Data Protection Act limits healthcare providers from disclosing any personal information without patient consent with few exemptions. According Data Protection Act (1998) all personal data should be fairly and lawfully processed, they should be used for limited and specific purposes in a way that is adequate, relevant and not excessive, they should be accurate, held up to date and for no longer than its necessary and finally should be kept safe and not transferred to countries without adequate date protection. Nowadays social media have become an integral part of our lives. General public uses them to obtain health related information, to connect with other users with the intention to discuss issues concerning their health, to get educated by reading medical documents so that will get a better understanding of their condition or their disease and to pursue new treatment options in a fast and inexpensive way. Social media have also become an essential way for healthcare professionals to provide their services in order to improve and monitor patient needs such as the online consultation. On the other hand the rapid and uncontrolled sharing of information can result to potential risks and have negative impact to the provision of health care and personal lives of both patients and healthcare professionals. Breach of personal data protection, publication of untrustworthy medical documents and faulty consultation due to lack of evidence can be some of the pitfalls that users may face. In order to avoid these drawbacks both patients and healthcare professionals need to understand the limitations of the use of social media. Creating bounds between personal and professional use of social media is essential. Healthcare professionals who choose to interact with patients online must maintain appropriate boundaries concerning the relations between them. For instance, they should not discuss about health related matters on a friendly but only on a professional level. Additionally in order to ensure that high quality information is provided and that a conversation between a patient and a healthcare professional will have a positive outcome, both of them must build a relationship of trust by being precise and honest to each other regarding the information they share. This will cause the patient to capitalize on the doctors consultation appropriately and follow essential tips for a better result and will make it easier to healthcare professional to give the most appropriate advice. Also in my opinion healthcare professionals should only share medical documents that based on scientific studies while patients should consult their health provider before taking any action based on information obtained using social media. There are personal data that should not be allowed to be shared through social media as it is very likely patients to be offended. So individuals who use social networking platforms, especially for medical purposes should be able to consider whether is safe or not to share their data with the public. Healthcare professionals must recognize that they have an ethical and legal obligation to maintain patient privacy and confidentiality at all times and need to be aware that social media cannot be completed safe for protecting the information they share. For this reason they should use social networking platforms that privacy settings can be set and are secure to the highest level. Finally I believe that healthcare professionals should be restricted from disclosing patient personal information on public internet forums and any health related data should be safeguarded and be disclosed only to the patient or other healthcare professionals if its necessary and only for the use of medical purposes and with the consent of the patient.

Summary of Middlemarch Essay -- essays research papers

After their parents die, Celia and Dorothea Brooke go to live with their uncle Mr. Brooke at Tipton Grange in Middlemarch, a small town in the English countryside. Dorothea, the beautiful, clever sister, immediately attracts the attention of Sir James Chettam, but with her always present desire to be useful, Dorothea has eyes only for the older, scholarly Mr. Casaubon. Against the desires of many in the Middlemarch community, Dorothea and Casaubon are married. In the meantime, the lives of another pair of would-be lovers becomes quite complicated. Fred Vincy, by nature a somewhat wild and undisciplined young man, finds himself in debt. He has accepted credit from unreliable sources and must find a way to repay the debt, if he does not, the father of Mary Garth, Fred's only true love, must pay the debt for him. Fred's only hope is that his old, dying uncle Peter Featherstone will leave him money in his will. When Featherstone dies, he leaves two wills. The first promises a large sum of money to Fred, but the second and more recent will leaves the entire estate to Mr. Joshua Rigg, Peter Featherstone's son, thus effectively crushing Fred's expectations. As a result of the disappointment, Fred becomes violently ill. The Vincys call in young Dr. Lydgate, a doctor who hopes to reform medical practices in England. In the process of attending to Fred, Lydgate finds himself captivated by Rosamond Vincy, Fred's sister. On their honeymoon in Rome, the newly married Casaubons find things not to be as happy as they had expected. Mr. Casaubon spends his time doing research for his book The Key to All Mythologies, Dorothea, who desperately wants to help him in his scholarly pursuits, finds herself shut out from his work. One afternoon as she... ...e support of a wealthy widow is another step towards restoring Lydgate's name. Dorothea also visits Rosamond, convincing her that Lydgate loves her and that the two of them should be happy together. In the process, though, Dorothea realizes her own love for Will Ladislaw. Much to the dismay of Sir James Chettam and others, Dorothea renounces her fortune and marries Will. The novel ends with a vision of the futures of the different characters. Rosamond and Lydgate build a marriage and a medical practice, their lives are generally happy though not without occasional problems. Fred Vincy and Mary Garth are married and live happily as hard working tenants at Stone Court, the land that Fred had once hoped to inherit from his uncle Featherstone. Dorothea and Will Ladislaw move to London where they build a happy family and Dorothea continues to look for ways to be useful.

A Long awaited Holiday

Gary Duckworth is the name he always was proud of. Listening to the alarm he opened his eyes, waking up to the bright sunny day ahead. He was more than happy to have the day off today as it was a business day for most of the world around. It was such an inner twist in which he was assigned to meet Miss. Siena for an interview. He has set everything ready at the office for him to be away from the desk. Gary came to the living room, his hands ached very energetic from the work out he had for his biceps last evening. Spending time at the gym was something he always longed for. He just flexed his biceps to have a look at them in the mirror and was extremely happy with the huge budges. He enjoyed the caresses of admiring curious eyes along with words and phrases of admiration as he move about in the crowed. He went to the phone and dialed the number of Siena; he needed to conform once again that she would be available at 9. 30 in the morning at parker’s office in down town Manhattan. Parker’s office is in one World Trade Centre on 95th floor. He has been there quiet few times, always with Siena. The thought of Siena made him glad and gave him a sense of fulfillment. The relationship which has started as just a friendship very soon found itself with a lot of new meanings. Very soon both couldn’t help seeing each other and started to miss each other more than anything. As their romantic life grew Siena grew towards being an organization than a person in the music industry. Gary chose the best attire he always thought was the white shirt with black pants and the suite. He took the train to down town Manhattan. The train ride was rather calm and easy. Very few souls were found seated in the train as it was already past the rush hour. In about twenty minutes he would be at John street subway station and can walk over to the world trade centre. 2 He was walking out of the John street station when he thought of the day ahead though it was an official meeting the rest of the day e is going to be with Siena, he was going to make sure that this is going to be a holiday in all its sense. He was walking up the stairs when he noticed that all the people out at the street were looking upward in shock or rather in curiosity. He came out and found one of the twine towers were on fire. The first thing came to his mind was that there might be an arsenal accident in one of the offices. He did not want to waist the time standing on the ground and watching the fire. He wanted to go fast and meet Siena as soon as possible. She might be worried. He heard some one saying ‘might have been an accident’; it made no sense again to ask what is it. As he walked, there was the big bang, the earth shook, Gary just could not realize what was it but he could recognize the roar of people following the big noise and he could make out some thing from the crowed that ‘it is on purpose’†¦Ã¢â‚¬ ¦ ‘some on is doing it’†¦Ã¢â‚¬ ¦ ‘they are targeting us’. Who are they? Gary never knew. It was not the safest and joyful downtown any more. Gary in no time found himself in a Warfield of innocent civilians running for life not knowing in the concrete jungles where to hide. Gary became one of them in number, ran for his life and stumped up on some thing soft†¦wasn’t it a girl fallen on the street †¦Ã¢â‚¬ ¦. ho knows. Run, run and run with the crowds. The objects with fire are flowing from the towers, wind taking them all around even worse that is targeting us? What are they doing? Do they want me to be dead? Who do the want to terminate? What are they up to? Will there be yet another explosion and one of these high raisers may fall on me too? My God where is Siena? He looked up to the burning towers and saw the birds flying out from there but those black and white birds did not fly off. Rather just shot themselves down and splashed on the floor in red. He needed answers where is †¦.?

Animal Farm Review essays

Animal Farm Review essays Within the movie Animal Farm there can be found an array of political statements and opinions in the actions of the animals and the storyline of the movie. These clever vices are used to describe political situations found in the real world. The movie begins with the introduction of mister Jones; a farmer who over -works his livestock with little compensation toward their part. This aspect reflects dictatorship; the overseeing government has total control over the society within the nation. Obviously, through history, people in the society of a dictatorship stand for it very shortly, as the animals do after a secret alliance is decreed between all of the animals in search of a rebellion against the evil and corrupt Mr. Jones. These meetings of all of the livestock present a danger toward themselves as the government watches and checks suspicious behaviour, looking out for any anti-government uprisings that could create a stir in the right-wing society. Just like in the movie, mass numbers in public (suppressed with one ideal) can produce a great force in numbers and over-throw the government through rioting and mass propaganda. Also spreading the word to other nations with the similar environment is presented in the movie. Much the same as in real life, when the mass succeeds, they draw up a list of new statutes and regulations that fit the basic average of what every person (or animal) wants or sees in a perfect society/economy that would work with their new ideals. It is then that the work must begin; finding out who works where, who does what and who is best fitted for their role in society. An example of this in the movie is when it is decided that the horse will plough the fields as it has expertise in the category of the task at hand. Rather than have the government appoint workplace positions, found in communism, the people of the ...