Gender In A Doll’s House And The Importance Of Being Earnest

Gender In ‘A Doll’s House’ And ‘The Importance Of Being Earnest’ A Doll’s House and The Importance of Being Earnest were both written in the late nineteenth century at a period in time when gender roles in society were not only significant to the structure of society but were restrictive and oppressive to individuals. This was particularly true in the case of women who were seen as the upholders of morals in polite society and were expected to behave accordingly. A Doll’s House and The Importance of Being Earnest challenge society and its inclination to categorise and expect certain behaviour of individuals based on their gender. In its historical context A Doll’s House was a radical play which forced its audience to question the†¦show more content†¦She realises that she has been living with a stranger, since the whole marriage is a charade to fulfil the expectations of Victorian society. Nora’s refusal to stay in the marriage, however, does not give us a sense of a liberated woman. By the end of the play we are concerned for Nora as she leaves the warmth of the family home for the cold outside as a single woman since we have seen Christine so desperate to get into the ‘warmth’. This ‘warmth’ can be defined as being a person being accepted for fulfilling the gender roles which society constructs for both men and women. Women appear to be reliant on the existence of a husband in their life in order to have a respected status within society and therefore feel fulfilled. Christine feels unfulfilled without anybody in her life: ‘I only feel my life unspeakably empty. No one to live for anymore’ (9). Christine is an independent woman but we can see that she is unhappy at the fact that she has not met the social stereotype for her gender. She functions to show how difficult it is for a woman to survive on her own. Christine real ises she will be far more comfortable and regarded better by society with a husband and we believe that she feels that any husband will satisfy the expectations of her gender better than being single. This explains why she settles for a dubious moral character. Faced with only two possible decisions Christine settles for the lesser of two evils. A Doll’s House inShow MoreRelatedCompare and Contrast How Gender Roles Are Presented in the Importance of Being Earnest and a Doll’s House in Light of Ibsen’s Statement That â€Å"There Are Two Kinds of Moral Laws, Two Kinds of Conscience, One for Men and1252 Words   |  6 PagesCompare and contrast how gender roles are presented in The Importance of Being Earnest and a Doll’s House in light of Ibsen’s statement that â€Å"there are two kinds of moral laws, two kinds of conscience, one for men and one quite different, for women.† According to Ibsen’s statement, he states that moral laws are divided into two, one for women and the other for men. He’s claiming that the â€Å"moral laws† that society has implanted has double standards. Ibsen and Wilde present gender roles through moralityRead MoreGender in a Dolls House the Importance of Being Ernest2001 Words   |  9 PagesHow Is Gender Represented In ‘A Dolls House And ‘The Importance Of Being Earnest? A Dolls House and The Importance of Being Earnest were both written in the late nineteenth century at a period in time when gender roles in society were not only significant to the structure of society but were restrictive and oppressive to individuals. This was particularly true in the case of women who were seen as the upholders of morals in polite society and were expected to behave accordingly. A Dolls HouseRead MoreA Feminist Criticism A Doll s House1372 Words   |  6 PagesBarros 1 Diane Barros English 102 A1W November 11,2014 A Feminist Criticism A Doll House A Doll’s House, written by Henrik Ibsen examines the controversial point of persuasion of love and marriage that emphasis marital vows and women’s roles, during the nineteenth century. Where feminism lurks throughout the entire play. Through this play, I shall show you what I perceived what the writer Ibsen presumption of the equivalence among men and woman, and the idea of feminism. Where Women haveRead MoreEssay Prompts4057 Words   |  17 Pageson the Floss The Awakening Moby-Dick Billy Budd Mrs. Dalloway Bleak House Native Son Bless Me,Ultima One Hundred Years of Solitude Catch-22 Othello Crime and Punishment The Scarlet Letter The Crucible Slaughterhouse-Five A Farewell to Arms Song of Solomon Ghosts The Stone Angel The Great Gatsby The Stranger Heart of Darkness A Tale of Two Cities The House of Mirth Their Eyes Were Watching God Jude the Obscure 2003 (Form A): According

Mobile Phone Is An Essential Part Of Daily Life For...

Mobile phone is an essential part of daily life for billions of people around the world (Srivastava, 2008, Walsh et al, 2008). According to the International Telecommunications Union and the World Bank organization, there were approximately six billion mobile cellular subscriptions globally by the end of 2011. That is equivalent to 86% of the global population (The World Bank, International Telecommunications Union, 2012). The wireless internet access on mobile devices is one of fastest-growing global markets without any indications of slowing down (Loilier, 2013). The availability of mobile broadband has changed the online shopping preferences; for instance, more online shopping is being done by smartphones and tablets than on computers. According to a study by Millennial Media and comScore 51% of time spent on retail sites took place on either a tablet or smartphone compared to 49% on a desktop or laptop (Euromonitor International, 2014). The appearance of highly developed smart phones has also played a key role in the expansion of the mobile technology market (Kashyap, 2012). The smartphone industry over the past ten years has successfully managed to pave its way smoothly and be recognized as one of the few innovative technological device that’s has acquired global acceptance among users (Epsilon, 2013). Euromonitor International estimates that by 2014, 80% of all mobile phones purchased in the USA will be smartphones. As smartphones have become more common andShow MoreRelatedIs Mobile Phone a Boon or Bane?1587 Words   |  7 PagesMobile phone a ban or a boon. Favor * Everyone is available to others for 24x7. * People say mobiles made life miserable by providing unlimited connectivity but they don t understand the fact it also provide limited connectivity options like you can switch of the mobiles. * Mobile proved life saver for human beings in many areas related with human health. * Mobile proved boon for businesses as well where crucial information is at reach for corporate decisions. * Mobile phonesRead MoreMobile Phones Has Changed The Way Of Communications1455 Words   |  6 Pagesthat we can talk to people miles away we can see them over a device people would have mocked the person saying the person might have gone insane. But see a scenario in today’s world its quite common to people to not only talk but also see a person over mobile phone, no matter how far he is away. Mobile phone is a boon in itself. Mobile phones have really changed the way of communications. In recent years mobile phones have evolved significantly. 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This is because people are the biggest asset of a company that no one can ever replicateRead MoreSOCIO ECONOMIC IMPACTS OF MOBILE PHONE IN BANGLADESH: AN EXPLORATORY STUDY11162 Words   |  45 Pagesï » ¿ A Seminar Paper on Socio economic Impacts of Mobile Phone in Bangladesh: An Exploratory Study Seminar Paper On SOCIO ECONOMIC IMPACTS OF MOBILE PHONE IN BANGLADESH: An Exploratory Study Course Title : Seminar and Viva voce Course Code : BAN 200 Submitted To: Md. Zillur Rahman Assistant Professor Department of Business Administration Shahjalal University of Science and Technology, Sylhet Submitted By: Syeda Fatima Banu Reg. No. 2009731007 MohammadRead MoreConsumer Behaviour4800 Words   |  20 PagesA STUDY ON CONSUMER BUYING BEHAVIOUR OF MOBILE PHONES IN INDIA Synopsis of Introduction Consumer behavior refers to the mental and emotional process and the observable behavior of consumers during searching, purchasing and post consumption of a product or service. Consumer behavior involves study of how people buy, what they buy, when they buy and why they buy. It blends the elements from psychology, sociology, socio- psychology, anthropology and economics.Read MoreDevelopment Of Smart Phones And Tablet Machines2329 Words   |  10 Pages Development of Smart Phone Industry Smart phones and tablet machines are keeping a ring in prominence. Individuals working in the portable web industry are idealistic about the fate of World s versatile web market, and expanding quantities of youthful Chinese individuals are looking to enter the part. The fast improvement of versatile web industry in the previous two years has created various business opportunities. Qiao Liang is an item director working at an application making organization inRead MoreHuman Resource Training For The Media Sector1679 Words   |  7 Pagestraining for the media sector is essential job today. The press, the educational function of ideology, propaganda and agitation, indirect management and social monitoring ... through the mass media provide the information, as the basis for forming and expressing public opinion. The more modern society, the stronger mass media develops, its role is more important than ever, communication is not active streak, the society will also be stalled. Therefore, human life has always existed in parallel withRead MoreThe Internet And Its Effects On The Environment1538 Words   |  7 PagesIntroduction Cyberspace has allowed people around the world to be interconnected each other to exchange ideas, services, or friendship. The development of technology and information systems has brought numerous advantages in various sectors of life including government, industry, banking, commerce, and so on. Consequently, there is a growing dependency on the utilization of the information technology. Canada along with the other developed countries has increasingly relying on internet services andRead MoreSwot Analysis Of At T1308 Words   |  6 Pagesfor businesses (ATT.com). Strengths ATT is the largest communications company by revenues at 163.8 billion in 2016. Fast, highly secure and mobile connectivity to everything on the internet, everywhere, at every moment and on every device across the country or beyond (ATT.com). Through new mobile applications, consumers are allowed to access their cars from their phones, giving them the ability to stay connected (Entertainment Close-up, 2005, Apr 9). ATT is a well-known company andRead MoreMarketing Cell Phones to India8270 Words   |  34 PagesPart One: Executive Summary Nature of the opportunity 1) India has a young consumer market. a. This will be a potential target market because young adults in the India community want to be up to date with technology. b. Young people of India today are more likely to spend money on technological items. c. India will be advertising cheaper cell phones throughout the country so that more young people can afford them based on their income. d. With India’s increasing GDP and average income, younger

Eric Berquist Essay Example For Students

Eric Berquist Essay Mrs. Gelman3rd Quarter Seminar25 March 2004What are the limits of Genetic Engineering?What is genetic engineering? Genetic engineering is the alteration ofan organisms DNA, or genetic, material to eliminate undesirablecharacteristics or to produce desirable new ones. The most controversialform of genetic engineering, by far, is cloning. Cloning is anothertechnology that has evolved out of genetic research. While geneticengineering usually adds or removes just one or two genes, cloning involvesreproducing all of an organisms genes (Tagliaferro 21). A clone is anexact genetic replica of an organism, having the same exact DNA makeup. Understanding what genetic engineering and cloning are is importantknowledge, but the most important questions are what the ethical, moral,legal, and biological issues are that deal with genetic engineering andcloning. I will discuss my person opinions about all of the issues ofgenetic engineering. You cannot forget that this is person opinion and notfact, as the majority of cloning is illegal, and most of these fields ofexploration are, well, unexplored. I do believe that genetic engineering should be allowed, to a certainextent. I also believe that cloning should be legal, to a certain extent. However, you cannot please everyone and though some of these things may belegal, to others they might not be moral. Currently, the trend is to genetically engineer plants for resistanceto disease and increased food production; animals for new, advanced, andrevolutionary medicines. This should be allowed; however there is alwaysthe possibility that the balance of nature could be changed by geneticallyenhanced plants. Insects will not be a problem for crops anymore; plantswith altered genes have already been tested indestructible where normalcrops have been eaten away. Harvesting medicine from animals, such ashemoglobin from pigs, will eventually become unnecessary since we will beable to alter our own genes. Human genetic engineering could very well bethe cure for the most widespread and devastating diseases in the world:cancer, HIV, AIDS, cystic fibrosis, multiple sclerosis, Parkinsonsdisease, you get the idea. If you already have the disease, you can alterthe genes necessary to stop the disease. The best thing possible would be,if there were a family history of a certain disease, to alter the gen ebefore the onset of the disease. This form of genetic engineering shoulddefinitely be allowed. Human genetic engineering could also enhance orimprove good traits for instance an extra copy of the human-growth-hormone gene could be added to increase height (Wekesser 155). I dontthink that a growth hormone should be allowed, unless someone is anaturally born a dwarf, since there have been reports of nasty side effectsfrom those who have unnecessarily take the hormone. The long-term effectsof gene splicing are still unknown. It is a dangerous process, and horrificaccidents could occur. For those who would like to pick and choose theirchildrens genetic makeup (facial features, build, etc.), there could bemutations (cue images of radioactive ants) of any kind. I do not believethat made-to-order humans should be allowed, for then there would be lessand less cultural diversity, and people would become more susceptible tocertain strains of disease, which, to an extreme extent, could be li kegiving out nuclear weapons. The good points of heredity would be erased,since we would turn into superhuman genetically enhanced cyborgs. No matterwhat anyone says, altering human evolution is not a good idea (unless toeliminate certain hereditary diseases). Strength enhancement for sports andthe like should not be allowed, since they share the same dangers assteroids. I do not believe that we should genetically enhance ourintelligence, either, but research and exploration of the unused part ofour brain (around 90%) would be allowed, also with anything else to forwardthe knowledge of our surroundings and ourselves. I have created 10 rulesand regulations regarding the laws surrounding genetic engineering. Thisessay is my formal opinion on all issues, moral and lawful, surroundinggenetic engineering. .ue876b48a9f0ffb0ea1ec2554b7d19d5d , .ue876b48a9f0ffb0ea1ec2554b7d19d5d .postImageUrl , .ue876b48a9f0ffb0ea1ec2554b7d19d5d .centered-text-area { min-height: 80px; position: relative; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d , .ue876b48a9f0ffb0ea1ec2554b7d19d5d:hover , .ue876b48a9f0ffb0ea1ec2554b7d19d5d:visited , .ue876b48a9f0ffb0ea1ec2554b7d19d5d:active { border:0!important; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .clearfix:after { content: ""; display: table; clear: both; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d:active , .ue876b48a9f0ffb0ea1ec2554b7d19d5d:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .centered-text-area { width: 100%; position: relative ; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d:hover .ctaButton { background-color: #34495E!important; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d .ue876b48a9f0ffb0ea1ec2554b7d19d5d-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ue876b48a9f0ffb0ea1ec2554b7d19d5d:after { content: ""; display: block; clear: both; } READ: John Steinbeck (811 words) Essay10 Rules and Regulations Regarding Genetic Engineering . Cloning may be used only if it is absolutely necessary. . The family may make the decisions for the patients. . The doctor or geneticist must have a special license for cloning. . The cloning of complete human beings is illegal. . The unnecessary cloning of animals, especially pets, is illegal. . The cloning of plants and animals for medical research and approvedmedicines is legal. . If the life of a person depends on genetic engineering or cloning,anything necessary is legal. . If money is an issue for genetic engineering, it shall be paid by thepatient in increments or paid by the government in full. . The cloning of livestock is illegal, to prevent certain strains ofdiseases from decimating animals. . You cannot clone more than one organ from the same person. Works CitedTagliaferro, Linda. Genetic Engineering: Progress or Peril?. New York:Lerner Publications Company, 1997. Wekesser, Carol, ed. Genetic Engineering. San Diego: Greenhaven Press,Inc., 1996. Judson, Karen. Genetic Engineering: Debating the Benefits and Concerns. Berkeley Heights, NJ: Enslow Publishers, Inc., 2001

Japanese Tea Ceremony Essays - Japanese Tea Ceremony, Tea Ceremony

Japanese Tea Ceremony Tea was first introduced to Japan along with Buddhism from China in the 6th century, but the Emperor Shomu introduced tea drinking to the country. During the Heian period (794-1185), tea was made from steamed and dried tea leaves ground into a powder called macha. In the 15th century, Juro Murata introduced many of the concepts of spirituality into tea ceremony, including the special room only used for the chanoyu. Tea ceremonies were required to follow a certain order. Zen Buddhist concepts in the tea ceremony were introduced by Sen no Rikyu, a Japanese tea master. During the second half of the 16th century, Sen no Rikyu created the ceremony that is now practiced and taught in Japan called Chado. He also designed a separate building for the ceremony based on a typical Japanese farmer's hut. He further formalized the tea ceremony's rules and identified the spirit of chanoyu with four basic Buddhist principles of harmony, respect, purity, and tranquility. They represent the ideals of the tea ceremony. Sen no Rikyu believed that we could reach tranquillity in the mind after we achieved harmony, respect, and purity. Chado includes almost all aspects of Japanese culture. For example, flower arrangement, ceramic, calligraphy, etc. According to Hisamatsu Shinichi, Chado is an incarnation of Buddhism. That is not entirely true. Not only Buddhism but also others including Taoism and Confucianism have influenced Chado The ceremony takes place in a room designed and designated for tea. It is called the cha*censored*su. Usually this room is inside the tea house, away from the house, in the garden. The guests are brought into the waiting room. Here, the assistant to the host offers them the hot water which will be used to make tea. While here, the guests choose one of their group to act as the main guest. The assistant then leads them to a garden. They then sit on the waiting bench, and wait for the host. The host leads the assistant, the main guest and the others (in that order) through the chumon, which symbolizes door between the coarse physical world and the spiritual world of tea. The guests and assistant purify themselves and enter the teahouse. The sliding door is only three feet high, so everyone must bow their heads and crouch. The last person in closes the door. Hanging in the room is a scroll painting. Each guest admires the scroll, then examines the kettle and hearth. They are seated according to their positions in the ceremony. The host seats himself and greetings are exchanged, first between the host and the main guest, then the host and the other guests. Each guest is given a meal called chakaiseki. The meal has three courses. After the meal, each guest cleans their utensils with soft paper. A sweet is served at the end of the meal. The host then removes the scroll and replaces it with flowers. The room is swept and the utensils are arranged. The host enters with the tea bowl which holds the tea whisk, the tea cloth, and the tea scoop. The host goes to the preparation room and returns with the waste water bowl, the bamboo water ladle, and a green bamboo rest for the kettle lid. Then he closes the door to the preparation room. Using a fine silk cloth the host cleans the tea container and scoop. Hot water is put into the tea bowl, the whisk is rinsed, the tea bowl is emptied and wiped with the cloth. The host places three scoops of tea per guest into the tea bowl. Enough hot water is put into the teabowl to create a thin paste with the whisk. More water is then added. The host passes the tea bowl to the main guest who bows. The bowl is raised and turned to be admired. The guest then drinks some of the tea, wipes the rim of the bowl, and passes the bowl to the next guest who does the same as the main guest. When the guests have all tasted the tea, the bowl is given to the host, who rinses it. The whisk, the tea scoop, and the tea container are cleaned. At the conclusion, the guests express their appreciation for the tea, and leave while the host watches from the door of the teahouse. bibliography http://welcome.to/chanoyu Chanoyu: Copyright 1995-1998 by Ken Kato and Natsuko Kato. http://www.art.unt.edu/ntieva/artcurr/japan Japanese Aesthetics, Wabi Sabi, and the Tea Ceremony: by Nancy Walkup Texas Institute for Educators on the Visual Arts http://www.holymtn.com/tea/Japanesetea.htm The Japanese

Asian Americans And Schizophrenia Social Work Essay Essays

Asian Americans And Schizophrenia Social Work Essay Essays Asian Americans And Schizophrenia Social Work Essay Essay Asian Americans And Schizophrenia Social Work Essay Essay Soon, I work at Community Care Center handling badly mentally sick patients. A new patient of mine includes an older gentleman, named John Doe, who suffers from Schizophrenia, Paranoid type. Mr. Doe is 31 old ages old and considers himself Chinese American. Harmonizing to his charts, Mr. Doe s symptoms began in his early 20 s. Mr. Doe s symptoms include audile hallucinations and psychotic beliefs and his head ailment is that others are seeking to harm him. His intelligence is mean and Mr. Doe is insightful about his status. Harmonizing to Mr. Doe, he emigrated to the U.S. , along with his female parent and sister, during his late adolescence. He states that his male parent passed off from malignant neoplastic disease when Mr. Doe was 11. Mr. Doe s household came to the U.S. in chase of a better, more successful life than the 1 they had in China. He states that he has an 11th class instruction degree and a history of multiple hospitalizations. Mr. Doe states he did non obtain employment after high school since all his clip was spent in a tagging crew. He states he was arrested when the constabulary caught him spray painting behind a supermarket and speaking to himself. Mr. Doe denies any mental unwellness in his household, denies any substance and/or intoxicant maltreatment, and denies any sexual and/or physical maltreatment. I have merely been working with Mr. Doe for a twosome of hebdomads but in order to hold a more enriching curative experience, every bit good as larn how to modify our therapy Sessionss so they are most good for him, I need to go more culturally competent of the Chinese civilization, particularly with regard to how they view mental unwellness. In this paper, I will discourse the jobs and symptoms of Schizophrenia as viewed by the Chinese civilization, socialization, help-seeking behaviours, and discourse intervention considerations. Issues that Effect Treatment Schizophrenia: Problems and Symptoms There are different positions of schizophrenic disorder within different civilizations. The Western hallmark symptoms ( i.e. , agitation, break in societal map, hallucinations, and psychotic beliefs ) of schizophrenic disorder are non similar to what Asiatic households view as being most critical. Family award is of primary importance to Nipponese households ( Lin A ; Lin, 1980 ) . Furthermore, mental unwellness is viewed as diverting from the norm and is viewed as a dishonour to the household. Therefore, in order to protect the household s repute, Asiatic households make great attempts to hide and deny the mental unwellness from others. For Chinese households, holding a household member with mental unwellness carries shame upon the full household ( 1980 ) . Besides, holding a household member with mental unwellness creates jobs with respects to get married off a kid. The significance of the household s repute in matrimony may affect maintaining the mental unwellness a secret in ord er to transport on the household name ( 1980 ) . Delusions and audile hallucinations are recognized otherwise by Asiatic households. Alternatively of fixating on the phantasy of audile hallucinations, Asiatic households may warrant the audile hallucinations as their ascendants taking control and pass oning for the household. Lin and Lin ( 1980 ) illustrated a culture-bound syndrome called hsieh-ping, where a household member undergoes ocular and audile hallucinations, connects with an ascendant for up to many hours, and emulates the dead ascendant s behaviour. Furthermore, psychotic beliefs may be accepted by household members when the psychotic beliefs are conveyed as a concern over an infection. Westermeyer, Lytoung, Wahmenholm, and Westermeyer ( 1989 ) illustrated many instance studies in which Hmong households approved a household member s psychotic beliefs of infection from genital disease or parasites. It is important to indicate out that several Asiatic households may O.K. instead than contend psychotic symptoms. However, the Khmer will perchance insulate the person who is enduring from mental unwellness out of fright of spirit ownership ( Rangaraj, 1980 ) . Socialization Asiatic Americans are comprised of a really assorted group with over two twelve different cultural groups and significant differences in linguistic communication, economic position, instruction, in-migration position, coevals, length of abode in the United States, and proficiency in English ( Rhee, 2009 ) . As a consequence, it is hard to do generalisations about the experiences, patterns, values, and mental wellness of Asiatic Americans as if either represents a standard group. The values of any Asiatic household are regulated by their degrees of socialization. Socialization refers to the procedure of accommodating the norms of the dominant civilization ( Kim, 2007, p. 143 ) . Socialization is regulated by a figure of factors including in-migration history, economic position, educational position, household makeup, and gender. Presently, it is hypothesized that freshly immigrated Asiatic Americans will continue more traditional Asiatic cultural norms than those whose households ma y hold immigrated several old ages ago ( Kim, 2007 ) . The behavioural dimensions of socialization are observed in engagement in cultural events and linguistic communication use, while the value magnitudes of socialization include beliefs about human nature, clip orientation, and relational forms ( Kim, Ahn, A ; Lam, 2009 ) . Researchers hypothesize that persons who are biculturally competent ( i.e. , those capable of run intoing the demands of autochthonal and dominant civilizations ( Kim, 2007, p. 143 ) ) may expose superior psychological wellness than others who are non biculturally competent. Some issues encountered as a effect of in-migration, include psychological effects and ineluctable stressors. Within a household, different members of the household will acculturate at different phases. The different rates of socialization between kids and their parents can do struggles between parents and their kids ( Kim, Ahn, A ; Lam, 2009 ) . Asiatic American parents tend to obey traditional Asiatic values more strongly than their kids. Such value differences will impact both kids s and parents attitudes and determinations. Several Asiatic Americans in the U.S. have limited proficiency in the English linguistic communication ( Carrasco A ; Weiss, 2005 ) . For case, in 2000, there were over 4 million Asiatic American and Pacific Islanders in the U.S. who had Limited English Proficiency ( LEP ) , defined as persons who do non talk English really good ( Carrasco A ; Weiss, 2005, p. 8 ) . In add-on, linguistic communication ability and penchant besides affect socialization degrees. As with many immigrant kids, they may necessitate to go linguistic communication translators for their parents who are less able to understand and talk the English linguistic communication. As a consequence, this new function may show a new challenge amongst the Asiatic household since the parent may experience as if they lost some power and/or authorization ( 2005 ) . In add-on, due to different degrees of socialization, household members may hold different conceptualisations of get bying attitudes, mental wellness and unw ellness, intervention, and intervention ends ( Chun A ; Akutsu, 2009 ) . Additionally, acculturational emphasis ( i.e. , linguistic communication barriers, racism, and lowered societal position ( Kim, 2007 ) ) is a psychological effect that can perchance go on in the class of in-migration. Several Asiatic immigrants undergo many troubles upon coming to the U.S, which may include isolation, confronting a linguistic communication barrier, bead in societal position, migratory wretchedness, rawness with Western patterns, limited societal support, and inability to prosecute in common societal activities ( Rhee, 2009 ) . Acculturational emphasis intensifies a sense of hopelessness and besides may do feelings of anxiousness, disaffection, depression, individuality confusion, and enhanced psychosomatic symptoms ( Kim, 2007 ) . Acculturational emphasis is an of import impression to include when sing the Asiatic household due to the tenseness placed on the household. Keeping in head that there are differing socialization degrees with a household, a practician handling a household that is looking for professional aid demands to give their clip into constructing resonance with the household ( i.e. , prosecuting the determination shaper in the household sing intervention, and making out to widen household members ( Lee, 1997a ) ) . Since socialization degree affects communicating manner, the significance of altering socialization degrees within a household become pertinent upon first contact with the household or a household member. With Chinese American households, holding formality and a degree of interpersonal grace ( Lee, 1997a, p. 66 ) are critical for bring forthing a positive working relationship. Additionally, socialization degree will act upon the comfort degree a household member has with regard to changing degrees of oculus contact. In more traditional households, staring is considered ill-mannered and inappropriate ( Lee, 1997b ) . A lternatively, gentle oculus contact that moves off from the individual who is talking is preferred ( 1997b, p. 488 ) . Using non-blaming linguistic communication or hedging direct confrontation are two ways that may better communicating with less acculturated household members ( Lee, 1997a ) . Acculturation degree is non merely of import to see during rapport-building, but socialization degree is besides of import to see during the assessment procedure ( Kinoshita A ; Hsu, 2007 ) . Early appraisal of the Asiatic American household s degree of socialization offers a footing that can direct the practician s thought procedure ( 2007 ) . Specific instruments have been developed to mensurate socialization for Asiatic populations ( 2007 ) . Measures measuring loss of face, cultural values, cultural individuality, and socialization can besides be utile as such constructs are frequently linked to the patient s socialization degree. Help-Seeking Behaviors The help-seeking behaviour of Asiatic Americans can be explained as a procedure: initial denial, attempts of hiding the unwellness within the household and extended household or community, usage of traditional healing methods, recommendation to a doctor, loath attempts to use hospitalization or psychiatric interventions, and rejection of the affected household member ( Lin A ; Lin, 1980 ) . Harmonizing to Cheung ( 1987 ) , one time the issue is accepted, Asiatic households exhibit three different forms for get bying with mental unwellness. Asiatic households who view psychosis as being strictly psychological are more prone to prorogue seeking outside aid. However, Asiatic households who view psychosis as being strictly bodily, or both psychological and bodily, are more prone to seeking outside aid. Furthermore, Asiatic households who view psychosis as being strictly bodily are more prone to seeking practicians of traditional medical specialty. Therefore, depending on the form of get bying, mental wellness audience can be postponed by months or even old ages. Aid seeking pattern behaviours can be modified by socialization. For case, people in Japan consult common people therapists, whereas Nipponese Americans do non normally consult folk therapists ( Fujii et al. , 1993 ) . Nipponese subjects raised near urban countries may be increasingly westernized around aid seeking, but in the rural countries Nipponese subjects first seek exterior aid ( i.e. , priest and herbal medical specialties ) . Consulting a head-shrinker is still viewed as a last hope. Furthermore, Nipponese patients and their households are non likely to inquiry upon the doctor s decisions ( McDonald-Scott et al. , 1992 ) . Aid seeking by Asians can hold unexpected consequences. Harmonizing to Lin, Tardiff, Donetz, and Goresky ( 1978 ) , Chinese immigrant households in Canada displayed help-seeking behaviour illustrated by relentless efforts to undertake the issue of mental unwellness within the household puting. Consequences of the survey indicated that the household pursued medical attending merely when the household puting proved uneffective. Treatment Considerations To successfully handle and measure Asiatic patients with schizophrenic disorder, I must foremost see my patients in the context of their relationships with their society and more significantly, their household. Treatment of an Asiatic patient enduring from schizophrenic disorder must basically include consideration of the household s attitudes toward schizophrenic disorder and the household s concern over their repute within their society. In working with Asiatic schizophrenic patients, it is equivalent that I understand how the mental unwellness is regarded by the household, the Asiatic society, and the patient. By understanding these positions, my curative confederation with my patient will be established. Acknowledging what causes these jobs, what the household characterizes as jobs, and how the household discusses and seeks service for these issues are all critical affairs in making a curative confederation to ease a culturally sensitive psychiatric intervention and appraisal.

Using the Spanish Verb Venir

Using the Spanish Verb Venir Venir is a common Spanish verb with a variety of meanings. Fortunately, many of them can be translated using the English verb to come, which also has numerous meanings. Venir is a cousin of English -vent words such as invent and convent as well of venue and venire (a legal term). Keep in mind that venir  is conjugated irregularly, having forms such as vengo (I come) and vendrn (they will come). Using Venir To Refer to Coming From a Place Most commonly, venir is used to talk about coming to or arriving at a place: Cuando yo vine a California fui a Disneylandia. (When I came to California, I went to Disneyland.)Venimos en bus con un maestro y pagamos por nuestro transporte. (We came by bus with a teacher and paid for our own transportation.)Tenà ­a sà ³lo un aà ±o cuando vino desde Espaà ±a. (He was only a year old when he came from Spain.) ¡Ven aquà ­! (Come here!)No vienen hasta las 14.30. (They arent coming until 2:30 p.m.) In context, venir can convey the idea of coming back or returning: No vengas a mà ­. (Tà ­tulo de cancià ³n) (Dont come back to me. (song title))Es importante que vengas temprano. (Its important you come back early.) Using Venir To Point Out Qualities Venir can mean to include, to be, or to have, often in a way that can be translated by to come: El primer iPad no viene con webcam. (The first iPad doesnt come with (include) a webcam.)Estas bicicletas vienen de Surinam. (These bicycles are (come) from Suriname.)El à ºnico que viene con excusas eres tà º. (The only one who comes with (has) excuses is you.)Las servilletas vienen en distintos tamaà ±os. (The napkins come (are) in different sizes.)Viene en caja sellada. (It comes (is) in a sealed box.) Especially when used with bien or mal, venir can be used to indicate suitability: No ser muy famoso me viene bien. (Not being very famous is fine with me.)A ningà ºn paà ­s le viene mal la globalizacià ³n. (Globalization doesnt serve any country poorly.)Al libro le venà ­a bien la promocià ³n. (The promotion was good for the book.) Using Venir With a Gerund Venir can be used as an auxiliary verb with the gerund (also known as the present participle) to indicate a continuing action, often in an increasingly intense way. Hace mucho tiempo que se viene hablando de la necesidad de una nueva constitucià ³n. (The need for a new constitution has been talked about and talked about for a long time.)El presidente viene sufriendo derrota tras derrota. (The president continues to suffer defeat after defeat.)El chofer del camià ³n venà ­a hablando por telà ©fono. (The truck driver kept on talking on a telephone.)   Using Venirse The reflexive form, venirse, like the standard form, can mean to come from a place. But it places more emphasis on where the thing or person has come from. La rumba se vino de Miami. (The rumba came from Miami. La rumba vino de Miami might be translated the same way, but making the verb reflexive calls extra attention to Miami, perhaps because the fact of the sentence may be surprising.)Los turistas se vienen de otros paà ­ses. (The tourists are coming from other countries.)Necesitaremos agua por quà © nos venimos del desierto. (We will need water because we are coming from the desert.) The reflexive can also suggest that the verbs action was sudden or unexpected: Era lo primero que se vino a cabeza. (It was the first thing that came to mind.)Otra hipà ³tesis es que el puente se vino abajo por la fragilidad de sus pilares. (Another theory is that the bridge came down because of the fragility of its pillars.)Los vientos se vinieron de un solo golpe. (The winds came suddenly in a single blow.) Key Takeaways Venir can usually be translated as to come, whether it is used to mean coming from a place or to have a certain quality.Venir can be used with gerunds to indicate continuous action.The reflexive venirse can be used to emphasize the origins of where someone is coming from or to emphasize the suddenness of an action.

Business Project Coursework Example | Topics and Well Written Essays - 2000 words

Business Project - Coursework Example Moreover, for maintaining its competitive advantages, the company has focused on satisfaction of its customers, employees and business partners such as its dealers, investors and suppliers among others. The vision and mission of Vauxhall Motors is to expand its business operation around the world with considering its core values of honesty, integrity as well as professionalism. In this regard, it is identified that the company exports a larger proportion of vehicles (80% out overall production) in the global market (General Motors UK Limited, 2014). In the recent years, Vauxhall Motors has been trying to develop new heavy motorcycle in the market place, with the aim of capturing the two wheelers nationally and internationally. The company has identified that two-wheeler market is one of the emerging markets across the globe over the last decade. The two-wheeler industry has witnessed positive volume of growth during the last few years. Simultaneously, the company has identified that the demand of motor cycle has been positively increasing among the consumers in the recent years. At the same time, the company has also recognised that due to high market demand, several existing motor cycle manufacturers are concentrated on the total quality management system with the aim of enhancing the performance and excellence of the motor bikes. Thus, Vauxhall Motors has tried to introduce a new heavy motorcycle with the intention of enhancing the profitability and acquiring high market share in global market place (General Motors UK Limited , 2014). Analysis of the Context In order to determine the internal situation of Vauxhall Motors, it will be vital to apply ‘SWOT’ analysis method for better understanding the current situation of the company. According to the report of Global Data (2012), Vauxhall Motors is one of the leading automotive players in the global market

Borrowed Theories guiding practice Essay Example | Topics and Well Written Essays - 250 words

Borrowed Theories guiding practice - Essay Example Knowles further theorizes adults need to be aware of why they need to learn something. Adults exhibit self-directed concept when learning. Adults have a plethora of experience, which can be conducive to learning new things. Adults want to learn things that may help them solve real-life problems. For adults, learning is problem-centered. Adults are motivated to learn to solve immediate/practical problems (McEwen & Wills, 2014). The theory of adult learning focuses â€Å"on the immediate value to the needs of the learner† (Gatti-Petito et al, 2013, p. 273) and problem-solving (Gatti-Petito et al, 2013). When performing patient education, the APN can employ Knowles concepts and assumptions to creating a successful educational outcome. This will leave the APN satisfied in knowing aspects of the teaching were absorbed. This will also leave the patient self-confident in conquering health issues and being an active, integral participant in their own healthcare. Gatti-Petito, J., Lakatos, B. E., Bradley, H. B., Cook, L., Haight, I. E., & Karl, C. A. (2013). Clinical Scholarship and adult learning theory: a role for the DNP in nursing education. Nursing Education Perspectives, 34(4), pp.

Critical thinking Essay Example for Free

Critical thinking Essay In academic writing, an argument is usually a main idea, often called a â€Å"claim† or â€Å"thesis statement,† backed up with evidence that supports the idea. In most college papers, one needs to make some sort of claim and use evidence to support it. One’s ability to do this will separate a good paper from other papers. We use argument in everyday life to convince somebody of my ideas or opinion, convince our teachers we deserve a better grade. A better argument is accomplished if no emotion is involved. One component of argument is logic. Claims are statements about what is true or good or about what should be done or believed. Claims are potentially arguable. For example, recent tax cuts should be abandoned another is the civil war is caused by slavery. In making an argument one must use reason to support the claim. Reason is a statement that supports a given claim or in other words â€Å"why do you say that claim?† support is the evidence that we use; one example of evidence is statistics. When making an argument we must remember to use warrants which is influences or assumptions that connect the support to the claim. A very important part when making an argument is to come across to the audience as a credible speaker or arguer that has sufficient evidence, that the evidence is based on research or scholarly articles. It is important to also remember that every argument has a counterargument. Which the argument more interesting and also strong its not one that everyone agrees with.

Teaching Philosophy :: Education Teachers Classroom Essays

Teaching Philosophy What is my philosophy concerning education? For as long as there has been â€Å"learning†, this question has been debated. As with any â€Å"opinion question† this question brings forth very strong discussion. Everyone has his or her own thoughts regarding this. Parents, administrators, professors, teachers (those retired and those yet to be.) all have varying views on what education should be. In all the points I wish to make, the two which seem of utmost importance are to be flexible enough with your position that new thoughts and ideas are at least considered and to keep the welfare of the children first and foremost in all beliefs. I think being a teacher is the most important job in the world. If it wasn’t for teachers everything in the world would be different. When looking back on my 13 years of school, I recall few teacher who made a huge impact on my life. All of the teachers that I remember the most have something in common, which is they all taught extremely well academically, but their job didn’t stop there. They were mentors, helpers, listeners, and role models. I think it is important as a teacher to remember some students may not struggle academically, but their problems might be at home. It is necessary as a teacher to not only teach the core subjects, such as reading, math, and English, but also incorporate important concepts such as self-esteem, decision-making, character building, as well as other skills needed for life. A good teacher must keep in mind that anything said or done, even if it is little, can make or break a child. A teacher can also make a positive las ting impression on a child. This is the kind of teacher I want to be! As a teacher most of your time and the students’ time of learning takes place in the classroom. That is why it is important that the room is comfortable and pleasing to the students. In my classroom I want color and fun mixed in with learning. It is important to create an atmosphere that is comfortable, but not over stimulating to distract the students. It is a good idea to display the students’ work.

Sir Elton John

Sir Elton John was a pop singer in the 19 and 20 century. Elton was inducted in the Rock and Roll Hall of Fame in the year 1994. Elton was one of the biggest artist of that time. Elton has lots and lots of fans and makes over millions of dollars. This is Elton life from a child to an adult! Elton John had an ok childhood. Elton John was born on March 25 1947 in Pinner, United Kingdom. Elton John had 4 brothers named Geoff, Simon, Sam and Robert. Elton John's father, Stanley Dwight was in the royal air force. Elton did not have a good relationship with Stanley. Elton John not only loved music at a young age, he loved to play sports. One surprising fact about Elton John was that he taught himself how to play the piano at age 3! When Elton John was only 17 he dropped out of High School to start his dream of music. According to CNN, Elton John was married to Renate Blauel in 1984. But CNN states that Elton got into a divorce with Renate in 1988. Elton John went on Instagram and said that he was a bad husband to Renute and caused her into sadness, which made them have a divorce. Years later Elton ended up marrying David Furnish to be his long time partner. They have been married to David since 2014 to now. Elton John has too kids with David. Elton John has two kids named Zachary and Elijah! Zachary is Eltons older son that is about 8 years old as of 2018. Zachary was born in 2010 on christmas day! A surprising fact about Zachary is that his godmother is Lady Gaga! In a interview Elton said â€Å"He's gorgeous, he travels brilliantly, he so loves people, and it makes our lives – he's the icing on the cake†. Elton and David say they love the biological mother of Zachary like a sister. Elijah is Elton and David's youngest son. As of 2018 Elijah is about 5 years old. Elijah was born on January 11, 2013. At Elijah's birth he weighed 8lb 4oz. From interviews you can tell that Elton and David really loves there kids and would do anything for them. Elton John's has many songs that made him famous. Some of his songs that got him very famous are Rocket Man, Crocodile Rock and Goodbye Yellow Brick Road! Those are just a few of Elton John's hits singles. Elton John is also famous for his debut album Yellow Brick Road of 1969-1973. This album has helped make Elton John very famous and put him where he is today. Elton John makes about 500 millions dollars! Listen to this song by Elton called Rocket Man. (played from the slides) Elton John's is getting into his oldern days now. Elton john is 71 years old and is retiring from music very soon. Elton John is going on his very last tour soon. He will be calling it the † Farewell Yellow Brick Road tour†. From the title of the tour he may be performing songs from his album Yellow Brick Road! Rumors say that Elton wants to take a break from music and move on to his other passion, sports! As you can see Elton John is a very successful man. He is very lucky to get inducted into the Rock and Roll Hall of Fame. Even with an ok childhood, he is able to still have the passion for sports and music. Elton is a 71 year old man that is very successful that will go on the rest of his life not being worried about anything.

Examination Of The Wonthaggi Desalination Plant Environmental Sciences Essay

Desalination is a procedure of taking extra salts and minerals from saltwater to do it suited for human ingestion. Counties in the Middle East and the Mediterranean have been utilizing desalinization for a long clip to fulfill their H2O demands and it is going progressively popular in states like the United States, Australia and Europe as demand for H2O continues to turn with turning population and diminishing precipitation forms ( David A. Roberts, 2010 ) . Wonthaggi desalinization works is a large budget desalinization works presently under building on a clear farming area on the Bass Coast. The site for the desalinization works is about five 100 metres inland from the coastline. The Desalination Project Team, which is moving as advocate on behalf of the State is a portion of the Capital Projects Division. This undertaking is a Public-Private Partnership and Project ‘s substructure includes an belowground saltwater intake tunnel that will run from the works to an offshore loc ation on the seafloor, an belowground mercantile establishment tunnel that will run from the works to an offshore location on the seafloor and discharge seawater dressed ore, and an belowground transportation grapevine for the fresh water that will be produced and a power supply ( Victoria, 2008 ) . The desalinization works will supply upto150 gigalitres of H2O per twelvemonth which can be increased to 200 gigalitres per twelvemonth in the hereafter. An estimated 480 litres of saltwater will be pumped in and 280 billion litres of saline concentration or seawater will be pumped back out into the ocean every twelvemonth ( 2009 ) . The works will be utilizing energy signifier brown coal which will breathe one million metric tons of C dioxide every twelvemonth. There is besides wind farm that is proposed to be built 100s of kilometres off as an beginning ( Heislers ) . This works, which is traveling to be Victoria ‘s largest substructure undertaking of all time, is expected to be completed by the terminal of 2011. Marine Impact of Desalination Plant: The desalinization works may be able to supply some alleviation for Victoria ‘s H2O deficit crisis, but it will hold many long term and possibly even irreversible Marine, costal and environmental impacts. For the intent of this essay, we will merely see Marine and coastal impacts. The works is being built behind a foreshore modesty and a dune system and building and operation of the desalinization works will hold many negative impacts on the environing country ( Heislers ) . Construction: Construction will do a batch of harm on land and seabed when sand, clay and other seabed home grounds will be disrupted during boring and puting grapevines ( Smyth, 2007 ) . Operation: Marine life loss- Once the works is to the full operational, it is estimated that about 40 metric tons of sea life will turn up dead every twenty-four hours when molluscs, weed, larvae, algae, fish/fish eggs, plankton will be sucked in through the pipes near the consumption countries and larger mari0ne animate beings will be trapped by the screens around the consumption countries ( Heislers ) . A survey on desalinization workss conducted in the United States revealed that around 55,000 invertebrates and 78,000 fish died each twelvemonth after acquiring stuck on the screens near the intake country. Whereas, other smaller animals died after being sucked up by the pipes. It is rather good cognize how the remotion of one key species can interrupt the nutrient concatenation and consequence in species loss. Loss of these marine animate beings will modify nutrient concatenation and vastly impact the life rhythms ( Smyth, 2007 ) . Toxic Discharge- One of the biggest impacts of the desalinization works will come from the warm seawater that will be discharged as waste into the ocean which can kill marine animate beings. Surveies on the impact of desalinization discharge on marine life demo a decrease in echinoderms ( starfish, sea urchins etc. ) densenesss near the discharge countries. There was besides a important addition in leaf mortification and a decrease in carbohydrate storage in foliage tissues which was linked to increased alimentary handiness and exposure to the seawater. Research suggests that these marine workss are really sensitive to seawaters as they can undergo mortification from an addition of merely 1-2 parts per trillion in salt ( David A. Roberts, 2010 ) . Apart from being warm, it will be extremely concentrated and loaded with chemicals. Desalination works surveies in Western Australia found that the discharge could increase the temperature of Waterss within a seven square kilometer country environing the escape pipe by 0.1 to 0.5 & A ; deg ; C ( David A. Roberts, 2010 ) . A batch of chemicals like Cl, which is used in pretreatments such as cleansing of pipes, can harm the home ground. Chemicals like these can alter degree of O in H2O and warm seawater can raise temperature of sea H2O near the gap of the mercantile establishment. Tests done on H2O quality environing a desalinization works in Florida revealed that about 45 kilograms Cu was being discharged every twenty-four hours. The concentration of Cu was 5-10 times higher than normal concentrations and exceeded toxicity thresholds for native species ( David A. Roberts, 2010 ) . One of the deductions of outflowing discharge is that it can congregate in an country instead than scatter due to hapless circulation which will make a dead zone and change the ecosystem around the discharge country ( Heislers ) . Even the slightest alteration in ecosystem can impact fish migration, as they will hold to migrate from their nor mal eating and genteelness countries which will besides do them vulnerable to other marauders ( Smyth, 2007 ) . Noise- There will be a important addition in the degree of submerged noise due to high force per unit area pumps which will take to habitat debasement. Local giant populations, along with populations of seal, great white shark and penguin will be affected negatively ( Heislers ) . Regulative Model: There are many province and commonwealth Acts of the Apostless that manage environmental and marine impacts caused by the building and operation of the desalinization works. State Acts of the Apostless include the Environmental Protection act, Flora and Fauna Guarantee act, Planning and Environment act, and Coastal Management act. Whereas the Commonwealth act includes the Environmental Protection and Biodiversity Conservation ( EPBC ) act.

Chemistry through Entertainment essays

Chemistry through Entertainment essays For many years students have been taught in the traditional classroom setting. You have a teacher, blackboard and a desk. Most students want to learn, but loss interest or are discouraged when they learn above or below the average learning speed. But when students are offered an opportunity that allows them to learn at their own pace and in the comfort of their home the outcomes are unlimited. Allowing students to interact with what they learn has proven time and time again to increase their interest and the amount of information learned and remembered. Many studies have been done that support our groups hypothesis that video games do affect the way a person thinks and acts. Therefore it would only make sense that having a Chemistry video game that taught you chemistry would embed the information that is being taught into the students mind, because of the interaction and having to be aware of what is going on in the game to advance to the next chapter. In our interactive video game w e would have a teacher, just like in the normal classroom setting, but you would read the sections on your own and would play games to show how well you comprehend the information that you had just read. There would also be an option for the section to be read to you. The video game would not allow a student to move on until the game was completed one time through correctly this way the information the student gathers is all correct and he or she knows how the answer was achieved. There are many other ways that students can learn interactively, but we believe that if you are in a comfortable setting (your home or wherever else.) you will have the confidence that is needed to learn and achieve your goals. An interactive video game would allow for people to take the Chemistry class at home. This option would allow many people who are unable to go to school everyday or have a disability to complete a Chemistry course on their own time, yet provide the s...

25 Idioms with Clean

25 Idioms with Clean 25 Idioms with Clean 25 Idioms with Clean By Mark Nichol The adjective clean has many senses: â€Å"free from dirt, contamination or disease, or pollution,† â€Å"fair† or â€Å"pure,† â€Å"clear† or â€Å"legible,† â€Å"smooth,† â€Å"empty,† â€Å"complete† or â€Å"thorough,† â€Å"skillful,† â€Å"free of a claim or impediment,† and â€Å"free from corruption or from lasciviousness or obscenity†; it also refers to freedom from drug addiction or lack of possession of contraband such as drugs or weapons. A variety of idioms that include the word have evolved: 1. clean (one’s) plate: eat all the food served 2. clean (someone’s) clock: beat or defeat soundly 3. clean as a whistle: pure or free of involvement in illegal activities 4. a clean bill of health: notification that a person or other entity is in good health or operating condition (from a report from a health official that all crew and passengers on a ship arriving in a port are free of illness) 5. clean break: abrupt and complete disassociation 6. clean code: well-written computer-programming code 7. clean conscience: absence of guilt or remorse (also â€Å"clear conscience†) 8. clean cut: tidy and well groomed 9. clean getaway: uninterrupted escape 10. clean house: rid an organization of corruption or inefficiency 11. clean (someone or something) out of: remove people or things 12. clean sheet: variant of â€Å"clean slate† (mostly used in British English); alternatively, said of an athlete or team that allows no goals (British English) 13. clean slate: a fresh chance or start (from the now-outmoded use of chalk on slate to record one’s debt at a tavern) 14. clean sweep: the winning of all competitions or prizes 15. clean the floor up (with someone): beat someone up 16. clean up: make something clean or proper, earn or win a lot of money, reform, or defeat 17. clean up (one’s) act: improve or reform 18. clean out: leave bare or empty, or take or deplete 19. come clean: be honest 20–21. have clean hands/keep (one’s) hands clean: be without guilt 22. keep (one’s) nose clean: stay out of trouble 23. make a clean breast of it: admit the truth 24. squeaky clean: completely clean or incorruptible 25. wipe the slate clean: give someone a fresh chance or start (see â€Å"clean slate†) Also, the proverb â€Å"A new broom sweeps clean† means that someone new to a situation (such as a job) will make a concerted effort to impress others. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:20 Computer Terms You Should Know50 Idioms About Meat and Dairy ProductsWhat is an Anagram?

Report on marine engineering industry in the uk Coursework

Report on marine engineering industry in the uk - Coursework Example million and total employees exceeding 410,000, it is the leading marine sector across Europe; it outshines aerospace, automotive and agricultural sectors (Stem Choices 2010). This report explores the marine engineering sector of United Kingdom covering industry trends, development opportunities, development constraints and main players. Marine sector encompasses numerous activities ranging from sub-se technology to shipping, aquaculture to ports, commercial fishing to royal navy; and leisure to maritime financial and legal services (Smith, H. & Lalwani 1999: 398). These activities can be divided into four subsectors relative to marine engineering activities namely marine resource-based, marine-related equipment and service, marine operations and shipping and marine system design and construction. Marine resource-based sub-sector involves activities for recovery of marine resources such as seabed mining and oil and gas exploration (Taylor 2013). Marine-related equipment and service sub-sector involves manufacture of equipment and provision of supportive services for marine activities; they include machinery, marine electronics, software development and instrumentation (Tooley 2012: 2-7). Marine operations and shipping sub-sector involves activities such as waste disposal and dredging whereas marine system design and construction involve coastal and offshore engineering and design, construction and design of ships (Tooley 2012: 2-7). UK is among the major countries leading in boat building sector across the globe. There has been a shift in preference in the market from sailing yachts to motor yachts hence booming of the powerboat sector of which UK holds a significant share; some UK motor boat builders recoded a minimum of 90% of their production (SEEDA 2007). Also, demand from China and Russia have driven high the demand of superyacht. Further, marine equipment industry boasts a good share of the world market (Highley et al. 2007); however, it faces stiff

Management Accounting- A case study in balanced scorecard Essay

Management Accounting- A case study in balanced scorecard - Essay Example The balanced scorecard revolves around this strategy. In relation to growing the revenues, the shift of emphasis on traditional ticketing distribution will enable the company to cut on various items on its administrative overhead. This entails a shift in market strategy, mainly by re-positioning the Yunnan Lucky Air brand to becoming an on-line travel leader through its e-commerce business model. These changes are reflected on the perceptions as objectives about the brand and the website on the customers perspective, and would later transform into expectations of customers. In order to meet these expectations, various internal processes in line with the adoption of the e-commerce business model in terms of sales and distribution should be addressed. Lastly, learning and growth objectives are related to the changes in the companys HR policies because of the new organisational structure. Fulfiling these objectives tell about how the strategies will be carried out as soon as changes are enacted. The balanced scorecard has been widely accepted by the business community since its introduction by Norton and Kaplan in 1992 (Kaplan & Norton 1993). This paper aims to explore the benefits as well as the limitations of the framework in order to recommend the adoption of it to the business practices of the Chinese airline company, Yunnan Lucky Air. One major benefit of the balanced scorecard is that the framework provides a multidimensional assessment of the issues in line with a companys vision and strategy using the four perspectives (Dror 2008). In the case of Yunnan Lucky Air, for instance, setting an expansion strategy can be off-the-target if the objectives in line with the strategy are not coordinated by these four objectives. If the company chooses to expand with only regard to the customers and not its shareholders, an expansion strategy of continuing the low-cost positioning

Women's Health Essay Example | Topics and Well Written Essays - 250 words - 1

Women's Health - Essay Example Although most of the adverse effects from this vaccine have not been documented, several side effects have been observed. Some effects have even lead to death. Other side effects that have been observed include blindness, heart and respiratory problems, different forms of paralysis, headaches, pain in joints and muscles and allergies. Additionally, abnormal PAP Smear test results have been observed in girls who have been injected with the Gardasil vaccine. Another reason why the vaccine should not be mandatorily administered is the little research that has been done. The clinical tests were done on a considerably small sample. The manufacturers, pharmaceutical giant, Merck, Inc., have previously manufactured other controversial drugs that have seen this company being sued. Therefore, obligating the young to undertake the vaccine is like sacrificing them to act as experimental subjects. The vaccine could cause lifelong damage to the girls such as infertility. It is thus unethical to obligate public use of a vaccine that has not been fully tested for toxic effects. Additionally, the vaccination of girls might lead to increased misuse of sex. Since the girls are somehow assured of protection from some sexually transmitted diseases, they might consider it safe to indulge in premarital sex carelessly and at a tender

Abdominal Aortic Aneurysm Ultrasound Screening Programme

Abdominal Aortic Aneurysm Ultrasound Screening Programme Susmi Suresh Role of the National Abdominal Aortic Aneurysm Ultrasound Screening Programme in Improving Health Outcomes: a systematic review Abstract Background: Abdominal Aortic Aneurysm (AAA) is one of the common conditions that affect men aged 65 and older. Described as a ticking bomb(1), rupture of such an aneurysm results in fatal bleeding and death. Early detection allows appropriate treatment to be given to patients as an effort to reduce mortality rates. The National Abdominal Aortic Aneurysm Screening programme, an initiative of Public Health England, offers screening to men in the prevalence group by following its objective of reducing mortality rates of preventable illnesses(2). Ultrasonography is the chosen imaging modality due to its high sensitivity and specificity(3). The aim of this study is to examine current literature on AAA and to understand whether screening programmes are effective enough to reduce mortality rates of AAA. Quality of life (QoL) as a health outcome will also be examined and evidence analysed, to see whether screening programmes affect patients quality of life. Method: A thorough search of prominent databases was carried out and the search-results underwent application of inclusion and exclusion criteria developed for this review. Four major randomised controlled trials were identified. Following data extraction, quality assessment was carried out using the CASP tool. Risk of bias was checked using the Cochranes tool for assessing risk of bias. All of these ensured a valid conclusion to be drawn.   Results: The four chosen RCTs were the MASS trial, the Chichester trial, the Viborg trial and the WA trial. The Mass and Chichester trials were conducted in the UK whereas the Viborg and WA trials were carried out in Denmark and Australia, respectively. The data pool of 125595 people added to the reliability of the findings of this review. A significant reduction in mortality rates of AAA was found in the intervention groups following an ultrasound screening of the abdominal aorta(4-7). QoL was looked at as the secondary outcome in the MASS trial which concluded that there was no adverse effect on QoL(4). Conclusion: The review showed evidence on reduced AAA mortality rates in men aged 65 and older following ultrasound screening. No adverse effect in patients QoL was found. The NAAASP is a commendable initiative of Public Health England and it is suggested that similar screening programmes be introduced through an evidence-based healthcare. Introduction       An aneurysm forms when a section of a weakened arterial wall dilates permanently. The walls of an artery can weaken and dilate due to cardiovascular diseases like arteriosclerosis, inflammation of the arterial wall or trauma. When this dilation occurs in the abdominal aorta, which runs from T12 to L5, it is considered to be an Abdominal Aortic Aneurysm (AAA)(8). Several studies have found smoking, hypertension and alcohol consumption to be the major risk factors of AAA(9). A family history of AAA is also considered to be a risk factor(10). AAA is age and sex-dependent as concluded by a retrospective prevalence study that looked at a cohort of 100,000 men and women each. The prevalence among men was found to increase rapidly after the age of 55 and that among women increases after the age of 70(11). Therefore, women are considered to be at low risk of developing AAA and hence screening programmes focus on a male population of 65 years or older(12). Patients are mostly asymptomatic and where symptoms do present, these could be abdominal pain, flank pain, back pain, groin pain, or syncope. A palpable pulsating abdominal mass could also be found during examination. An aneurysm once formed, grows in size until it bursts, leading to fatal bleeding. Only 2 in 10 people with a ruptured aneurysm survive if not treated with emergency AAA repair surgery(13). The survival rate among those who receive surgery is 94%(14). AAAs are detected using an ultrasound scan (US), which is considered to be the most effective screening modality with high sensitivity (98%) and specificity (99%) rates(15). The US is safe, cheap, quick, and non-invasive, and provides results immediately. It is widely accepted as a valid screening method and the aorta can be visualised in 99% of patients(15). Compared to CT scans which can sometimes overestimate the diameter of aneurysms in the oblique plane(15), ultrasound continues to be the choice of screening modality. In 2014, around 2000 men died from ruptured AAA, accounting for around 1% of all registered deaths in men aged 65 and over(16). Past records show a reduction in mortality in England from 7.5% in 2009 to 1.6% in 2012(17). This sheds light on the National AAA Screening Programme (NAAASP) offered by the NHS. Early detection via screening of a large aneurysm of above 5.5cm, means that patients are given the choice of repair surgery thereby increasing their survival rate by 69%(8, 18). Surveillance is offered to patients with a small or medium aneurysm of 3-4.4cm and 4.5-5.4cm, respectively(19, 20). This is through an ultrasound scan every twelve or three months for small and medium aneurysms, respectively. Screening aims to reduce the risk of developing a disease in a healthy population who have no signs of illness with respect to the condition being screened. The NAAASP is based on the policies recommended by the UK National Screening Committee in 2005 following the results of the largest randomised controlled trial about AAA, the Multicentre Aneurysm Screening Study (MASS), which showed that screening reduces mortality by 40% after 10 years(21). Implemented in 2009, the programme achieved a nationwide coverage by the end of 2013. The programme aims to reduce AAA mortality by providing a systematic population-based screening programme for the male population during their 65th year and on request, for men over 65(22). This falls under Domain 2 and 4 of the Public Health Outcomes Framework provided by the Department of Health, with the objectives to help people to live healthy lifestyles and, to reduce the number of people living with preventable ill health and people dying prematurely(22), respectively. NAAASP Annual Data 2014/15 shows that a total of 280,520 men were screened and 83.2% had a conclusive screen(23). During the screening year 2013/14, this was 82% out of a total of 287,126 men(24). Depending on the size of the aneurysm, either surveillance or surgery was offered. Overall, the programme aims to achieve the health outcome of reduced mortality. Quality of life is also reported as a health outcome as shown by several retrospective, observational and cohort studies conducted on patients(25-27). Knowledge on the success of screening programmes like NAAASP remains limited. The aim of this review, therefore, is to examine current evidence on whether a screening programme improves health outcomes, namely reduced mortality and improved quality of life, by critically and systematically reviewing literature using the quality assessment tools of the critical appraisal skills programme (CASP). This will be achieved through the following objectives: Develop inclusion and exclusion criteria based on PICOS relating to AAA and ultrasound scanning Carry out a systematic search of databases- Medline, Web of Science, the Cochrane Database, OneSearch and the ISRCTN Registry (BioMed Central). Filter the search using the inclusion and exclusion criteria and carry out data-extraction using the Cochrane Data Collection form Carry out quality assessment using the CASP tool and use the Cochrane tool to assess risk of bias Conduct an analysis, focusing on mortality and quality of life as the health outcomes Methods Although evidence exists on the accuracy of using ultrasonography for detecting abdominal aortic aneurysms(3) and the validity of the scan results is widely accepted due to its high sensitivity and specificity(3), the process of abdominal aortic scanning was decided to be reviewed first(Appendix A). Prior to conducting the search, inclusion and exclusion criteria were set (Table 1)(28). Following this, databases were chosen for the search-topic Abdominal Aortic Aneurysm. These included PubMed/MEDLINE, ISRCTN Registry, Web of Science, Lancaster University/OneSearch and the Cochrane Database. Search strategies were developed for each source and search filters were decided (Table 3-7). Medical Subject Heading (MeSH) terms were used to further refine the results (Table 2). Overall, seventy-four articles were found and after removing duplicates, forty-nine remained. These were subjected to the inclusion and exclusion criteria, thus narrowing down the results to seventeen relevant articles. The reference lists of the retrieved articles were further reviewed for any relevant cited papers. This process was repeated until no relevant articles were found. Four major randomised clinical trials were identified from these. These were reviewed after undergoing data extraction and quality assessment. Data extraction was carried out using Cochranes data extraction tool and this allowed for a full-text screening that removed any ineligible studies. Moreover, the use of a standardised form increased the validity and reliability of this review whilst also reducing any risk of bias(28). Finally, the trials were critically appraised using the CASP tool. This enabled identifying risk of bias within the trials, particularly selection bias, performance bias and reporting bias. Table 1  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Inclusion Criteria Exclusion Criteria Population General population of males aged 65 years or older Patients who are asymptomatic and symptomatic who were involved in AAA screening Patients from all ethnicities Patients of all socioeconomic status Trials that include females, younger children and males younger than 65 years since AAA is age and sex specific Intervention Ultrasound Screening for AAA Any other imaging modalities like CT, MRI or radiography Comparison Non-screened population Aneurysm Aortic Aneurysm Thoracic Aneurysm Outcome (s) Mortality Quality of Life Study Design Randomised Controlled Trials (RCTs) Trials that look at AAA detection using Ultrasonography Articles in the English language Articles from the time period starting from approximately 20 years before the NAAASP programme came into effect, i.e., 1985 to present Full articles All other types of studies such as qualitative studies, observational studies, cohort or case-series studies. Articles in foreign languages Studies conducted outside this time period Articles that are not fully available Table 2  Ã‚  Ã‚   Medical Search Headings (MeSH) Abdominal Aortic Aneurysm Mass Screening Ultrasonography Rupture Table 3 PubMed Search Strategy/Method Results Abdominal Aortic Aneurysm 23,807 Mass Screening 128,434 Ultrasonography 386,798 Rupture 109,121 AAA + MS 599 AAA + MS + US 300 AAA + MS +US + Rupture 102 AAA + MS +US + RCTs 23 AAA + MS +US + Rupture + RCTs 11 Table 4 Web of Science Search Strategy/Method Results Abdominal Aortic Aneurysm 18,625 Mass Screening 43,081 Ultrasonography 80,257 Rupture 119,830 AAA + MS 131 AAA + MS + US 23 AAA + MS +US + Rupture 12 Limit English 11 Table 5 Cochrane Library (RCTs only) Search Strategy/Method Results Abdominal Aortic Aneurysm 702 Mass Screening 3827 Ultrasonography 11,318 Rupture 3097 AAA + MS 46 AAA + MS + US 23 AAA + MS +US + Rupture 10 Table 6 OneSearch Search Strategy/Method Results Abdominal Aortic Aneurysm 27,819 Mass Screening 73,090 Ultrasonography 122,460 Rupture 94738 AAA + MS 604 AAA + MS + US 123 AAA + MS +US + Rupture 42 Limit Articles 39 Table 7 ISRCTN Registry/BioMed Central Search Strategy/Method Results Abdominal Aortic Aneurysm 37 Mass Screening 328 Ultrasonography 88 Rupture 176 AAA + MS 3 Results Four dominant randomised controlled trials (RCTs) were identified- the Multicentre Aneurysm Screening Study(4) (MASS) conducted between 1997 to 1999; the Chichester Study(5), 1988 to 1991; the Viborg County Trial(6), 1994 to 1998 and; the Western Australia (WA) Trial(7), 1996. These collectively showed that AAA mortality rate can be significantly reduced in the population following an ultrasound scan of the abdominal aorta (Table 8). The Mass and Chichester trials were carried out in the UK and had a participant number of 67,770 men aged 65 to 74 years and 6040 men aged 65-80 years, respectively. The Viborg Country trial was conducted in the Viborg county of Denmark with a participant number of   12,639 men aged 65-73 years; the WA trial, carried out   in the province of Western Australia included 41,000 men aged 65-79. All these trials used ultrasound screening of the abdomen to detect AAA and measured AAA-mortality as the primary outcome(4-7). The secondary outcomes of all trials were all-cause mortality. However the Mass trial also measured quality of life and cost-effectiveness as the secondary outcomes. Cost-effectiveness was also measured by the Viborg trial as the secondary outcome. Participants were randomly selected and randomisation was computer-generated(4-7). Mass and Chichester trials recruited participants via GP registers based on gender and date of birth. In the Mass trial, some were excluded if the GP considered them to terminally ill, had other health problems or had undergone AAA repair(4). In the Viborg trial, recruitment was through the countys health department and WA participants were selected from the electoral roll(6, 7). The WA trial excluded those men who were too far from the screening location; the Viborg trial had no such exclusions. MASS Trial The intervention group composed of 33839 men and the control group, 1333 men. Attendance was 80% and the median follow-up was ten years(4). 65 men died in the intervention group and 113 died in the control group, due to AAA. Mortality data was taken from death registry provided by the Office of National Statistics (ONS). The study concluded that AAA mortality rate can be significantly reduced by up to half, following ultrasound screening. There was a 42% reduction in the intervention group, hazard ratio (HR) 0.58 95% CI (0.42-0.78)(4). The study also measured mood and health status outcomes such as state anxiety, depression, and health-status measures such as mental and physical health, and self-rated health(4, 13). These were calculated at intervals of six weeks after screening and, 3 and 12 months after detection of aneurysm or surgery. There were no significant changes in anxiety and depression and these remained within the recommendations(4). However, those screened negative and undergoing surveillance scored higher in health-status measures. This trend continued until 3 months after screening(4). However at 12 months, those who had undergone surgery scored higher than those in surveillance. They also self-rated higher, similar to those screened negative(4). Despite these results, the authors refrained from making a conclusive statement on quality of life. In the intervention group, there was an increase in the number of elective surgeries, odds ratio (OR)- 2.45 95% CI (2.02-2.97)(4). Nevertheless, there was no significant difference in the overall 30-day mortality after elective surgery in the intervention and control groups; this remained at 6%. However, unnecessary surgery and the risk of overdiagnosis are seen as factors reducing the overall quality of life(29). So even though this increase in elective surgery in the intervention group and its effects could be used as a measure of quality of life, the authors did not make such a link. Chichester Trial The intervention group composed of 2995 men and the control group, 3045 men. The median follow-up was fifteen years and the attendance rate, 74%, decreased with age. About 33.8% of men in the age range of 76-80 years declined compared to 19.5% in the age group of 65 years(5). 10 men died in the intervention group and 17 died in the control group, due to AAA-related causes. Like the Mass trial, mortality data was taken from the ONS Death Registry. The study found no differences in mortality rates in the two groups up to four years from screening. However, over 15 years, mortality was found to be reduced in the intervention group by 11%. This was not considered as a significant reduction, HR 0.89 95% CI (0.60-1.32) (5). Viborg Trial The intervention group composed of 6339 men and the control group, 6319 men. Attendance was 76% and the maximum follow-up was fourteen years(6). 6 men died in the intervention group, compared to 19 in the control group. Mortality data was taken from the national registry. There was a significant reduction in AAA-related hospital mortality, OR-0.31 95% CI (0.13-0.79)(6). The study recommends screening men aged 65 years to reduce AAA-mortality. However since the study only noted deaths from AAA in a hospital setting in the county of Viborg, this finding cannot be expanded to other countries. Western Australia Trial The intervention and control groups composed of 19352 men each. Attendance rate was 70% and the maximum follow-up was 43-months(7). 18 men died in the intervention group and 25 died in the control group. Mortality data was taken from the national death registry and the hospital registry. The study found that there was no significant reduction in mortality following ultrasound scanning in the intervention group of men aged 65-83 years in Western Australia, OR- 0.72 95% CI (0.39-1.32)(7). However the study noted that in the subgroup of men aged 65-75 years, mortality was found to be reduced(7). Table 8 AAA mortality: raw data Trial Deaths in Screened Deaths in Unscreened Odds Ratio (95% CI) MASS 65/33,839 113/33,961 0.58 (0.42 to 0.78) Chichester 10/3205 17/3228 0.59 (0.27 to 1.29) Viborg 6/6339 19/6319 0.31 (0.13 to 1.79) Western Australia (WA) 18/19352 25/19352 0.72 (0.39 to 1.32) Total* 93/56,396 155/56,541 0.60 (0.46 to 0.78) *Data from the Viborg trial is not included since the study noted deaths only in a hospital setting. Hence, results cannot be compared to the other studies(30) Discussion The pooled data of 125595 participants shows that AAA mortality rate can be significantly reduced in the population following an ultrasound scan of the abdominal aorta. Data from the four RCTs show that the Absolute Risk Reduction (ARR) for the Mass trial, Chichester, Viborg and WA are 0.14%, 0.21%, 0.21% and 0.04%, respectively (See Table 9 for the full data processed by the review author). Although these may appear insignificant, when applied over a population, the ARR is 140.7, 214.6, 206.0 and 36.2 per 100,000 respectively. Hence, the Numbers Needed to Screen (NNS) are 711, 466, 485 and 2765 respectively. On an average, this is an ARR of 149.4 out of every 100,000 people for an NNS of 1107. This NNS is lower than other screening programmes like breast cancer screening which has an NNS of 1339(31).   This confirms the benefits of a population-based screening programme such as the NAAASP. The Mass trial, which looked at the effects of ultrasound screening on the quality of life found its measures to be within normal standards. Since the NAAASP is based on the results of this trial, it can be said that ultrasound screening has no adverse effects on the quality of life of the screened population. However, a   limitation acts on the trial- quality of life was measured only up to twelve months after scan; no data is available for the period after that. If quality of life was continued to be measured during follow-ups or even separately via postal questionnaires or GP appointments, a more valid inference could have been drawn. It would also have provided a fuller picture on the long-term effects on quality of life. One other limitation acting on this review is the possibility of selection bias as a result of excluding some articles in foreign languages. Despite this, the findings of this review remain unaffected and can be considered valid since an exhaustive search of the major databases was carried out systematically. Although the inclusion criteria of free-articles was applied after this search, Lancaster Universitys subscription service ensured access to all available articles and a complete retrieval of the selected search was possible. The pooled study population consisted of 125,595 men and the MASS trial alone had a sample of 67800 people. So, conclusions on quality of life and AAA mortality can be considered reliable. However, there are inconsistencies present in the four RCTs due to the different methods used. For example, the Viborg trial noted mortality only in a hospital setting. This makes its results incomparable to the other trials. Also, the source of mortality data varies in the four studies. All the trials looked at the national death registries but the Chichester and WA trials also looked at other sources(5, 7). This may have resulted in possible over-estimation or duplication of data. Similarly, the cause of death was re-checked by a clinician and two random vascular surgeons in the Chichester and WA trials, respectively. Whilst expert opinion regarding the cause of death could lead to precise and accurate mortality data, there could also be false-positives when opinions are formed on complex cases with multiple causes of mortality. This subject of human error was also noted whilst carrying out the preparatory ultrasound screening (Appendix A). Individual measurements of the same abdominal aortic diameter were varied. Although this points to the possibility of human error that may adversely affect the accuracy the diagnosis, the NAAASP identifies staff training as a significant aspect of the programme to overcome this. Staffs are well-trained in the use of ultrasonography for AAA screening and in the overall delivery of the programme(8). Also, the programme itself has several failsafe procedures incorporated within all phases of the programme so that the performance thresholds are constantly maintained(8). The result of this review can be applied to patient care in the UK. The NAAASP is successfully running its seventh year. Since its implementation in 2009, one million men have been screened(32). Accumulating evidence shows it is feasible to reduce AAA-mortality by ultrasound screening, thereby making it possible to achieve the programmes aim. Public Health England could implement similar screening interventions in other disease areas. There is currently a long of list of conditions like atrial fibrillation, thyroid disease and lung cancer where a population-based screening is not offered (but privately available) due to the absence of enough evidence to inform a screening programme'(33). Evidence-based healthcare could be further expanded to diseases like these. It is not just new and untreatable diseases that prove to be a challenge to 21st century medicine; it is the phenomenon of the disease-iceberg that proves most challenging. By detecting and treating early onset of illnesses, people live a longer and healthier life. Table 9 Data processed by the review author using the results from the four RCTs Trial Experimental Event Rate (EER) Control Event Rate (CER) Absolute Risk Reduction Relative Risk Reduction Number(s) Needed to Screen (NNS) Odds Ratio/Relative Risk MASS 0.00192086 0.00332735 0.00140649 0.422705 710.992 1.73222 Chichester 0.00312012 0.00526642 0.00214629 0.407543 465.919 1.68789 Viborg 0.000946522 0.00300680 0.00206028 0.685207 485.370 3.17669 Western Australia 0.000930136 0.00129186 0.000361720 0.280000 2764.57 1.38889 Overall 0.00157807 0.00276806 0.00118999 0.429901 840.344 1.75408 Overall* 0.00164905 0.00274137 0.00109232 0.398457 915.482 1.66239 *Data from the Viborg trial is not included since the study noted deaths only in a hospital setting. Hence, results cannot be compared to the other studies(30) Conclusion Following critical appraisal of the current available evidence provided by four major RCTs, it was found that mortality from AAA can be significantly reduced in males aged 65 years and older, through a population-based screening programme. Ultrasonography continues to be the chosen imaging modality due to its accuracy and ease-of-use.   It was also found that such a screen

Does it or Does it Not? :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  To be able to believe that some one or thing exists, it must be a universal idea that others have at least heard of. It also must be tangible to a human being and have some sort of physical evidence or others accounts of evidence to show that it does in fact exist. If the object or person cannot provide hard physical evidence, then how does it get humans such as our selves to believe in them? The answer seems simple enough, faith.   Ã‚  Ã‚  Ã‚  Ã‚  Religion, in general, has been around since human beings have first graced this planet. No one knows exactly how it actually came about, but we know that it is here and still is here today. God may or may not exist. Through the faith of the people He most definitely exists to them. He is praised, worshiped, and glorified by over one billion people through out the world. Those one billion people trust and believe that God exists without having to have physical or logical evidence. They say that through all things God exists. Why? Because supposedly He created all living things on this planet. Scientists, however, have their own idea of how Earth was created. So, how do we know that He truly does exist? We cannot see what He looks like, or what He sounds like. We also do not have records of His birth or death. There are many beautiful murals and paintings of Him through out the world, but which one is He? How can someone devote their selves and time into something they cannot see or hear? It seems like a waste of time to some. To others, religion acts as a crutch for comfort and safety. Some say that he does exist in our everyday lives in everything that we experience. Others, however, believe that He exists in money and say that if people donate money the â€Å"Good Lord† will heal you and love you, but you have to donate some money first before he can do anything. It is sketchy and since when was having faith in God a paid service? Some people only pray for what they need, and sometimes might not even really need it and act as if God is Santa Claus. He is also a crutch for those who are insecure and need to find comfort. Therefor e, meaning that it could be a trick of the mind.

Nonconformity vs. Stereotyping

Since the dawn of the first tattoo, there has been a cloud of judgment hanging over the tattoo scene. In the early days, only the wealthy could afford one; however, that all changed with the invention of the electric tattooing machine. After that, tattoos were everywhere, inescapable. The â€Å"degenerates,† as society began to label them, were seen as social abnormalities and have been associated with the mentally insane.The topic of this essay is to debate whether New York Times columnist David Brooks’ â€Å"Nonconformity is Skin Deep† is a better argument than Associated Content blogger Georga Hackworth’s â€Å"Stigmas, Stereotypes in Tattooing: Why the Medical Community is to Blame. † Both articles offer insight to their respective feelings on the subject of tattooing; both are strongly opinionated, yet only one can be the winner of this essay, and that winner is David Brooks’ â€Å"Nonconformity is Skin Deep,† as he excels over th e opposition.David Brooks’ â€Å"Nonconformity is Skin Deep† argument that tattooing is becoming a social trend is persuasive; he backs this by stating that tattoos are everywhere, inescapable. He wants us to assume that behind every judge, teacher, lawyer, housewife, etc lurks ink. Brooks makes a mockery of the â€Å"tattoo fad† by writing, â€Å"these are expressions of commitment†¦they don’t always work out†¦but the longing for permanence is admirable† (Brooks). Hackworth’s â€Å"Stigmas, Stereotypes of Tattooing: Why the Medical Community is to Blame† is just as convincing as Brooks’.She blames the psychology and psychiatry branch for their portrayal of people with tattoos as â€Å"homosexuals, fetish enthusiasts, and barbaric†(Hackworth). She backs up this claim with evidence published in 1985’s â€Å"Diagnostic and Statistical Manual of Mental Disorders. † Hackworth gives a brief history of the art of tattooing, discussing how in its early days was reserved only for the rich, only later to be adopted by the common man with the invention of the electric tattooing machine.As soon as tattoos became affordable, the rich turned away as they no longer represented a social status. Soon after, only circus â€Å"freaks† and social outcasts became the rep for people with tattoos, a stereotype still reverberated today, a century later. Brooks and Hackworth rely heavily on their own expertise on the subject of tattooing. Brooks is an accomplished editor with a vast audience base of the upper crusts of society. Hackworth is a â€Å"sexpert† blogger who has felt the sting of being unjustly persecuted because of her tattoos.Hackworth’s â€Å"Stigmas†¦Ã¢â‚¬  was written from a first hand account; she, like most of the population with tattoos, has felt this unjustified stereotype as being social outcasts. She claims that ironically the tattoo artist is label ed as ‘barbaric’ yet the medical nurse is the one who jabs at her with various needles. Brooks sees the fad as a consumer product that will soon die out, leaving everyone with a tattoo, left out of popularity. According to Brooks, the trend of trying to stray from being a nonconformist is quickly becoming a conformity that is affecting everyone.Hackworth does not do justice with her piece; she makes many grammatical errors that hurt her article than help it, making her seem unworthy of our time. Brooks comes off as knowledgeable, smart, and humorous making his case more credible.Works Cited Brooks, David. â€Å"Nonconformity is Skin Deep. † New York Times 27 August 2006. Hackworth, Georga. â€Å"Stigmas, Stereotypes of Tattooing: Why the Medical Community is to Blame. † 13 June 2008. Associated Content. September 2010 .