How One Ought To Behave When Wronged Essay

Man being good or evil by nature has long been subject to speculations. While some schools of thought advocate that man is good by nature, some argue that man is innately evil. Perception of what’s good and bad also differs among cultures — differing cultures have differing sets of morals and values. What may be frowned at in one region of the world could be tolerable in other parts. Labeling of a person’s actions and reactions is dependent on a belief system that has been practiced early on. This paper will focus on one of those early advocates of man being good by nature and how thatgoodness should reflect in his dealings with persons whom he believes have wronged him. This paper will discuss the â€Å"germs† advocated by Chinese philosopher Mengzi [c. 370-300 BCE] or Mencius, who was a disciple of the Confucian school of thought — that man is innately good. Mencius argues that man has an innate sense of morality, a born quality of doing what is good. His argument is summarized in this statement: Everyone has a heart that is sensitive to the sufferings of others. The great kings of the past had this sort of sensitive heart and thus adopted compassionate policies. Bringing order to the realm is as easy as moving an object in your palm when you have a sensitive heart and put into practice compassionate policies. Let he give an example of what I mean when I say everyone has a heart that is sensitive to the sufferings of others. Anyone today who suddenly saw a baby about to fall into a well would feel alarmed and concerned. It would not be because he wanted to improve his relations with the child’s parents, nor because he wanted a good reputation among his friends and neighbors, nor because he disliked hearing the child cry. From this it follows that anyone who lacks feelings of commiseration, shame, and courtesy or a sense of right and wrong is not a human being. From the feeling of commiseration benevolence grows; from the feeling of shame righteousness grows; from the feeling of courtesy ritual grows; from a sense of right and wrong wisdom grows. People have these four germs, just as they have four limbs. For someone with these four potentials to claim incompetence is to cripple himself; to say his ruler is incapable of them is to cripple his ruler. Those who know how to develop the four potentials within themselves will take off like a fire or burst forth like a spring. Those who can fully develop them can protect the entire land while those unable to develop them cannot even take care of their parents. 1 It is clear that Mencius meant man to cultivate four values in order to be humane. By having a compassionate heart; a heart of shame; a heart of courtesy and modesty; and a heart of right and wrong, can only a person reach his full potential in order to affect his family and society in positive and fruitful ways. In Mencius’ teaching of having a heart of compassion, he suggests that instead of entertaining negative thoughts against those whom man perceived to have wronged him, man should strive to understand the other party’s possible suffering that lead him to digress from the path of goodness. Man should tap into his inner self and bring forth compassion to understand and help the bad person. As for the person’s becoming bad, Mencius argues that it is not the fault of his human nature, but of a void that is present in that person’s life â€Å"When we do not, by what we do, realize what we desire, we must turn inward, and examine ourselves in every point. When a man’s person is correct, the whole empire will turn to him with recognition and submission. â€Å"2 By being compassionate, the wronged person shows the offender his understanding of the other person’s pain, and his willingness to alleviate that suffering. If man is able to do this, society and humanity will flourish and further spread of evil will be prevented.

Application Software

LP2 Assignment: Applications Software Managing Information Systems David Khuong National American University Author Note This paper was prepared for Managing Information Systems, Course ID: MT3500/CI3510, taught by Dr. Kim Eastern LP2 Assignment: Applications Software The three primary features commonly used applications software that will be summarized in this paper are personal application software, workgroup application software, and enterprise application software.Personal Application Software’s 1) Word processing; helps create, edit and print text documents. I. e. , Microsoft word, Corel WordPerfect, Google Docs, Apple Pages and Sun Writer. 2) Spreadsheet; provides a wide range of built-in functions for statistical, financial, logical, database, graphics, and date and time calculations. I. e. , Microsoft Excel, IBM Lotus 1-2-3, Google Spreadsheet, Apple Numbers and Sun Calc. 3) Database; stores, manipulate, and retrieve data.I. e. , Microsoft Access, IBM Lotus Approach, B orland dBASE, and Sun Base. 4) Graphics; develop graphs, illustrations, and drawings. I. e. , Adobe Illustrator and Adobe FreeHand. 5) Project management; plans, schedule, allocate, and control people and resources needed to complete a project according to schedule. 6) Financial management; provides income and expense tracking and reporting to monitor and plan budgets. I. e. , Intuit Quicken. ) Desktop publishing; use with personal computers and high-resolution printers to create high-quality printed output, including text and graphics, various styles of pages can be laid out; art and text files from other programs can also be integrated into published pages. I. e. , Quark Xpress, Microsoft Publisher, Adobe PageMaker, Corel Ventura Publisher, and Apple Pages. Workgroup Application Software Support local and international teamwork and utilizes groupware; software that helps groups of people work together more effectively.Groupware is defined by Ernst & Young’s rules â€Å"Thr ee Cs†. * Convenient; if it’s too hard to use, it’s not used; it should be as easy to use as the telephone. * Content; it must provide a constant stream of rich, relevant, and personalized content. * Coverage; if it isn’t conveniently accessible, it might never be used. Enterprise Application Software * Software developed to benefit the entire organization. * (ERP) Enterprise resource planning software; set of integrated programs that manage a company’s critical business operations for an national and international organization. Application software is integral for information Decision Support, and Specialized Purposes. Overall the application software applies the power of the computer to solve problems and perform specific tasks throughout the organization from personal, local to global level. References Fundamentals of Information Systems, Sixth Edition. Chapter 2, Hardware and Software. Retrieved from: https://online. national. edu/d2l/lms/conten t/viewer/main_frame. d2l? ou=20924&tId=921805

Reflective Essay- First day of school Essay

Approaching the intimidating building that holds the future of not only the rest of my high school career, but my entire life, I continue to feel a longing for my old school. I wish for my old friends who I know will recognize me and jump to greet me; my old routine that I grew so accustomed to. But none of that matters now. All that matters is that I currently feel like a â€Å"nobody† and I’m certain that is all that I’ll feel for the next two agonizing years of my life. see more:write about your first day at school Is it just my imagination, my insecurities flooding my brain, or is everyone staring at me as I walk down this hallway? I can feel eyes piercing me as â€Å"the new girl† nervously walks down the hall. I don’t know where to go, and even worse, I don’t know who to ask for help. I’ve always had tons of friends; I’ve always felt like I’ve had a place at school, but now everything has done a complete 180. My mom’s piece of advice was to â€Å"just think positive†, but I don’t find that possible while I’m roaming around in an unflattering, frumpy uniform feeling like a clueless fool. I don’t know if I want to cry to my parents and have them make it â€Å"all better†, or if I just have burning resentment toward them from yanking me from the school I really belong at. I never knew how much a simple smile from a stranger would mean to me until I felt completely lost. I began to wake up a little bit from my little pity party and actually notice that there are quite a few friendly faces around this place. I even made a few friends, I guess you could say. My mind continues to bring me back to thoughts of how much I miss my old friends and public school, but my mindset starts to shift a tiny bit once I get more familiar with the place and the people around me. The time of the day finally comes that I’ve been dreading the most†¦ lunch. I pictured myself as one of those loners who sits in the corner by themselves. What I really want right now is my old lunch table crammed with eight or so friends to be waiting to greet me, but instead I’ll have no one. â€Å"Hey, Grace! It’s Waffle Wednesday; remember? Let’s go get some waffles with extra whipped cream before it’s all gone!!† My old buddies and I never missed Waffle Wednesday at my old school. Well guess what? There are no more Waffle Wednesdays. There are no more old friends. There’s no more old school. I snap out of my daydream, grab my brown paper lunch bag, and shuffle toward the new cafeteria†¦ really slowly, hoping to procrastinate and waste a couple minutes. My stomach hurts after lunch, and you would never guess why. A couple of the friendliest and brightest faces came right up to me and welcomed to sit with them at lunch. They seemed so genuine, as if they actually wanted to get know me. That is the last thing I expected all day. I mean, I did come across a few nice people, but I never thought anyone would actually want to sit with the anonymous, shy, timid girl during lunch. As I was saying, my stomach hurt from laughing so much during lunch. A stomachache induced by a laughing fit is undeniably the best kind of stomachache. Not only was I invited to sit with some people, but they were extremely kind, and on top of that, they were hilarious. I can actually say that I made friends today who I plan to sit with at lunch every day from now on. I walked in with no friends today, and I can say that I ended the day with two. It may not seem like a lot, but it’s only day one and there are so many more days to get to know new people. My mom’s advice to â€Å"just think positive† didn’t seem too promising when there seemed to be a giant raincloud over my head. I was so self-absorbed in my own dread that I was much too consumed to look up and gain a new perspective of everything around me. When I was closed-off and had a pessimistic attitude, I cheated myself of so many good opportunities. I noticed that once I began to lighten up and exude a sense of optimism, I started to attract positive energy. I see this new school as more of an opportunity instead of a torture chamber. I can do anything with this opportunity that I want; I can make it an unpleasant and dreadful experience, or I can make it something fun and exciting, all depending on my attitude. I know what it feels like to feel lonely; so now I’m going to be that stranger who offers a kind smile and potentially brightens that person’s day. It’s only day one of my journey, so I have quite a while to make my impact. I still may have a tad bit of distaste for the frumpy uniforms, but at least I can say that I’m able to make the best of my days here.

The Impacts of the Reform Party of Canada in the Federal Canada Essay

The Impacts of the Reform Party of Canada in the Federal Canada - Essay Example Such constituent political organs have great influence in the way things are done in the political setup of any federal state. It is important to highlight that federalism always thrive where democracy forms the core of the political structure and sovereignty (Bakvis and Grace, 28). The democratic rules form the core of the powers used by the national and provincial governments, thus creating a federation. This form of government has been majorly experienced in several nations worldwide. Some of the counties that have been governed through federalism include Australia, Brazil and Canada. In addition, the other countries in which federalism thrives include Colombia and India. The federalism in Canada majorly concerns the historical achievements that the federal Canada attained with regards to its system of government (Bakvis and Grace, 21). Canada is one of the federations that thrives on two systems of government. These include the national government, which is the federal government , as well as the provincial government. The provincial governments in Canada execute on matters pertaining to provincial administrations as detailed in the constitution. In Canada, there are clear-cut differences between the parliamentary federal systems and the provincial assemblies. These differences come in terms of areas of legislative authority. Those two federal systems of governments are absolutely independent of each other when it comes to execution of legislative duties. However, even though independence of the two legislative arms is evident, there are some of the sectors which are shared by these independent legal systems. Some of these sectors include agriculture and immigration sectors in Canada. However, it is quite prudent to note that majority of the sectors are encompassed within the federal jurisdiction (Bakvis and Grace, 37). For instance, the sector of foreign affairs and telecommunications are entirely within the federal jurisdiction. However, sectors like educa tion and health care are squarely dealt with within the provincial jurisdiction in Canada. The Reform Party of Canada is one of the federal political parties that thrived in Canada for a number of years. The party was established in the year 1987 due to several protests that formed part of the political on-goings in Canada in the late nineteenth century. The Reform Party of Canada arose under the strong influence of the people who were led by the populous leader named Preston Manning. Preston Manning led the party until March 25, the year 2000 when the party dissolved (Bakvis and Grace, 47). The major political motivations that were championed by the party include the need for democratic reforms. In addition, the movement was strongly opposed to the Progressive Conservative government that was headed by Brian Mulroney. This made the movement to gain a massive political backing by the people in the western parts of Canada. This made the party to start seeking for backing even from th e Eastern parts of Canada for the benefit of moving the nation forward. The party also gained political backing following the quest for equality that they championed following the discrimination of the people of Western Canada in favor of those from the eastern parts. There are several impacts that the Reform Party of Canada had on the Canadian federalism. It is of critical importance to acknowledge the role played by peace and equality amongst the citizens. It is in order to highlight that for a country to experience a balance in development, there should be a sense of equality amongst the people. As such, there should be no part of that country whose people are discriminated upon. Discrimination of individuals as

Case study Example | Topics and Well Written Essays - 500 words - 116

Case Study Example In addition, it strengthens during international turmoil (Balcerowicz, & World Bank Group, 2015). Unfavorable foreign exchange movements cause significant appreciation in Swiss franc against the Euro as well as other main currencies thereby challengingly affecting Swiss managers, employees, and firms (Butcher, 2011). According to the perspective of Swiss importing firms, the unfavorable exchange rate movements normally cause the prices of exports to increase thus weakening the customer demand. It makes the Swiss products to be more expensive abroad thus creating a negative impacts on their demand and this directly affects the sales revenue of companies (Horcher, 2013). On the other hand, unfavorable exchange rate movements greatly affect employees in terms of job loss and pay cuts. Low sales volume and profits due to low customer demand prompts firms to seek ways to survive and adapt by adjusting wages. Finally, it may force the managers to move their production to the euro zone in case they fail to cut wages and this also could cause more job losses at Mopac in Switzerland (Balcerowicz, & World Bank Group, 2015). I would have to move the production or the company to the euro zone because it is cheaper to produce in the region due to the weaker currency. Secondly I would have to cut wages to make the products cheaper thereby raising customer demand which in turn increases the sales volume and profits (Horcher, 2013). Thirdly, I would have to employ cross-border workers and pay them in Euros in order to cope with the appreciating Swiss franc. Finally, I would engage in simple currency diversification or currency hedging just like other large companies (Butcher, 2011). I would gladly accept Euros because it is weaker than the Swiss franc. The four options will greatly assist us in coping with the spike in Swiss franc (Balcerowicz, & World Bank Group,

Means of Education Quality Improvement Essay Example | Topics and Well Written Essays - 750 words

Means of Education Quality Improvement - Essay Example The overall quality of education can be enhanced by eliminating the grading and reporting system. Educators should not rely on grades while judging the student’s command over any subject. It is hard to judge the academic performance of a student through a single alphabetic letter. It has been observed that letter grades are not sufficient enough to evaluate the academic performance of a student, however, detailed reporting methods can fairly justify the student’s command and these methods can help a student for his self-evaluation in a more purposeful manner. According to Alfie Kohn, grading system can make a student lose his interest from his studies, therefore, these methods should not be considered as vital tools for motivation. He has further suggested that students do not take their studies seriously; they focus more on achieving good grades rather taking their studies as a mode of learning and self-development which can hinder the process of learning as well as it can also adversely affect the thought process in a student. In his essay, â€Å"From Degrading to De-Grading† Alfie Kohn has emphasized the need of grading-free education system because this would enable the students to take more challenging assignments, raise the competition and make them think out-of-the-box whereas in traditional grading system students focus more on acquiring an â€Å"A† grade by taking the easiest assignments and putting comparatively fewer efforts than by taking any challenging hard assignments.

Principles of Adult Learning Research Paper Example | Topics and Well Written Essays - 2000 words

Principles of Adult Learning - Research Paper Example According to Malcolm Knowles, there are six tenets of understanding the adult learning; they include adults being independent and self-ruling learners, possessing an accumulation of knowledge and work related experiences, being goal oriented, relevancy-oriented, and practical, and requiring respect. Throughout this paper, I will outline a strong adult learning program. When it comes to building a strong adult learning model of instruction it is best to begin with a concrete understanding of what motivates the adult learner. As educators are aware, if students are not motivated then no learning is not taking place. As research reveals, â€Å"the following six factors are sources of adult motivation: social relationships, external expectations, social welfare, personal advancement, escape/stimulation, and cognitive interest† (Lieb, 1991). However, the most prevalent motivation for adult learners is that of career advancement or maintaining current career certificates/licenses. Teachers, for example, are required to stay abreast of current trends and best practices by completing a designated number of post-graduate credits every five years merely to maintain licensure to practice. Because professional development is the most prevalent factor of adult learner motivation, a quality instructor must adhere to four essential components including inspiration, support, maintenance, and transference. If these four components are not addressed in adult learning programs, learning is not occurring for the students. Stephen Lieb further finds that â€Å"With regards to motivation, if the participant does not recognize the need for the information, all of the instructors effort to assist the participant to learn will be in vain† (1991). For this reason, it becomes essential that instructors make it clear to their students the purpose for learning each set of skills; the learner needs to

Topic Essay Example | Topics and Well Written Essays - 1000 words

Topic - Essay Example The paradigm can be categorized into two functional parts: information retrieval and information dissemination or exposure. CCN directly routes and delivers pieces of content at the packet level of the network, allowing automatic and application-neutral caching in memory wherever situated in the network (Karl, and Andreas 331). This yields to efficient and effective delivery of content when required. Given that the architecture allows caching effects as an automatic consequence of packet delivery, memory can be utilized without building costly application-level caching services. Why do we need content-centric networking (CCN)? CCN’s security model centers on explicitly securing the content itself rather than endpoints, whereby packets travelling across the network content can be safeguarded against from alteration, damage, or snooping from unauthorized parties. Name data networking or content-centric networking represents an alternative approach to the architecture of computer networks. CCN draws from the principle that a communication network ought to allow a user to focus on the data that one needs instead of having to reference an explicit, physical location where the data is to be retrieved (Wang, Chen, Zhou, and Qin 93). The modern internet architecture centers on a host-based conversation model generated to enable geographically distributed users to utilize a number of significant, immobile computers. The content-centric networking pursues to adapt the network architecture to match the present network usage patterns. Content-centric networking presents a broad range of benefits such as content caching to minimize congestion and enhance delivery speed. CCN also allows simpler configuration of network devices, besides building security into the network at the data level; nevertheless, the change of communication paradigm may present challenges for network activities such as real-time multimedia applications (Karl, and Andreas 332). Recent research ha s demonstrated that such applications may be feasible. Moreover, building content routers that back content-centric networking at high speed remains an open problem to crack. How it works Application-layer designs forms the basis of content-centric interface. This presents benefits such as easier deployment, improved flexible delivery, and effortless backwards compatibility. The present internet establishment features a tree of physical equipment to link streams of packets from any leaf to another. The present system can be regarded as efficient for communication, but not for distribution. The overall proposal of content-specific networking appreciates that a significant amount of information produced once, and then repeated numerous times. Hence, it is sensible to distribute the copying of any correlated activities into the networks’ tree of equipment. In most of the instances, significant storage exist, and could be utilized more efficiently in the event that it could recog nize certain content and only remain with one copy of it. The structure of the network equipment (tree shape) scales content delivery to match the size of the audience and minimize up-stream equipment to the minimum required to generate the content. CCN utilizes a practical data storage cache at every level of the network, which in turn, dramatically minimizes the transmission traffic,

How has the nuclear agenda influenced American popular culture from Essay

How has the nuclear agenda influenced American popular culture from 1945-1962 - Essay Example The main advances of technology allowed for film advents and television to be introduced to many people. The advances in technology gave one way of communication on the world wide scale of reality and hence they opened a gate through which influences of the popular culture from other world countries got introduced. WWII changed most of ideas which the Australians had in their culture before. Shapiro, J. F. (2002) said Britain being there â€Å"Mother Country† and most of majority living in Australia being British, or form British descent, they were closely associated with Britain and their allegiance towards Britain was strong. In WWII, the United States had offered Britain with many required military support and unfortunately their soldiers got slaughtered in Gallipoli campaign. When the WWII incurred, the battle was near the United States regions and they got themselves encompassed and bombed. However, Britain was as well being attacked directly and the United States came into realization that their defending Australia was not available on the list Britain’s priority. The country had less than 7 million people attacking almost 3 million square miles and hence they required for a super power to help them in their defence. The popular culture in America changed extensively during and after the nuclear era. It involved everything dealing with so called common culture to folk culture. It has been the occurrence of these things in the post war era in American culture which is related with commercial culture and other trappings in: television, movies, radio, advertising, cyberspace, and other commodities which were available for purchase. It also involved other forms of art, games, photography and group experiences such as rave dancing on ecstasy and comet-watching. While social science departments and humanities before 1950s could rarely include anything former in their culture.

Aussie stereotypes Essay Example for Free

Aussie stereotypes Essay Around the world, people are raised not to stereotype others. However, they often define their own cultural identity by stereotyping themselves. Not only do the stereotypes provide the model that individuals seek to match, they also provide a sense of commonality that makes people feel that they are part of a community. For example, the Chinese have been described as: â€Å"Peaceful, hardworking and easily content. They respect elders, love children and are patient with their fellows. Chinese in general are reserve and humble. They believe in harmony and never look for confrontation. † It is not only the Chinese that like to self-stereotype. The Italians self-stereotype themselves as having great style, the French as having elegance, the Japanese as being hard workers, and the Spanish as being lovers of life. The stereotypes are picked up by outsiders and in turn multiplied, particularly in travel guides where travellers are eager to know something about the kind of culture they are about to visit. In Australia, there are some individuals who can appreciate the benefits of a cultural identity and who have created stereotypes to own that identity. One such Australian is Peter Cosgrove, ex-Chief of the Army. According to Cosgrove, Without doubt the best quality we observe across the entire Australian community is a natural willingness to pitch in and have a go, to help others. We see it of course whenever there is an emergency or a worthy cause. We see it in every community volunteer organisation from the lifesavers to the bushfire brigades through to the thousands of youth and mature age sporting clubs and those great international service organisations like Rotary and many others. We see it in our professional bodies such as the police, fire and ambulance services and of course in the defence force. It is a generosity of spirit and a selflessness that is perhaps our most precious heritage to hand on to younger and newer Australians a nation of people who care for and look out for each other. It is impossible to confirm the accuracy of Cosgroves stereotype. Certainly not all Australians volunteer to fight fires, guard beaches, join the army, work in a Salvation Army store, or pick up rubbish. However, even though a stereotype may not be true in practice, it may be true in myth and for this reason belief in the stereotype is a fact in itself. Also, when evoked in certain circumstances, the stereotype can become a self-fulfilling prophecy. Individuals who believe it may conform to the positive social identity that the stereotype encourages. A myth of behaviour can then become a fact of behaviour. In other words, the stereotype becomes a guide about how to act and adjusts people in the process. Because individuals often act in conformity with stereotypes, advertisers often define stereotypes in the hope that the target audience will conform to them. For example, the lamb industry has often promoted the stereotype that there is something very Australian about eating lamb, (sheep are actually eaten all over the world. ) The campaign has been picked up by other businesses, such as McDonalds, which has also exploited the stereotype that as well as eating lamb, Australians put beetroot on hamburgers. For McDonalds, the stereotypes help build a localised rapport that makes the fast food chain appear less generic. Vegemite is another product that is stereotyped as something that true Australians consume. Compared to lamb, it is perhaps a better product to create the Australian stereotype because it is a uniquely Australian product (made from beer yeast) and most people from other countries can’t stand it.

Oral Health Status of Pregnant and Non Pregnant Women

Oral Health Status of Pregnant and Non Pregnant Women â€Å"ORAL HEALTH STATUS AMONG PREGNANT AND NONPREGNANT WOMEN OF AGRA CITY A HOSPITAL BASED STUDY† ABSTRACT INTRODUCTION Pregnancy is often thought to be a time of happiness for the expectant mothers but it does not only influence her own oral health status but also may increase her risk of other diseases. OBJECTIVE To compare the oral health status among pregnant and nonpregnant women of Agra city. MATRIALS AND METHOD A cross sectional study was carried out among 425 pregnant and 425 nonpregnant women of 18-45 years attending the hospital. A pretested proforma designed in local language for collecting all the relevant information was used which included questions regarding personal information, oral hygiene practices, frequency of dental visits, education, occupation, gravid status along with a self-reported oral health status questions. The investigator was calibrated before the start of the study in order to limit the intra-examiner variability. RESULTS A total of 850 subjects with a mean age of 29.30 ±3.30 years were examined. The mean DMFT was found to be 3.02 ±1.79 and 1.79 ±1.90 in pregnant and nonpregnant respectively. CONCLUSION The results of this study showed that pregnancy had effect on the gingiva and on periodontal attachment levels. Overall oral health was poorer among pregnant women than nonpregnant women. KEY WORDS Gravid status, Oral Health Status, Oral hygiene. INTRODUCTION Pregnancy brings about physical, physiological and psychological changes in women. It affects almost all systems and parts of the body including the oral cavity. Due to changes in the hormones, many opportunistic organisms gain access to various parts of the body in the absence of proper care1. Pregnancy constitutes a special physiological state characterized by a series of temporary adaptive changes in body structure, as a result of an increased production of estrogen, progestron, gonadotropins and relaxin among other hormones. The oral cavity is also affected by such endocrine actions and may present both transient and irreversible changes as well as modifications that are considered pathological2. Pregnancy related oral changes are most marked and frequent in gingival tissue. Gingival inflammation and pregnancy have now been linked for many years; as early as 1978, Vermeeran discussed â€Å"toothpains† in Pregnancy. In 1818, Pitcarin described gingival hyperplasia in pregnancy3. Pinard first described this situation in 1877 characterized with erythema, hyperplasia and increased bleeding4. Women’s pregnancy experience not only influences her own oral health status but also may increase her risk of other diseases. High levels of oral diseases may also have an impact on the Oral Health Related Quality of Life. Although some studies on pregnant women have been reported, they have been limited to exploring the impact of certain factors, such as pain, on the Oral Health Related Quality of Life4. Pregnancy gingivitis marked by the gingival inflammation is the most common condition seen during the pregnancy due to hormonal changes particularly during the second trimester of gestation. The signs and symptoms of pregnancy gingivitis, however do not differ from the gingivitis seen in non pregnant women5. It has been noted that the gingivitis in pregnancy is related to the accumulation of dental plaque and maintenance of proper oral hygiene in pregnant women can play an important role in preventing this condition and maintaining a healthy gingival state6. There is a growing acceptance of the fact that oral disorders too can have a significant impact on physical, social and mental well-being during pregnancy. No study has been conducted on Oral Health Related Status of pregnant and non pregnant women in Agra city. Keeping the above facts in mind, an attempt was made to carry out a comparative hospital based study on Oral Health Status of pregnant and nonpregnant women attending selected hospitals in Agra city. MATERIALS AND METHOD A cross sectional study was carried out among 425 pregnant and 425 nonpregnant women of 18-45 years attending the hospital. A pilot study was conducted on 100 (n=50) pregnant and nonpregnant women each with OHRQoL as a main parameter. The prevalence of Oral Impact on Daily Performance was 76%. The estimated sample size for the study based on prevalence of Oral Impact on Daily Performance was calculated to be 827. Keeping in mind the non-response rate in each hospital, sample size of 850 subjects was taken. To obtain the total sample size of 850, 85 pregnant and 85 nonpregnant women from each of the five zone were randomly selected. INCLUSION CRITERA Subjects reporting in the hospitals Subjects willing to participate in the study. Subjects of 18-45 years age group. EXCLUSION CRITERIA Subjects suffering from any systemic disease Subjects in critical condition. Ethical clearance for the study was obtained by the Ethical Committee of K.D. Dental College and Hospital, Mathura. Also informed consent was taken from the women prior to the examination. A pretested Questionnaire and proforma designed in local language for collecting all the required and relevant information was used. The questionnaire included questions regarding name, age, socioeconomic status, oral hygiene practices, frequency of dental visits, education, occupation, gravid status along with a self-reported oral health status questions. Clinical examination included Oral Hygiene Index-Simplified (OHI-S), Gingival Index, Community Periodontal Index and DMFT/DMFS. Oral examination was done using mouth mirror, probe and natural light. Self-reported oral health status was assessed by asking eight questions that collected information about periodontal health and dental health. The eight questions were: Do you have bleeding gums?; burning gums?; swollen gums?; loose teeth?; decayed teeth?; tooth pain?; food lodgment between teeth?; sensitive teeth?. These questions were dichotomized into present and absent. The data obtained was compiled systematically from a pre-coded proforma in computer and a master table was prepared. The statistical analysis was done using SPSS version 16.0 Statistical Analysis Software. Results on continuous measurement were presented in Mean ±SD (Min-Max) and results on categorical measurements were presented in Number (%). Significance was assessed at 5% level of significance. RESULTS A total of 850 study subjects were selected out of which 61(7.17%) were of the age group 20-25 years with mean age observed 29.30 ±3.30. Among pregnant women, 204(48%) had poor OHI-S scores(Table.1), 198(46.58%) had moderate gingivitis(Table.2), 61(14.35%) had CPI score 4 (Table.3) and 37(8.71%) had LOA score 2 (Table.4). The mean number of decayed, missing and filled teeth were 3.42 ±2.66, 2.91 ±2.01 and 3.01 ±1.98 respectively among pregnant group. The mean scores for self reported oral health status, among pregnant group was 64.38 ±5.59 for decayed teeth and among nonpregnant group was 65.81 ±5.36 for burning gums (Table.5). TABLE.1 DISTRIBUTION OF STUDY SUBJECTS ACCORDING TO OHI-S SCORES AMONG PREGNANT AND NONPREGNANT GROUP TABLE.2 DISTRIBUTION OF STUDY SUBJECTS ACCORDING TO GINGIVAL INDEX SCORES AMONG PREGNANT AND NONPREGNANT GROUP TABLE. 3 DISTRIBUTION OF STUDY SUBJECTS ACCORDING TO CPI SCORES AMONG PREGNANT AND NONPREGNANT GROUP TABLE. 4 DISTRIBUTION OF STUDY SUBJECTS ACCORDING TO LOA SCORES AMONG PREGNANT AND NONPREGNANT GROUP TABLE 5: DISTRIBUTION OF STUDY SUBJECTS ACCORDING TO SELF- REPORTED ORAL HEALTH STATUS AMONG PREGNANT AND NONPREGNANT GROUP DISCUSSION In our study, out of the total study population of 850 pregnant and nonpregnant women, 359(42.23%) women were below the age of 30 years, which was in accordance to the studies conducted by Ingrida Vasiliauskiene et al7 and Gaffeid M et al8. On the contrary, in the study conducted by Nuamah and Annan9 20% of pregnant women and 21.4% of nonpregnant group belonged to the age group of 30-35 years. In the present study, among the total study population, 29.30 ±3.30 was the mean age. The results of our study were similar to the study conducted by Machuca et al10, in which the mean age was 30.1 ±1.90. On the contrary, studies conducted by Yalcin et al11 and Tilakarante et al12 showed the mean age pattern of 18.62 ±3.01 and 19 ±2.90 respectively. Among pregnant population 204(48%) had poor oral hygiene. On the contrary, in the study conducted by Santosh Kumar et al13 among total study population only 25% had poor oral hygiene. In our study, among the total study subjects, mean OHI-S score was 2.65 ±0.85. On the contrary, in the study conducted by Ingrida Vasiliauskiene et al7 mean OHI-S score among total study subjects was 1.79 ±1.13. The reason behind this is that during pregnancy, gums are more susceptible to the damaging effects of plaque, gingiva become more edematous and fragile due to which during brushing it bleeds quickly. The problem is compounded if women hav e morning sickness nausea and vomiting which make it hard to brush teeth regularly resulting in more plaque accumulation. Among pregnant group, about half of the total study subjects i.e 46.58% had moderate gingivitis. Results of our study were similar to the studies conducted by Yalcin et al11 and Tilakarante et al12. In our study, among the total study subjects, it was found that 98(11.52%) had healthy periodontium On the contrary, studies conducted by Santosh Kumar et al13 and Ingrida Vasiliauskiene et al7 found that approximately half of the total study population i.e 49.8% had healthy periodontium whereas, among pregnant group 36.6% and among nonpregnant group 61% had healthy periodontium. While the study conducted by Miyazaki et al14 stated that 82% of the pregnant study population had 4 or 5mm pocket which is much higher in comparison to our study. In our study, the mean scores among pregnant group and non pregnant group was 64.38 ±5.59 for decayed teeth and 65.81 ±5.36 for burning gums respectively. No earlier studies have been carried out that show distribution of study subjects according to self- reported oral health status among pregnant and non pregnant groups. In conclusion, results of the study showed that oral health status among pregnant and nonpregnant group of Agra city was not good. The study also drew attention towards the need for highlighting the importance of maintaining oral health during pregnancy. Regular dental care is a key component to good oral and general health. It can be stated that there is a need for the health care professionals to acknowledge the importance of good oral health in ensuring a safe and successful pregnancy and overcome misconceptions regarding rendering of essential dental care during this vital period in a woman’s life. REFERENCES Shashidhar Acharya and Parvati V. Bhat. Oral health related quality of life during pregnancy. American Association of Public Health Dentistry 2009;69:7477. Tracy M. Dellinger and H. Mark Livingston. Pregnancy:physiologic changes and considerations for dental patients. British Journal of Obstetric and Gynaecology 2006;5:677-697. Ojanotko-Harri AO, Harri M.P, Hurltia H.M and Sewon L.A. Altered tissue metabolism of progesterone in pregnancy gingivitis and granuloma. Journal of Clinical Periodontalogy 1991;18:262-266. Steinberg B.J. Woman’s oral health issues. Journal of Dental Education 1999;63:271-275. Miyagi M., Aoyama H., Moroshita M and Iwamoto Y. Effects of sex hormones on chemotaxis of human peripheral polymorphonuclear leukocytes and monocytes. Journal of Clinical Periodontology 1992;63:2832. Laine M.A. Effect of pregnancy on periodontal and dental health. Acta Odontologica Scandinavica Journal 2002;60:257-264. Ingrida Vasiliauskiene. Oral health status of pregnant women. Stomatologia, Baltic Dental and Maxillofacial Journal 2003;5:57-61. Gaffield M., Brenda J.,Gilbert C., Malvitz D.M. and Romaguera R. Oral Health during Pregnancy. Journal of American Dental Association 200;132:189-194. Nuamah I and Annan B.D. Periodontal status and oral hygiene practices of pregnant and non-pregnant women. East African Medical Journal 1998;75:712–714. Machuca G., Khoshfeiz O., Lacalle R.J., Machuca C. and Bullon P. The influence of general health and socio – cultural variables on the periodontal condition of pregnant women. Journal of Clinical Periodontology 1999;70:779–785. Yalcin F., Eskinazi E., Soydinc M., Basegmez C., Issever H. and Isik G. The effect of socio cultural effects on periodontal condition in pregnancy. Journal of Clinical Periodontology 2002;74:178-182. Tilakaratne A., Soory M., Ranasinghe AW., Corea SMX., Ekanayake S L. and Desilva M. Periodontal disease status during pregnancy and 3 months post partum, in a rural population of Sri-Lankan women. Journal of Clinical Periodontalogy 2000;27:787-792. Santosh Kumar Tadakamadla, Prachi Agarwal and Preksha Jain. Dental status and its socio-demographic influences among pregnant women attending a maternity hospital in India. Journal of Clinical Express in Dentistry 2007;3:183-192. Miyazaki H, Yamashita Y and Shirahama R. Periodontal conditions of pregnant women assessed by CPITN. Journal of Clinical Periodontology 1991:18:751-4. Manau C, Echeverria A, Agueda A, Guerrero A and Echeverria JJ. Periodontal disease definition may determine the association between periodontitis and pregnancy outcomes. Journal of Clinical Periodontology 2008; 35: 385-397. Navin Anand Ingle, Akila Ganesh, Preetha Elizabeth Chaley and V. Chandrasekhara Reddy. A survey on dental knowledge and gingival health of pregnant women attending government maternity hospital, Chennai. Journal of Oral Health and Community Dentistry 2011;5:24-30.

Tobias Wolff Essay -- Papers

Tobias Wolff Tobias Wolff, a boy of a troubled childhood, and a very tough father. Tobias Wolff had no intentions of being a writer from the start; it just seemed to of popped into his life. The Amazing part about this writer is that he was not supported by anyone but himself. His father was against everything that he did, and his brother, Geoffrey, also a writer would always take his fathers side, leaving Tobias on a side of his own. â€Å"I wasn’t fair, I always took my father’s side.† Said Geoffrey (Wolff, G; Duke of 144) Geoffrey was known as the ‘Good Brother’ as his father would say. This was wrong for a father to do, parents can’t play favorites, because it leads to one child feeling left out, or rebelling against it like Tobias Wolff did. I feel that the reason for the father favoritism towards Geoffrey Wolff was because Tobias was the younger brother, and younger brothers may be known to be more rebellious. Although, there was nothing said about how Tobias acted in his childhood, he might have been a rebellious child, which may of turned his father towards Geoffrey. Tobias decided to enlist himself into the army once he couldn’t deal with his father anymore. No, he was not drafted into the army; he chose to enlist himself into the army acting on his own free will. Many say that Tobias did this to escape his troubled childhood and mainly his father. Shortly after Tobias enlisted himself into the army, he was called to battle in the Vietnam War where he experienced many different styles of life. Shortly after the war ended Tobias wrote a novel, most people say it was his best work, titled In Pharoh’s Army: memories of the lost war. The reason this came to be such an amazing work was it contained his wartime experiences... ...Irving. The vintage book of Contemporary American Short Stories, Article 17. http://web7.infotrac.galegroup.com†¦rn_17_0_a16559373?sw_aep=pace_main; Spring, 1995; March 22, 2000 Meyer, Michael. The Compact Bedford introduction to Literature, â€Å"Powder,† Tobias Wolff, p.525. 2000 by Bedford/St. Martin’s. Wolff, Tobias. In the Garden of North American Martyrs. 1945, The Ecco Press, New York. 175pgs. Smith, Joan. â€Å"The Salon Interview – Speaking into the Unknown,† http://www.salon.com/dec96/interview961216.html , 3pgs. Wolff, Tobias. Hunters in the snow, http://www.bnl.com/shorts/stories/huntsnow.html , 1997 B&L Associates, Renton, Washington, 12 pgs. (Gary Lindquist---Comments). Wolff, Tobias. This Boys Life, 1989 Grove Press, New York, NY, 288pgs. Wolff, Geoffrey. The Duke of Deception - memories of my father, Random House inc. 1979, 275 pgs.

Preimplantation Genetic Diagnosis Program Essay -- Genetics

Approximately 490,000 babies are born every day worldwide. About 11,000 babies are born each day in the United States alone, which means that at least eight babies are born every minute. Whether a pregnancy is planned for or not, the size, physical characteristics, and intellectual capabilities of a baby are predetermined by the chromosomes that combine in the mother during fertilization. The possibility and probability of a baby having any number of genetic diseases is also determined by genes and the embryo that is fertilized. In 1967, however, a study done by British scientists Robert Edwards and David Gardner paved the way for a life-altering scientific program now known as preimplantation genetic diagnosis, or PGD (Jha, 1). Edwards originally became interested in and began researching about couples with infertility problems while attending the Karolinska Institute in Stockholm, in the 1950’s. Previously, studies had proven that it was possible for egg cells from rabbits to be fertilized outside of the body. It was shown that if sperm was mixed with the egg cells in an appropriate environment, then the embryos could develop successfully without the need for another living system. With this knowledge, Edwards took it upon himself to continue the research at the National Institute for Medical Research in London, where he eventually discovered that it was also possible for human eggs to be fertilized outside of the womb. The first human embryo to be fertilized successfully outside of the human body was documented in 1969, followed by the first â€Å"test-tube† baby, Louise Brown, being born in 1978. Just two years later, the world’s first in-vitro fertilization centre, known as the Bou rne Hall Clinic, was founded by Edwards and Eng... ...aby, Please. Blond, Freckles -- Hold the Colic - WSJ.com." Business News & Financial News - The Wall Street Journal - Wsj.com. Web. 18 Nov. 2011. . "PGD - Pre-implantation Genetic Diagnosis (PGD) - Genetic Testing." HFEA - Fertility, Infertility, IVF, Embryo Research - Human Fertilisation & Embryology Authority. Web. 20 Dec. 2011. . Silverman, Rachel Emma. "Designer Babies: Choosing Your Child’s Traits - The Juggle - WSJ." WSJ Blogs - WSJ. Web. 18 Nov. 2011. . Staff, Wsj. "Can Breakfast Cereal Help You Have a Boy? - The Juggle - WSJ." WSJ Blogs - WSJ. Web. 18 Nov. 2011. .

A Character Analysis of Nora in Ibsens A Dolls House Essays -- A Doll

A Character Analysis of Nora in Ibsen's A Doll's House It is a general consensus that women play more than one role after they are married and have a family. These roles include wife, mother, chauffeur, and nurse. In A Doll's House, Nora is given many roles to play and, though some of the above are included, she also plays the role of child, friend, confidante, and manipulator. But the greatest feat that she accomplishes is her star performance as doting daughter and submissive spouse. Nora has been acting out a role to fit everyone's expectations of her since she was a small child. "When I was home with Daddy, he told me all his opinions, and so they became my options too. If I disagreed with him I kept it to myself, for he wouldn't have liked that. He called me his little doll baby, and he played with me the way I played with my dolls" (Act III 945) one can imagine Nora as a young child, living under the conditions that she did, knowing that, if she did want to make...

Analysis of Printed Advertisement

Analysis of Printed Advertisement In the printed advertisement by Maybelline New York, the makeup product advertised is targeted towards women. The advertised product, known as â€Å"The Eraser†, is to ensconce facial blemishes and wrinkles. Throughout the ad, one can find many target words and images that grasp the reader’s attention. These specific words, phrases, and images allow the reader to become conscious of their own flaws, therefore, attracting them to this product. The main attention grabbing word throughout this ad is â€Å"Eraser† the word eraser shows up numerous amounts of times within this ad.The word eraser is paired with many other words, for example, â€Å"Erase fine lines† or â€Å"Erase age spots†. These words target the needs of different individuals at once, although it may not even be beneficial to one, it still attracts the viewer in a well effective manner. The actual image itself plays a large role as well; the main image is of an attractive young-looking female. The female in this image has a beautiful complexion; there are no flaws on her face whatsoever. This image is obviously used to manipulate the minds of the audience into thinking that this is what they will look like after using this product.Another key phrase also used within this ad is â€Å"Instant Age Rewind†. Alone, these words are meaningless, but when placed together, it can create a deeper meaning. The interpretation of this â€Å"meaning† can differ for each individual, but most women take that phrase and interpret it as a product that will; make them look a lot younger INSTANTLY. When the fine print in this ad is read, which states, â€Å"Visual is a dramatization of actual product results†, one can truly realize that the ad is a hoax to manipulate individuals into purchasing this product.Unfortunately, no one really knows whether this advertisement is accurate before the purchase of the actual item. In the pri nted advertisement by L’Oreal Paris, the makeup product advertised is targeted towards women. The advertised product, known as â€Å"Visible Lift†, is to ensconce facial blemishes and flaws. Throughout the ad, one can find many target words and images that grasp the reader’s attention. These specific words, phrases, and images allow the reader to become conscious of their own flaws, therefore, attracting them to this product. The main attention-grabbing phrase throughout this ad is â€Å"Anti-Aging† the phrase nti-aging or any other term used to relate to age repeats numerous amounts of times within this ad. In this ad, there is a large image of a model known as â€Å"Andie MacDowell†. Andie’s face in this image has no age spots, wrinkles, or any flaws on her face. This image is once again, the ideal image most women desire, a face with no flaws or blemishes. The strategies the creator’s of this ad use is very manipulative, besides im ages, the ad also contains â€Å"5 Proven Benefits† this truly is the pinnacle of the ad which allows the viewer to believe that this product is the ultimate product.Although no one really has guaranteed that this product will definitely work, it still instills the image in one’s mind that this product will work miracles. Without any consideration or thought, one can easily determine that this product was â€Å"made for them†, correcting all of their facial problems. Which one cannot forget, this is all in â€Å"1 Luminous Makeup†. The parameters within this article do not really extend very far in trickery, but more manipulation of the mind. This ad makes itself look much more idealistic than what it really is.The celebrity endorsement also adds a little more to the manipulation by allowing one to think, â€Å"If a celebrity says its good, then it must be good†. This ad is well crafted to fool the audience into thinking this makeup product is suit able for the targeted audience, consisting of mostly mid-aged females. Within the two printed newspaper advertisements, both of the makeup product ads used wording and images to sell their products to the consumer minds. Although both of the advertisements used images and wording to attract customers, the strategies used within the wording and imaging drastically differs from one another.In the first advertisement from the Maybelline Company, the image and the words style differ form that of the L’Oreal Company. In the Maybelline ad, the word â€Å"eraser† is repeated many times on various parts of the ad. Whereas, on the L’Oreal ad, there are no repeating words or phrases. Both ads do contain an image of a woman with no facial blemishes or flaws, but the Maybelline image casts a woman whom looks much younger than the image of the L’Oreal ad. The Maybelline ad also strategically placed the words â€Å"Erase† on the parts of the face that wrinkle, h ave crow’s feet, and age spots.Directing the attention of the audience to those targeted areas. Lastly, the L’Oreal ad has a celebrity endorsement where model â€Å"Andie MacDowell† claims that this product â€Å"Take Years Off†. Whereas, in the Maybelline ad there id a disclaimer on the bottom stating that the actual results may vary from the ones on the photo of the visual. Overall, both ads use similar and varying techniques to convey to the audience that the product they are selling is worthwhile.Both ads to contain trickery, but the L’Oreal ad seems to have more trickery for not having any disclaimers in the fine print. The Maybelline ad has a better attention-grabbing style, when asked by random individuals, all of the individuals thought that the Maybelline product would be better for them. The marketing behind the Maybelline â€Å"Eraser† encompasses a much stronger attraction than L’Oreal’s â€Å"visible lift†. Revealing that portrayal has a large impact on the way individuals view a certain product.

Ap Nsl Essay

What are the difficulties in using the â€Å"wall of separation† principle? 5. List and explain the circumstances when the Supreme Court has ruled that freedom of speech may be limited. 6. Define the â€Å"clear-and-present-danger test,† libel, preferred position, prior restraint, imminent danger, and symbolic speech. You may just want to put these straight onto your flashcards 7. Summarize the Supreme Court’s changing interpretations of how to protect both the due process rights of accused criminals and to preserve the safety of the community. Define the exclusionary rule and the â€Å"good faith exception. †. Chapter 19 Reading Outline 1. What does the book say is the pertinent question regarding civil rights? 2. What were the strategies that black leaders followed in order to obtain civil rights? Once basic rights such as voting and integration had been obtained, what issues did civil rights leaders focus on? 3. Briefly outline the steps in the NAACP’s strategy in the fight against segregated schools and indicate the success they had in the courts and in implementing desegregation. . What was the issue concerning desegregation vs. integration? How has this issue been resolved? 5. What were the four developments that made it possible to pass civil rights bills? 6. What accounts for the change in attitude in Congress towards civil rights issues from the 1960s to the present?   How has the Supreme Court changed in its attitudes towards equal rights for women from the early 20th century to today? 8. What are the two standards the Court uses today to in considering sex discrimination cases? What is the debate between those who support â€Å"equality of result† and those who support â€Å"equality of opportunity†? 9. What are the criteria that the Supreme Court has adapted in defining strict scrutiny of any law involving racial preferences? 10. Briefly summarize the highlights of the government’s response to abortion. How did activists for the disabled manage to get The Americans with Disabilities Act passed? 12. Briefly summarize what is included in the law and the objections that some have had to the law.

What is Substance Abuse Counseling

I am just starting to learn about the dynamics of substance abuse counseling. At this point, early on in my learning, I understand it to be a practice of advocacy to assist those persons with various levels of addiction in relation to drugs, alcohol and chemical dependency to a road of recovery. Substance abuse counseling identifies he source of the addiction through assessments and screening tools and offers solutions to the client.A substance abuse counselor's duty is to offer autonomy by giving advice and resources that will assist in getting clean, not to convince or to persuade them on which route to take in the road to recovery. Substance abuse counseling offers many levels of resources for recovery, in relations to addictions and illnesses that derive from or caused by the addiction, analyzing psycho and mental health, and referring them to appropriate professionals that can assist them tit the recovery process and helping them to understand how to get better.WHEN: Substance a buse counseling would be appropriate when a client indicates a need to recover from an addition or dependency. The counselor determines what course of action to take through a series of assessments and screening instruments. Counseling would be ideal as well for persons that are court-ordered to attend counseling. At this point, the courts have determined there Is an addiction or dependency issue that was derived from satellites that took place with the client prior to appointing this treatment.Counseling Is needed when a client asks for resources In relation to addiction recovery and other crawls that derive from addiction or dependency, such as family Issues, health Issues and challenges that affect the client's quality of life that were directly or Indirectly stemmed from the challenges of their addiction or dependency. A counselor would counsel because they have a desire to assist a client to recover from their addiction. My interest in assisting those with challenges of addicti on drives me to work hard to find solutions that will aid the client in recovery.Counseling is used as a tool of advocacy for clients that are in the recovery process. It has been a very effective avenue of treatment and is used because it helps to not only identify the source of the problem, but also how to recover from the problem, also to address the various areas that are connected to the root problem which is addiction. Counseling is beneficial, because of its wide scope that targets all areas of the clients problems. The referral service that counselors provide not only helps the problem, but also the other problems that derive from the core reason the client s there, which is the addiction or dependency.I'm sure there are things in this essay that may not be 100% correct when it comes down to the dynamics of counseling and â€Å"What it is†, â€Å"When we counsel† and â€Å"Why we counsel†. I believe I only have the minimal understanding of what substance abuse counseling is, but I am very determined to learn more and become fluent in its language, its debt of resources and how to effectively counsel someone. My goal is to be that bridge for someone that is addicted or dependent to a person that is completely recovered.I have high interest in this field because I have a desire to make a difference. I understand that I must continuously educate myself with knowledge in the field so that I can be the most effective resource for the client. I am learning that Counselors use a lot of tests, assessments and screening tools to determine the best course of action for the client. I think the most challenging portion of learning how to counsel is remembering what tool applies to what situation. I am sure as time progresses and I learn more about counseling and the dynamics of counseling, it will become more familiar.

British and American Press

5. British and American Press Nearly 80% of all households in Britain buy a copy of one of the main national papers every day – the British are the third biggest newspaper readers. Newspaper publications are dominated by the national press. Non-national, local and regional papers, with significant circulations are published mostly in the evenings, when they don’t compete with national ones. â€Å"The Sunday papers† are mostly national, they sell slightly more copies and thicker.British â€Å"paper round† is organized to provide people with their morning papers delivered to their door by a teenager who gets up at around half-past five every day in order to earn a it of extra pocket money. There are 2 types of national papers: â€Å"broadsheets† or â€Å"quality papers† cater for the better educated readers, and â€Å"tabloids† sell to a much larger readership with more pictures than print. Broadsheets devote much space to politics and à ¢â‚¬Å"serious topics†, they are twice as large as tabloids which concentrate on â€Å"human interest stories† like sex and scandal and cover it in a simpler style of English.None of the big national newspaper â€Å"belongs† to a political party. However each paper has an idea of what kind of reader it is appealing and has a fairly predictable political outlook. If you go into any well-stocked newsagent’s in Britain, you will find rows and rows of magazines catering for almost every imaginable taste and specializing in almost every imaginable pastime. Among these publications there are a few weeklies dealing with news and current affairs, and they manage to achieve a circulation of more than a hundred thousand.The most influential British daily paper is THE TIMES. It was founded by John Walter in 1785 as THE DAILY UNIVERSAL REGISTER, then renamed THE TIMES in 1788. Was also called as THUDERER for its formidable editorials (was the 1st paper to employ foreig n correspondents). Its prestige raised due to marketing slogan TOP PEOPLE READ THE TIMES. Now is owned by the international press magnate Rupert Murdoch. Its published in London with a circulation of almost 450  000. American Press. Newspapers have declined in their influence and penetration into American households over the years.The U. S. does not have a national paper. Although the Times' primary audience has always been the people of New York City, the New York Times has gradually become the dominant national â€Å"newspaper of record. † With very few exceptions, all the newspapers in the U. S. are privately owned, either by large chains such as  Gannett  or  McClatchy, which own dozens or even hundreds of newspapers; by small chains that own a handful of papers; or in a situation that is increasingly rare, by individuals or families.Most general-purpose newspapers are either being printed one time a week, usually on Thursday or Friday, or are printed daily. Weekl y newspapers tend to have much smaller circulation and are more prevalent in rural communities or small towns. Major cities often have â€Å"alternative weeklies† to complement the mainstream daily paper(s), for example, New York City's  Village Voice  or Los Angeles'  L. A. Weekly, to name two of the best-known.Major cities may also support a local business journal, trade papers relating to local industries, and papers for local ethnic and social groups. Probably due to competition from other media, the number of daily newspapers in the U. S. has declined over the past half-centuryIn particular, the number of evening newspapers has fallen by almost one-half since 1970, while the number of morning editions and Sunday editions has grown.

Turkey's Memembership in EU Essay Example | Topics and Well Written Essays - 3000 words

Turkey's Memembership in EU - Essay Example Twenty years ago, in 1987, Turkey applied for full EEC membership, a request denied after the European Parliament reported on Ankara's unsatisfactory progress, and in particular its failure to implement agreements pertaining to the Cyprus problem. On December 2006, EU foreign ministers decided to follow the Commission's recommendations and suspend talks with Turkey on eight of the 35 areas under Despite undeniable progress by Turkey in some areas, there are serious problems surrounding the country's human rights record and relations with Cyprus, and its ability to catch up with the general level of political, economic and social development of EU member states. Both the EU and Turkey also have to contend with indifference and discontent shown by both governments and individuals due to "enlargement fatigue," especially after EU membership expanded by 10 members of the former Soviet bloc in 2004 and two more countries two years later (Palmer, 2006). This makes a total of 27 EU member countries, uniting both eastern and western halves of the continent for the first time since the Cold War broke out. There are some questions on the EU's capacity to balance its expansion and consolidation programs and some EU member states and citizens have reservations on such issues as the possible influx of Turkish workers and its impact on employment figures. However, some political analysts believe that the underlying question is Turkey's identity, whether this identity can be accepted as part of the new Europe, and whether the geographically distant and culturally different Turkey should and can be part of a united Europe (Kubicek, 2005). This report will deal with the EU's enlargement program and its relation to and impact on its vision of a united, peaceful, prosperous and democratic Europe and the specific problems and challenges that affect the entry of Turkey into the European Union. B. Europe: A United Continent "Enlargement has been at the heart of the European Union's development over several decades. The very essence of European integration is to overcome the division of Europe and contribute to the peaceful unification of the continent ." (Enlargement, 2006) Turkey's membership in the EU 5 The dissolution of the Soviet bloc provided added impetus to the formation of a new and united Europe and a stronger and more competitive global player than any other except perhaps for the USA. The 2004 and 2006 addition of twelve new members has increased the rate of economic growth and brought more prosperity for EU member countries as a whole. It has established an extremely large sone of democracy, peace and the rule of law in the continent. "The European Commission estimates that joining the Union will add up to one percent extra growth each year for newcomers during the first ten years of membershipThe enlarged single market will provide competitive EU firms with greater business opportunities, create jobs and raise tax revenues." Enlargement has laid the foundation for continent-wide peace and stability, and encouraged the growth of human rights-based and democratic

Post Award Phase Essay Example | Topics and Well Written Essays - 250 words

Post Award Phase - Essay Example Secondly, the contractor has to evaluate the impact of such changes on the ongoing project. The evaluation will help in determining any negative impact of the change on the project. For instance, limited supply of sand may lengthen the construction period. After the evaluation, the contractor and the project manager shall document the change as either approved or disapproved. If the change is approved, its impact on the scope of the work should be documented on the purchase order change notice or on the contract amendment. However, disputes are likely to occur in the course of this change. Dispute resolution process should therefore be put in place. These include the identification of the problem, researching the facts, conducting evaluations and ensuring open communication between the two parties. These steps shall help resolve any dispute arising from the change. The resolution activities must also be documented for future

Women's Suffrage Exhibition, London, 2010 Dissertation

Women's Suffrage Exhibition, London, 2010 - Dissertation Example From the research it can be comprehended that the Women’s Library in London, founded in 1926 by leading suffragist Millicent Fawcett, has the â€Å"oldest and largest collection of women’s history in the UK†. The internationally well-known specialist library has extensive collections of books and various artefacts in its archives and museum, on the lives of women in Britain. The material related to women’s suffrage includes posters, photographs, postcards, badges and other mementos reflecting women’s efforts to gain equality with men for the right to be voted towards full representation in the parliament. For the first time in its history, the Women’s Library showed original art works inspired by items in its collection, in the exhibition Out of the Archives extending from May to September, 2010, curated by Anna Colin. The exhibition explored the relationship between art and political campaigning, highlighting events, objects and movements fr om women’s history in Britain. Included in the diverse selection of archives on women’s campaigns and struggles, is depicted the association between art production and destruction as a part of the women’s suffrage movement. For the exhibition Out of the Archives, artists Olivia Plender and Hester Reeve took into consideration â€Å"the troubled, turbulent and sometimes contradictory relationship between suffragettes and art†. The artists Olivia Plender and Hester Reeve used a range of items from the Women’s Library archives including â€Å"magazines, reports, photographs and posters†.... They created three works that examined the strategies used by the suffragettes in denouncing women’s subjugation. In the exhibition they present an illustrated chapbook, describing the suffragettes’ skilled means of attracting media attention. The artists question the conventional differentiation between art and politics, exploring the â€Å"militant attacks waged on famous art works by suffragettes and artists such as Mary Richardson† (Admin, The Women’s Library, 2010) and other trained artists including â€Å"Sylvia Pankhurst, Barbara Leigh Smith, and perhaps most importantly of all, Emily Dickinson† (Jones, 2010). Plender and Reeve also took into consideration the futurist F.T. Marinetti’s comparison between militant suffragettes’ techniques and 20th century avant-garde strategies against the bourgeois art institution (The Commissions, 2010). When Reeve and Plender began researching for the Out of the Archives exhibition, they decid ed to utilize the opportunity to build on the idea that occurred to them when they first met the previous year. This was related to the celebration of Emily Davison Day on June 4th every year. They examined the suffragette’s actions and addressed the relationship that she had with art and politics, and how the two were combined together. In June 2010 the first official celebration of Emily Davison Day took place, when Plender and Reeve paid a visit to the same event, the Derby that had marked the end of Davison’s life nearly a century ago in 1913. They have established the Emily Davison Lodge to commemorate the suffragette, and registered her anniversary as an annual public holiday, to celebrate her fatal deed to win the vote for women (Jones, 2010). Both Reeve and

Water crisis in the South Asian Essay Example | Topics and Well Written Essays - 1000 words

Water crisis in the South Asian - Essay Example This research will begin with the statement that the world is facing severe water crisis and the developing world is suffering an acute shortage of fresh water supply even today. Water is required for a number of daily activities besides drinking and a shortage of water can ultimately lead to food scarcity in certain populous countries of the developing world. The population explosion and lack of planning in the developing world are among the core causes of this rampant situation. According to UN Water, some 1.3 million people are without the access to clean water and certain regions of the world face a threat of water wars. Water scarcity is most pronounced in North America, Middle East, and South Asia. India and Pakistan in South Asia have already fought a war over water supply issues. The cost of drinking water is more than that of gasoline in some of the Middle Eastern countries. This overview of the situation shows that water scarcity is perhaps the most important issue faced by the planet. The freshwater is present mostly in the form of groundwater aquifers. The water in streams and rivers forms a lesser portion of the available water resources. Almost 11 trillion cubic meters of freshwater is available in the world for drinking and other uses, however, this enormous supply of water is not uniformly distributed across the planet. Moreover, the availability of water also varies across the different seasons of the year. Some of the regions in the world receive as low as 500 cubic meters of water per capita per annum of water supply and are labeled as water stressed.

Tsotsi Movie Review Example | Topics and Well Written Essays - 1500 words

Tsotsi - Movie Review Example With its plot having been set to develop in South Africa, particularly in Johannesburg’s Alexandra slum, the film presents Tsotsi, a youthful street urchin as the protagonist. Having often times resorted to stealing as a means to earning a living, Tsotsi one day steals a car, not knowing that a baby is in its backseat. The Theme of the Film There are several themes in this film. First and foremost, there is the theme of redemption which begins to play out immediately Tsotsi is stranded with the baby he had inadvertently stolen. The theme of poverty and criminality and the interrelationship between these two is also revisited in the movie, since Tsotsi is pushed into a life of crime because of poverty. The same poverty constrains Tsotsi from being a law abiding citizen, and makes him a brutal criminal instead, though he knows that robbery in itself is wrong. Likewise, Tsotsi’s friends- Butcher, Aap and Boston have been compelled to live in the streets and to dabble with crime by poverty. The existence of street gangs is also spurred on by poverty. At an instance, Butcher and Aap are almost shifting their loyalty from Tsotsi’s gang to a richer rival. ... Particularly, at a given point, Tsotsi attempts to raise money for Boston’s exams, albeit this is done through robbery. Conversely, the same concept of fatherhood plays out subtly in the film’s climax, and thereby shaping its conclusion. As Tsotsi hands over the child to Pumla’s husband John, John plays a fatherly role to Tsotsi by attempting to dissuade the police from shooting Tsotsi. Whether the Film Conveys Any Messages That Will Make A Difference In Americans’ Ordinary Life The film conveys messages that can change American lifestyles for the better. This is because the movie addresses themes such as fatherhood, poverty, criminality and redemption. By considering fatherhood in light of this film, American parents must take stock of their roles towards their children. Likewise, by considering poverty and criminality, America has a chance to address the disproportionate distribution of economic values among racial and class lines, and racial profiling. The theme of redemption on the other hand reminds every American citizen of his personal responsibility towards the law and the state. The outlaw is reminded in his conscience that no matter how far he thinks he may have sunk in crime, he can still change for the better. Nevertheless, the problem with America is that instead of taking the film’s themes into its life system, it is likely to pass Tsotsi as just another literary piece that lacks the clearest quality of originality. This is because, in Tsotsi, Americans are likely to see a sequel of Tony Montana of Al Pacino. America has also watched similar movies such as Raoul Walsh’s Regeneration, where an orphan becomes a leader of a gang, but is eventually succored by a woman of noble intent and

Tobacco Term Paper Example | Topics and Well Written Essays - 2500 words

Tobacco - Term Paper Example Many people enjoyed tobacco after introduction in 15th century. However, use of tobacco was seen as a sign of disrespect to the public. Research reveals that tobacco users suffered extremely leading to introduction of warning statements. King James was the victim of tobacco in 1604 and so he was prompted to issue warnings against tobacco use. The first industry of tobacco was started in early 17th century by John Rolf in North America. His industry was boosted by high demand from England. Study reveals that John exported his tobacco products from his firm to England. Approximately two hundred pounds of tobacco were shipped to England by John’s firm due to the demand from tobacco users in England. The demand was increased by high price imposed by Spanish sellers to the people of England (Yeargin, 2008). High competition between John Rolf and Spanish traders forced John to smuggle the sweetest seeds of tobacco from Varina firms and started producing more desirable products. The sweetness of his products led to high demand from England. Later he named his firm Varina farms. Study shows that the farm in still in existence to date despite that it is not growing tobacco anymore (Yeargin, 2008). The high demand of tobacco in England increased the requirement of labor force. African slaves were used as labor force in tobacco farms in early 17th century. Satcher (1998) point out that Jamestown in Virginia was the most profitable tobacco firms due to high demand for tobacco in England and other European countries. Study by the author reveals that the colonies wealth was from tobacco trade in early 17th century. Other cash crops such as cotton were not common but it was later introduced in 1793. The profitability of tobacco led increase in a number of farms in North America and later spread Southern part. Though it was profitable crop, it was later planted with other crops in

Cross cultural language differences Assignment Example | Topics and Well Written Essays - 1000 words

Cross cultural language differences - Assignment Example It is the aim of this essay to assess the types of curricular and related activities that can be used to increase awareness of cross-cultural language differences among teachers and among children. In the American schooling system, the percentage of white teachers is by a large degree greater than that of teachers from ethnic minorities. In most cases, this leads to less interaction among teachers from diverse ethnic backgrounds. However, in urban schools, the interaction between these teachers becomes increasingly common, attributable to the multiculturalism of urban areas. Sometimes, the teachers may not know how to treat their colleagues who are from different cultural groups and who speak different languages. As a way of bridging the cultural differences, teachers should use some aspects of the curriculum to familiarize themselves with different cultures. For example, teachers can hold discussions amongst themselves and review how different their histories are, while also acknowl edging the similarities in their cultures. Teachers with ability to speak multiple languages should also act as bridges and translate information for their colleagues. Teachers may also engage in other activities such as giving each other cultural souvenirs to facilitate cultural awareness and interaction. Once teachers are able to exist harmoniously with each other despite their cultural and language differences, it then becomes easier to teach learners who speak different languages and who have different cultural origins. The curriculum should be one of the tools used to promote cultural and lingual differences among learners. A good curriculum is one which emphasizes on the benefits of cultural diversity and teaches learners to embrace their cultural and language differences. For example, the curriculum should ensure that learners are taught different histories, languages and cultures. This type of education teaches learners to respect each other’s culture and shun racism and discrimination. According to Hill the classroom should be treated like a public place, where slurry comments should not be entertained lest such comments end up hurting an individual’s pride and identity (201). As Hill states, it is the responsibility of a censurer to ensure that speakers do not make racist or culturally offensive statements all in the name of â€Å"light talk† (203). In the school setting, this role of censorship should be taken up by the teacher. By treating all cultures with respect, the teacher acts as a role model for students to do the same. In designing the curriculum, experts should be very careful in choosing the most appropriate language of instruction, bearing in mind the diverse cultures represented by learners. The language of instruction according to Fought plays a key role in the educational development of a child (185). Although the instructional or standard language in most schools is English, the teacher should enhance learner und erstanding by asking students to give the equivalents in their native language or mother tongue, of words used in the instructional language. However, the use of coded language and slang should be discouraged from the school setting. The use of slang African-American slang sometimes brings about conflicts. The same goes for coded language where for example, American children know that whenever an English word contains the Spanish â€Å"

Rhetorical analysis. Tips of Lowering Medical Bills by Alice Park Essay

Rhetorical analysis. Tips of Lowering Medical Bills by Alice Park - Essay Example As such, Park emphasizes on the importance of managing medical bills and more so, conveys possible tips to enable Americans lower their medical bills. In fact, Park adopts a sentimental tone in order to advice her readers on the need to adopt these tips and save more. In addition, statistics, testimony, appeal and comparison are other notable techniques that park has employed in the essay. This paper explores a brief rhetorical analysis of an article, Tips of Lowering Medical Bills written by Alice Park. Notably, Park proposes several tips both at the emergency room and after receiving the bill. At the emergency room, request to be attended to by a doctor who participates in your insurance plan, again, ask for all lab tests that the hospital is sending outside to be sent to facilities that operates under your insurance plan. Similarly, ask about the tests ordered by doctor or nurse and if they are expensive, refer the tests to a facility that operates under your insurance plan (Park Web). After receiving the bill, ask for itemized bill that clearly show all the charges. Secondly, ask for an explanation from the hospital’s billing department for any disputed charges. In addition, make sure that the room charges starts from the day of your admission and are charged by its level (Park Web), and lastly, be keen on other additional charges. People also have the right to consult Medical-billing advocates if they don’t understand the bill presented to them by the hospital. The essays starts with a sensitive statistic retrieved from a research done by Medical Billing Advocates of America clearly indicates that â€Å"Americans spend nearly $7,000 per capita on health care every year†(Park Web). This is a good proof that most Americans experience a lot of challenges when it comes to settling down their medical bill. Park’s main subject in the essay was to address the issues affecting Americans health and trying to come up with possible solutio ns to the problems like employing certain ways to save more and lower their medical bills. The use of statistics above is one of the techniques Park has used to capture the attention of the readers. It lays a foundation of the essay since the reader will be interested in knowing why such huge amount of money is spend in healthcare services only. Park has also used testimony as one of the techniques to make her ideas more understandable. She has brought in the statement raised by one Kevin Flynn, the president of Medical Associations, who argues that while in the hospital, the patient should only worry about getting better first then financial issues, settling the medical bill to come last. Again, at the end of the essay, Park refers to the statements made by Palmer â€Å"But there are things that a patient is going to know that an advocate†¦Ã¢â‚¬  (Park Web).To enable her convince the readers that their participation in lowering their medical bill is required. This is a good example to conclude that park acknowledged other people’s ideas when writing the essay. Another technique that Park uses very sentimental tone in her quest of convincing American patients that high medical bill they are experiencing can be reduced if they adopt certain tips and with the help of interested parties like Medical-billing Advocates of America. Medical billing Advocates, being the health care world’s equivalent of tax-refund specialists(Park Web), has saved most of the Americans by establishing various ways that Americans can use to enable them manipulate their huge spending on their medication. The tone used overall in the entire essay is appealing, persuasive and appealing. Appeal is also another

Puddle Girl Essay Example for Free

Puddle Girl Essay She gazes out the window, self-consciously adjusting the straps of her shirt. She shivers as a chill creeps out from the weathered window pane and draws a limp cardigan from the overstuffed chair she has perched herself upon. The pounding of the rain slowly begins to abate and diverts into a soft, gentle roll of tears from the sky. She clasps the cardigan closer to her body, as she mentally counts off the number of ribs she can feel through the heavy, wool blend. Haplessly she utters the sigh of a woman far beyond her years and reaches to open the beckoning door. Her frail, ivory hand encloses on the scuffed brass door knob and she abruptly looks about her, as if she is waiting for someone to reprimand her. She braces herself against the winds knocking chill and steps out into the blighting, crisp, after-rain air. Though she is wearing the two layers she had previously dressed herself in that grey morning and the four other layers she had wrapped herself in throughout the day, she still shivers, the drizzle gently pinpricking her spine. The soft, baby hairs rising on her arms, she raises her diminutive hand to touch the baby-fine smattering of gold silk upon her head, to find that it drifts off through her bony fingers to the earthen ground. She touches her head again and this time her gaze lands upon the aimless settlement of one golden strand. Whirling and twirling, its angelic decent is cushioned by the tender rains droppings that had accumulated into a softly swirling puddle. In an impulsive childish manner, she squats down alongside the water mass and peers at the blustery, silken strand. As it writhes and dances across the still body of water, it creates perfect, symmetrical ripples of movement and sooner than later, to the young girls objections, the hair is stifled by the peaceful puddles saturation. And just as her lips utter yet another far-matured sigh, a reflection subsequently appears and the girl, in a melancholy, self-induced habit stares at the image impressed upon the waters glass. There is a girl in the puddle and she stares back with a desolate stare. Where once sparkling blue eyes glistened is now replaced with the color of grey misery, the twinkle engulfed in the worlds shallow appetite. Her cheeks sunken with the sharp edge that only appears with years of self-destruction and facial expression contorted into the tightness of concentrated self-loathing. Convulsing, the young girl abruptly shatters the ebbing puddle girls image, sending her nose, eyes, and tight-lipped un-smile into all directions. Trembling from  anger, fear, paina mixture of such pure and raw emotion that to describe it would be impossiblethe young girl crumbles down onto the cold, unyielding cement. Cradling her head, allowing the swirling torrent of feelings to take over her beingonce again the rains begin to fall and as each drop rolls down her once rosy cheeks, she sobs and thinks of days gone past.

UK NHS Framework for Coronary Heart Disease | Analysis

UK NHS Framework for Coronary Heart Disease | Analysis A Critical Analysis of the Impact of a Current Healthcare Policy on a Group of Clients/Users Introduction In considering the impact of a current healthcare policy on a group of clients/users, the United Kingdom’s National Service Framework (NSF) for Coronary Heart Disease (CHD), offers a classical example for examination of the foregoing. In particular women as a subject group provides an interesting basis by which to analyze user experience, quality of service as well as fairness/justice. Globally, 10 million of the 27 million deaths of women are as a result of Coronary Heart Disease with one third of the foregoing total, 10 million, occurring in developed countries (Bonita, 2000). And while Coronary Heart Disease is known to be a leading cause of death among men, it is also ‘the’ leading cause of death for European women (Mcguire, 2000). In the United Kingdom Coronary Heart Disease is the number one cause of premature death among both men and women and shows a marked skew with regard to social classification. The death rate attributed to Coronary Heart Disease among males from manual worker classifications is forty percent (40%) higher than for those from non-manual segments (National Health Service, 2005). And while coronary heart disease is four to five times more prevalent in males than females for the age groups under 65, the gap narrows considerably after this age. And this particular age occurrence discrepancy is one of the critical sources of misunderstanding, focus, appropriation, resources and service as the medical profession, insurance industry, and public in general tend to view coronary heart disease as primarily affecting males. And while the preceding is true, in terms of the age groups under 65 (Mcguire, 2000), the fact is that women live longer than men thus as the incidence of coronary heart disease and the associated care is spread out over a longer period as well as at a more advanced age. The circumstantial inequities that the preceding give or gave rise to shall be the examination points addressed herein in terms of considerations with respect to the impact of current health care policy in terms of analyzing user experience, quality of service as well as fairness/justice, with particular emphasis on women. In order to accomplish this broad and sweeping analysis, an understanding of the disease, and allied points will need to be established to provide the foundation from which to reach a determination as to the three subject areas indicated. Coronary Heart Disease A distressing fact that has been uncovered as a result of a study by the World Health Organization (1997) is that coronary heart disease is rising in developed countries. The World Health Organization (1997) attributed the foregoing to the increased overall age of relative populations as well as the onset of increasingly poor health behavioral patterns. Dr. Abby King (2000) indicated that of the forty plus studies that have been undertaken on a global basis concerning various aspects of coronary heart disease it was found that there was a correlation between physical activity and premature mortality. Dr. King (2000) stated that said study consisted of a field that was comprised thirty-three percent (33%) of woman. Said studies have shown that inactivity in women revealed on average a two-fold risk or the development of cardiovascular problems as compared to their peers who were or are more active. It was also uncovered through these studies that the economic costs in terms of not onl y the direct treatment but also, those associated with the relative inactivity of patients amounted to substantial outlays. The increase in coronary heart disease has also been attributed to the elevated cholesterol levels that are prevalent in Western countries. Dr. Anita Schmeiser-Rieder (2000) has found that approximately forty percent (40%) of women above the age of fifty-five (55) have serum cholesterol levels that are elevated. Dr. Schmeiser-Rieder (2000) indicated that the preceding condition peaked in women between the ages of sixty-five (65) and seventy-four (74) and that fully sixty-one percent (61%) of those researched had hypercholesterlomia. The disturbing finding that was uncovered in studies by the World Health Organization (1997) is that coronary heart disease and stroke will continue to be the leading cause of death among both men and women over the next twenty years, increasing to the second and third causes of death from its present ranking of fifth and sixth by 2020. The World Health Organization (1997) cites that the major causes of both stroke and coronary heart disease are: smoking high blood pressure cholesterol body mass index And while studies conducted by the WHO (World Health Organization) MONICA (2000) Project shows a decline in smoking trends, a rise in smoking among young woman as well as adult women has been noted in: Russia (Novosirbirsk) Germany (Augsberg) Belgium Spain (Catalonia), and Poland, where the recorded increase has been as much as ten percent (10%). As the number one cause of stroke and coronary heart disease, the rise in female smoking is alarming, made even more dramatic by the fact that females historically smoke less than their male counterparts across all age groups. The findings of varied studies has conclusively indicated that the incidence of stroke and coronary heart disease increases with respect to those individuals whose lifestyles expose them to the additional risks that are associated with the two conditions. The World Health Organization (1997) has determined that changes in lifestyle as well as personal habits effectively reduce the risk associated with contracting these diseases. The foregoing is of particular significance to women, as the emphasis on efforts to change lifestyles and habits has been primarily focused upon the male segment of the population whose rate of incidence with respect to stroke and coronary heart disease has been higher. The corresponding increase in poor lifestyle and smoking habits among females in the countries indicated reveals that such an approach has not only been short sighted, by failed to take into account the longer life cycle of females thus increasing the onset of coronary heart disease and stroke in later years as a result of higher age where female incidents almost match those of males. The foregoing factors are important base line informational points to develop an understanding of the varied inputs and considerations that comprise the complex variables inherent in equating the range of aspects to be addressed in analyzing user experience, quality of service as well as fairness/justice. The preceding points out the need to utilize what is termed as a ‘high reach’ strategy (Bonita, 2000) that reaches both the male and female segments of the population in terms of alerting them to the relative risks, preventive measures, lifestyle augmentation, and allied aspects known to have demonstrated a decrease in stroke and coronary heart disease when utilized in a proper manner. Such an initiative when conducted on a population-wide (high reach) basis helps to alert individuals to the relative dangers and causes of high blood pressure, negative connotations associated with smoking and lack of physical activity, the three highest contributors to the condition. Alerting populations to reduce the intake of salt, alcohol, saturated fat as well as the benefits of increased physical activity would reduce the relative levels of blood pressure and thus the corresponding reduction in medical costs assumed not only by individuals, but society at large. By combining the aforementioned with what is termed a high-risk strategy (Bonita, 2000), in efforts that are directed at the identification of women in this category, along with offering treatment to the women within this group whose risk factor(s) are above the norm in terms of the potential for a coronary disease event can generate significant improvements in long term results. The utilization of educational media efforts in combination with treatment availability is a preventive measure that recognizes the need to head off the high costs of medical facilities, and allied costs to the government via preventive measures. As the subject country being utilized for this examination is the United Kingdom, the foregoing is applicable. The same holds true for countries where insurance coverage’s are used to supplement individual treatment costs, along with the calculated losses to society with respect to the associated costs that accompany coronary heart disease events. In the case of the United Kingdom, with the taxpayers bearing the cost of medical care under the country’s socialized medical program, the realities of the treatment and after care costs of coronary heart disease are a real expenditure concern. In particular the recognition of the heretofore hidden costs in this area as a result of the scant attention paid to the real costs associated with women, the foregoing represents an opportunity to make an significant impact in cost controls, and more importantly the health of an entire segment of the population. And while women as a group have an overall lower absolute risk factor than men, in terms of the potential for women to have a coronary heart disease event, this differs depending upon the age group category. As indicated by Dr. Anita Schmeiser-Rieder (2000), forty percent (40%) of females who are above the age of fifty-five (55) years of age have elevated cholesterol levels and this condition actually peaked for the age group between sixty-five (65) through seventy-four (74) where sixty-one percent (61%) if the research group had this condition. The aforementioned supports the view that strategies aimed at high-reach in conjunction with high-risk represent a necessary approach to bring the incident of the risk of conditions that contribute to increased onset of coronary heart disease under preventive type control program measures. The preceding analysis takes on additional importance when one considers that estimates regarding the probability factors concerning woman above the age of fifty, as well as the increased incidence of smoking in young women and the need for education regarding lifestyle and health preventive measures to reduce probabilities later in life represent contributory factors that can be somewhat controlled. Prevention approaches to call attention to the risks of smoking, high cholesterol diets, and the lack of proper exercise represent measures that have shown to produce a reduction in coronary heart disease numbers over specified periods. Classified as lifestyle and personal habit changes, the reduction or elimination of known contributors that increase the potential of CHD (Coronary Heart Disease) has yielded positive results. It is important to note that in the instance of women, the absolute risk of coronary heart disease remains at relatively low levels until they reach their seventies and eighties, however, the reduction in conditions attributable to said condition in earlier years has been shown as a positive preventive measure (Bonita, 2000). As pointed out by Dr. Bonita (2000) the primary contributors to the coronary heart disease epidemic are: the onset of population aging, rapid urbanization, changes in nutrition, and smoking patterns, along with reduced physical activity Any program that purports to achieve relative success will need to incorporate the preceding along with post CHD treatment and follow up measures as well. Cardiac Rehabilitation Services The United Kingdom’s National Service Framework for coronary heart disease is under a revision program which the Secretary of State for Health, Alan Milburn, states the primary focus is the â€Å"saving of lives† by the reduction of â€Å"†¦the death rate from heart disease and †¦ stroke †¦Ã¢â‚¬  by â€Å"†¦ two fifths†¦Ã¢â‚¬  for individuals under the age of seventy-five (75) by the year 2010 (National Health Service, 2005). The preceding will be accomplished through the following measures (National Health Service, 2005): the development of a new vision concerning coronary heart disease, the establishment of a government-wide agenda, further development and improvement of the National Service Framework for CHD providing effective services to all individuals in the United Kingdom that can benefit The preceding directly address the three points user experience, quality of service as well as fairness/justice, along with other concerns. Through the modernization of the National Health Service’s treatment, care and public awareness approaches the objective is to improve the foregoing across age, gender, cultural, race, disability, locale, and religious lines, as well as being â€Å"†¦ responsive†¦Ã¢â‚¬  to the needs of individuals (National Health Service, 2005). Some examples of the need to revise and modernize the system is evidenced by the following facts (National Health Service, 2005): The wives of workers in the manual class are at twice the risk factor in developing coronary heart disease and stroke than the wives of workers whose jobs are of a non-manual classification. The morbidity rate among the manual class group is also higher than in the non-manual group designation, and this group also reflects increased incidences of angina, heart attack and stroke. The disparity in come between poor and rich has widened over the previous twenty years creating a further gap in health survivability as the more affluent segment of society has been able to afford private medical care as well as increased nutritional guidance and lifestyles that promote as well as can afford more physical activity. Historical records have shown that death rates are higher in the northern locales of the United Kingdom, representing almost three times the rate for individuals over the age of sixty-five (65) in cities such as Manchester than for Richmond or Kingston. The preceding further illustrates the inequities in terms of user experience, quality of service as well as fairness/justice. The new National Health Service program sets forth that it seeks significant improvement in the following areas, all of which will enhance the indicated three examination points (National Health Service, 2005): Standards The National Health Service is aiming to establish a ‘standard of care’ that includes an invitation for individuals whom have been admitted to a hospital for coronary heart disease to participate in programs consisting of cardiac rehabilitation and secondary prevention. The preceding is aimed at reducing future risk of cardiac problems and to help them to return to a normal life. Rationale Admission to a hospital represents individuals whose condition is severe. This signals that their lifestyles to this point have consisted of various high-risk exposures, such as smoking, high cholesterol diets, and other conditions that if changed can lead to significant improvements in rehabilitation. To accomplish the preceding said patients must be analyzed and then coached concerning the lifestyle changes and modifications needed to aid them in returning to a healthier manner of living to reduce future incidents and effect recovery. The World Health Organization (1997) defines cardiac rehabilitation as consisting of a â€Å"†¦ sum of activities†¦Ã¢â‚¬â„¢ that are necessary to effectively influence and identify the underlying causes of the disease to individuals through their own actions can help to effect their recovery. Through increasing the quality of service that offers comprehensive assistance that is custom tailored to their individual circumstances. The aforementioned provides the foundation to enable counseling and aiding individuals in understanding ways in which to change their lifestyle habits, as well as better understand their illness and effect the transition back to as normal and full a life as possible. The aim is to make rehabilitation â€Å"†¦ an integral†¦Ã¢â‚¬  aspect of the active as well as secondary preventive care regime. By establishing rehabilitative procedures immediately after discharge and the establishment of a long term formal program that focuses on returnin g the individual to the best health possible the government estimates a net gain of approximately  £15,700 per instance over a three year period. In the case of women, they represent one third of the individuals with coronary heart disease, yet just fifteen percent (15%) of their total utilize rehabilitative services (Green, 2000). The attention to improving the quality of service the initiative also aims at removing the disproportionate care provided that does not adequately cover rural parts of the country. Effective Interventions Participation barriers can be a result of varied causes, such as the lack of proper motivation to difficulties in attending rehabilitative sessions. In the case of women it was discovered that there was a lack of appropriate provisions, which the current modernization program seeks to correct to provide fairness as well as justice throughout the system. The foregoing also includes minority groups as well. In terms of improving the quality of service the new program consists of Four Phases (National Health Service, 2005): Phase 1 This Phase comes into effect before the discharge of an individual from the hospital, and is to be offered as a part of the acute care plan. It includes the following elements: review and assessment of psychological, physical and social needs for rehabilitation development of a written plan to meet identified needs counseling and advice on detrimental lifestyle aspects such as smoking, cholesterol, exercise, alcohol, etc. prescribing of medication and education on its proper use information concerning cardiac support groups Phase 2 As part of the early post discharge period individuals will receive the following: a comprehensive assessment of their cardiac risk which will include their psychological, social and physical needs for rehabilitation and the plan to achieve these ends lifestyle advice from trained therapists resuscitation training for members of the affected individual’s family Phase 3 This segment of the four phase plan comes into utilization four weeks after the cardiac events initial phase and consists of a series of structured exercise sessions along with ongoing access to support and advice from people trained to provide them with psychological interventions, promotion of health, exercise and associated advice. Phase 4 The final aspect of the four-tiered program that consists of: long term primary care follow up local cardiac support group involvement referrals to identified support services as initiated in Phase 1 The modernized and revised National Service Framework is a highly structured series of interlocking programs that are designed to alleviate as well as eliminate the missing components of the prior coronary heart disease plan which evolved over decades, into a comprehensive system that has been revised based upon today’s understandings. It aims to achieve coverage of all groups and categories of individuals through education, assessment, contact and a cardiac event that provides qualified, balanced and comprehensive coverage and care whose major components are as follows (National Health Service, 2005): The identification of individuals that are likely to benefit from a structured cardiac rehabilitation program before discharge from a hospital, the assessment of individual risks as well as needs, along with the development of a structured plan to achieve successful cardiac rehabilitation, the documentation and provision to deliver the proper treatment as well as advice the integration of required and agreed upon care that is weaved into the patients local network of primary and secondary treatment, preventive and related care, The experiences gained under the prior system, as well as all of the inequities have been addressed under the National Health Service’s new modernization plan that provides and sets relevant standards with effective interventions under structured service models that define and addresses the immediate priorities of each individual patient. Conclusion The scope and complexity that comprises the field of coronary heart disease makes this a subject whereby the factors inherent in its causes as well as manifestations entail equating aspects of human behavior across the entire spectrum of demographic, cultural, social and psychological realms to codify commonalities and possible associative elements that tend to explain the reasons and causes for the world’s most pervasive killer. As the field of examination represents healthcare, the core of understanding evolves an evolutionary process based upon decades of exposure, analysis and experience gained within the United Kingdom as well as on the world stage. The National Health Service has recognized the significance of the preceding and has crafted a program that seeks to build upon the known(s) within the subject field in a program that is flexible enough to improve upon itself to incorporate those aspects, considerations and new understandings that will inevitably will occur wi th new discoveries and as a result of the comprehensive data based system that will permit further modification and evolution. Thus, user experience, along with quality of service, and fairness/justice with respect to the new National Service Framework has been addressed to exclude the existing inequities and shortcomings, yet understands that it is an evolutionary process that will continue to modify and improve upon itself using past experiences along with the new framework as the foundation from which to accomplish this. The Secretary of State for Health, Alan Milburn (2000) firmly establishes the preceding in referring to the â€Å"†¦ National Service Framework for Coronary Heart Disease†¦Ã¢â‚¬  as the nation’s â€Å"†¦ blueprint for tackling heart disease†¦Ã¢â‚¬  Mr. Milburn’s statement goes on to add that the new ‘Framework† is based upon the understanding and recognition of past inequities and shortcomings which this new initiative addresses, along with the understanding of â€Å"†¦ the importance of modern prevention and primary care as well as the contribution of the more specialized services.† The fact that the National Health Service has undertaken this modernization program clearly indicates that it understood and recognized the prior user experience, service quality and fairness/justice components needed considerable improvement. Regardless of how deeply one would delve into the inequities of the past, there could be an argument made for areas and points that were not covered, as the list is extensive. And no matter how comprehensive the present system is, it is an evolutionary framework that will have its own initial and ongoing issues and inequities to face as well as resolve. The difference between the two systems is that the present one was developed with the understanding that it will continue to improve upon itself as it learns from its base of past expertise. In the complex and ever changing world of medical care, the preceding is all that can be asked from its healthcare agency, with the understanding that no matter how comprehensive the plan, modern changes and developments can and will render segments as obsolete, thus the need for a built in foundation that incorporates this as its framework. The very fact that past user experience, service quality and fairness/justice had shortcomings, along with other points is the reason behind the new Framework initiative, and this in itself is a progressive view that is responsive to the needs of the populace, which is the rationale for the government’s existence. Bibliography Bonita, Ruth, M.D. 2000. Woman, Heart Disease, and Stroke: A Global Perspective. Article at The First National Conference on Woman, Heart Disease and Stroke: Science and Policy in Action. Victoria, British Columbia, Canada Green, D.G., Casper, L. 2000. Delay, Denial and Dilution. IEA Health and Welfare Unit, London, the United Kingdom King, Abby, M.D. 2000. Physical Activity as a Contributor to Heart Disease in Woman. Article at The First National Conference on Woman, Heart Disease and Stroke: Science and Policy in Action. Victoria, British Columbia, Canada Maguire, Peg. 2000. Coronary Heart Disease, Not for Men Only. Article at The First National Conference on Woman, Heart Disease and Stroke: Science and Policy in Action. Victoria, British Columbia, Canada National Health Service. 2005. Coronary Heart Disease. National Service Framework for Coronary Heart Disease: Modern Standards Service Models, The United Kingdom Schmeiser-Rieder, Anita, MD. 2000. Cholesterol Levels in Woman in the Western World. Article at The First National Conference on Woman, Heart Disease and Stroke: Science and Policy in Action. Victoria, British Columbia, Canada WHO MONICA Project. 2000. WHO Mortality Data Base. World Health Organization, Geneva , Switzerland World Health Organization. 1997. Annual Report. World Health Organization, Geneva, Switzerland What is Liposuction? What is Liposuction? Liposuction – a way of getting rid of that extra fat on the body! In the busy world of today, managing time in our daily routine has become the most difficult thing to do! Because of which, people barely get time to exercise and keep themselves fit. And to add on to it, canned food exists in opulence! In a world which is ideal, Liposuction (Fat removal) would not be needed. Everyone would eat moderately, in the appropriate quantities and would exercise. But the world is far from ideal! And hence, with each passing year, Plastic Surgery for unwanted fat removal or Liposuction is becoming more and more favourite among the people! Everybody wants to look fit and healthy. Being overweight can be a factor of embarrassment and may be a social stigma. Obese (overweight) people when stigmatized, may even feel a bit low on confidence! Hence, to get rid of this embarrassment and in order to look presentable, such people seek for Liposuction/ Fat Removal treatment. Let’s find out more about this ‘Liposuction’ treatment: What exactly is Liposuction? The literary meaning of the term â€Å"Liposuction† is removal of fat from the body with help of suction. At the time of this procedure, thin, small, blunt-tipped tubes (cannula) are inserted through small incisions (cuts) in the skin. The doctor moves the tubes around under the skin to direct at specific fat deposits. The fat is thus suctioned out through these tubes. Non-surgical Liposuction: A substitute to surgical liposuction wherein different technologies are used to liquefy fat using non-invasive methods like lasers, ultrasonics and injections of chemical agents. With the advent of newer modern and improved techniques/ methods, Liposuction has become much easier, safer and less painful. These modern techniques are as following: Tumescent Liposuction: The area where the tube is to be inserted, a local anesthetic is used for numbing that particular area from where the fat is to be suctioned out. After that, a large amount of an anesthetic solution consisting of epinephrine and lidocaine is injected into the fatty tissue before suctioning out the fat. General anesthesia may not be required in this kind of procedure. Ultrasound-assisted Liposuction: In this method, ultrasound is used for liquefying the fat, thus making the fat removal easier. This kind of technique may prove beneficial in case of removing fat from the sides, upper abdomen and back. Laser-assisted Liposuction: In this method, low-energy waves are utilized for liquification of the fat, which is then removed with the help of a small cannula. The procedure is generally carried out as an outpatient procedure in a properly equipped Doctor’s office, surgical center or a hospital. Only when a large amount of fat is required to be removed from the body, an overnight hospital stay would be needed. In such a case, a deep sedation or general anesthesia with a local anesthetic may be administered. Why is it done? The chief motive behind Liposuction is to re-shape one or more regions in your body and NOT to reduce body weight. The â€Å"problem† areas which do not react to diet and exercise, are tackled by carrying out Liposuction. These areas are namely – the outer thighs and hips in case of female and the waist and the back in case of men. Also, the areas that are generally treated using Liposuction are – the face, neck, back, abdomen, upper arms, legs and buttocks. Liposuction may at times be carried out along with certain other Cosmetic Surgery procedures viz. â€Å"Tummy tuck† (Abdominoplasty), Face-Lift or Breast Reduction. A few clinical conditions may be treated with the help of Liposuction, which include the following: Abnormal enlargement of the male breasts (Gynecomastia or Pseudogynecomastia) Benign fatty tumours (Lipomas) Excessive sweating in the armpits (Axillary hyperhidrosis) Problems with fat metabolism in the body (Lipodystrophy) Liposuction is not used to get rid of Obesity. It will NOT help to clear out cellulite or stretch marks. What to anticipate after the treatment? After the procedure has been carried out, the treated area is tightly wrapped in order to diminish swelling, pain and bruising. Elastic bandages and tape, a special girdle or some type of fitting garment may be used, based on the area that has been treated. The patient may need to wear the compression garment for about 3-4 weeks. At least for the first 7-10 days, a lot of bruising and swelling is expected to occur. The fluid may evacuate from the site of incision for a few days. The patient may be prescribed antibiotics to reduce the risk of infection. After the procedure has finished, and the effect of anesthesia and sedation has been subsided, most of the patients may resume their daily activities as and when they feel comfortable. In case of larger areas undergoing liposuction, recovery may take a bit longer. Outcomes of the Surgery: When carried out in small regions on the body, Liposuction may give out the best desired results. But in case where a person regains weight after undergoing the procedure, the fatty bulges that were removed earlier are most likely to reappear or appear in another place. There may be quite notable changes observed in the body contour immediately after the surgery. It may take several months to a year for the full effects of the surgery to show up. Liposuction does not necessarily tighten the skin around the treated region. After the fat removal has been done, the skin around that region may become a bit loose. For the skin to tighten, it may take up to 6 months. In case of young people, skin retraction is faster. Every surgical procedure has its own advantages and disadvantages. And when it comes to Cosmetic Surgery, it’s no different! There are some risks that are involved with the procedure of Liposuction. Let’s have a look as to what complications may arise after the Fat Removal Surgery: If Liposuction is carried out by an experienced Cosmetic Surgeon in a well equipped surgical setup, it is usually safe. In cases, where a larger amount of area or more than one area have undergone the surgery, the chances of complications arising are more. Bruising, swelling (which is temporary), numbness and soreness in and around the region treated Minor scarring and irritation at the site of insertion of cannula Rippling or baggy skin Certain less common risks include: Uneven skin surface over the region treated Permanent change in colour of the skin Damage to the skin and the nerves, particularly in case of Ultrasound-assisted Liposuction It is very important for people to be careful and not gain extra weight after the surgery. As it may result in fat deposition in certain other parts which are deep inside the body, such as the internal organs like heart, liver etc. Such type of fat deposition can be more fatal. Dangerous risks include: Blood clots or fat clots, which may travel to the lungs (Pulmonary embolism) Excessive blood or fluid loss which may result in Shock Pulmonary edema – fluid accumulation in the lungs Toxic reaction to injected solution, particularly in cases when larger areas are treated. People who have severe heart problems, or blood clotting disorders or pregnant females should NOT undergo Liposuction procedure. Things to note: Liposuction is NOT a mean for reducing weight and it is never an alternative to exercise and a balanced diet. As a matter of fact, most of the Cosmetic Surgeons are of the opinion that the best candidates to undergo Liposuction would be healthy people who are at or very close to a healthy weight but who have stubborn fat deposit which does not respond well to exercise. Liposuction should be carried out only by an experienced Cosmetic Surgeon who is well-trained in Liposuction and knows well how to tackle the complications during surgery.