Thursday, November 28, 2019

Hockey Essays - Ice Hockey Equipment, Hockey Stick, Hockey, Stick

Hockey Hockey is one of the most watched and now most played sports in the world. It is also, one of the most expensive, when it comes to buying equipment. Hockey players wear lots of equipment. This equipment is a shoulder pad, helmet, shin guards, hockey pants, a cup, elbow pads, gloves, skates, and use a hockey stick to play the game. The hockey stick is the most rebought piece of equipment you use. There are even three different types of hockey sticks. These are wood, graphite, and aluminum. Wood was the first ever stick used and now is probably the least stick used. Wood is the cheapest stick you could probably find, when it comes to buying a hockey stick. You won't find anything cheaper then a new wooden stick, unless it's on sale. The wooden stick is the heaviest of all the hockey sticks. It is the only full solid material stick, with nothing replaceable on it. Meaning the shaft and blade of the stick is one whole piece. A wooden stick is the one stick that has the best chance of not breaking on you. You could have the same stick for years. This is because of its weight and it being that the stick is one whole piece. The next type of stick is made out of graphite. This stick is no doubt the most expensive and most used stick. It is the most expensive, because of the material it is made of. A graphite stick is very light. This is because it has a hallowed out shaft and thin fiberglass-wooden blade. There is a down point to this great stick. Beside its price, it is not the most durable. It could be the most unbreakable stick, because of the material the shaft is made of, but the blade of the stick is easy to break. The blade probably breaks so easily, because it is detachable from the rest of the stick. A replaceable blade cost about the same price as a full wooden stick. The last type of stick is made of aluminum. This stick is in the cheap and expensive category when looking to purchase an aluminum stick. It might be, because of the material and it's lightweight. The stick is made of thin aluminum and it is hallowed out like the graphite stick. This is why aluminum sticks are the lightest stick you can find. It's thin aluminum shaft and replaceable wooden blade. Is the reason why it is the most breakable stick you can buy. Because of it's thin hallowing frame for easy flexibility is the reason why this stick is a best buy to some. To conclude this information, buy a stick for its capability and comfort. Instead of it's looks and price, or name brand. If you do you might end up with a stick that is the right size for you. Nomatter if it is wooden, graphite, or aluminum. English Essays

Monday, November 25, 2019

Million Doolar Baby Film Ananlysis On Class essays

Million Doolar Baby Film Ananlysis On Class essays The film industry is among many influences that contribute to class stereotyping in society. Since its inception, the cinema has inserted itself so much into viewers collective consciousness that it now has the power and ability to influence the way in which they think about society with its onscreen portrayal of characters and social groups. These influences depict social groups with a few predetermined and unchanging attributes. In Million Dollar Baby, Clint Eastwood displays stereotypical representations of low-class citizens from the American South. These characters are typically viewed as lacking refinement, people skills, education and an overall knowledge of the world and its culture. Through a comprehensive analysis of Million Dollar Baby, the different stereotypical generalizations and classifications of the depicted economic class structure will be identified and assessed. As well, an examination of the ideological messages transmitted on the construction of the socia l identity of the characters. Popular film is a powerful force. It has the ability to illustrate and give the illusion of false realities in life. Motion pictures have the capability of showing and teaching us about different groups and classes we are not apart of. According to Langston, class is something that you are born into, class is your understanding of the world and where you fit in; its composed of the ideas, behaviors, attitudes, values, and languages; class is how you think, feel, act, look, dress, talk, move and walk; ... (pg98, Holtzman). These ideas of class gives individuals a social ranking based on their socioeconomic position. Million dollar Baby essentially revolves around and depicts the lives of the working class citizen, which can be further be broken down into upper and lower working class. For the most part, the majority of the characters in the film are apart of the lower working class ...

Thursday, November 21, 2019

Performance Analysis and Improvement in Sports Development and Assignment - 1

Performance Analysis and Improvement in Sports Development and Coaching - Assignment Example That is where the relatively new performance analysis discipline comes in. Well known over the last decade and made possible by digital photography and advances in IT, (PA) performance analysis is now recognized as an assistance to performance improvement at every level (Jones, Hughes and Kingston, 2009). Essentially, performance analysis is about forming a reliable and a valid performance record by systematic observations’ means that can be examined with regard to facilitating modification. Alike methods are used by the two disciplines in data collection and both depend on IT for data examination. However, the most salient thing they commonly have is measured observation use after or during an event to enumerate performance in a valid, reliable and accurate way (Hylton and Bramham, 2007). Trainers may desire to question Performance Analysis’ need as an isolated activity, given that analysis and observation clearly create a crucial component of the process of coaching as outlined in example 1 below. The actuality is though that even as trainers are likely to be experts at analyzing and observing performance, the study has pointed to harsh human limitations contained by these processes. Two significant studies have drawn attention to problems on memory retention, with trainers able to remember only 30-50 percent of principal performance issues they had observed, even with exceptional observational training (Hughes and Franks, 2004). The process of coaching itself is not flawed necessarily, but it is apparent that the analysis phases and observation of this procedure have severe restrictions. Although several skilled trainers are capable of anticipating events and make suitable changes for performance influences, even the finest are prone to human mistake, leading to incorrect decisions; hence the requirement for an organized PA approach within the practice of coaching, use of valid and dependable performance data to evaluate and monitor performers.  

Wednesday, November 20, 2019

Engineering and Construction Issues that Surrounded the Three Gorges Essay

Engineering and Construction Issues that Surrounded the Three Gorges Project - Essay Example Riddled with massive corruption that even worsened the environmental hazards tied to the project, the Three Gorges projects holds the world record for the number of people displaced (Shu, 2012 pg. 14). The most damning yet unthinkable reality is the number of people displaced during the construction of the Dam. From the onset, the dam was intended to be a massive project, little was it known that the effects will be enormous as well. According to available statistics, close to 1.2 million people were ejected out of their dwellings to give room for the project. As if not enough, several cities, towns and villages were flooded. As such, the project led to unimaginable levels of human rights violations. Moreover, the environmental impacts of this initially heroic undertaking are incredible. To make the situation even worse, the environmental effects of this project may continue into the unforeseen future if measures are not taken to mitigate them. As the dam transforms the landscape of the area, so are the weather pattern and ultimately, the climatic conditions. Precisely, while the erosion is likely to cause landslides, the weight of water in the reservoir is likely to cause reservoir-induced seismicity. Also, the model of this dam is likely to develop complications in future, which may in turn add more trouble to the existing string of trouble for the locals. As much as the effects may be blamed on corruption and the engineers, it is also certain that the size of this project may have significantly contributed to the current predicaments facing the dam. Up until now, more and more controversies spring up from engineers concerning the model of the Three Gorges Dam, which, unfortunately, is already being replicated by the Chinese engineers world-over.  

Monday, November 18, 2019

Government re-investment of tax revenue and the impact on Income Research Paper

Government re-investment of tax revenue and the impact on Income inequality - Research Paper Example Where merchandise have a low versatility of interest (they are cost inelastic), an increment in tax or debt will prompt a little lessening sought after insufficient to counterbalance the higher duty gathered from every unit. Several studies have focused on the effects of changing tax rates and tax revenues available for reinvestment on the income inequality. While there is most likely, a tax reform can affect financial decisions, it is in no way, form self-evident, that tax rate slices will at last prompt a bigger economy. Feenberg and Poterba (145-177) mentioned that while the rate cuts would raise the after-tax form to working, sparing, and contributing, they would likewise raise the after-expense wage individuals get from their current level of exercises, which decreases their need to work, spare, and contribute. The main impact ordinarily raises financial movement (through alleged substitution impacts), while the second affect regularly diminishes it (through purported pay impacts) (Burtless & Hausman 1103-1130; Diamond 83-95). Moreover, on the off chance that they are not financed by using cuts, tax breaks will prompt an increment in government acquiring, which thusly, will further decrease long haul development. The chronicled proof and reenactment investigation is steady with the thought that tax reductions that are not financed by quick using cuts will have minimal positive effect on development (Feldstein 28-43). Tax reform is more mind boggling, as it includes tax rate cuts and additionally base-expanding changes. Feldstein (551-572) alleged that there is a hypothetical assumption that such changes ought to raise the general size of the economy in the long haul; however, the impact and greatness of the effect are liable to impressive instability. Kaplan et al (999-1003) added that one reality that regularly escapes unnoticed is that growing the tax base by lessening or disposing of duty consumptions

Friday, November 15, 2019

Nebulized L-epinephrine in Post -Bronchoscopy Croup

Nebulized L-epinephrine in Post -Bronchoscopy Croup Safety and Efficacy of Nebulized L-epinephrine in Post -Bronchoscopy Croup in Children, Anesthesia Consideration Dr Asma Aref Idamat, Pharmacist Dr Hussein Khraysha, Senior Specialist Anesthetist Dr Najeh Alomari, Consultant Pediatric Surgeon Amman-Jordan ABSTRACT OBJECTIVE: To assess the value of bronchodilator effect of nebulized epinephrine post bronchoscopy in children and to compare the effectiveness and side effects of nebulized L-epinephrine (NLE) 1/1000 at a dose of 0.1 mL/kg versus 0.5 mL/kg in the treatment of post-bronchoscopy croup and upper airway obstruction . MATERIAL AND METHOD: Between April1998 and April 2002, 120 children, who developed signs and symptoms of upper airway obstruction (UAO) after bronchoscopy, were randomized to receive either 0.1 mL/kg or 0.5 mL/kg of nebulized L-epinephrine (NLE). Age group ranged from 4months to 14 years, mean of 4.6 years, male /female ratio 4:1. UAO scores, vital signs (VS) ,oxygen saturation (O2 Sat)and side effects if present were recorded before ,at 15 minutes , 35 minutes and 45 minutes after the treatment. The treatment was accomplished in the recovery room under the care of the anesthetist and pediatric surgeon. All patients were reviewed carefully prior to discharge from recovery room. RESULTS: Sixty children were allocated to the 0.1mL/kg (NLE) and sixty children to the 0.5 mL/kg (NLE).. The (NLE) was mixed with 2ml of normal saline. Both groups showed improvements in UAO scores and Oxygen saturation over time. There were no significant differences in UAO scores and VS between the groups at all time points. There were no side effects of epinephrine during the observation. CONCLUSION: The administration of nebulized L-epinephrine is safe and effective in reliving croup and upper airway obstruction (UAO) post-bronchoscopy in children. NLE at the dose of 0.1 mL/kg results in similar improvements in the UAO scores, compared with the dose of 0.5 mL/kg. No complications were seen in either dose and we recommend the routine use of 0.1ml/kg (NLE) post –bronchoscopy in children. Key words: Bronchoscopy, Bronchodilators, L-adrenaline, croup, children Introduction Croup or subglottic edema post bronchoscopy and post intubation is a well known entity. Children are more vulnerable to develop croup after such procedures than adults due to well known differences in the anatomy of upper airway and tracheo-bronchial tree with narrower laryngeal and tracheal lumens with the result of obstruction more readily by to mucosal edema due to different causes, like viral and bacterial infections as well as allergic manifestations. The narrowest part of upper airway is that at the level of cricoid cartilage which makes the internal tracheal injury by endo tracheal tube or bronchoscope sheath more prone at the narrow subglottic area even after easily passage through the vocal cords. Bronchoscopic removal of aspirated foreign bodies in children is a common procedure in Jordan and many other countries worldwide. The procedure is performed under general anesthesia using rigid bronchoscopic device through which the ventilation is maintained. Foreign bodies are usu ally successfully removed using forceps, wash out with saline and suction tube. In many cases repeated bronchoscopic intubation may be necessary to assure complete removal of foreign bodies with the result of significant irritation and edema to the tracheo-bronchial tree with the sequel of croup, wheezy chest and features of upper airway obstruction (UAO) which may lead to significant morbidity and prolonged hospitalization. The incidence of post intubation croup in children was reported to be between 1 to 6 % (1,2). The medical treatment of postintubation croup is the same as that for infectious croup, including corticosteroids and nebulized epinephrine. The vasoconstrictive effect of epinephrine decreases the degree of subglottic edema, resulting in clinical improvement. Traditionally recemic epinephrine has been used as a non-selective adrenergic agonist of choice in children due to its supposedly fewer side effects than the more active and more readily available natural laevorot atory form of epinephrine. However, there seems to be no pharmacological basis for this belief (3-5) and subsequent trials have shown the L-epinephrine which we use for resuscitation, to be safe and effective in both infectious and postintubation croup(6,7). In addition, L-epinephrine is readily available in all countries while racemic epinephrine is not. Even in countries where both forms are available the racemic form is much more expensive(8 ).It was noted that the doses of L-epinephrine used in those trials were 2.5 and 5 mL of 1:1000 solution for all recruited children, regardless of weight. As a result, the dose of L-epinephrine in the treatment of croup has been suggested to be 0.5 mL/kg, with a maximum dose of 2.5 mL and 5 mL for children younger and older than 4 years, respectively (9). So far there have been very few reports that have studied the efficacy L- epinephrine in the management of post bronchoscpy croup and (UAO) in children. This study was designed for tow purpo ses of: (a) ascertaining the effectiveness of L-epinephrine in the management of croup and weezy chest post bronchoscpy in children or not; and (b) comparing the efficacy of a nebulized L-epinephrine at the dose of 0.1ml/kg versus 0.5ml/kg for the treatment of the above conditions and finally to recommend the routine use of L-epinephrine at the dose of 0.1ml/kg as protocole for the management croup and (UAO) post bronchoscopy in Children Material and Methods Between April1998 and April 2002, 120 children, who developed signs and symptoms of upper airway obstruction (UAO) after bronchoscopy such as severe irritative cough, wheezy chest, stridor and hoarseness of voice were randomized to receive either 0.1 mL/kg or 0.5 mL/kg of nebulized L-epinephrine (NLE) with maximum of 2mL for patients below 5 years of age and 4mL for patients above 5 years of age. Two mL of normal saline were added to the dose of L-epinephrine. Age group ranged from 4months to 14 years, mean of 4.6 years, male /female ratio 4:1. We used L-epinephrine because racemic epinephrine in not available in our hospital and it is expensive. The treatment was accomplished in the recovery room under the care of the anesthetist and pediatric surgeon using facemask with 100% oxygen at 6 liters/minute. The main parameter that evaluated was the change of the (UAO) scores (Table 1) and the other parameters that evaluated were changes in the respiratory rate, heart rate, blood pressure and oxygen saturation observed by pulse oxymeter. All parameters were evaluated at 15 minutes, 35 minutes and 45 minutes after the treatment, side effects of nebulized epinephrine, if present such as tremor, arrhythmia, and pallor were recorded at the same time. The management was repeated after 2 hours whenever clinically indicated if the results were not satisfactory. All patients were reviewed carefully prior to discharge from recovery room. RESULTS One hundred and twenty children post bronchoscopy for foreign body aspiration (FBA) were enrolled in this study. Sixty children were allocated to the 0.1mg/kg (NLE) and sixty children to the 0.5 mL/kg (NLE). The (NLE) was mixed with 2ml of normal saline. Both groups had the same baseline characteristics (Table 2) and both groups had initially moderate upper airway obstruction. Both groups showed clinically significant improvements and reduction in UAO scores and Oxygen saturation at 15, 35 and 45 minutes(Table 3) compared to that prior to (NLE) at time 0. There were no significant differences in UAO scores and VS between the groups at all time points and none required immediate intubation or re-bronchoscopy. Side effects of epinephrine including pallor, arrhythmia and tremor were not observed. Table 1: Upper airway obstruction score (15)** Score 0 1 2 Cough Stridor Retraction Inspiratory breath sounds Cyanosis* None None None Normal None Hoarse cry Inspiratory Suprasternal Harsh with rhonchi In room air Bark Inspiratory +expiratory Suprasternal+ substernal +intercostal Delayed In 40% oxygen *Cyanosis was modified and defined as oxygen saturation ** Downes JJ, Raphaely RC. Pediatric intensive care. Anesthesiology 1975; 43: 238-50. Table 2: Patient characteristics of our study groups 0.1mL/kg 0.5mL/kg Number of patients 60 60 Mean age (years) 3.4 5.8 Gender (M/F ratio) 4:1 4:1 UAO score immediately after bronchoscopy ( Mild ( Moderate 4-7) n, % (Severe > 7) n, % 12 (20%) 42 (70%) 6 (10%) 15 (25%) 38 (63.33%) 7 (11.66%) Table 3: The outcome variables in our study groups Time Time 0 15 Minutes 35 Minutes Nebulized L-epinephrine / Dose Number of patients 0.1mL/kg 0.5mL/kg 60 60 0.1mL/kg 0.5mL/kg 60 60 0.1mL/kg 0.5mL/kg 60 60 Upper airway obstruction score (Mean) 5 (1-8) 5 (1-7) 3 (1-6) 2 (0-5) 2 (0-5) 1.4 (0-5) Respiratory rate/minute (Mean) 28 30 32 33 29 28 Heart rate /minute (Mean) 126 128 130 128 125 123 Systolic blood pressure :mmHg (Mean) 95 100 102 106 97 103 Diastolic blood pressure: mmHg (Mean) 55 61 58 63 56 62 Oxygen saturation % (Mean) 93 94 96 97 98 98 Discussion Post bronchoscopy croup and respiratory distress is know entity in pediatric age group, especially when there is a need for repeated bronchoscopic trials for retrieval of long standing foreign bodies. In such conditions, severe inflammatory process of tracheo-bronchial tree is almost present from certain foreign bodies like peanut and other seeds that elaborate severe irritative substances leading to infection and granulation of bronchial tree that aggravate the respiratory distress, bronchospasm and croup post bronchoscopy. The main aim of the clinician in such conditions is to provide relief of respiratory distress by decreasing upper airway irritation and improving air entry. The present study has attempted to verify the safety and efficacy of bronchodilator effect of (NLE) and to prove that a dose of 0.1mL/kg is at least as effective as the dose of 0.5mL/kg in the treatment of croup and (UAO) post bronchoscopy in children. Many studies have tested the value of racemic epinephrine compared to placebo (10) and to nebulized salbutamol (11-13) and the results showed superior value of racemic epinephrine in the treatment of bronchiolitis. It seems no pharmacological basis for the belief that racemic epinephrine is safer than L-epinephrine (3-5) and racemic epinephrine is not available in Jordan and is thus difficult to obtain and expensive, making L-epinephrine a more viable option. Sumboonnanonda (14) used (NLE) at the dose 0.05mL/kg (maximum 0.5mL) in the treatment of infectious croup. They found a clinically significant improvement in (UAO) scores at 24 and 48 hours after admission, even in the placebo group without dexamethasone treatment .The present study found similar results at average 30 minutes in children with post-bronchoscopy croup and wheezy chest. The maximum dose of (NLE) in this study was 2mL for patients less than 5 years of age and 4mL for patients more than 5 years. In our study we confirmed the safety and efficacy of (NLE) in the treatment o f post intubation croup (6) and infectious croup (7), when Nutman (6) used 0.25mL of 1% L-epinephrine (2.5mg) regardless the weight, for children post-intubation croup and found significant reduction of stridor score within 20 minutes, the same we observed in our study which continued at least over the next 4 hours post –bronchoscopy. Waisman (7) used 5mL of 1/1000 L-epinephrine (5mg), regardless the weight, in children with infectious croup when he found a significant reduction of croup score, reaching its maximum at 30 minutes. The majority of our patients required one section of (NLE) to achieve these results and in very few of them who had long standing foreign bodies and repeated trials of bronchoscopy and bronchial wash out, another session of (NLE) required over 24 hours on 6 hourly interval. The present results suggest that nebulized L-epinephrine, at a minimal dose of 0.1 mL/kg, is at least as effective as the dose of 0.5 mL/kg in the treatment of post-bronchoscopy c roup. Both doses temporarily alleviated airway obstruction without undesirable side effects. The dose of 0.1 mL/kg is much less expensive. We would suggest that the dose of 0.1 mL/kg is also efficacious in the treatment of children with post-bronchoscopy croup. This dose may be adequate to diminish mucosal edema of the upper airway by stimulating alpha-adrenergic receptors and producing vasoconstriction (4). In conclusion, the presented data suggest that administration (NLE), at the dose of 0.1 mL/kg is safe and effective and results in a similar reduction in upper airway obstruction scores, compared with the dose of 0.5 mL/kg, in children with post-bronchoscopy croup. Neither dose was associated with any adverse side effects and we recommend the routine use of 0.1mL/kg (NLE) post –bronchoscopy in children. Taking in consideration the comparable efficacy of both doses, the use of a small dose in clinical practice would save the medication expense and, theoretically, have a lower risk of developing side effects that are mostly dose dependent. Future studies should consider the use of (NLE) at the dose of 0.1 mL/kg in children with post bronchoscopy croup, which has a pathophysiology resembling infectious croup. Further studies examining the optimal dose and frequency of (NLE) in children with croup due to different pathologies including post-bronchoscopy croup seem warranted. Acknowledgment to DR Mohamad Al-Sukar, Chair of Anesthesia Department –Royal Medical Services,Dr Kassem Khamaeseh,MD, Anesthesia Intensive care for their support and review of this manuscript. References 1. Borland LM, Colligan J, Brandom B.W. J Clin Anesthesia Koba BV, Jeon IS, Andre JM, MacKay I, Smith RM. Postintubation croup in children. Anesth Analg 1977; 56:501-5 Holbrook PR, Issues in airway management -1988. Critical Care Clin 1988;4:789-802 Remington S, Meakin G. Nebulized adrenaline 1/1000 in the treatment of croup. Anesthesia 1986;41:923-946 Tabachilk E, Livensopn H. Clinical application of aerosols in pediatrics. Am Rev Respir Dis 1988;122:97-103 Waisman Y, Klein BL, Boeinning DA, Young GM, Chamberlain JM, O’Donnell R, et al . Prospective randomized double-blind study comparing L-epinephrine and racemic epinephrine aerosol in the treatment of laryngotracheitis (croup). Pediatrics 1992;89:302-6 Nutman J, Brooks LJ, Deakin KM, Baldesare KK, Witte MK, Reed MD. Racemic versus L-epinephrine aerosol in the treatment of postextubation laryngeal edema : Results from a prospective ,randomized double-blind study .Crit Care Med 1994;22:1591-4 Menon K, Sutcliffe T, Klassen TP. A randomized trial comparing the efficacy of epinephrine with salbutamol in the treatment of acute bronchiolitis. J Pediatr 1995;126:1004-1007 Siberry GK, Lannone R. The Harriet Lane Handbook 15th Edition .St Louis : Mosby-Year book,2000:705-6 Kristjansson S, Lodrup KC, Wennegren G, Strannegard I-L, Carlsen KH. Nebulized racemic adrenaline in the treatment of acute bronchiolitis in infants and toddlers. Arch Dis Child 1993;69:650-54 Wennegren G, Holmgren D, Engstrom I, Sten G, Bjure J. Using transcutaneous blood gases to evaluate treatment effects on acute asthma in young children. Scand J Clin Lab Invest 1988;48(supp 189:41-44 Sanchez I, Dekoster J, Powell RE, Walstein R, Chernik V, Effect of racemic epinephrine and salbutamol on clinical score and pulmonary mechanics in infant with bronchiolitis . J Pediatr 1993;122:145-151 Reijonen T, Korpi M, Pitkakangas S, Tehhola S, Kyllikki R. The clinical efficacy of nebulized racemic epinephrine and albuterol in acute bronchiolitis. Arch Pediatr Adolosc Med 1995;149:686-692 Sumboonnanonda A, Suwanjutha S, Sirinavin S. Randomized controlled trial of dexamethasone in infectious croup. J Med Assoc Thai 1997;80:262-5 Downes JJ, Raphaely RC. Pediatric intensive care. Anesthesiology 1975; 43: 238-50.

Wednesday, November 13, 2019

Euthanasia Needs to be a Legal Option Essay -- Argumentative Persuasiv

Euthanasia Needs to be a Legal Option    "Warren Hauser is dying. Should the Supreme Court decide that terminally ill Americans have a constitutional right to commit suicide with a doctor's help, he would qualify. Emphysema and valvular heart disease have left him debilitated and physically dependent" (Byock). For terminally ill patients like Warren, where death is inevitable and would be less painful than living, euthanasia should be a legal option. Euthanasia is Greek for "easy or happy death" and implies measures deliberately taken by a physician to curtail pain and suffering. This concept has been enlarged to include such action in incurable diseases, especially those in which the patient must endure torment and extreme pain and/or is terminally ill ("Euthanasia"). Euthanasia is the intentional killing by act or omission of a dependent human being for their alleged benefit. If the death is not intended, it is not an act of euthanasia, so the key word is "intentional." Assisted suicide is when a person provides an individual with the information, guidance, and means to take their own life. When a doctor helps them take their life, it is labeled physician-assisted suicide. However, there is no euthanasia if what was or sometimes was not done does not intentionally cause the death. In some cases, medical actions are labeled "passive euthanasia" since the intention of taking life is lacking. Active euthanasia is intentionally cau sing a person's death by performing an action such as giving lethal injection ("Euthanasia Definitions"). Passive euthanasia can be more painful because neglecting care for a terminal patient puts them through more suffering and pain than active euthanasia, which speeds up death and avoids pain and s... ...bout/newsday.htm>    Hendin, M.D. Herbert. "Scared to Death of Dying." American Foundation for Suicide Prevention 8 Dec. 2002    Hippocrates. "The Oath." The Oath. 16 Dec. 2002    Humphry, Derek. "Prisoner of Conscience." Who's Who and What's What 10 Dec. 2002    Larue, Gerald A. "Patients Should Decide." Opposing Viewpoints. Neal Bernards. San Diego: Greenhaven Press, Inc 1989.    Moreland, J.P. Dr. "Active and Passive Euthanasia." Stand to Reason 10 Dec 2002    "Right to End Suffering Asserted." Facts on File News Services. 8 Dec 2002       "We can try to avoid making choices by doing nothing, but even that is a decision." -Gary Collins Â