Saturday, August 31, 2019
Religion in the workplace Essay
Religion is protected by Title VII of the Civil Rights Act of 1964 by allowing people who work for an employer to be able to ask or take time off in order to observe a religious holiday or attend services. It also forbids employers to discharge, discriminate, limit or segregate any employee based off of their religious preferences. According to what is stated in the Civil Rights Act of 1964 employees are allowed to take that time off of work for religious reasons as long as the employer does not experience any kind of hardship due to the absence of the employee. If a business does not comply with what the law states they can receive up to $1,000.00 fine, one year in jail or possibly both. Some examples of religious accommodations qualified employers must take are: 1. Providing tuition reimbursement even if it is a specific religion course. 2. Allowing employees not to participate in training sessions due to their religion. 3. Employees are allowed to engage in any religious expression. 4. Allowing flexible scheduling around someoneââ¬â¢s religious preferences. 5. Providing time and or place to pray. It is important for employers to understand how religion is protected by Title VII because if they fail to comply they can receive hefty fines and possibly jail time. An employer can also be sued by someone if they fail to allow them to express their religious preferences. As for employees it is definitely necessary for them to know about Title VI when it comes to religion. Knowing this information will allow an individual to express their religious rights inside the workplace and not feel threatened because they might believe differently than others. COMING TO AMERICA The group that I choose to talk about is Muslims. This group faces religious discrimination in this country today and has seen an increase of discrimination after September 11th. People assume that because some radical terrorists created 9/11 that all people from that religion is against everyone in the United States. It is sad to hear this because it has been shown that most Muslims do not agree with the radical terrorists. There is even a word that describes the mass hysteria of people who are prejudicial towards Muslims called Islamaphobia. Several articles that I have read stated that people are extremely judgmental towards this group as well as hostile towards any Muslim people they come across. It seems that workplace discrimination towards this group is on the rise as well with several lawsuits pending towards different companies. Most of the lawsuits have to do with the ethnic attire and praying that Muslims do. Do I believe that they can overcome this type of discrimination? No I think they have a long hard road to go. Unfortunately there are a lot of uneducated people in the US and people tend to blame a whole group not just the individual in a terrorist situation. What needs to happen is more education on that religion and harsher judgments towards people who do hate crimes towards a Muslim.
Friday, August 30, 2019
‘Still I Rise
Maya Angelinos famous poem ââ¬ËStill I Rise' Is an Intriguing poem that shows the poet's point of view on many different Issues revolving around slavery and racism towards African-Americans. Maya Angelo was born on the 24th April, 1 928 and In 1978 she wrote the poem ââ¬ËStill I Rise'. She is known as the Global Renaissance Woman for being a warrior to earn equality, tolerance and peace.She herself is an African-American Oman who experienced racial discrimination. Maya expresses her experiences towards these issues in her writing. Introduction Talk about the context of your poem, including: The poet's life Important events in the time period If you are doing a song, you may play some of It. However, you must still read It as If It were a poem. Maya Angelo wrote this poem to show oppressors that no matter what they say or do, she will keep rising up.She gives a message to all African-Americans to have argue and confidence, to stand up to their oppressors and display to them that they are proud of whom they are. Audience and purpose The tone of the poem suggests that she is determined to get to where she wants to go and that she is proud and sure of what she is doing. The repetition of ââ¬ËI rise' conveys that she will rise higher than the oppressor and challenge him to keep her down. But, the fact that It's repeated shows that she has to do it more than once and it makes you feel frustrated and sorry for her.She also Inspires you with her resistance to prove her point and you feel triumphant when she finally gets there. Talk about the mood and tone of the poem. Use evidence from the poem to make your points. Quatrains are used for most of the poem with a rhyme scheme of ABACA which makes this poem is a ballad. But, in the last stanza it changes to emphasis the idea that she will rise. She writes, ââ¬ËUp from a past that's rooted in pain, I rise' and then later on in the stanza ââ¬ËInto a daybreak that's wondrously clear, I rise'.Here she is saying that he will move on and forget her struggles and misfortunes and become a new person who will be Jubilant and untroubled. Talk about the structure and form of the poem. Does It have a rhyme scheme? What Is Its meter (rhythmic pattern)? (such as assonance, alliteration, meter) are used? Maya leaves no spaces for anyone else's voice but her own. She silences all of her oppressors and shows them that she Whose point of view is represented in the poem? Whose voice is heard? Whose voice is silenced? Conclusion Sum up the overall message of the poem. ââ¬ËStill I Rise Maya Angelinos famous poem ââ¬ËStill I Rise' Is an Intriguing poem that shows the poet's point of view on many different Issues revolving around slavery and racism towards African-Americans. Maya Angelo was born on the 24th April, 1 928 and In 1978 she wrote the poem ââ¬ËStill I Rise'. She is known as the Global Renaissance Woman for being a warrior to earn equality, tolerance and peace.She herself is an African-American Oman who experienced racial discrimination. Maya expresses her experiences towards these issues in her writing. Introduction Talk about the context of your poem, including: The poet's life Important events in the time period If you are doing a song, you may play some of It. However, you must still read It as If It were a poem. Maya Angelo wrote this poem to show oppressors that no matter what they say or do, she will keep rising up.She gives a message to all African-Americans to have argue and confidence, to stand up to their oppressors and display to them that they are proud of whom they are. Audience and purpose The tone of the poem suggests that she is determined to get to where she wants to go and that she is proud and sure of what she is doing. The repetition of ââ¬ËI rise' conveys that she will rise higher than the oppressor and challenge him to keep her down. But, the fact that It's repeated shows that she has to do it more than once and it makes you feel frustrated and sorry for her.She also Inspires you with her resistance to prove her point and you feel triumphant when she finally gets there. Talk about the mood and tone of the poem. Use evidence from the poem to make your points. Quatrains are used for most of the poem with a rhyme scheme of ABACA which makes this poem is a ballad. But, in the last stanza it changes to emphasis the idea that she will rise. She writes, ââ¬ËUp from a past that's rooted in pain, I rise' and then later on in the stanza ââ¬ËInto a daybreak that's wondrously clear, I rise'.Here she is saying that he will move on and forget her struggles and misfortunes and become a new person who will be Jubilant and untroubled. Talk about the structure and form of the poem. Does It have a rhyme scheme? What Is Its meter (rhythmic pattern)? (such as assonance, alliteration, meter) are used? Maya leaves no spaces for anyone else's voice but her own. She silences all of her oppressors and shows them that she Whose point of view is represented in the poem? Whose voice is heard? Whose voice is silenced? Conclusion Sum up the overall message of the poem.
Thursday, August 29, 2019
How to Structure a Dissertation: Chapters & Sub Chapters
The following post includes a concise and in-depth overview of the chapters and subchapters normally contained within a dissertation. These would be very useful when deciding what should go where, and what you should write next. We use this template at our site when assisting students with their dissertations and in particular writing dissertation chapters. We hope you benefit strongly from it as well.Dissertation Chapters & Sub ChaptersDissertations should be structured in the following manner:TITLE PAGEACKNOWLEDGEMENTDEDICATIONABSTRACTTABLE OF CONTENTSLIST OF TABLES (If available) LIST OF FIGURES (if available)INTRODUCTIONINTRODUCTION TO THE STUDY ORGANISATION UNDER STUDY PROBLEM STATEMENT RESEARCH OBJECTIVE DISSERTATION STRUCTURELITERATURE REVIEWINTRODUCTION LITERATURE REVIEW FINAL SUBCHAPTERS SHOULD INCLUDE: LITERATURE REVIEW SUMMARY RESEARCH QUESTION Do not be descriptive in your literature review. For every one of 2 reviews on a particular subject, come up with equal critiques by opposing authors to have a balanced critique of the subject you are reviewing.METHODOLOGYRESEARCH PHILOSOPHY RESEARCH APPROACH RESEARCH STRATEGY DATA COLLECTION DATA ANALYSIS ACCESS RELIABILITY, VALIDITY, AND GENERALISABILITY ETHICAL ISSUES RESEARCH LIMITATIONS Dissertation Chapters For most sections of the methodology, you should include an appropriate rationale for why you chose to use that particular methodology over an opposing methodology. If you choose positivist over interpretivist, why did you do it? RESULTSIf Quantitative, you should include all the figures, along with a description of the results. If Qualitative or Case Study, you should include the relevant findings in a descriptive format.DISCUSSIONJustification of research topic (why you chose that topic) Recap of Literature Review, and Methodology Justification of Sample Brief Recap of Results Analysis ââ¬â Split the research question into different sections, and answer each one of the sub questions, based on Literature Review and Results. Then eventually, write a summary that answers the whole research question. Analysis ââ¬â Make sure you answer the research question. The results should be analyzed in line with the Literature you reviewed in Chapter 2.CONCLUSIONRECOMMENDATIONSREFERENCES A ND BIBLIOGRAPHYAPPENDIXYou must be a good storyteller to write a dissertation. You are not expected to interview or survey anybody, but you must be able to understand the organisation, literature review and methodology, up until the point that you can write a convincing thesis to answer your proposed research question (ask for samples if you need them). I suggest and totally recommend that you start from the literature review. We have provided a simple guide called, how to write a dissertation the literature review, that might be helpful to you. Since you are not really conducting the interviews and reports, the literature review would give you a well-rounded overview of the topic. Most social sciences and Law dissertations adopt secondary research, compared to business dissertations that primarily use Primary Research. Ensure that your choice of research is the most adequate for the topic you are working on. Summary Reviewer John ââ¬â WP Admin Review Date 2017-08-18 Reviewed Item Dissertation Writing Guide: How to Structure a Dissertation? Author Rating 5
Wednesday, August 28, 2019
Women in Medicine Essay Example | Topics and Well Written Essays - 2000 words
Women in Medicine - Essay Example Those hazards vary from one environment to another, depending on the type of hazard expected in a particular place. Some of the factors include the potential occupants, type of anticipated hazard, availability of first aid kits, and proximity to a medical facility to cater for the injured women. Proper analysis and reviewing of such factors, which determine healthy and safe indoor and outdoor environments, will help determine the intervention mechanism to be used. For instance, medical officers must consider the potential occupants of given environments to facilitate the planning process. Failure to understand the occupants means that the healthcare experts might not receive any considerable change in scope due to the increasing number of injuries, which such people are likely to incur in the workplace (More 108). The other important factor is the type of hazard expected in particular environment. ... 1.2 How to Monitor and maintain Health and Safety in the Work Setting and how People are made Aware of Risks and Hazards and Encouraged to Work Safely. In monitoring and maintaining health and safety, a high standard of hygiene must be constantly checked and maintained. The care takers must ensure that the women are living under good hygienic conditions and practices, such as toileting, eating and playing in safe environments. The toilets, kitchen, dining place and playing ground must be always kept very clean and safe for the women to use. In addition, people in the work setting are made aware of risks and hazards, as well as are encouraged to work safely by training them on the ways to keep the environment clean and healthy. Equipping them with the first aid kits and knowledge to enable them swiftly respond to emergencies, accidents and incidents. In order to make people aware of risks and hazards and encouraged to work safely, they must be kept informed about the potential environ mental threats. In addition, the workers should have food hygiene certificate to certify their ability to maintain the high standards of cleanliness. This would ensure that they work safely (Markward and Yegidis 91). 1.3 CSSIW, Welfare Requirement, Early Years Foundation Stage The sources of current guidance for planning health and safe environments and services, which are in accordance with the guidelines set by the CSSIW include the following. The Womenââ¬â¢s Act, The Health and Safety at Work, etc Act 1974, The Workplace (Health, Safety and Welfare) Regulations 1992, The Health and Safety (Display Screen Equipment) Regulations 1992, and The Health and Safety (First Aid) Regulations 1981 (Pringle 201). The
Journal 11 Assignment Example | Topics and Well Written Essays - 500 words
Journal 11 - Assignment Example ed as a scene of quietness come while it rains, the book describes Anna and the narrator caring for each other based on the way she sleeps at her feet and the kiss she gets on her lips and forehead as well as playing with her fine golden hair. The new thing they claim to have discovered is the new America, the America they expect to have after the ancient time, they were very happy to think of seeing the beautiful America, this can be shown in the play as they both shout loudly and laughing as they walked in the street. The narrator goes ahead and describes how in the past there were ships ferrying people from one corner of America to Europe and to other parts of America, this shows the love and wish that he has for America in the new world. This is cited from the play where it is written ââ¬Å"a profusion of memories rise up in him, and how he once saw large ships with advertising billboard and having stepped nearer read: from Liverpool to New York-from Bremen to New York.â⬠The narrator introduces Columbus in the story as one person who was not aware of if he was among the people who discovered America. (Spack &Ruth, P.157). He portrays Columbus as a poor in ideas, this cited from the story when the narrator write, ââ¬Å"I was unable to imagine Columbus standing with a sorrowful glance at the coast of his discovered world, putting on his top hat and shaking his head disappointedlyâ⬠. Columbus was treated as a hero, but little did the world know that America had existed before. The narrators concludes the story by describing the type of America he wishes to have but not the one claimed to be discovered by Columbus, he goes ahead and state that ââ¬Å" Iââ¬â¢m in the wrong America and perhaps dreaming about the sweet, fragrant America of time. And that has passed for several yearsâ⬠he thinks that something has ultimately gone wrong somewhere and needs to get it corrected but not aware how that he could correct that. It is cited in the narration when he writes, ââ¬Å"a pain
Tuesday, August 27, 2019
Has no topic Essay Example | Topics and Well Written Essays - 1250 words - 1
Has no topic - Essay Example It is noted that once these European powers entered a given country, they imposed their rules and policies on the people of that country or territory. This implies that everyone in the country that the European powers took control of were to follow the laws and rules of their colonizers. In fact, history tells us that the European powers were once in control of all the third world colonies, particularly in the 19th and 20th centuries (Marker par. 3). The existence of the European colonies in the third world countries had both positive and negative impacts. Nevertheless, it can be argued that the overall effect of colonialism on the colonized was positive and transformational. This discourse explores the extent to which the colonial rule transformed the world, with particular emphasis on third world countries. It is worth stressing that colonial rule did have negative impacts on many countries colonized by the European powers. However, the positive impacts of the colonial rule cannot be underrated. In most African countries, for example, colonial rule helped in bringing education to the locals that enhanced the literacy level of most Africans. Melber notes that in most countries that the European colonies entered, they established schools, and colleges, where for the natives (17). African people also used these schools to learn. This helped improve the literacy level of most Africans who had no basic education. Research indicates that Europeans taught Africans how to read, write, and do arithmetic. In Kenya, for example, the British colony established a number of schools for European children in some areas and African schools in other areas. Some of the European schools started by the British in Kenya include Nairobi School and Lenana School (Marker par. 5). These schools helped transform Kenya into an enlightened country. The colonial rule also transformed most colonies by improving the health and standards of living of people by establishing hospitals with exp erienced personnel. Research indicates that prior to the entry of European colonizers in the third world countries, such as Africa, most people depended on herbs and divine healing for diseases. Others went to witch doctors to intervene in their situation. However, this did not help much resulting in high mortality rates. In fact, tropical diseases, such as malaria became prevalent due to lack of drugs. However, soon after invading third world countries, the European colonizers embarked on building hospitals and clinic where they could be treated for diseases such as malaria, yellow fever, sleeping sicknesses and small pox, just to name but a few. These hospitals were also used to treat Africans whenever they fell ill. In addition, the hospitals were also used to train Africans on drug use. The establishment of the hospitals helped reduce mortality rates, as well as improving the standards of living in third world colonies. It also transformed third world colonies from over dependen t on herbs and divine intervention to seeking treatments in hospitals from specialized trained doctors and nurses (Hrituleac 13). Sanitation and live expectancy are another area that the colonial rule had a huge impact. Sanitation used to be very poor in most third world countries before the entry of colonizers. However, their entry brought significant transformation by improving the state of sanitation by educating Africans on the importance of
Monday, August 26, 2019
Increase in Diabetic Blood Sugars Research Paper
Increase in Diabetic Blood Sugars - Research Paper Example In the former, insulin dosage has to be carefully titrated in order to keep an optimum level of glucose in blood so that associated complications are not triggered. In the latter, quantity and type of food intake have to be optimized and required medication/s taken in order to keep the blood glucose level at an appropriate level. However, as this monitoring has to be done on an almost daily basis, either by the patient himself/herself, or by the attending healthcare professional, it becomes cumbersome for both as the frequent jabs are irritating and accuracy of the measuring instrument and reagents are critical factors. It therefore becomes essential for a trained nursing professional to be thoroughly competent in the art so that no errors occur while monitoring and taking care of diabetic patients. In the past such tests used to involve detailed and laborious time consuming procedures in the laboratory in which the results took some time to be delivered. However, with the recent adv ent of auto analyzer technologies and portable blood glucose monitoring instruments, it has become a relatively easy task. The operation of such instruments however need to be error free and mastered individually by every nursing practitioner. Problem Statement It has been observed that student nursesââ¬â¢ involved in ADN Programs are susceptible to medication errors due to paucity of training and lack experience in handling instruments during initial years of their practice. It therefore becomes essential to familiarize and train them thoroughly in the art of handling diagnostic and medication equipment which they are going to encounter in their respective areas of practice. A nurse educator should therefore ensure that the studentsââ¬â¢ under her supervision are exposed to all nuances of the area of practice they are being trained in. This study will endeavor to uncover any lacunae in the student nurses being trained for handling diabetic patients. Purpose of the Study To en sure that the students are well versed with the technical intricacies of handling diabetic patients and confident of handling diagnostic equipment in order to monitor blood glucose levels. Evaluation of their skills after exposure to a simulated scenario for monitoring blood glucose levels. Significance of the Study Well trained nurses are the lifeline of diabetic patients as they are the ones supervising them directly. A hypoglycemic crisis can be life threatening and unbridled hyperglycemia can lead to other medical complications. Apt and accurate handling of monitoring equipment can therefore be a life saving practice. Research Question(s) 1. To find out whether the student nursesââ¬â¢ are capable of handling diagnostic and monitoring equipment and taking informed decisions while handling diabetic patients. 2. To check the awareness of student nursesââ¬â¢ about the importance of risks due to medication error/s and their sequel while monitoring diabetic patients after exposu re to a simulated scenario. Literature Review Diabetes is diagnosed by its typical symptoms and confirmed by measurement of plasma glucose. Measurement after 8-12 hours of fasting (fasting plasma glucose [FPG]), or 2 hours after ingestion of a concentrated glucose solution (oral glucose tolerance testing [GTT]) are the tests employed for diagnosis (Crandall, 2007). Type I diabetes is primarily insulin
Sunday, August 25, 2019
Explain three ways in which governments shape labour markets and Essay
Explain three ways in which governments shape labour markets and Explain, using examples, three dimensions of the relationship between paid and unpaid work - Essay Example nt base in order to instill more confidence in the workforce and ââ¬Å"focus on the context for investmentâ⬠(Lecture 3, p.3) thus creating a congenial environment for business while addressing the social concern of employment. In the current economic situation where the role of government in protecting labor has been reduced to the bare minimum due to globalization and advancements in technology, it is flexibility of the job market that is more in perspective than formulation of laws to safeguard labor. However, the scope of employment also raises the issue of work where salary is high that consequently raises the standard of living and another type of work where workers are paid low wages leading to social disparity and discontent. The issue of low wages is compounded by globalization that firms use as bargaining chip to tame labor with threats of outsourcing, giving business the upper hand as trade unions have largely been marginalized in an environment where technology has reduced manpower. The government is not only responsible to oversee a strong and vibrant economy but also to ensure equitable living conditions for every citizen in general, and the weaker sections of society in particular. There are some countries like the Scandinavian nations where the citizens enjoy generous social packages even if they are unemployed. There are other nations where 5 percent of the population enjoys 95 percent of the nationââ¬â¢s wealth, whereas 95 percent of the population survives on 5% of the countryââ¬â¢s resources. It may not be possible for every country to satisfy every citizen with generous social schemes, but it is necessary to create conditions where everyone feels cared for. Generally, the government is noncommittal when it comes to the interest of workers in the lowly paid services basically for two reasons: one, the government wants to encourage new entrepreneurs to rise to the occasion and take advantage of working conditions under the new technological order
Saturday, August 24, 2019
Engineering - Sustainability and Innovation Assignment
Engineering - Sustainability and Innovation - Assignment Example The place should exude warmth and confidence. Sustainable construction is therefore very critical to the economic, social and environmental fabric of society. Estimates suggest that in developing countries about 40% of the human population would be living in cities compared to 20% that was present in 1950. (Sustainable Building & Construction, 2003) Around 40,000 sq.km of cultivable land is being urbanized every year. The worst areas that are going to be hit are the developing countries where infrastructure boom is coming up in the next few years. It is understood that the building designs are capable of lasting 80-100 years on an average. It is therefore very important that a construction having such large scale life should be built in a sustainable manner so that fits into the surrounding environment. It can be argued that while lands that are used for irrigation being converted to concrete jungles would inevitably lead to loss of farming and have an adverse effect on the food chai n around the world, rise in construction activity would lead to increase in jobs in the construction sector. Estimates indicate that around 3 trillion US dollars are being pumped into the construction sector annually and this accounts for 10% of the world GDP. (Moavenzadeh F, 1994) An estimated 111million worker of which 74% belong to the developing countries and of this 28% engaged in industrial development is what has been found out per the last census. (Sustainable Building & Construction, 2003) While it cannot be argued that construction is a sector that generates large scale employment, its drawback is lack of job security and personal health issues of working personnel. This sector is also predominantly male and since most of the jobs are in the unorganised sector their issues are not aptly addressed. A survey conducted in UK indicated that around 600 workers die annually due to asbestos intoxication, 30% suffer skin disorders and around 40% have bone and ligament fractures. ( Sustainable Building & Construction, 2003) About 55000 workers die annually due to construction related accidents. Environment related incidents are the next major cause of concern which has strengthened the call more strongly for sustainable construction. Deforestation and illegal mining with scant respect to the nature is harmful to the environment. Apart from this energy a large amount of energy is also consumed in transporting these raw materials from its area of origin to other developing countries. (Bossink & H.J Brouwers, 1996) A concept introduced in 1970 called the embodied energy tries to calculate the sum total energy that would be required right from its inception stage, transportation and finally till the construction stage. The effort always is to limit the amount of embodied energy so that one can move towards sustainable construction. The major source of greenhouse emissions is usually for the production of cement which entails a significant amount of fossil fuel bur ning. Estimates suggest that by 1950 the CO2 emissions would be around four times the present amount. (Sustainable Building & Construction, 2003) It has also been suggested that in the interests of the environment it is best that a greater building density is better compared to a low building density. This would entail
Friday, August 23, 2019
Iroquois theatre fire, chicago, IL, december 30, 1903 Research Paper
Iroquois theatre fire, chicago, IL, december 30, 1903 - Research Paper Example It is one of the tragic incidents which have occurred, where it is not possible to accurately tell the number of the casualties, more than a hundred years later. Although it is in record that 605 people perished during this incident, the number is not accurate, since it depended on the number of bodies that were reported, collectable and mere estimation. However, it is feared that more people may have died during this incident, because the fire could have burnt down other people to ashes (Brandt, 5). The number given is only dependent on the deaths that were reported, while there were many other bodies that were removed from the scene, which were never reported. Therefore, the magnitude of this incident raised alarm over the need to step up the safety measures against fire, for both theatres and other public buildings. There are various reasons as to why the theatre was a popular holiday venue, mostly flocked to capacity in the event of any performance. The location of the theatre was strategic, meant to attract mostly women who were on day trips out of town (Brandt, 12). Secondly, the theatre was constructed in a safe zone, near a shopping district that was patrolled by police at all times. This made the theatre attractive to the people, since they were assured of their safety. Although the theater turned out to be a popular holiday destination in Chicago, it opened later than was scheduled; following some labor unrests and the failure to have its architect complete the drawing in good time (Campbell, 193). Nevertheless, its architectural standard was high, compared to any other theatre in the US at the time, which immediately made it attract large crowds during performances. In its architectural design, the theatre comprised of three different levels where the audiences could watch from, which w ere separated by broad stairways. The two upper audience levels, the dress circle and the gallery were separated from the main floor
Thursday, August 22, 2019
Expenses of an Adventure Recreational Activity Essay Example for Free
Expenses of an Adventure Recreational Activity Essay Abstract Estimates of recreation visitor spending provide inputs to economic analyses and help to identify the economic linkages between the recreational use of forest and its users. Using data collected through survey, this paper determines the type of expenditure of mountain bikers in Putrajaya Challenge Park (PCP). PCP is a recreation area that provides facilities for adventure recreational activities especially mountain biking (MTB). Food, petrol, toll charges and equipment constitute the main expenses for MTB in PCP. The study provides useful information with regards to the characteristics of users, pattern of use and userââ¬â¢s expenditure. It supplies the policymakers with information on the usage pattern that may help in developing the management plan to maintain or improve the quality of facilities provided in PCP. Keywords: adventurous recreation, mountain bike, recreational spending Introduction The Malaysian government encourages sports and recreation through the development of appropriate facilities and has launched many related events, including the adventure recreation. Ewert and Hollenhorst (1997) defined adventure recreation as recreational activities that contain structural components of real or perceived danger and usually involve a natural environment setting in which the outcome is uncertain but influenced by the participant. According to Arnold and Price (1993), adventure recreation activities are essentially non-utilitarian and provide intense, positive, intrinsically enjoyable experiences to participants. Putrajaya Challenge Park (PCP) offers customized facilities for extreme recreation in Malaysia. It was developed by Putrajaya Holdings with the cost of RM38 million and is currently operated by Putrajaya Corporation in collaboration with the Extreme Sports Association Malaysia (ESAM). PCP is well-equipped with facilities for adventure recreational activities particularly Mountain Biking (MTB). It covers an area of about 30.33 hectares and is located in Precint 5, Putrajaya. It has a network of MTB trails that passes through an oil palm and rubber plantation, secondary forests as well as bushes and grassy areas on hilly slopes. The establishment of PCP as an adventure recreation park has an impact on the economy. Estimates on the spending of forest recreation visitors provide the basis in estimating the contributions of forest recreation to local economy (Stynes and White, 2008). MTB contributes to economic growth through all the necessary expenditures to enjoy mountain biking. According to Chin Kriwoken (2003), the popularity of MTB has grown substantially over the last 25 years and continues to grow. Berg, Braun Otgaar (2000) found that sports events have become an important means for the economic development of local community, region or country. The expenses of these visitors support local businesses by bringing profits as well as creating professions for the region and the country (Stynes and White, 2008). Due to this advantage that comes along with MTB, it seems appropriate to develop an estimate of recreational spending by mountain bikers. The objective of this paper is to determine the type of expenditure incurred by the bikers of PCP for MTB activity. The potentials and benefits of studying Mountain Biking in PCP as one of the recreational attraction in Malaysia are also discussed as well as suggestions for the government or forest recreation authority regarding MTB activity. Findings from this study are hoped to provide the government with the information of how much PCP has economically contributed to the state. Figure 1: Location of Putrajaya Challenge Park Source: Putrajaya Corporation (2010) Methodology The data for this research were obtained from a series of on-site surveys conducted in PCP. The surveys took place at the access point of the Bike and Skate Complex in PCP from December 2010 to January 2011. The respondents were randomly selected among mountain bikers in PCP. Respondents were asked about their expenditures for MTB activity in PCP using a structured questionnaire. A total of 150 effective questionnaires were collected. Results and discussion Frequency of Mountain Bikers According to Residence All respondents were asked to specify their residence. The result shows that bikers in PCP came from various locations. Majority of the bikers were from Selangor (98), Kuala Lumpur (20), Singapore (14), Putrajaya (12) while other bikers came from Johor, Melaka, Negeri Sembilan and Pahang (Table 1). Expenditure of Mountain Bikers MTB expenditure consists of four categories; the cost for food, petrol, toll charges and MTB equipment. MTB equipment includes of bicycle, helmet, biking gloves and shoes, knee pads and elbow pads. It was estimated that the mean expenditure of MTB on food, petrol, toll charges and equipment was RM10.60, RM15.60, RM4.20 and RM1, 862.50 respectively (Table 2). Zero value indicates that there is no expenditure on food. This is because mountain bikers need to consume only a small amount of food which they brought from home for MTB activity. The highest expenditure (RM 1,862.50) was on equipment particularly the bicycle and its accessories. The apparently higher expenditure on MTB equipment compared to others expenses is due to the high initial cost required to involve in MTB activity. The lowest expenditure was on toll charges (RM4.20). It is because the majority of the mountain bikers came from Selangor and need not pay for toll charges. White and Stynes (2008) found that spending for any services and goods are mostly influenced by the type of recreational activity and the distance travelled. Other factors influencing the level of expenditure of mountain bikers include the size of the recreation group which means the number of persons in the group, the time spent at the recreation area, local prices and the opportunity to make expenditure on site. During the study, there was no shop or food stall in PCP. Although the mountain bikers normally come in group, the expenditure on food and/or drinks are low because they usually go to other locations for refreshment after MTB. Conclusion From this study, food, petrol, toll charges and equipment constitute the main expenses of MTB in PCP. Apart from MTB equipment, other expenditure remains low. It is proposed to PCP management to allow and encourage the local community to sell food and/or drink in and around PCP area by providing spaces for food stalls and souvenir shop. By having this, not only will it increase mountain bikersââ¬â¢ spending but at the same time generate economic return to the locals. Nevertheless, the study does not incorporate mountain bikersââ¬â¢ willingness to pay for additional recreational facilities in PCP. In estimating the expenditure for recreational activity and its local economic impacts, there might be difference in value between local and foreign mountain biker. This is due to longer length of stay of foreigner compared to local mountain bikers since they have to travel further from home. Longer stay would increase the expenditure, for instance for extra cost for accommodation and meals. In addition, the majority of the foreign mountain biker in this study came from Singapore. Since higher currency exchange of Singaporean dollars, the foreign mountain bikers have higher spending compared to the local mountain bikers. Hence, it is suggested studies on recreational visitor spending is further investigated in the future. Acknowledgements The authors owe thanks to Muhammad Firdaus Faisal and Muhamad Redzuan Abd Rani for their efforts during the data collection. A special thank also goes to the Manager of PCP Bazly Mohamad Najib, former manager, Mohd Asim Md Ali and the staff of PCP for providing the information and data of Putrajaya Challenge Park. This study was financed by a grant from Research University Grant Scheme (RUGS) Project Number 03-01-11 1158RU. All remaining errors and omissions in this paper are solely ours. References Arnold, E., J. Price, L., L. (1993). River magic: Extraordinary experience and the extended service encounter. Journal of Consumer Research, 20 (June), 24-45 Berg, L. van den, Braun, E., Otgaar, A., H., J. (2000). Sports and city marketing in European cities. Rotterdam: Euricur. Brymer, G., E. (2006). Extreme dude! A phenomenological perspective on the extreme sport experience. Unpublished Ph.D thesis. University of Wollongong Chiu L. Kriwoken L. (2003). Managing recreational mountain biking in Wellington Park, Tasmania, Australia. Annals of Leisure Research, 6(4): 339-361 Ewert, A.W., Hollenhorst, S. (1997). Adventure recreation and its implications for wilderness. International Journal of Wilderness, 3(2), 21ââ¬â26 Stynes, D., J. White, E., M. (2008). National forest visitor spending averages and the influence of trip type and recreation activity. Journal of Forestry, pp. 17- 24
Wednesday, August 21, 2019
Global economic Essay Example for Free
Global economic Essay Executive summary The current essay demonstrates the scenario of Indian economic crisis in 2014. Causes and impact to India was talked in the first section; influence on other economy especially to Australia was analyzed and Stolper-Samuelson Theorem was applied in section 2; similar situations in history were mentioned in the third section. 1. Describe its causes economic or non-economic (2% for creativity). In 2014, many emerging economies are facing liquidity crisis, especially India. It was the aftermath of the US QE exit. The QE is the monetary policy applied by countries like US, UK, and some EU members, that to expand the money supply and leverage; it was an effective short-term fix to boost investment and economy growth, yet when it became too long, it caused negative influence in both domestic and the global economy. Indian economy is highly dependent on foreign capital inflows, and most of them are the cheap money brought from countries with QE policies. With vast investment, the India government spent a lot on infrastructures and manufacture plants that the government kept a deficit account these years. Deficits became problematic when investment capitals stopped. Economically, short of money directly make those on-going projects unfinished; quitting QE will appreciate foreign currencies like USD while make the India currency Rupee comparably depreciate; when Rupee is weaker, there will be inflation in domestic commodity price. Non- economically, delay or stagnation of projects along with weak Rupee drove a loss of confidence on India economy, bear stock and gold market caused the equity and houses prices dropped,. India is exposed under financial crisis bought by deep troubles at home and abroad: weak Rupee performance due to comparably strong dollar; market gloom due to foreign investment withdraws; domestic commodity price surge due to inflation caused by currency devaluation; GDP growth slowed and Indian government is facing questions on its creditability and huge deficit account. Below charts show the economic effects of how QE policies in the rest of the world affected India and caused financial crisis: First of all, when foreign currencies (like USD) tapered the investment injection to India (S0 to S1, q0 to q1), Rupee devaluated (as more Rupee need for 1 dollar, r0à to r1); as Rupee devaluated, price of imported goods increased, higher cost shift the aggregate supply leftwards and caused higher price level (P to P1) and lower real GDP (Y to Y1). 2. Describe its impact on world trade and commodity prices, and use the Stolper Samuelson theorem to predict the effect on income distribution in Australia. As mentioned above, stagnation of foreign investment and weak Rupee caused slower GDP growth and higher commodities prices. Devaluation of Rupee makes Indian government even harder to repay its deficits, which in turn affected all the economy activities globally. As one of the two superpowers in Asia, India has considerable economic influence over Australia. Indians are less rich compare with the rest of the world; therefore less Indians would come to Australia for study. Education market is negatively affected and there will be job losses or even closing down in education sector in Australia. As a net energy importer, India has large demand for Australian energy products, especially for coal (for coal is the main energy resource in India). Comparably strong Australian dollar makes Aussie products less favored by India, expect the mining products, for those are necessities. According to Stolper-Samuelson theorem, assuming full employment and free labor mobility, as the demand for mining products stay steady while demand for luxury products or other non-necessities slowdown, there will be different changes in mining and other sectors. For mining as a capital-intensive industry, selling price increase will increase capital and rent costs, but lower the real wage; on the other hand, labor sectors like agriculture and services industries, shrink foreign demand results price cuts, which wage level also decreases yet capital and rent costs rises. Below charts show how the Stolper-Samuelson Theorem applies on the interactions between capital/rent and wage costs. The green line represents the labor-intensive industry (marked as L, like agriculture) and the orange line represents the capital-intensive industry (marked as C, like mining); when thereââ¬â¢s a price increase on capital-intensive products, the curve shifts rightwards (to C1), capital/rent cost increases (r to r1) while wage level decreases (w to w1); when thereââ¬â¢s a price drop on labor-intensiveà products, the curve shifts leftwards (to L1), capital/rent cost increases (r to r1) while wage level decreases (w to w1); Moreover, weak economy in India may promote talent immigrations for skilled labor (e.g., from IT industry) moving to Australia. Economically, increased abroad labor supply would lower the wage level in Australia, which may cut costs of producing and make Australian goods and services more attractive to the rest of the world; Non-economically, gathering of professions will boost technology improvement, that would have Australian more competitive; on the other hand, a surplus of labor supply may cause social problems like unemployment and high government payment on unemployment insurance. 3. Document any historical crises that might be relevant for your answer (4%). The current India financial crisis is somewhat similar to many cases in the history. The 1929 Great Depression started after the ââ¬Å"Black Tuesdayâ⬠of stock market crash in 29 October; astonishing unemployment rate had got many people lost home and the depression lasted until 1933 (Americaââ¬â¢s Story). The Great Depression is very representative because it was caused by many typical indicators like subprime bubble burst, capital rupture, unbalanced industrial structure, and pessimistic over future economy (Bemanke James 1991). One thing different is that the Great Depression results commodity prices drop where the 2014 India crisis results inflations. The price level increases while GDP slowdown could be explained as Indiaââ¬â¢s high dependency on foreign investment and the vulnerability of Rupee. Part 2 Executive summary Drug policy can change supply and demand curves. Penalizing supplying reduces equilibrium quantity and raises equilibrium price while penalizing users reduces both. It is found that different policies have their advantages and limitation. An example in Singapore indicates death penalty for suppling drags but some disagree regarding social perspective. There is an ongoing debate about drugs prohibition by government. Advocatesà believe prohibition can reduce drugs trafficking and use, so that lower crime, improving productivity and increasing peopleââ¬â¢s health. Opponents believe prohibition has only modest effects on trafficking and use while causing many problems such as numerous other negative side effects and increased crime and corruption. One issue in this debate is the effect of drugs prohibition on government budgets. Prohibition entails direct enforcement costs, and prohibition prevents taxation of drug production and sale. Understandably, thus, some politicians, commentators, interest groups, and citizens have embraced unconventional approaches to closing fiscal gaps, such as legalizing drugs. The enforcement costs would be negligible and governments could levy taxes on the production and sale of drug. Also, government expenditure would decline and gains in tax revenue. The figure analyses the market for drug if there were no government intervention. The equilibrium would be at point A, which price P1 and Q1. Total revenue of sellers and total spending by buyers would be the area of the rectangle P1*Q1. The other figure shows the effect of a government effort to restrict supply through any of several methods, including vigilant customs inspections, arrest and stiff penalties for drug dealer, or efforts to reduce drug traffic from producing countries like Thailand. The decrease in supply is represented by a leftward shift of the supply curve, establishing a new equilibrium at price P2 and quantity Q2. All this suggest that supply restrictions if they successfully reduce the equilibrium quantity of drug and will also raise its equilibrium price. Similarly, based on the inelastic demand for illegal drugs, has led many economists to advocate the controlled legalization of most currently illegal drugs. Others advocate a shift of emphasis in the war from decreasing supply to decreasing demand. Policies that might decrease the demand for illegal drugs and shift the demand curve leftward include stiffer penalties on drugs users. The figure shows a policy of reducing demand. As the demand curve shifts leftward, price falls from P1 to P3, and quantity demanded falls from Q1 to Q3. This would lead to total expenditure on drugs decrease and canà contribute to a low crime rate by drug users and make the drug industry less attractive to potential dealers and producers. Opponents to the policy of full legalization Opponents believe that the legalization of drugs would increase use, lad to more experimentation by youth, and exacerbate the existing deleterious effects that drugs have on society (Smith, 2011). They are of the opinion that government subsidization of addicts would have crippling effects on the economy. They also feel that legalization would help to create a large black market for drugs. The point of view is that dealers will still be involved in crime and violence and those users will still need to support themselves by engaging in criminal activity, thus, it will result in even larger prison populations. Basically, they believe that the legalization of drugs would lead to increases, not reductions, in crime because there would be more addicts and because of the aforementioned black market (Wilson, 1990). Also, they believe the legalize drugs would have devastating effects on public health, the economy, quality of life, culture and society as a whole. Opponents to the policy of penalizing use There are some arguments that against the drugs uses. For example, the failure of prohibition to prevent consumption of illicit drugs shows that existing policies do not work. It would be preferable to use the money saved by ending prohibition to provide more drug rehabilitation centres and more drug education. More than this though, prohibition creates a powerful supply vacuum which can only be filled by criminals. The consequence of this is less safe drugs (from adulteration), violence and stronger organised crime elements. Moreover, by criminalising drug users, prohibition needlessly removes people from potential employment and use to society and possibly creates criminals out of people who wouldnââ¬â¢t otherwise be so inclined. Some illegal drugs are no more dangerous than the legal drugs of alcohol and tobacco. On the other hand, proponents of medical drugs such as marijuana argue that it can be a safe and effective treatment for the symptoms of cancer, AIDS, multiple sclerosis, pain, glaucoma, epilepsy, and other conditions. They cite dozens of peer-reviewed studies, prominent medical organizations, major government reports, and the use of marijuana asà medicine throughout world history (Barton, 2007). Opponents to the policy of penalizing supply All criminal and civil penalties against production, distribution, sale, and possession would cease because the policy might impose drugs specific regulations and taxes if in a legalized drugs regime, as occurs now for alcohol and tobacco. This would affect government budgets such as government would save the resources currently devoted to arresting, prosecuting, and incarcerating drugs producers and consumers (Holland, 2010). Also, government would collect tax revenue on the production and sale of legal drugs. The tax rates on drugs might be the same as those applied generally, or they might be higher, as with alcohol and tobacco. Miron (2005) indicates that drugs such as Marijuana legalization would reduce government expenditures by roughly $8 billion annually and would generate tax revenue of approximately $2.4 billion annually if drugs were taxed like all other goods. Opponents to the policy of penalizing both use and supply Criticisms of the current drug policy are varied and come from a wide variety of perspective. For example, current policy is not meeting its goals of reducing illegal drug use or its consequences. Demand for illegal drugs has not been reduced in vulnerable population or in the general population as evidenced by recent significant increases in illegal drug use among high school seniors (Inciardi, 1999). The high percentage of illegal drug use among arrestees indicates that current policy significantly contributes to criminal behaviour among drug users. This suggests that drug law simply criminalize a medical and public health problem and ask the legal system to deal with what it is, in fact, unable to affect a medical condition. Also, the drugs can be used in medicine to treat the various diseases that people have. Singapore, where is a Southeast Asian island city-state, is facing the rising of drug consumption and healthcare costs problems. The government of Singapore constitutes a range of severe polices to solve these marijuana problems. Acutely Singapore is close to the Golden Triangle opium productionà region, which is the 2nd largest opium production centre in the world, as well as a major transport hub. Hence it is a transshipment point for illicit drugs, as well as minor market given the relative affluence of society (TheRealSingapore, 2013). Therefore, the drug demand will always remain, as will drug trafficking, due to Singapore status as a transport hub. In fact, the social mechanisms are harmed by the drug due to the crime, also the individual health are damaged by the marijuana (TheRealSingapore, 2013). For the actual policy on marijuana in Singapore, according to international business time 2011, Singapore, like much of Southeast Asia, has very draconian laws, particularly with respect to drug trafficking. Sometime, the drug trafficking often leads to the death penalty. In my opinion, I disagree with the death penalty due to the drug trade refer to the opponents to the policy of penalizing supply above. In Singapore, it is the penalizing supply only. For example, any adult convicted of trafficking at least 15 grams of heroin, 30 grams of cocaine or 500 grams of cannabis, faces mandatory death penalty (international business time 2011). So far, estimates that at least 400 people have been executed in the island since 1991, mostly on drug-related convictions. Thus, Singapore has very small population about 5-million population; it has one of the worldââ¬â¢s highest rates of executions per capita (international business time 2011). In addition, Singapore has defended its drug policies. In 2009, The UN Human Rights Council strongly disagrees that States should refrain from using the death penalty in relation to drug-related offenses. However, Singapore protects their drug policy that the death penalty has become major policy to deterring drug (international business time 2011). One of the reasons why someone refuses the analysis of economic to solve this problem is that the drug problem is not only the economic problem but also the social and health problems. Although using the economic analysis to deal with the drug problem that it can give the government maximum financial benefits, it will badly influence the health problem of people. Also the rate of social crime will increase due to the drug trade. According to Buddy (2013), the drug increase alertness and physical activity. Marijuana use causes short-term memory loss, decreases sperm and testosterone productionà in men, and may disrupt the menstrual cycle and cause miscarriage and stillbirth in women. To sum up, the drug trade brings the negative social and health problems more than the economic benefits.
Learning Health Systems in Australia Analysis
Learning Health Systems in Australia Analysis Submitted by : Jaison Prabhath Jaiprakash INTRODUCTION A Learning Health System (LHS) aims to deliver the best possible care to patients, each time, and to learn and improve itself with each care experience. Its vision guarantees to change healthcare services, by empowering the health professionals to change the entire health care system into a highly reliable industry. A learning health system combines quality patient care with the routine collection of data. This is aimed at improving patient outcome. A fully functional system like this would advance the overall quality of healthcare and improve patient and provider safety. The data collected through electronic health records are vast and expanding, which helps in creating new knowledge about the effectiveness of the given treatment and helps in predicting outcomes. An LSH emphasises on an approach that shares data and insights across boundaries to drive better, more efficient medical practice and patient care. The key to achieve their objectives are linked to the collection of data th at is commonly called Big Data from various types of clinical practices. The big data movement in computer science has brought dramatic changes in what counts as data, how that data is analysed, and what can be done with that data. Big data has only recently begun to influence clinical practice. (Iwashyna and Liu, 2014). Enormous amounts of health care data are collected from patients and populations and the interpretation of that data is very important in meeting the needs of the patients. Combining big data and next-generation analytics into population health research and clinical practice requires new data sources, new thinking, training, and tools. If properly used, these pools of data can be an infinite source of knowledge to power a learning health care system. Clinical trials help to manage and improve the health care system. It is all about conducting studies and investigations into various diseases and conditions and eventually hope to eradicate the illnesses. It helps to harness the information for improved clinical trial design, patient recruitment, site selection, monitoring insight and decision making. Data produced through clinical trials like randomized control trials (RCT) often include many treatments and patients from different groups, to improve the reliability of participants and to access the data, these records are digitized, this is where big data helps to store large amount of data sets. By mining the area of clinical practice, we can learn a lot about the patient care. METHODS Search Strategy The SCOPUS and PubMed databases were searched for articles related to the role of learning health systems and clinical practice. Most articles were taken from the year 2014. The search was limited to articles published in journals. Search terms A Boolean search was performed using the following terms: learning health system AND clinical practice, learning healthcare system AND clinical practice, learning health system AND clinic and learning healthcare system AND clinic. Selection / inclusion Criteria The literature review was conducted and articles chosen were from the existing learning health systems such as PEDSnet which are already being used for various clinical practices.Ãâà The search was later filtered into aspects that are essential to clinical practice as well as learning health systems, namely, big data. RESULT The role of the health care system is important to deliver the quality care and treatment to the patients. Learning health systems have shown remarkable developments in clinical practices, for example formation of Clinical Data Research Networks (CDRN) consist of many health care systems which conducts research as a network on topics like health care delivery, population health, assessing health disparities and so on. A few of these healthcare systems are listed below. PEDSnet: A National Pediatric Learning Health System à à PEDSnet is a clinical data research network (CDRN) that provides the infrastructure to support a national paediatric learning health system. The PEDSnet clinical data research network is an association of eight childrens hospitals, two existing patient-centred disease-specific paediatric networks addressing inflammatory bowel disease and complex congenital heart disease, a newly formed paediatric obesity network, and two national data partners. Together they form the essential components of the National Paediatric Learning Health System (NPLHS). The NPLHS will establish the data sharing environment to enable a community of patients and clinicians, interacting at the point of care, to generate data that can be reused for research and quality improvement and to support continuous monitoring of outcomes that identify specific management practices as targets for comparative effectiveness research (CER). (Forrest et al., 2014) All the information about the patients are recorded using Patient Reported Data (PRD) for quality improvement, clinical practice, or research applications. Table 1: PEDSnet overview (Forrest et al., 2014) Point of Care Research (POC-R) Point of Care Research (POC-R) is a clinical study design that is used to compare two or more treatments that are considered equal. It takes advantage of Electronic health records to enable participant recruitment and data collection of the patients. The goal of POC-R is to embed research into clinical practice, contributing to a Learning Healthcare System (Weir et al., 2014). pSCANNER (part of the PCORnet) The patient-centred Scalable National Network for Effectiveness Research (pSCANNER), is a part of the recently formed PCORnet (Patient Centred Outcomes Research net), which is a national network composed of learning healthcare systems and patient-powered research networks funded by the Patient Centred Outcomes Research Institute (PCORI). Its mission is to provide health related data available to clinicians, researchers and other stakeholders to improve the health-related policies, decision-making and governance. It uses a distributed architecture to integrate data from three existing networks VA Informatics and Computing Infrastructure (VINCI), University of California Research exchange (UC-ReX) and SCANNER, a consortium of UCSD covering over 21 million patients in all 50 states of the USA providing ambulatory care and community-based outpatient clinics with claims and health information exchange data. (Ohno-Machado et al., 2014). pSCANNER shares the data but also protects the privacy of patients at the same time. Only summary statistics are shared between the researcher and clinician. Initial use cases will focus on three conditions: congestive heart failure, Kawasaki disease and obesity. Stakeholders, such as patients, clinicians, and health service researchers, will be engaged to prioritize research questions to be answered through the network. The distributed system will be based on a common data model that allows the construction and evaluation of distributed multivariate models for a variety of statistical analyses. (Ohno-Machado et al., 2014) Learn From Every Patient (LFEP) The merging of three major trends in medicine, namely conversion to electronic health records (EHRs), prioritization of translational research, and the need to control healthcare expenditures, has created unique interests and chances to develop systems that advance healthcare while reducing the overall cost. But making a learning health system operational requires regular changes that have not yet been widely demonstrated in clinical practice. The authors developed, implemented, and evaluated a model of EHR-supported care in a cohort of 131 children with cerebral palsy that integrated clinical care, quality improvement, and research, entitled Learn from Every Patient (LFEP). Children treated in the LFEP Program for a 12-month period experienced a 43% reduction in total inpatient days, a 27% reduction in inpatient admissions, a 30% reduction in emergency department visits, and a 29% reduction in urgent care visits. LFEP Program implementation also resulted in reductions in healthcare costs of 210% (US$7014/child) versus a Time control group, and reductions of 176% ($6596/child) versus a Program Activities control group. Importantly, clinical implementation of the LFEP Program has also driven the continuous accumulation of robust research-quality data for both publication and implementation of evidence-based improvements in clinical care. These results demonstrate that a learning health system can be developed and implemented in a cost-effective manner, and can integrate clinical care and research to systematically drive simultaneous clinical quality improvement and reduced healthcare costs. (Lowes et al., 2017) Figure 1: The Learn From Every Patient (LFEP) model PaTH PaTH provides an informatics supported infrastructure for cohort identification and data sharing within the network of three targeted conditions: idiopathic pulmonary fibrosis (IPF), atrial fibrillation (AF), and obesity. It helps in linking the electronic patients records and understand the survey methods used in research. It uses an open source tools (i2b2 and SHRINE) to aggregate, analyze the distributed data, and facilitate patient centered, comparative effective research. It also helps in improving the decision making capability of both patients and physicians through collaborative process that brings each partner closer to the ideals of a learning health system. (Waqas Amin, 2014). DISCUSSION Big Data is an important but diverse intellectual movement seeking to bring new technologies of data acquisition, data integration, and data analysis into clinical research, hospital operations, and clinical practice. These trends will only accelerate for the foreseeable future, as they build on decades of others doing exactly those same things. Big Data will not solve fundamental challenges of either logical inference or of human behaviour. (Weir et al., 2014). Big Data will continue to provide new knowledge and decision-making support for an array of real and pressing clinical problems (Iwashyna and Liu, 2014). PEDSnet will transform paediatric healthcare and childrens health by developing an extensive and efficient digital infrastructure that enables all participants to work together in the work of producing new knowledge and improving health and care delivery. PEDSnet benefits from robust pre-existing resources and a unique history of collaboration by childrens hospitals that has fundamentally reshaped outcomes for previously fatal diseases, such as cystic fibrosis and many childhood cancers. As the basic digital structure to a learning health system, PEDSnet enables the quick application of new evidence into clinical practice and will address fundamental questions of clinical effectiveness for children and their families, particularly for individuals affected by serious, and generally rare, illness that persists into adulthood. (Forrest et al., 2014) The Point of Care Research (POC-R) highlights several possible factors important to a nationwide implementation of a pragmatic trial program. Participants were significantly concerned with added burden, changes in the provider-patient relationship, ethical implications, validity of results, and integration with workflow. To encourage and support provider buy-in, programs might consider provider training, marketing, and electronic support for decision-making. Providing evidence of equipoise and the validity of data capture might be essential for buy-in. Work process analysis should be part of the proposal. (Weir et al., 2014) pSCANNER will encode a significant portion of policies in software, use a flexible strategy to harmonize data, and use privacy-preserving technology that enables highly diverse institutions to join the network and allow stakeholders to participate. Significant challenges in terms of providing sufficient incentives for patients, clinicians, and health systems to participate and ensuring the sustainability of the network, which were not the focus of this article, will also need to be addressed. The pSCANNER project offers a unique opportunity to make progress toward these objectives, and share results with a community of researchers and representatives from a broader group of stakeholders. (Ohno-Machado et al., 2014) The introduction of EHR-supported care that integrated clinical care, quality improvement, and research resulted in large reductions in healthcare utilization, with associated reductions in charges. Direct comparisons with two distinct comparison groups, to account for the effects of time and LFEP Program activities, confirmed that patients in the LFEP Program had greater reductions both in healthcare utilization and healthcare charges than either control group. Together, these early results confirm that it is both feasible and cost-effective to operationalize key components of an LHS in a large academic medical center. Furthermore, such a system is able to simultaneously improve clinical care and efficiency, and reduce healthcare expenditures, while creating a robust research-quality data set enabling healthcare systems to systematically Learn from Every Patient. (Lowes et al., 2017) The PaTH network will adhere to best practices by using as its backbone open source tools (i2b2 and SHRINE) to aggregate data using standard vocabularies and provide distributed, de-identified cohort queries. PaTH will test these systems in three targeted disease conditions. PaTH will provide a robust informatics supported platform to facilitate comparative effectiveness research, support the conduct of clinical trials, and improve the decision-making capability of both patients and physicians through a collaborative process that brings each partner closer to the ideals of a learning health system. (Waqas Amin, 2014) CONCLUSION The ongoing feedback of insights from data to patients, clinicians, managers and policymakers can be a powerful motivator for change as well as provide an evidence base for action. Many studies and systems have demonstrated that routine data can be a powerful tool when used appropriately to improve the quality of care. A learning healthcare system may address the challenges faced by our health systems, but for routinely collected data to be used optimally within such a system, simultaneous development is needed in several areas, including analytical methods, data linkage, information infrastructures and ways to understand how the data were generated. (Deeny and Steventon, 2015) These results demonstrate that a learning health system can be developed and implemented in a cost-effective manner, and can integrate clinical care and research to steadily drive simultaneous clinical quality improvement and reduce the overall cost of healthcare. (Lowes et al., 2017) REFERENCES BRODY, H. MILLER, F. G. 2013. The Research-Clinical Practice Distinction, Learning Health Systems, and Relationships. Hastings Center Report, 43, 41-47. DEENY, S. R. STEVENTON, A. 2015. Making sense of the shadows: Priorities for creating a learning healthcare system based on routinely collected data. BMJ Quality and Safety, 24, 505-515. FORREST, C. B., MARGOLIS, P. A., CHARLES BAILEY, L., MARSOLO, K., DEL BECCARO, M. A., FINKELSTEIN, J. A., MILOV, D. E., VIELAND, V. J., WOLF, B. A., YU, F. B. KAHN, M. G. 2014. PEDSnet: A national pediatric learning health system. Journal of the American Medical Informatics Association, 21, 602-606. GRANT, R. W., URATSU, C. S., ESTACIO, K. R., ALTSCHULER, A., KIM, E., FIREMAN, B., ADAMS, A. S., SCHMITTDIEL, J. A. HEISLER, M. 2016. Pre-Visit Prioritization for complex patients with diabetes: Randomized trial design and implementation within an integrated health care system. Contemporary Clinical Trials, 47, 196-201. IWASHYNA, T. J. LIU, V. 2014. Whats so different about big data?: A primer for clinicians trained to think epidemiologically. Annals of the American Thoracic Society, 11, 1130-1135. LOWES, L. P., NORITZ, G. H., NEWMEYER, A., EMBI, P. J., YIN, H., SMOYER, W. E., LEARN FROM EVERY PATIENT STUDY, G., TIDBALL, A., LOVE, L., SCHMIDT, J., GOLIAS, J. MILLER, M. 2017. Learn From Every Patient: implementation and early results of a learning health system. Developmental Medicine and Child Neurology, 59, 183-191. OHNO-MACHADO, L., AGHA, Z., BELL, D. S., DAHM, L., DAY, M. E., DOCTOR, J. N., GABRIEL, D., KAHLON, M. K., KIM, K. K., HOGARTH, M., MATHENY, M. E., MEEKER, D. NEBEKER, J. R. 2014. pSCANNER: Patient-centered scalable national network for effectiveness research. Journal of the American Medical Informatics Association, 21, 621-626. STEINER, J. F., SHAINLINE, M. R., BISHOP, M. C. XU, S. 2016. Reducing missed primary care appointments in a learning health system. Medical Care, 54, 689-696. WAQAS AMIN, F. R. T., CHARLES BORROMEO, CYNTHIA H CHUANG, 2014. PaTH: towards a learning health system in the Mid-Atlantic region. Journal of the American Medical Informatics Association, 21, 633-636. WEIR, C. R., BUTLER, J., THRAEN, I., WOODS, P. A., HERMOS, J., FERGUSON, R., GLEASON, T., BARRUS, R. FIORE, L. 2014. Veterans Healthcare Administration providers attitudes and perceptions regarding pragmatic trials embedded at the point of care. Clinical Trials, 11, 292-299.
Tuesday, August 20, 2019
An Analysis Of The Lord Of The Flies :: essays research papers
An Analysis of The Lord of the Flies à à à à à The novel Lord of the Flies, written by William Gerald Golding, is a remarkable piece of literature that discusses many important topics while remaining an enjoyable read. One of the important topics that is discussed in the novel is human nature. Many aspects of human nature is depicted in the book, but one major is the development of a man's personality and character. This aspect of human idiosyncrasy is portrayed through the development of Ralph, the main character and protagonist of the novel. Ralph's development from innocent, irresponsible, playful adolescent to a tough, self-reliant man shows how the hardships and turmoil of life can greatly effect a person's character. à à à à à The story takes place on a deserted island after a plane crash strands a group of adolescent boys. The boys are forced to learn how to live on the land without any resources or adult assistance. The group chooses Ralph as their leader and gives him the responsibility of guiding the group. Ralph's main enemy and adversary is Jack, the appointed leader of the savage hunters. The boys go through many trials and hardships while on the island including the dangers of the jungle, finding food, and remaining a functional group. à à à à à The novel's main focus is on Ralph and his experiences on the island. As leader of the group, Ralph has a great deal of responsibility and must learn how to work with this responsibility. Through the course of the story, Ralph changes from an adolescent child to a mature person, but ends up breaking down at the end of the novel. This aspect of Ralph's character is a way that Golding depicts human behavior in society, which is the main theme of the book. à à à à à As the novel begins, Ralph is portrayed as being a normal adolescent who is irresponsible and negligent. Even when he is chosen as leader, he still is depicted as an inexperience boy. One example of this childish action is seen at the beginning of the novel when Ralph plays games while doing serious work. By doing things like this Ralph tries to show the freedom the boys have without any adult supervision. These are not the acts of a responsible leader and is something that Ralph soon comes to regret. à à à à à With progression of the story, Ralph's attitudes change as he becomes more responsible and mature. He realizes the importance of being a responsible leader and begins to guide the other boys more. Ralph begins to try to convince the others that they act with the groups best interest at hand and tells them to
Monday, August 19, 2019
Hong Kong Artist :: Jackie Chan Actors Movies Films Essays
Hong Kong Artist Have you ever seen "Rush Hour" or "Shanghai Noon"? Were you excited when you see all the stunts and kung fu fighting in those films? All these film starred a famous international artist and singer, Jackie Chan, who was originated from my hometown, Hong Kong. It is interesting to know about his childhood, and how he became who he is today. Jackie Chan's Childhood was not very pleasant because his family was very poor. Jackie Chan's real name was Kwong-Sang Chan, and he was born in Hong Kong on April 7, 1954. His Chinese name Kwong-Sang means "born in Hong Kong." Jackie was delivered after twelve months of pregnancy. That was three months more than usual delivery. Therefore, his mother had to have a surgery to bring him out. At his birth, Jackie weighed more than twelve pounds. Jackie had a nickname called "Ah Pao" which means a cannonball. Jackie was not a kid who loved school. He attended the Nah-Hwa primary school in Hong Kong, but he disliked school and left after finishing first grade. At age of seven, his father took position as chief in the American Embassy in Australia. His father determined that the boy should learn some skills and sent him to the Peking Opera School. In Peking Opera School, Jackie learned dancing, singing, acrobatics, acting and martial arts. Also, Jackie met Sammo Hung and Yuen Biao who became successful actors today. During the school days, Jackie and his friends had to train everyday from morning till night. Jackie had mentioned it was the hardest period of his life. They needed to study and work 19 hours a day. Jackie and his friends would be punished and beaten up if they did not fulfill their practice or failed to achieve the standards. After days of practice, they would perform in a troupe called "The Seven Fortunes". Among them, Sammo Hung was the big brother of the group. They often performed in public performances at the Laiyuen Amusement Park and other venues. This was the childhood of Jackie Chan. The early years of Jackie Chan in the film industry was not successful at all. As time changed, the Peking Opera School declined. Their master started to loan "The Seven Fortunes" out as stuntmen to film company. Jackie worked as a stuntmen or the Shaw Brothers Film Company. He performed many dangerous stunts for the company and soon got noticed.
Sunday, August 18, 2019
Supernatural in Shakespeares Macbeth - Beyond the Fair and Foul Essay
More to Macbeth than Fair and Foul à à à à The statement "Fair is foul, and foul is fair" does not thoroughly express the many themes of Shakespeare's Macbeth.à The first time this statement occurs is very early in the play, when the witches chant the exact line "Fair is foul, and foul is fair"(I.i.12) only for Macbeth to repeat it himself two scenes later.à This repetition of the lines shows that the characters themselves believe that there are many foul events taking place.à Firstly, one can watch the fair Macbeth degrading into a foul inhuman monster.à Secondly, the witches may be contrasted to Macbeth to demonstrate the real foulness in these characters.à Thirdly, it can be shown that there is simply no fairness existing in Macbeth.à Lastly, one can see that there are too many themes in Shakespeare's Macbeth to be summed up in one line. à à à à à à à à à à à à Macbeth, in the beginning, is a man of valor, honor and nobility.à With his loyal traits he helps maintain Scotland's stability.à Macbeth, on the outside, seems to be the fairest man in all of Scotland; however such is not true. Under the cloaking shadows of his skin, Macbeth hides his one weakness: ambition.à His wife realizes his ambition and stirs him to act on it.à Macbeth struggles with a choice: should he let the witches' prophecies realize themselves, or should he take the steps necessary to achieve them?à Macbeth knows that the latter choice will involve the murder of his virtuous king Duncan, but even this is not enough to convince him to bide his time. After urging from his wife, he chooses the latter and murders his king.à In doing so, Macbeth disrobes himself of all that is good in the human soul: kindness, courage, honor and love.à Macbeth becomes so obses... ... Greenhaven Press, Inc., 1999. 126-35. à Cotton, N. "Witches and Magic in Macbeth." Shakespeare Quarterly. 38, 1987: 320-326. à Kinney, Arthur F. ed. William Shakpespeare: the Tragedies. Boston: Hall and Company, 1985. à Muir, Kenneth. "Introduction." In Macbeth. Ed. Kenneth Muir. New York: Routledge, 1992. à Shakespeare, William. The Tragedy of Macbeth. Elements of Literature. Sixth ed. Austin: Holt, Rinehart and Winston, 1997. à Stallybrass, Peter. "Macbeth and Witchcraft." In Focus on Macbeth. Ed. John Russell Brown. Boston: Routledge, 1982. à Wadsworth, Frank W. "Shakespeare, William." World Book Online American Edition. Online Edition. Online. Netzero. 26 Mar 2002. à "William Shakespeare." BBC Homepage. Online. Available <http://www.bbc.co.uk/history/culture/shakespeare.shtml>. 26 Mar. 2002. Ã
Saturday, August 17, 2019
Customize Mobile Services (CMS) â⬠Creating and Personalizing your Plans
In a world where technology plays a vital role, mobile phone becomes not just a luxury but more of a necessity. More than calls and messages, we are about thoughts, feelings, ideas in all shapes and sizes, more than just building your business we are about creating your future. Our goal is to transform and enrich lives through communications by way of our dream of making great things possible. The idea of choosing the best plans that will suit to your needs and budget is as easy as snap of a finger. (1) What are the types of services that you offer? CMS offers services but we sell solutions. We are a solution provider. You can either choose between business package and consumer plans. To give you an example, for business plan we have Executive Post Paid, allows you to run the business wherever you maybe. On top of the unlimited calls, you will be equipped with the services such as free text messaging, unlimited internet surfing and downloads that will make your business on the go. For consumer, we will let you decide on the bucket of minutes that you think you consume on monthly basis. From lowest to highest to unlimited calling and sending messages, you can customize it. (2) Is there any add ons? Yes, personalize your mobile phone. Put anything you need on it. Sending pictures, surfing the net, money transfer, voice command, online chatting, long distance call and down load games and ring tones. (3) What if I want to cancel my add ons, is that possible? How can I do that? We have a test drive period of 30 days, for you to be able to check and know the services that will be beneficial for you. If you donââ¬â¢t need, cancel it. (4) Is there a contract? We are looking forward in building a harmonious relationship with our subscribers, thus, we do not bind you to any terms however we guarantee a long time commitment in all we do. There will be no contract and no obligations however if there is one thing we are capable of giving, it is the quality of having us as your provider. (5) Another providers allow me to exceed my limit, I sometimes do not control myself in using my phone, is there any way you can help me with that? Positively yes, aside from the fact that you can choose your own plans, you will also receive a weekly reminder through SMS the current status of your plan, our operator will call you if you are near in exceeding your limits in this way you will be able to know where you stand and you have the option to stop all the services and have it resume on your next billing cycle to avoid paying extra charges. (6) I am a businessman and I donââ¬â¢t have time to fall in line just to pay my bills, what are my means to pay it? You can either pay through your credit card online or you can call our toll free number to enroll you in automatic billing debited. (7) What's in it for me? CMS gives you the worth of your money, we let you get connected to your family members, friends and loved one's without getting over charged. We provide nothing but the best when it comes to mobile technology. Being hip, trendy and in fashion doesnââ¬â¢t always mean costing too much. In fact CMS (Customize Mobile Services) delivers in to you in a complete package wrap in an amazing OPTIONS and CHOICES.
Friday, August 16, 2019
Developments in Hacking, Cybercrime, and Malware Essay
The number one web based attack of 2009 was Malicious PDF activity 49% of web based attacksââ¬âattempts to deliver malicious pdf content to victims through the web. The pdf attack is designed to exploit arbitrary vulnerabilities in applications that are able to process pdfââ¬â¢s. A successful pdf attack could compromise the integrity and security of affected computers. (Symantec Corporation, 2009) The number two web based attack of 2009 was the Microsoft Internet Explorer ADODB.Stream Object file installation weakness. This exploit accounted for 18% of the total number of web based exploits for the year.This vulnerability allows hackers to install malicious files on a vulnerable computer when a user visits a website hosting an exploit. In order for this attack to be successful, an attacker must exploit an arbitrary vulnerability that bypasses Internet Explorer Security settings.Then the attacker can execute the malicious files that were installed by the initial security weakness. This vulnerability has been known since 2003, and patches have been released since 2004. This exploit exposes the fact that many computer systems were not being kept up to date. (Symantec Corporation, 2009) The number three most common web based exploit of 2009 was the Microsoft Internet Explorer 7 uninitialized memory code execution vulnerability. This attack works by enticing a victim to open a malicious web page. Once a user opens the web page it gives the attacker the ability to execute remote code on the victims computer. Since this is a browser based attack, it gives the hacker potentially more targets than relying on a plugin that may not get installed. (Symantec Corporation, 2009) The top 3 Malware attacks of 2013 were W32.Downadup, W32.Sality, and W32.Ramnit. Although their names all begin with W32., each bug has itââ¬â¢s own way of exploiting a system. Letââ¬â¢s take for instance the W32.Downadup. Thisà worm has been around since 2008. This worm spreads by taking advantage of a remote code execution vulnerability found in Microsoft Windows server service RFC. This worm strives to block access to security related web sites while attempting to spread to protected network shares via brute force of weak passwords. The Security of the entire network is at stake with this worm. This virus demonstrates shows how important it is to keep servers and workstations updated with the latest virus definitions. (W32.Downadup.B, n.d.) The W32.Ramnit has been around since 2010. This worm is spread by infecting executable drives and removable drives. This malware steals bank usernames and passwords. Having a security policy prohibiting personal drives from being used in the workplace is paramount. This type of attack could cause data loss if unmitigated. (Symantec Corporation, 2013) The W32.Sality is in my opinion the nastiest of all three bugs. What makes the W32.Sality particularly nasty is that it can infect executable files on local, removable, and shared drives. W32.Sality is known as an (EPO) or entry point obscuring polymorphic file infector. Essentially, itââ¬â¢s a sophisticate worm-like virus that ensures its survival by downloading other malware and disabling security software. One of the most damaging features of the W32.Sality virus is how it decentralizes peer to peer networks with sophisticated code instruction that populates the network with infected computers. (W32.Sality., n.d.) References W32.Downadup.B. (n.d.). Retrieved June 26, 2014, from http://www.symantec.com/security_response/writeup.jsp?docid=2008-123015-3826-99 W32.Ramnit. (n.d.). Retrieved June 26, 2014, from http://www.symantec.com/security_response/writeup.jsp?docid=2010-011922-2056-99 W32.Sality. (n.d.). Retrieved June 26, 2014, from http://www.symantec.com/security_response/writeup.jsp?docid=2006-011714-3948-99 Symantec Corporation. (2009). Symantec Global Internet Security Threat Report Trends for 2009. Mountain View: Symantec Corporation. Symantec Corporation. (2013). Symantec Global Internet Security Threat Report Trends for 2009. Mountain View: Symantec Corporation.
Thursday, August 15, 2019
Industralization after Civil War Essay
After the Civil War, the United States became much more industrialized society. Between 1865 and 1920, industrialization improved American life in many ways, transforming it into a modern industrial society but also created problems for the American people. Three major improvements that contributed to the United States economy were the railroads, factories and immigration. Railroads during the period of the industrial revolution were good throughout the north and were supported by the federal government to help build the north into achieving a prosperous economy. The railroads made transportation of goods and products easy, cheap and reliable. The steel industry made the expansion of the railroads possible and by the 1900ââ¬â¢s, Carnegie made great contributions to the business world, enabling railroads to connect to seaports, cities and industrial centers. Urbanization and Immigration began around the 1870 and the 1920ââ¬â¢s. Immigrants migrated to cities like New York, Chicag o and Boston. Approximately 25 million people migrated to the U.S and they contributed to the growth of the cities and new technologies. They worked low- paying factory jobs and overcrowded neighborhoods, moving the middle class out of their communities (Shultz, 2014). While great accomplishments took place during this period, it also affected different people like African Americans, Farmers, Children, Women and Immigrants. African Americans faced many challenges in terms of freedom and acceptance from the old to the new south. In the old south, they were slaves working day and night with no rights. After the civil war, during the reconstruction their lives improved, being freed with rights such as the 14th- and 15th amendments that granted them citizenship and the right to vote. However in the ââ¬Å"New Southâ⬠their rights seemed meaningless because of the Jim Crow laws, violence and the lack of their voting rights. The Jim Crow laws they prohibited them from attending the same schools as whites and sitting in the same areas in restaurants, which increased the racism ofà blacks and whites. Children were also affected while this time due to the high demand for them to work in factories was great. Many children started at the age 14, but would be hired form age 6, who usually worked tedious long hours. By the end of the 1800ââ¬â¢s, child labor laws were passed, but employers ignored the laws, and the number of child factory workers increased (Shultz, 2014). Children were great at doing this task because they accepted low pay, didnââ¬â¢t complain about the wages, and were able to fit in small in cracks that the average man and women couldnââ¬â¢t do. The economy of the south wasnââ¬â¢t very strong due to the fact, profits were made because l abor was unpaid, and the limited crops planted were cotton, tobacco and sugar. Some of the natural resources of the south included farmland, water power, steam power coal, iron and oil. Agriculture was the primary source of employment; while textiles and steel industries became prosperous in the south after the civil war (Weightman, 2007). Many sharecroppers faced hardships and sharecropping became unprofitable for workers because they were uneducated, and cheated by the landowners that owned the supplies. Fresh produce began to be in great demand once refrigerated railcars were introduced. References Ashton, T.S. The Industrial Revolution: 1760-1830. Oxford: Oxford University Press, 1997. Schultz, Kevin: 2014 U.S History since 1865 Volume 11: pg. 291, 311-320 Weightman, Gavin. The Industrial Revolutionaries: The Making of the Modern World, 1776-1914. New York: Grove Press, 2007.
What Is the Real Deal with Adhd? – Paper
paper What is the real deal with ADHD? Temple N. Bostic PSY 360: Survey of Mental Health Destiny Champion November 4, 2012 Abstract Many children today are beginning to fall under an umbrella or diagnosis of ADHD that tends to be the ââ¬â¢inââ¬â¢ thing for doctors to say is wrong with them. If a child is a little hyper or of task for any reason, they are said to have ADHD. Regardless of the underlying problems such as issues in the home, these children are placed on medication that many of them do not need, for a condition that the majority of them do not have.At first it was just ADD (Attention Deficit Disorder), but then they added the hyperactivity to it and everyone ran with it. That is not to say that there are not some children in the world that are truly suffering from this disorder, but the fact remains that those who are being medicated should be watched and monitored just a little more closely. The purpose of this essay is to demonstrate the knowledge that I have lear ned from this course as well as life lessons. When you sum it all up, everyone wants to know: What is the real deal with ADHD?What is the real deal with ADHD? The children of todayââ¬â¢s era are afflicted with many different mental health issues that can cause problem within the family and at school. Regardless of the fact that some of these issues are a direct result from the life they are living at home or the rearing they had, it is the determination of how the problem will be addressed that is the factor of the environment. Some children are born with mental disabilities, while some have the traits that come out at a certain point in their childhood.Regardless of when mental illness rears its head or the type it is, the fact is that they receive the proper treatment and counseling for the particular problem that they have. In the late 80ââ¬â¢s, the diagnosis of ADD came on the scene to answer to the problems that children were having regarding their attentiveness in school as well as at home. Attention Deficit Disorder is characterized by inattentiveness, easy distractibility and often insomnia. While ADHD has the same symptoms with the addition of hyperactivity, ADD is the original diagnosis.ADHD did not begin its reign until the mid 90ââ¬â¢s when children began to show the symptoms of ADD, but with hyperactivity. Once this was taken into consideration and fully analyzed, ADHD was born and hit the diagnosis airwaves. Many people think that only children receive the diagnosis of ADHD, but in all actuality there are just as many adults that suffer from this disorder as well. Adult ADHD can be just as difficult as it is for the younger clients.As an adult, there are the issues of trying to focus on the daily tasks of work, home and even family; this can become very trying when you are easily distracted, hyperactive at the wrong times and very inattentive. Some young people even carry the disorder from their teenage years into adulthood, when for som e it usually begins to taper off or go away. References Hammerness, P. , Geller, D. , Petty, C. , Lamb, A. , Bristol, E. , Biedermont, J. (2010) Does ADHD moderate the manifestation of anxiety disorders in children?Hurtig, T. , Ebeling, H. , Taanila, A. (2007) ADHD and co morbid disorders in relation to family environment and symptom severity. Rucklidge, J. J. (2008) Gender differences in ADHD: Implications for psychosocial treatment. Ohan, J. L. , Johnston, C. (2007) What is the social impact of ADHD in girls? : A multi-method assessment. Woodard, R. (2006) The diagnosis and medical treatment of ADHD in children and adolescents in primary care: A practical guide. Paloyelis, Y. , Rijsdijk, F. , Wood, A. C. , Asherson, P. , Kuntsi, J. 2010) The Genetic Association Between ADHD Symptoms and Reading Difficulties: The Role of Inattentiveness and IQ. dosReis, S. , Barksdale, C. L. , Sherman, A. , Maloney, K. , Charach, A. (2010) Stigmatizing Experiences of Parents of Children With a New Diagnosis of ADHD. Spencer, S. V. , Hawk Jr. , L. W. , Richards, J. B. , Shiels, K. , Pelham Jr. , W. E. , Waxmonsky, J. G. (2009) Stimulant Treatment Reduces Lapses in Attention among Children with ADHD: The Effects of Methylphenidate on Intra-Individual Response Time Distributions.
Wednesday, August 14, 2019
Antebellum America Essay Example for Free
Antebellum America Essay Regions are specializing The period of time in America before the civil war proved to bring out the specialties in each region. The West brought America true farming and allowed livestock to succeed. The eastern part of America prevailed in industrialization, creating many cities and businesses. The southern part of the United States was the dominated by slavery, plantains, and growing cotton. America had many skills but these talents were not mixed well, and each region had its very own specialty. The west began expanding at an extremely fast rate, and the best use for the land as to provide food for America. Livestock began to take over the West, and helped providing America with many animals. The west looked to provide for America by growing plants, due to the very fertile soil. The west quickly became known as the nationââ¬â¢s ââ¬Å"breadbasketâ⬠. The sold animals and crops to America, and this westward expansion developed a talent that America craved. The west played a role in the antebellum period of America, but didnââ¬â¢t nearly touch the relationship issues between the east and south. The northeastern states of America were advancing in their talent of industry. Textile mills flourished and business became widely known in the east of the Unites States. The east contained eighty-one percent of Americaââ¬â¢s industrial capacity, and this specialization of industry continued in antebellum America. The big industry, business, and many opportunities brought many people to the north east. As a result, many families and people came to start a business of their own. The northeast gained many supporters due to its business attraction, an important factor in the nearby Civil War. This industry sparked a talent in America that only the east could accomplish. Antebellum America. (2018, Nov 02).
Tuesday, August 13, 2019
What would be the effects of banning the use of plastic bags Essay - 1
What would be the effects of banning the use of plastic bags - Essay Example He graphically describes the waste situation there points out to the message of boycotting plastic bags, which the locals have proposed. This engenders the extent to which these bags have been abused and misused in both the West and East (Manning 1874). Exposure to such information begs one to question the notion that plastic is indeed a necessary part of human existence. Taking to account the environmental damage it portends one cannot help but to wonder if we would not be better off without it. In his discussion of Lynn offers several facts about, he offers numerous statistics about plastic that bring out the enormity of the situation. Apparently, over 50 percent of the plastic used in the US is simply thrown away to contribute to the pollution problem and Americans throw away more than 31 billion tons of plastic annually (Hasselberger). He proposes several solutions among which are rejecting single packaging where goods as singly packed in plastic instead or in one bag, alternatively people should seek options to the plastic packaging they use. Blockstein, David (1988) in the Bioscience journal, explores another major con of plastics, which justifies regulation. This article detains the attempts of congress to reduce the problem of pollution, which has been found to negatively affect most wildlife directly, or indirectly more so marine animals as evinced by the fact that fishing nets often dredge up plastic waste (Blockstein 19). According to this article, over 3000 fur seals were killed by entanglement in plastic bags result in in suffocation and accounting for 15% mortality of the threatened species (Lockwood 18). It using plastic was banned; there would be a significant increase life expectancy of these and other young animals including sea birds and fish that tend to be negatively affected by the same. However, although this would seem an ideal solution to the problem, a complete ban on plastic bags use and manufacture would not
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