The Apartheid Of South Africa Essay - 788 Words

South Africa, after experiencing the apartheid, is trying their best to overcome the apartheid. Now, the country even has its own leader. He is Jacob Zuma. It is already his second term as a president.( News, B. (2016, August 5)) The country went over a lot of things, and the history of democratic political system is not very long for them. English and Dutch colonized South Africa in the seventeenth century. After South Africa got its independence from England, Afrikaner National Party became a majority. This was the result of two groups trying to gain the most power, and the Afrikaner National Party won. After the independence and apartheid they experienced, there was the first non-racial elections in 1994. After that, parliamentary republic was elected after replacing constitution of Interim Constitution in 1197, February 4th. After the independence, South Africa tried its best to be non-racist and get out of the apartheid they struggled. South Africa elected its own president, and aimed to be democratic. Even though South Africa now is not fully settled democratic system, they are still struggling and trying hard to be fully democratic. (The History of Apartheid in South Africa.) South Africa once again, tried its best and still trying to be a democratic country. However, the second largest party, DA, was under the control of apartheid even though the party opposed apartheid laws. That is why DA changed its route to be more conventional liberal, which opposed ANC.(Show MoreRelatedApartheid in South Africa1118 Words   |  5 PagesApartheid In South Africa APARTHEID Apartheid is the political policy of racial segregation. In Afrikaans, it means apartness, and it was pioneered in 1948 by the South African National Party when it came to power. Not only did apartheid separate whites from non-whites, it also segregated the Blacks (Africans) from the Coloureds (Indians, Asians). All things such as jobs, schools, railway stations, beaches, park benches, public toilets and even parliament. Apartheid alsoRead MoreThe Apartheid Of South Africa1159 Words   |  5 PagesDuring the year of 1948, the lives of south Africans changed forever. The National Party, which was an all-white government, gained power and created hell for non-white citizens, their goal was to have white people continue to dominate the country and to keep each race separated from each other; even though at the time whites were only 20% of the population. The apartheid, which literally means â€Å"apartness† lasted until 1991, and during this time many acts were passed. One being that â€Å"non-white AfricansRead MoreThe Apartheid Of South Africa Essay1742 Words   |  7 PagesNelson Mandela and protesters during South Africa s journey away from apartheid. It’s a curious ponder, in fact, that America’s and South Africa’s ascents from racial discrimination were possibly involved with each other. However, while the world may be convinced the nation is out of racist dep ths, evidence displays the rise from discrimination in South Africa is undeniably incomplete. There is a dangerous and unresolved influence of apartheid in South Africa today. After World War 2 was won byRead MoreThe Apartheid Of South Africa1333 Words   |  6 Pageshistory of South Africa all we could see is racial discrimination. Africa was all in control of Whites till 1994. South Africa got free from racial discrimination when Nelson Mandela took a step became the first black prime minister of South Africa. Contemporary South Africa is now economically strong and it is completely a racial free state. The contemporary South Africa is now in race with every state in every field. Before 1994 South Africa was completely under control of Apartheid. WHO IS APARTHEIDRead MoreThe Apartheid Of South Africa1108 Words   |  5 PagesApartheid in South Africa Every country has a story to how it made a name for itself regardless if it was good or bad. Today the beautiful South Africa is known as the rainbow nation, for it’s diversity in culture. However, that name was earned after many blood rivers and broken homes.These â€Å"blood rivers and broken homes† I speak of occurred during an era called Apartheid. The name â€Å"Apartheid† is an afrikaans name which means segregation. It took fifty years for South Africa to redeem itself fromRead MoreThe Apartheid Of South Africa1510 Words   |  7 PagesFrom 1948 to 1994, South Africa encountered segregation and ill treatment of its own people deriving from its own national party also known as apartheid, an all-white government. They sought to move the South African people to make way for an all-white South Africa. In their stride to achieve this, the laws they imposed on them made their lives harder; despite this, the persecuted sought freedom. Through all this some belie ve that the apartheid was easily ended. It can be argued this from the factRead MoreApartheid in South Africa711 Words   |  3 PagesRacial discrimination dominated South Africa in 1948, and this was further witnessed when the ruling party made the discriminatory apartheid policy into law, in the same year (Pfister, 2005). The Afrikaans word, which literally translates to racial discrimination ‘apartheid’, was legislated and it started with the Dutch and the British rulers. The initiators of apartheid applied it to all social nature of the South African people. For instance, the majority of the population who were Africans wasRead MoreThe Apartheid Of South Africa1750 Words   |  7 Pagesfirst black President of South Africa. Referred to as the living embodiment of black liberation, Mandela specifically fought against the government system of South Africa known as apartheid (Lacayo, Washington, Monroe, Simpson). Apartheid is an Afrikaan word meaning apartness and w as a system of racial segregation for the South African people from 1948 until F.W. de Klerk became president in 1991. Although Nelson Mandela was both literally and metaphorically imprisoned by South Africa’s racist ideologiesRead MoreApartheid in South Africa1154 Words   |  5 Pagesbring an end to Apartheid in South Africa because he was a believer in basic human rights, leading both peaceful and violent protests against the white South African Government. His beliefs landed him in prison for twenty-seven years, almost three decades. In doing so, he became the face of the apartheid movement both in his country and around the world. When released from prison in 1990, he continued to honor his commitment to fight for justice and equality for all people in South Africa. In 1994, NelsonRead MoreThe Apartheid Of South Africa1440 Words   |  6 PagesThe 1981 Springbok tour, and more significantly the public disturbances that arose because of it, is one of the most impactful events on New Zealand, and even South African society. The controversial idea of having sporting interactions with apartheid ruled South Africa was not new to New Zealand politics, yet with Prime Minister Robert Muldoon in charge, the situation was escalated to astonishing heights. The violence all around New Zealand, between police, protesters and anti-protestors was immense

Learning Objective Identify A Business Problem - 997 Words

Learning Objective: Identify a business problem, develop hypotheses, collect and analyze data, and report on recommendations resulting from that data. Prior to taking 610, several of my EMU master’s classes required using mainly qualitative research to analyze, diagnose and determine interventions. We designed some surveys, maybe gathered basic numeric data, but analyzed it rather simplistically. Our 610 project incorporated into our research method an empirical study based on a scientific approach incorporating statistics. We were able to arrive at our conclusions and recommendations with more vigor. By combining statistical analysis, we could more confidently support our findings and make recommendations with both quantitative and†¦show more content†¦Also, the researcher must be able to obtain the trust of the subjects in order to acquire good data. Researchers must be trained in conducting ethical research, and be sensitive to subjects, especially when probing them personally, or observing on the job. A researcher should also be experienced with organizing and analyzing data as this can be a challenging process. The researcher must know how to build reliability and validity into the process. For example, if more than one interviewer is used, are there controls in place to ensure consistency of questioning, and to reduce bias? Is everyone involved using consistent methods to document data? Is everyone involved using consistent methods to analyze information? These are just a few examples of challenges in ensuring reliability and consistency. Some of the advantages of qualitative data are that it does allow for in-depth study of subjects, and researchers can probe for more information. However, qualitative research can be quite costly due to the intensive labor required. It is challenging to obtain large enough sample sizes to represent a population. Also, it is very difficult to analyze qualitative data and use statistical methods to analyze it. Without statistical methods and analysis, it is also more challenging to analyze patterns or correlations in the data. Quantitative research is relatively inexpensive, and is less labor and time expensive to gather the data. It is a more formal and objective

Wgirl Wboy Free Essays

CASE STUDY ON WBOY AND WGIRL CALENDARS Case study refers to the collection and presentation of detailed information about a particularparticipant or small group, frequently including the accounts of subjects themselves. A formof qualitative descriptive research, the case study looks intensely at an individual or smallparticipant pool, drawing conclusions only about that participant or group and only in thatspecific context. Researchers do not focus on the discovery of a universal,generalizable truth,nor do they typically look for cause-effect relationships; instead, emphasis is placed onexploration and description. We will write a custom essay sample on Wgirl Wboy or any similar topic only for you Order Now CASE ANALYSIS INVOLVES THE FOLLOWING STRATEGIES: ? Situation Analysis ? External Environment-Opportunities and Threats ? Internal Environment- Strengths and Weakness ? Key Marketing Issues ? Statement of Objectives ? Generation and Evaluation of Alternatives ? Recommendations ? Implementation Plan Situation Analysis: Luke Atkins, from Richard Ivey school of Business at The University of Western Ontario-a personinterested in raising fund for charity purpose, planned to launch Wgirl and Wboy calendars whichwould feature both male and female students of Western Ontario. Atkins previously had experiencein using calendars for fund raising purpose. He used pictures of his rugby team for it. Now he isconcentrating for charities like Breast Cancer Society (women) and Jesse ’ s Journey Foundation (men)for patients with neuromuscular disease. The university also provides free calendars for studentswho can use them throughout their academic career. Other than that there are potential buyers forLondon Fire fighters who also provide free copies which student use them for exam notifications,assignment reminders. Luke Atkins targets local business-primary focus on the students on campus. He has potential threatsfrom the competitors as well as the cost they provide for sale of each calendar, So Atkins mustprovide a calendar of such quality and price that would satisfy the needs of students on campus. Forthis he has to analyse the environment for marketing as well as the cost for production of eachcalendars, promotion through ads and Internet, 12 models for each calendar type, their salary basedon sales, and all other cost for post production works etc. Atkins has two formats in mind forpublishing this calendar. 6 page model and 28 page model both of varying cost, the latter one he isnot sure of producing it. He is short of time to accomplish this project; he has to approach thecharity first and had to frame a marketing strategic plan for generating funds to achieve his goal. External Environment: [pic][pic][pic] [pic][pic][pic]Opportunities: The experience that Luke Atkins has in the field of Calendar Marketing will be of high value forpromoting his new business plan. So he can get his previous customers and also he can generatenew set of potential customers with his experience. The fund raising activity is meant for charity well being, so there will be a huge set of customers whoare light hearted and willing to help the needy. This can bring enormous scope and opportunity forhis new product. By concentrating on students community Atkins can generate customers who were in link with thosestudents too (like relatives and friends) and the marketing circle widens and create moreopportunity. Atkins should find his workforces who were interested to serve the charity and get the maximumamount of work from them. This will be highly useful since there is no need for huge investment foremployer ’ selection. The profits can be shared as commission which will be very low whilecomparing salary or incentives. Advertisement on calendars regarding the charity and other useful information ’ s will attract thecustomers. Threats: Very short amount of time is only remaining to complete this new project plan. So each and everydecision must be accurate and quick to meet the requirements. The manpower that Atkins has is not sufficient. To perceive the complete benefit he should reactquickly and improve the workforce limit to a high number. Atkins faces a serious threat from the Western University free publication of calendars to students,and also from its competitors London Fire fighters and others who were issuing different varieties of calendars in an attractive price. Sexy and attractive models should be utilized only for charity and their pictures should emphasizethat. If it is a little vulgar to what expected then the whole project is in threat. Internal Environment: Strengths: Atkins experience in calendar marketing will be a great strength for him in facing difficult situationduring the process of his new calendar. The reason for fund raising is for charity purpose. So he can market his product more efficiently thanany other since there is a soft corner for everyone to help the needy. Since he is targeting the students, he get expose to huge customer group which will be useful tolaunch his new calendar effectively. [pic] [pic][pic]Selling his product $3 less than his competitor will be a great strength to meet his all requirements. Marketing through Student sales representative and advertising through student union and radiostation and internet will be of great importance and strengths for his products. Since students themselves turn out to be a model, there will be a direct customer relationship development which will influence the students and anticipate them to buy his product. A separate photographer to enhance the quality of te product will be an additional strength. Advertisement on calendars can be helpful to increase profit as well as customers. Weakness: Lack of time to accomplish Atkins project efficiently. Cost of production will vary according to different format which may influence in reduction of profit. Compensation for models will increase the cost of production. Return on investment is still not clear before product promotion. Feasibility of the project and different strategy for marketing are yet to be finalized. The profit generated should be more in order to help the charity as well as to compensate theproduction and wages expenses. The location of marketing is very competitive since there are many competitors who are wellestablished. Work force is not ready yet, and Atkins has to find them quickly. Production cost for promoting the product through student union and internet seem to be costly. Photographer charge and the time he takes for preparing designs turns out to be a serious matter of concern. Confusion in designing two different formats of calendars and their cost is also a major problem. The start up cost is also not very clear. Key Marketing Issues: The selection of models and start up production cost should be finalized for initializing the newbusiness plan. Potential customers should be identified for targeting the market. Cost of eachcalendar and its quantity in production must be beneficiary to the management. Since the cost of single calendar is rated for $12, and 1000 copies of 16 page format calendar rated $2500, the cost of production matters that Atkins should produce each calendar with high quality ( both for black andwhite or colour) in order meet the expectation and goodwill. The promotional events planned forlaunching this new calendar must be effective and there must be no compromise of cost allocatingfor that. Photographer should be hired more in numbers in order to get positive benefits in qualityas well as variety in the model selection for the calendar to be attractive. The manufacturer ’ s [pic] How to cite Wgirl Wboy, Papers

Understanding of Natural Language

Question: Discuss about the Understanding of Natural Language. Answer: Introduction: During analysis it has been found that there is a vast difference between the formal programming language and natural language (Dzikovska et al. 2014). Programming language is also a natural language but includes the concept of pragmatics, semantics and syntax. A digital machine does not understand the instruction provided by a human, in order to convert a formal language into a machine readable code Boolean algebra and computer programming language is used. When, a user is just starting out with programming, on JVM or other platforms the problems can easily run (Ince, Hatton and Graham-Cumming 2012). The person who is not aware of the computer coding will face problems as it is different from natural language. In programming language a single word means a keyword and that cannot be used in different places but in natural language there are many words which means based on situation and culture (Nivre 2015). For example, a single word leave can be expressed in two different ways due to different situation. She loves to play on her school leaves. Again they do not want their mother to leave them alone. Based on the situation and culture the two sentences means different. Do you know what time it is sentence has different meaning on different situation. It either is a question that somebody can ask someone to know what the time is. On the other hand, it can be used to express the anger such as look at the watch; do you know what time it is? There are many phrases that look similar but possess different meaning: You do not want to do that, am I right You do not want to do that!! Tell me about this expressing in such a way where the speaker already knows about the thing or it may be used as simply tell me about this please, where somebody is eager to knows about something. Two other phrases Do you have the time, it either be a direct question or it may be expressed in terms of anger, like Do you have time, to take me to the clinic? Two other sentences such as How did you find this job? it is a direct question. Whereas, How did you find this! it is an exclamation like how did you find this as was searching for this too long. References Dzikovska, M., Steinhauser, N., Farrow, E., Moore, J. and Campbell, G., 2014. BEETLE II: Deep natural language understanding and automatic feedback generation for intelligent tutoring in basic electricity and electronics.International Journal of Artificial Intelligence in Education,24(3), pp.284-332. Ince, D.C., Hatton, L. and Graham-Cumming, J., 2012. The case for open computer programs.Nature,482(7386), pp.485-488. Nivre, J., 2015, April. Towards a universal grammar for natural language processing. InInternational Conference on Intelligent Text Processing and Computational Linguistics(pp. 3-16). Springer International Publishing.

Andrew Johnson Fast Facts - 17th President

Andrew Johnson Fast Facts - 17th President Andrew Johnson (1808-1875) served as Americas seventeenth president. He took over after the assassination of Abraham Lincoln in 1865. He was president through the early days of reconstruction at a time when emotions ran high. Due to disagreements with Congress and his staff, he was actually impeached in 1868. However, he was saved from being removed as president by one vote.   Here is a quick list of fast facts for Andrew Johnson. For more in depth information, you can also read the Andrew Johnson Biography Birth: December 29, 1808 Death: July 31, 1875 Term of Office: April 15, 1865 - March 3, 1869 Number of Terms Elected: Term - Finished out the term after Abraham Lincoln was assassinated. First Lady: Eliza McCardle Andrew Johnson Quotes: Honest conviction is my courage; the Constitution is my guide. The goal to strive for is a poor government but a rich people. There are no good laws but such as repeal other laws. If the rabble were lopped off at one end and the aristocrats at the other, all would be well with the country. Slavery exists. It is black in the South, and white in the North. If I am shot at, I want no man to be in the way of the bullet. Who, then, will govern? The answer must be, Man - for we have no angels in the shape of men, as yet, who are willing to take charge of our political affairs. Major Events While in Office: ReconstructionThirteenth Amendment Ratified (1865)Alaska Purchased (1867)Impeachment Proceedings (1868)Fourteenth Amendment Ratified (1868) States Entering Union While in Office: Nebraska (1867) Related Andrew Johnson Resources: These additional resources on Andrew Johnson can provide you with further information about the president and his times. Andrew Johnson BiographyTake a more in depth look at the Seventeenth president of the United States through this biography. Youll learn about his childhood, family, early career, and the major events of his administration. ReconstructionAs the Civil War ended, the government was left with the job of mending the horrendous rift that had torn the nation apart. The programs of reconstruction were efforts to help achieve this goal. Conspiracies Surrounding Abraham Lincolns AssassinationAbraham Lincolns assassination is rife with mystery. Was his death masterminded by Booth alone, by Jefferson Davis, by Secretary of War Stanton, or even by the Roman Catholic Church? Find out more about the conspiracies in this article. Chart of Presidents and Vice PresidentsThis informative chart gives quick reference information on the presidents, vice-presidents, their terms of office, and their political parties. Other Presidential Fast Facts: Abraham LincolnUlysses S GrantList of American Presidents

Free Essays on John Updike

Updike: A Premiere Chronicler of Middle America in all its Mundane Glory The novels, short stories, and poetry of John Updike are typically known for being about everyday life in the American middle class. He writes realistic fiction; stories that are credible because they are written about everyday people in everyday situations. These are stories that normal people can relate to; stories about people like them. There is also a focus on some sort of â€Å"moral dilemma† that the character and the reader must deal with. Both the character and the reader have to decide what is morally right and wrong under particular circumstances. Updike’s story â€Å"A it is a story about an everyday kid living in middle class America that struggles with the world’s values versus his own. It is said that Updike’s short stories illustrate his â€Å"deep affection for everyday life in all its banality† (Hedblad 379). The entire scenario in â€Å"A it is normal; it is ‘everyday.’ â€Å"Updike’s Fiction is deeply informed by a kind of moral realism†¦.that is rooted in an understanding of the dailiness of life†¦Ã¢â‚¬  (Thorburn 4). There is not one character in â€Å"A from Sammy, the clerk, to the â€Å"sheep† in the store. All of his characters are regular middle class people. There are no rich snobby people or dirt poor people. â€Å"Updike is considered a premiere chronicler of middle America in all its mundane glory† (Hedblad 375). Updike is also famous for creating a theme in his stories which is meant to be a â€Å"moral dilemma† and create â€Å"moral debates with the reader† (Schopen 525). In â€Å"A... Free Essays on John Updike Free Essays on John Updike Updike: A Premiere Chronicler of Middle America in all its Mundane Glory The novels, short stories, and poetry of John Updike are typically known for being about everyday life in the American middle class. He writes realistic fiction; stories that are credible because they are written about everyday people in everyday situations. These are stories that normal people can relate to; stories about people like them. There is also a focus on some sort of â€Å"moral dilemma† that the character and the reader must deal with. Both the character and the reader have to decide what is morally right and wrong under particular circumstances. Updike’s story â€Å"A it is a story about an everyday kid living in middle class America that struggles with the world’s values versus his own. It is said that Updike’s short stories illustrate his â€Å"deep affection for everyday life in all its banality† (Hedblad 379). The entire scenario in â€Å"A it is normal; it is ‘everyday.’ â€Å"Updike’s Fiction is deeply informed by a kind of moral realism†¦.that is rooted in an understanding of the dailiness of life†¦Ã¢â‚¬  (Thorburn 4). There is not one character in â€Å"A from Sammy, the clerk, to the â€Å"sheep† in the store. All of his characters are regular middle class people. There are no rich snobby people or dirt poor people. â€Å"Updike is considered a premiere chronicler of middle America in all its mundane glory† (Hedblad 375). Updike is also famous for creating a theme in his stories which is meant to be a â€Å"moral dilemma† and create â€Å"moral debates with the reader† (Schopen 525). In â€Å"A...

RELIGION IN A MONTH IN THE COUNTRY AND THE LIFE OF PI Essay

RELIGION IN A MONTH IN THE COUNTRY AND THE LIFE OF PI - Essay Example In Life of Pi, Pi is an extremely religious character who relies on this faith to get him through a very difficult situation. While religion is explored different in these two texts, the inclusion of these faiths in central to both the literal and symbolic messages that each of them explore. In A Month in the Country, both good and evil can be seen throughout and are represented through religion, or lack thereof. This novel is set just after World War One had inflicted a great deal of damage on Europe and the world as a whole. This is symbolic of the evil in the world, as many people lost their lives as a result of this conflict and many more are left traumatized because of their experiences. This story centers around Tom Birkin, who is a veteran of the war and is also the victim of a broken marriage. Tom is contracted to restore a medieval mural located in a church in the Yorkshire village of Oxgodby, but he finds much more than a job in this village. When Tom arrives, this village has nearly lost its faith in religion, which is symbolized by the painting that has been covered up numerous times and by the cold-hearted nature of Reverend Keach. The lack of religion in this village is a stark contrast to the time period when the mural was originally painted, as the churc h and Christianity held a great deal of importance during that time period since â€Å"theirs was a different hell from oursâ€Å" (Carr 98). This is shown by the fact that the mural on the church is a depiction of God taking the good to heaven while sending the evil to hell. Another way in which good and evil are represented during this novel comes through the work of Charles Moon. He has been contracted in the same village to uncover the remains of a medieval man who was excommunicated from the church and also to find out why this happened to the man. Over time, Moon is able to figure out that this man was forced to convert to Islam and sword

MBTI Preferences Essay Example | Topics and Well Written Essays - 500 words

MBTI Preferences - Essay Example While it was believed that the results would reflect the friendly and interactive nature, they pointed at a preference towards looking within and share significant events with a few close people rather than many acquaintances. The score on this variable is not very strong, and it could be situational factors that affected this factor. There are examples from the workplace as well as from personal experiences that underline the friendly nature and comfort in interacting with even unknown persons. The comfort in being in a position at work that involves interacting with people and keeping negotiations in good humour is itself an indicator of extraverted nature. Thus, it is difficult to accept the test’s result that claim Introversion over personal understanding and experiences that verify Extraversion. The second variable of Sensing – Intuition defines the primary means of conducting an analysis on information available. Both the test results and the hypothesized score fa ll in the same direction – i.e. – Sensing. Individuals high on Sensing will typically rely more on information that is gathered through senses than on inductive reasoning. They also process information deductively. There is a distinct inclination to base decisions and opinions on the basis of verifiable facts and not on assumptions.

The Human Resource Profession Research Paper Example | Topics and Well Written Essays - 750 words

The Human Resource Profession - Research Paper Example From this paper it is clear that behavior of various individuals in organizations has recently been changed. Human resource professionals keep on re-establishing advanced ways of dealing with individuals and allocating jobs regarding to specialization of workers. Technological changes necessitate a change in the way professionals have to carry out their duties. An increase in responsibilities also leads to shifts in management of human resources. Instructors should ensure that they base human resource education in modern technology and should accommodate individuals with varied abilities.This study outlines that Human Resource Professionals have many responsibilities within an organization. For instance, they are responsible for handling routine employment tasks. Nowadays, it is their (Human Resource Professionals) responsibility to carry out functions of recruitment and training employees in the working environment. Such tasks, also performed by senior executives, indicate how Human Resource Professionals collaborate with senior leadership. According to Whalen, senior leaders are responsible in ensuring that there are well set organizational objectives, good conditions of work, proper remuneration, and employment of potential employees. Human Resource Professionals ensure that during the recruitment process, selection is of highly skilled personnel. This acts as a linkage to the function of the top personnel managers, since it increases their value before the company officials.... Human Resource Professionals ensure that during the recruitment process, selection is of highly skilled personnel. This acts as a linkage to the function of the top personnel managers, since it increases their value before the company officials. Major specialty areas within the field of Human Resource Management a) Employee relations This refers to maintenance of relations of employers and employees within the organizations. The primary reason for maintaining such relationships is to ensure that there is a satisfactory morale and performance of employees. Employers are responsible for enhancing the relations. For one, employers have to increase the morale of the employees, specifically through offering incentives. Employers should ensure that remuneration systems are fair and just in that there is pay for equal work done. Employee morale results in increased productivity, which is an indicator of meeting targets. This is essential to quality of work. There are set disciplinary measur es concerning what employers should do in case they have to impose discipline on employees. Employees spend less time when carrying out tasks they have knowledge about compared to the time spend when undertaking duties they have less or no knowledge (Gennard, & Judge, 2005). b) Organizational development The primary reason for carrying out day-to-day duties is to ensure there is a steady growth of the organizations. Human Resource Management is responsible for arrangement of individuals within an organization. In employee performance, there is should be training sessions. Managers ensure that placement of employees is on the department they skills to perform tasks in that very department. Individuals

Breaking Barriers to Healthcare with ICT

Breaking Barriers to Healthcare with ICT Abu Ayub Ansari Introduction Health is the fundamental right of every citizen of a country. ICT is an important facility to access to healthcare service in both urban and rural areas. ICT may defined as technological system of communication, dissemination, storage, formation and management of information (1). Use of ICT in developing countries like Bangladesh is increasing day by day. ICT basically based on computers, internet system, telecommunication and highly modified technology. ICT health service also known as Electronic health, which is consist of m health, telemedicine, telepaths and help to breaking the access barrier by education, communication, helpline, diagnosis, treatment, monitoring, tracking etc (2). Developing country like Bangladesh, MDG works to achieve Universal Health Coverage. Three MDG goals (goal-4, goal-5 and goal-6) basically take attention to health. Based on performance of ICT, developmental organization like- OECD, SIDA and DFID agreed that ICD initiates great policies in health programme to achieving MDG (3). Greater coverage of healthcare and easily accessibility now a days ICT is the most advanced technology. For taking history of patients faster, minimize adverse action of drug and for expert opinion now a days M-health is one of the popular healthcare services. Study objective How ICD breaking the access barrier of healthcare service. Methodology 1. A search for published literature in the last 10 years for any intervention dealing with ICT in a health service, where relationship with ICT and health , was conducted by electronic databases Pub Med and Global Health, as well as Google scholar for literature from the internet. 2. A scientific study was performed of published and grey literature. Literature was searched through the databases of PubMed, Medline and other journals, over the period 2005–2015. Relevant web sites were also consulted, such as those of Local government, Bilateral organization and NGO involved in research or interventions in performance. 3. Analysis of some YouTube video about ICT, e-Health, m-Health related with health service. 4. Total 14 article work were gathered and reviewed and only 10 articles and 1 YouTube video were cited in this scientific writing. Finding and Discussion Rural residency is a barrier that hampered to access health service. ICT developed a very good network for rural communities. Such as Grammen Telecom provide collaboration with health specialist of Diabetic Association Bangladesh to provide health service. So now it is easy to take expert opinion for treatment (4). Despite of rural residency people easily access health service without interruption. So in community level people easily can receive intervention without going to the urban area with the help of ICT. High treatment cost is great burden in LMICs like Bangladesh. Many poor people cannot properly access health service high cost of treatment .In Bangladesh, 6 mobile operators make agreements to TRCL to provide healthcare service. Everyday more than 10 thousand call received by doctors of mobile company and give conservative treatment which is easy and cheap to access (5). So for conservative treatment, ICT make the basic treatment so cheap, so people of LMICs easily access the healthcare service according to their need. For language barrier people from rural communities faces some difficulties to receive treatment. They not properly express themselves to the service provider and service provider are unable to understand to them treatment regimen. Telemedine not provide only treatment also refer to tertiary centre or specialized care during emergency by using local language (6). So using local language patients also share their problem and received treatment. In rural communities for family binding and social tiers women not properly access health services during ante natal period by visit the physician. MAMA APONJON is a mobile massage service to give ante natal advice by dialling 16227. After delivery mother were also dont take proper care to his children due to illiteracy. this service also give information about breast feeding, weaning and immunization (7). So without go outside a mother can receive all necessary information during and after pregnancy easy and continent way. E-Health basically monitors epidemic and outbreak reach by a expert monitoring network. Monitoring team always monitor the geo- spatial area and connected with the surveillance centre. So people will early aware about epidemic and take precaution and appropriate management (8). So access to E- health many lives saves from epidemic outbreak of disease. Both rural and urban area privacy problem is one of the barriers to access health service. E- health maintains a to properly maintain privacy of the patient and ownership will not addressed (9). In religious country like Bangladesh, females can easily access health service by maintaining privacy. Parents were not always aware about child immunization and sometimes forget. ICT provide effective immunization system and reminds parents time to time for immunization (10). Illiterate parents can also access immunization for their children. Conclusion- Healthcare service of developing country improved day by day. After this development people were not properly access health service due to some social and environmental factor. ICT advances system of health service delivery so people can access health service by breaking the barrier. ICT maintain communication with rural communities and provide health information. Cost and process of service delivery is very cheap and convenient so people easily can access the health service. It has also provide emergency treatment by refer to tertiary centre and maintain privacy every sector for easy accessibility. ICT also monitor epidemic area and alert people during outbreak, so people can take appropriate action to save lives and live hood. Recommendation- Effective introduction and implementation of ICT in rural community especially women so they can easily access this service. Give more resource to ICT as well as strengthen of ICT system. Give more training and professional education to ICT monitoring team. Active engagement of student in primary level of education. Proper maintains of accountability and responsiveness of service provider of ICT. In Bangladesh 75% of people live in rural area and but only 25% doctor provide service in this area, which is also not properly cover entire community(11). So, Government, bilateral organization, NGO should work together to better monitoring, implementation and strengthen of ICT system and correlate with health system according to priority of people , so people easily can access the health service any time, every palace without financial hardship. References 1. Ashraf M, Ansari NL. Evaluating the impact of mobile phone based â€Å" health help line † service in rural Bangladesh. :1–13. 2. Chowdhury MMH. e-Health in Bangladeshà ¢Ã¢â€š ¬Ã‚ ¯: Current Status , Challenges , and Future Direction. 2014;4(2):87–96. 3. Secretary SA. Role of ICTs in the Health Sector in Developing Countriesà ¢Ã¢â€š ¬Ã‚ ¯: A Critical Review of Literature. 2011;197–208. 4. Nessa A, Ameen MA, Ullah S, Kwak KS. Applicability of Telemedicine in Bangladeshà ¢Ã¢â€š ¬Ã‚ ¯: Current Status and Future Prospects. 2008;948–53. 5. Jahan S, Chowdhury MMH. Assessment of Present Health Status in Bangladesh and the Applicability of E-health in Healthcare Servicesà ¢Ã¢â€š ¬Ã‚ ¯: A Survey of Patients ’ Expectation toward E-health. 2014;2(6):121–4. 6. Chowdhury MMH, Satter AKMZ. The Role of E-Governance in Creating Digital Bangladesh. 2012;4(6):24–33. 7. Aponjon Overview [Internet]. [cited 2015 Jun 27]. Available from: https://www.youtube.com/watch?v=j2je5iZCiLg 8. O KS, Awodele O, O OS. ICTà ¢Ã¢â€š ¬Ã‚ ¯: An Effective Tool in Human Development. 2012;2(7):157–62. 9. Juma K, Nahason M, Apollo W, Gregory W, Patrick O. Current Status of E-Health in Kenya and Emerging Global Research Trends. 2012;2(1):50–4. 10. Makaza D, Madzima K, Olatokun WM. Editorialà ¢Ã¢â€š ¬Ã‚ ¯: ICT in education and in promoting health Stewart Marshall The University of the West Indies , Barbados , West Indies Wal Taylor Cape Peninsula University of Technology , Cape Town , South Africa. 2008;4(2):2–4. 11. Avento N, Sultana T. Potentialities of E-health in Bangladeshà ¢Ã¢â€š ¬Ã‚ ¯: Cooperation from Japan.

Tennessee Williams :: Essays Papers

Tennessee Williams Thomas (Tennessee) Lanier Williams born March 26, 1911 in Columbus, Mississippi. The second of three kids. His father a shoe salesman and his mother the daughter of a preacher. Williams lived a family life of turmoil. His family often engaged in violent arguments during his youth. Williams got his first taste of fame in 1929 when he took third place in a national essay contest. Williams started college at the University of Missouri until his father forced him to quit and go to work for his father’s shoe factory. Later Williams returned to college in 1937 and where he resumed the writing of plays. Williams had two of his plays, Candles to the Sun and The Fugitive Kind, produced by Mummers of St. Louis, and in 1938. Williams graduated from the University of Iowa. Williams then went to Chicago in search of work, failing, he then moved to New Orleans and changed his name from Tom to Tennessee which was the state of his father's birth. In 1939, the young playwright received a $1,000 Rockefeller Grant. In 1944, what many consider to be his best play, The Glass Menagerie, had a very successful run in Chicago, and a year later worked its way onto Broadway. People think that Williams used his own family relationships as plots for the play. The Glass Menagerie won the New York Drama Critics Circle Award for best play of the season. Williams followed up his first major critical success with several other Broadway hits including such plays as A Streetcar Named Desire, Summer and Smoke, A Rose Tattoo, and Camino Real. He received his first Pulitzer Prize in 1948 for A Streetcar Named Desire, and reached an even larger world-wide audience in 1950 and 1951 when The Glass Menagerie and A Streetcar Named Desire were made into major motion pictures. Later plays which were also made into motion pictures include Cat on a Hot Tin Roof , which he earned a second Pulitzer Prize in 1955. Williams struggled with depression throughout most of his life. For much of his life, he battled addictions to prescription drugs and alcohol. February 24, 1983, Tennessee Williams choked to death on a bottle cap at his New York City residence at the Hotel Elysee. He is buried in St. Louis, Missouri. Williams play, The Glass Menagerie, is about the Wingfeild family, the mother Amanda and here two children Tom and Laura. Amanda has a life that is centered around finding a gentleman friend for her daughter Laura, a husband.

Meaning of Life and Dad Essay

The most influential person in my life is my dad. The reason why my dad is the most influential person to me is because he is my dad. My dad has been their for me since day 1. He always had my back through everything no matter how much fights we get into he will always be hear for me. My dad always wants to see me succeed in life he doesn’t want to see me fail. He inspires me in so many different way of what he does. A couple of examples of how my dad inspires me is he always helps me through everything he never let me down. He always told me to stand high and never give up on my dreams he was the one who pushed me to succeed to the person who I am now my dad has always been their for me and he will always have my back. He is my hero! My dad is such a hard working man he always told me to get a good job in this economy because you cant go no where in life without a good gob or a good degree in something. Growing up, my father taught me many valuable lessons, specifically to be kind to everyone and to never give up. These simple but important lessons have shaped my life in its entirety. My dad is the kindest man that I have ever met. He never talks bad about others always helps other people, and always tries to do the right thing no matter what the cost to himself. He is kind, thoughtful generous and honest. I attribute much of who I am as a person to my dad and I thank him for his dedication to our family . My dad gave me the confidence to go out and explore the world around me. From these opportunities, I have acquired skills, gained leadership experience and know that I can do anything if I persevere. I know what it means to be accountable for the decision I make and people entrusted to my care. I have stood up to those who were discriminating and demonstrated that respect for each other is important. I have learned in order to achieve a goal one must make a plan, get others on board, secure necessary resources and then go out and DO IT!!! I learned to not listen to the people who say it is impossible, and to get the complainers involved. I have had unique opportunities to train, lead and mentor. I have seen tragedies and poverty and have learned to appreciate what I have: my family friends university and country. None of these life lessons would have be possible without the support and guidance of my father. My dad always told me to follow my dreams and never let go ever since than I am following my dreams thanks to my dad! He is the most influential person to me in my life.

The Presidency Of FDR Essays - Freemen Of The City Of London

The Presidency Of FDR Essays - Freemen Of The City Of London The Presidency of FDR In 1932, Americans realized that they had an increasingly great financial problem on their hands, and tried to correct it by centralizing power. The President acquired so much power that the nation almost became a communism, especially with Roosevelt's introduction of the New Deal. When Franklin Roosevelt became President of the United States in 1933, the nation was in the depths of the worst depression it had ever experienced. President Roosevelt, a very energetic and enthusiastic person, inspired the people with his own confidence and faith in the future. He gathered a group of people sharing his views to help him, and provided food, clothing, and shelter for millions of unemployed and poverty-stricken Americans. This was part of what he called the New Deal, of which his three objectives were relief, recovery, and reform for American citizens. In another attempt at recovery, Congress attempted to revive the nation's agriculture and industry and place the economy on a solid foundation. They printed extra money to loan to industries that quickly paid it back. By 1933 nearly 14 million Americans were jobless. In response, the Roosevelt administration immediately launched what seemed at the time to be a wonderful program of direct relief. In 2 years, federal agencies distributed 3 billion dollars to the states. However, the people unemployed wanted jobs, not welfare, thus the Works Progress Administration (WPA) came into existence. This helped restore some of the lost jobs. By 1936, the New Deal program faced a large and growing body of opposition, some from within the Democratic Party itself. Many critics felt that the government was interfering too much with the free enterprise system, and in doing so, was threatening individualism and democracy. This absorption of power by the president is what is known as the Imperial Presidency. By the end of 1938, the opposition had become so strong that President Roosevelt decided to postpone other large reforms he had been considering. Innumerable committees were created to deal with the problems of the time, and the President was in control of all of them. All this power that the President acquired caused the executive branch to become bloated. World War II also prompted the government to recruit many, many Americans into the army. Since the President has complete control over the army, a greater army gave him more power. The president also had control over the federal police. However, with all the manufacturing that had to take place to accommodate for all the necessities of war, many new ideas came into action. In order to boost the economy, power was readily and radically centralized, and the government introduced the policies of cost plus, resource allocation, wage & price controls, and prohibition of strikes. Cost plus and resource allocation gave the government much power to control industries. The government would withhold certain raw materials from companies unless they were using them to make war utilities. However, if they did choose to agree with the government, they could set the prices for their products and make extra money. Wage and price controls were another method of the government to boost industry. The government would increase the price for which a manufacturer must sell his goods and the minimum wages allowable for different types of workers. This made everyone happy because the only person suffering this way was the consumer - or in this case, the government. After the Second World War, a cold war with the Soviet Union began. President Roosevelt anticipated that this cold war would bankrupt the Soviet union in their trying to outdo America's weapon production. Thus the United States had to allocate much of its production into yet more weapon manufacturing and research. With the government controlling all of America's output, economy, and industry, the nation had moved from a capitalistic economy to nearly a communism Americans' social rights had also been tampered with in the pandemonium caused by the Great Depression, World War II, and the Cold War with Russia. The social revolution in the 1960s made many people happy, but also gave unnecessary power to the government, especially the president. The Civil Rights Act of 1964 revoked the right of states to choose who gets to vote, and

The Railways in the Industrial Revolution

The Railways in the Industrial Revolution If the steam engine is the icon of the industrial revolution, it’s most famous incarnation is the steam driven locomotive. The union of steam and iron rails produced the railways, a new form of transport which boomed in the later nineteenth century, affecting industry and social life. The Development of the Railways In 1767 Richard Reynolds created a set of rails for moving coal at Coalbrookdale; these were initially wood  but became iron rails. In 1801 the first Act of Parliament was passed for the creation of a ‘railway’, although at this point it was a horse pulled carts on rails. Small, scattered railway development continued, but at the same time, the steam engine was evolving. In 1801 Trevithic invented a steam driven locomotive which ran on roads, and 1813 William Hedly built Puffing Billy for use in mines, followed a year later by George Stephenson’s engine. In 1821 Stephenson built the Stockton to Darlington railway using iron rails and steam power with the aim of breaking the local monopoly of the canal owners. The initial plan had been for horses to provide the energy, but Stephenson pushed for steam. The importance of this has been exaggerated, as it still remained as â€Å"fast† as a canal (i.e. slow). The first time a railway used a true steam locomotive running on rails was the Liverpool to Manchester railway in 1830. This is probably the true landmark in rail and mirrored the route of the groundbreaking Bridgewater Canal. Indeed, the owner of the canal had opposed the railway to protect his investment. The Liverpool to Manchester railway provided the management blueprint for later development, creating a permanent staff and recognizing the potential of passenger travel. Indeed, until the 1850s railways made more from passengers than freight. In the 1830s canal companies, challenged by new railways, cut prices and largely kept their business. As railways were rarely connected they were generally used for local freight and passengers. However, industrialists soon realized that railways could make a clear profit, and in 1835-37, and 1844-48 there was such a boom in the creation of railways that ‘railway mania’ was said to have swept the country. In this later period, there were 10,000 acts creating railways. Of course, this mania encouraged the creation of lines which were unviable and in competition with each other. The government largely adopted a laissez-faire attitude  but did intervene to try and stop accidents and dangerous competition. They also passed a law in 1844 ordering third class travel to be on at least one train a day, and the Gauge Act of 1846 to make sure the trains ran on the same sort of rails. Railways and Economic Development Railways had a major impact on farming, as perishable goods such as dairy products could now be moved long distances before they were inedible. The standard of living rose as a result. New companies formed to both run railways and take advantage of the possibilities, and a major new employer was created. At the height of the railway boom, massive amounts of Britain’s industrial output were funneled into the construction, boosting industry, and when the British boom subsided these materials were exported to build railways abroad. Social Impact of Railways In order for trains to be timetabled, a standardized time was introduced across Britain, making it a more uniform place. Suburbs began to form as white collar workers moved out from the inner cities, and some working-class districts were demolished for new rail buildings. Opportunities for travel broadened as the working class could now travel further and more freely, although some conservatives worried this would cause a revolt. Communications were vastly sped up, and regionalization began to break down. Importance of the Railways The effect of railways in the Industrial Revolution is often exaggerated. They did not cause industrialization  and had no impact on the changing locations of industries as they only developed after 1830 and were initially slow to catch on. What they did do was allow the revolution to continue, provide further stimulus, and help to transform the mobility and diets of the population.

Changes in the Transactions Cost Problems Assignment

Changes in the Transactions Cost Problems - Assignment Example The transaction cost perspective on the history of the business organization then emerges largely in contrast to the neoclassical model. Williamson (1981, p. 87) argued that there were a variety of distinguishing elements between the transaction perspective and the neoclassical approach. ... 27). It would seem then that the transaction implementation of governance structures more comprehensively explains business organization. Another of the prominent supports of the e-transaction cost perspective has been in terms of behavioral assumptions. And indeed, Daniel Kahneman was recently awarded the Nobel Prize for his work in behavioral economics, attesting to the general academic acceptance of transaction perspective on the history of organizations (‘Maps of Bounded Rationality’, 2012). While previous economic theories emphasized rational markets, transaction market perspectives consider that markets must be understood in terms of bounded rationality. Bounded rationality assumes that individuals or organizations will operate within the bounded structures of their minds. The recognition that markets to a degree are irrational attests to the recognition that transaction costs have perhaps been a more accurate determinant of business organization than previous mode ls, namely the neoclassical emphasis on hyper-rationality. Essentially, these classical perspectives, as evidenced in Adam Smith’s invisible hands of the market, as well as comparative advantage theories, argued that the market functions in rationally determined ways. The transaction cost perspective takes on a view of business organization and markets as subject to more modern perspectives, including behaviorism. In addition to corporate governance, and behavioral assumptions, the view that transaction costs explain the history of the business organization is supported by a number of other elements.

Read the assigned readings and answer questions regarding gram stain Essay

Read the assigned readings and answer questions regarding gram stain and lab safety - Essay Example Clothes on fire should be dropped or the person should roll to smother the flames. At the eye wash station your partner should your eyes wide open on a running water. I will incorporate the above safety precautions in my laboratory by ensuring that their posters with guidelines and instruction at every working area in the laboratory. I may also take some time to address my lab mates on safety precautions. A technician may use   physical state  , chemical composition, and purpose, functional type as made to differentiate different bacteria. Physical state media involve the use of non reactive physical substances such as water to nature the bacterias. Chemical reagents may also be used as in the case of chemical media. Microbiologists have many types of media at their disposal. The purpose / functional type may be employed as in a complex bacteria case. One should always have a protective gear, should wear proper clothes, one should care about his hygiene by not bringing food into the room, one should always consider all the materials he or is handling to be harmful. They should also know fire exits and fire drill procedures so that in case of fire the escape, be familiar with all lab process before carrying out any exercise this because some processes are too dangerous, lastly they should keep the working area clutter free and clean to enable easy access to all equipments hey need and also to avoid more injuries in case of an accident. One is not supposed to smell, touch or taste chemicals they may have negative effects on the persons health, youre not supposed to do experiments on your own because a mixture of chemicals may be explosive, never eat in the lab because the food may get contaminated with the chemicals and never add water into an acid this is because it will react explosively. The gram stain procedure distinguishes between gram positive and gram negative groups by coloring the cells red or

Global Marketing Expansion Speech or Presentation

Global Marketing Expansion - Speech or Presentation Example In addition, for a good marketing strategy for the new products being introduced in new markets, it is essential that enterprises engage into a critical analysis of the targeted market or region (Paul 254). This is important because it helps the marketers of the product understand the market dynamics better for enhanced product positioning. As a general rule, a product is likely to sell if the conditions of the external environment are favorable for promotion purposes. The justification behind this is that for the product to be known and accepted in the market, there must be promotion and adoption campaign. This paper identifies the Malaysian market for the purposes of introducing a portable water purifying gadget. The paper will therefore analyze the current situation of the foreign country in terms of the social, political, legal and environmental factors that might affect the introduction and promotion of the new product into the new market. This analysis will be conducted on a ba ckground of the various factors that may hinder the marketing campaign for the new product. To begin, it is important to identify the new product and the justifications for introducing it to Malaysian market. The Portable Water Purifying System The portable water purifier is an innovative product developed for the purposes of ensuring that households and even travelling individuals have access to not only clean but safe water for consumption. Water is an important component of human development. However, although most people have improved access to relatively clean water in the developing and emerging economies today, there is still a problem of making sure that the water is pure and free from disease causing germs. A sure way to eliminate this uncertainty is to have a portable ‘verification’ tool. This is the main reason why this purification gadget has been developed. With the size of a small torch, the purifier uses the ultraviolet ray technology to help purify water especially before drinking. In addition, the gadget is able to recharge using limited solar rays and therefore it is the surest way of creating purification capabilities to households and individuals even in remote areas that do not have access to other purification systems. Another advantage of the product is that it is relatively cheap and durable and hence can be used by many people regardless of their economic status. In addition, the product is user friendly because just like a conventional torch light, the portable purifier works with a slide switch that activates the beam of ultraviolet rays that are able to sterilize water within a couple of minutes before use. With this hand held simple but technologically inventive gadget, the safety of the user is assured. This is because it is able to eliminate the bacteria and other pathogens that may cause illness. This product is therefore suitable in areas that are continually faced with water shortage problems. It is a guarantee of an assisted elimination of illness related to water borne diseases. It is able to purify water in a couple of minutes and therefore ideal for tourists who may not be sure of the water they have for consumption. It can also be used for relief assistance during humanitarian crises like floods to help eliminate water borne disease. Having reviewed the product on offer, it is important to look at the situation in the target country that may make

Business Ethics and dilemma Essay Example for Free

Business Ethics and dilemma Essay 1. Review the assigned readings from the text and article by Carroll (1991). 2. Prepare a 3- to 5-page paper titled, Corporate Social Responsibility. 3. Reflect upon your text readings from Chapters 1 and 9 with a focus on the following core concepts: Organizational Social Responsibility (Chapters 1 and 9) The Ethical Decision-making Process (Chapter 1) Corporate Reputation (Chapter 9) The Corporate Social Responsibility Pyramid (Chapter 9) The Importance of Trust (Chapter 9) The Pyramid of Corporate Social Responsibility (article by Carroll and Chapter 9) 4. Read The Merck and River Blindness Case at the end of Chapter 9 of your text. 5. Compose your paper in Microsoft Word. Include your name, the assignment name and number, the course and section number, and the date on your title page. Follow APA guidelines for formatting and citations.. NOTE: Your paper must meet the minimum requirements as outlined in the section of Weekly Written Assignments of the Assignment Guidelines and the grading criteria of this assignment. You are to provide a minimum of 2-3 references in your work. For this assignment, use of general google.com or Internet search references is not acceptable. Use the university librarys scholarly databases. 6. Respond to each of the following questions and statements: Stakeholders: Produce a list of all key stakeholders that you perceive to have a bona fide interest in the Merck companys dilemma. Corporate Social Responsibility Pyramid: Frame the Merck companys ethical dilemma within the Corporate Social Responsibility Pyramid. E.g. State briefly the key economic, legal, ethical, and philanthropic responsibilities. As a focal point, compare and contrast the economic implications against the ethical and philanthropic considerations. Organizational Values: State briefly and specifically whether the decision to a) proceed with the drug project or b) not to proceed with the drug development best fits with the companys declared organizational values and its principles of profitability. Stakeholder Impact and Trust: If the drug development failed and cost hundreds of millions of dollars, would that harm to the company and its stakeholders be justifiable? If Merck decided not to pursue development of the new drug, what implications do you see this having for stakeholder relations such as the scientists who desire the development. E.g. Is this a trust and leadership consideration? Final Decision: If you were the CEO of Merck and the final decision on this risky new drug development was yours, what would you do and why? Justify your decision. Using Carrolls theory, are you comfortable stating your opinion to the board of trustees, employees, and media? NOTE: Since this is an actual, real-life case, your focus should be on producing creative and new thinking that applies the ethical concepts to the material. Also, include an introduction and conclusion in your paper. You are encouraged to use the headings above in Action Item 7 in your paper for organizational purposes. 7. Submit your paper to Turnitin.com. NOTE: Turnitin.com is used by Franklin University to assist students in detecting plagiarism. Turnitin generates a report within minutes of submitting your paper. Your results will not be e-mailed to you; you must login to review your results. Submitting a paper ahead of an assignment deadline provides you with the opportunity to take action if you need to rewrite any part of the paper. Your professor will provide you with a class ID and password as an e-mail or a Class Communication object. Submission Instructions By Sunday, upload your paper using the Submit tool. Grading Criteria Content and focus: Response addressed the question(s) posed in a logical, cohesive manner: 0 35 points Analysis and critical thinking: Writing illustrates higher order critical thinking, analysis, synthesis, and/or evaluation: 0 35 points Writing style, grammar, sentence structure: Sentences are consistently clear, concise, well written; grammar and punctuation are correct: 0 15 points APA and research: Correct use of APA style in body of paper and appropriately references the text and/or other research sources: 0 15 points

Alice in Wonderland Artwork by Sigmar Polke: Analysis

Alice in Wonderland Artwork by Sigmar Polke: Analysis Sigmar Polke was creating a wide range of surfaces with various materials, as shown in his 1971 artwork of Alice in Wonderland (Figure 1), which is paint printed on a store bought printed fabric, not a canvas. The artwork is divided into three images. The background shows a soccer game. In the middle and part of the bottom, you notice polka dots covering up some characters. In the front, the audience sees a transparent Alice talking to the smoking caterpillar, who is sitting on the mushroom. As you read Alice in Wonderland, [1] when Alice takes a bite out of the mushroom, she can either grow big or small. This shows that drugs may help the audience for a little bit, but then most of the time, drugs do not help you. Next to the Alice in Wonderland characters in the painting, there is a translucent soccer player. The mixed media art may have been here to tell people, the brain is on drugs when the audience is watching sports. You notice the translucent characters more, since they appear larger than the soccer players. It gives you a depressed and lonely feeling because the translucent characters have no color. It is as though the characters have died and the brain is already dead. The characters being see through indicates they have lost their color; they have lost their soul. Despite having no color, we can still see them; this could indicate they are about to die and be forgotten. The colors of the soccer players are bold because it shows the drugs have sucked up their soul and are going to take over their life. There are splashes of red and yellow on the polka dots. This could mean that not only is your mind confused, it is also messed up. The characters are there, but the audience can barely see them, indicating they could be becoming invisible. Notice how the polka dots only cover up the middle section and a little bit on the bottom because the artist probably wanted to make sure he was covering up Alice, to show her being curious and confused. Alice is watching the caterpillar smoking. The caterpillar faces away from the audience, possibly ashamed of smoking. The artwork has no symmetry. This shows it is not organized because it is supposed to give you confusion. I looked closely at the background and noticed there are many soccer balls, when you only need to play with one. There are also too many players for the soccer game. This is another indication of your brain on drugs with the side effect of having hallucinations and seeing things more than once. [2]Polke used polka dots. This is a pun of the artists name. Using the polka dots is a reference to Sigmar Polkes use of the media and raster dots. The illustrations of the Alice in Wonderland characters are taken from the illustrations by Sir John Tenniel, which were used in Lewis Carrolls 1865 Alice in Wonderland. I feel like there is no true geometric form; even the panels do not look evenly rectangular. The only thing that looks like a perfect shape would be a sphere (the soccer ball). The audience cannot see all of the faces clearly and cannot see their emotion. Since they are hiding their faces, they are probably depressed from taking drugs. The caterpillar is the one taking the drugs. He merely sits, indicating drugs will make everyone lazy. Alice is the bystander, looking up at the caterpillar, wondering if she should try the drugs too. There are no fixed meanings of Sigmar Polke having layers on the image; it shows too many situations. The audience can only interpret what Sigmar Polke is trying to tell us. The picture is showing me if we watch too much television, the mind is going to have a lot of hallucinations between reality and fiction. The Alice in Wonderland characters do not have enough light as the soccer players. The position of the characters are all different. Alice is standing, the caterpillar is sitting and the soccer players are playing. Do the Alice in Wonderland characters have more attention than the soccer players? The pose may be jumpy, yet Sigmar Polke is giving everyone a warning. The use of color in the background and the characters being translucent reveal what happens to the life of a person on drugs; their emotions fade. By not showing the peoples facial expressions, theres an indication they have sold their identity to drugs: they have lost their soul. Alice in Wonderland became quite a humorous visual correspondence using the projection of transparent images onto grounds composed of multiple, contrasting cloths. [3] Thus, the artwork, with its variations from mixed media, suggests the presence, in fabric, of reality versus fantasy with the mind on drugs. 839 words References Carroll, Lewis. Alice in Wonderland. Public Domain, 1898. Davies, Denny, Hofrichter, Jacobs, Roberts, Simon. Jansons History of Art . 8th. Edited by Sarah Touborg. Vol. 2. London: Laurence King Publishing , 2016: 1053. Gintz, Claude. Polkes Slow Dissolve. Art in America, December 1985: 107. Larking, Matthew. artscape Japan.2006. http://www.dnp.co.jp/artscape/eng/focus/0606_02.html.  Ã‚   (Larking n.d.) Figure 1 Sigmar Polke, Alice in Wonderland. 1971. Mixed Media on fabric strips, 106x 86  ¾ ( 3.21.6m). Private Collection, Cologne [4] [1] Carroll Alice in Wonderland Public Domain 1898      [2] Davies, Denny, Hofrichter, Jacobs, Roberts and Simon, Jansons History of Art (Laurence King Publishing, 2016), 1053. [3] Claude Gintz , Polkes Slow Dissolve, Art in America, December 1985, 107. [4] paintersonpaintings. files. wordpress

Hydrogen: The Best Alternative Energy Source Essay -- Hydrogen, An En

Since the human were created, they have always been depending on an external energy source. Before the use of fossil fuel was discovered, people used the sun as their main external energy source. The sun provides heat, light, and photosynthesis for food that the humans and animals need to make their work energy. And it also affects wind and water motion that the humans also use to make power to do heavy work. When the use of fossil fuels was discovered, it enabled the industrial revolution to begin in the early 19th century. And it also made the growth of human population, technologies, and wealth. Since then, the human use the fossil fuels as their main external energy source. That period could well be renamed as the energy revolution. But if we continuously use the fossil fuels as the energy, it will bring a big problem for the human in the future. It is because the continuously use of the fossil fuel threatens our world energy supply and also makes a lot of negative effects to our environment. The world’s demand for energy is predicted to double by 2050 in response to the population growth and the industrialization of developing countries. The supply of fossil fuels is limited by its finite amount within the earth and it will soon become expire if we continuously use it. The longevity of the fossil fuel energy supply is reduced by the energy consumed through its conversion to a suitable energy form in which human use. While global oil and gas reserves are concentrated in a few regions of the world, demand is growing everywhere. As a result of that, the supply of energy for the world in the future is difficult to assure. Beside that, the use of fossil fuels is not good and risks the human’s health. I t is because t... ...More research, attempt, time, and money are needed to actualize the use of hydrogen as the world’s future energy sources. Works Cited Braun, Harry W. The Phoenix Project: Shifting form Oil to Hydrogen. Phoenix: SPI Publications & Productions, 2000. Crabtree, George W., Mildred S. Dresselhaus, and Michelle V. Buchanan. "The Hydrogen Economy." Dec 2004. 12 Oct 2005 . Gorman, Jessica. "Hydrogen: The Next Generation." 12 Oct 2002. 12 Oct 2005 . "Hydrogen Topics." 04 Oct. 2005. U.S. Department of Energy. 12 Oct. 2005 . Weisz, Paul B. "Basic Choices and Constraints on Long−Term Energy Supplies." July 2004. 12 Oct 2005 .

Pestle Analysis for Education

Political| * Schools being privatised (like the NHS) * A government initiative creates the risk that the school may fail to deliver the policy or be diverted away from local priorities etc. * Changes to the skills required to be a teacher/ tutor * Changes to curriculum with short lead times * Requirement to be self managing * Requirement to be self financing| Economic| * Central or local government funding decisions may affect school/ establishment finances * Closure of a local industry may affect fund raising plans etc. Ability of parents to raise funds for optional activities * The need to run breakfast/ after schools clubs * Ability to invest ‘savings/ surpluses’ * Cost of providing resources: * Staff – teaching & support * Basics – books/ paper * Technology solutions laptops etc * Interest rates * Shortages of materials on national/ international markets * Over provision of school places in the area resulting in competition from neighbouring schools * T he risk of highly valued, key staff moving on to more ‘up and coming’ schools/ academies| Social| * Decline in birth rate, reflecting national trends * Local population changes (increasing/ decreasing numbers) * Demographic changes may affect likely pupil rolls or the nature of pupils needs e. g. pupils with English as a second language etc. Closure of local firms providing employment * Inability to attract staff * Social networking – blogs, facebook, twitter * Changes to qualifications expected * Integration with local community * Integration of students with special needs * parental preference – an increase in ‘parent power’ has allowed parents more freedom of choice over their child’s school * the risk of highly valued, key staff moving on to more up-and-coming establishments * Information is accessible to staff anywhere in the world via the Internet * Staff were not given enough training or access to effectively change their habits and how they expected information to be made available| Technological| * Changes to standards/ equipment required * Risk of selecting the wrong technology at times of change (i. e. windows -v- open source) * New computer viruses may affect school/ college operations, * Disturbing/ illegal images on the internet may affect ICT security measures etc. * Move from paper based books to e-book readers * Computer hardware being out of date * Computer software being out of date * Time to anage IT systems  | Legislative| * new legislation may create risks of non-compliance with the law, create new administrative burdens etc * Changes to child protection legislation * Raise the age of school leaving age * Raise/ lower the age of starting school. Nursery/ kindergarten * Change to school opening hours * Changes to funding of charity based organisations * Health & safety legislation| Environmental| * A new highway layout near the school may create new dangers for pupils etc * Waste disposal * Reduction of green space available for activities * Changes to local bus routes * Using a significant amounts of paper and photocopier toner to produce printed information. |

Foundations for physiotherapy practice The WritePass Journal

Foundations for physiotherapy practice Introduction Foundations for physiotherapy practice IntroductionConclusionReferencingRelated Introduction   This essay will explore the disease COPD and explain the systemic effects that the disease has on the body as a whole. Exercise is investigated in the essay and shows how it may change the quality of life of a patient and decrease certain symptoms of COPD; it will also explain the negative effects that inactivity may cause a patient with COPD. There is varies interventions used to make living with COPD more tolerable for patients. It talks about how exercise benefits the body by decreasing dyspnoea, how increasing the body’s muscle strength will relieve fatigue and decrease the respiratory demand. The affects of exercising on anxiety and depression are examined also. The physiotherapists role will be included detailing all the different techniques that they use for treatment including breathing control, airway clearance, inspiratory muscle training which helps with inspiratory endurance and strength and improving mobility. Finally the important of upper body and strength e xercises will be questioned as to how it helps with improving mobility and promoting rehabilitation. Chronic obstructive pulmonary disease (COPD) is an umbrella term used to describe somebody who suffers from both Chronic bronchitis (Bronchitis is inflammation of the bronchi (the airways of the lungs) and emphysema (Emphysema is damage to the smaller airways and air sacs (alveoli) of the lungs). COPD is the term most preferred but you may also hear it called COLD (chronic obstructive lung disease) or COAD (chronic obstructive airway disease). Pulmonary means affecting the lungs. COPD causes a chronic (ongoing) cough with phlegm, is rare before the age of 35 and there is permanent damage to the airways. The narrowed airways are fixed, and so symptoms are chronic (persistent). Treatment to open up the airways is limited as a result. (patient.co.uk, 2010) As before COPD or chronic obstructive pulmonary disease is two disorders in one emphysema and chronic bronchitis. Bronchitis affects the airways with inflammation narrowing the airway sometimes with phlegm. Chronic bronchitis is a mor e specific condition and it is defined by the amount of phlegm that a person has coughed up over a particular time frame. To be described as chronic bronchitis a person has to be coughing up phlegm every morning for at least 3 consecutive months within a period of at least two years. Chronic bronchitis is mostly caused by cigarette smoking it can also occur form environmental factors. Emphysema is the other disorder you must be diagnosed with to be diagnosed with COPD. Emphysema affects your alveoli which are the little sacs of air at the end of bronchiole in your lungs where gaseous exchange occurs. These are normally made from a very elastic tissue so that they can expand when air fills the lungs. In emphysema, large numbers of the alveoli have been destroyed and there is much less area where gaseous exchange can take place so although people can breathe in it cannot get into the bloodstream. (Miles and Roberts, 2005, PP.1-3) Another systemic effect of COPD is the effect on the musculoskeletal system because of the breathlessness which reduces your exercise capacity which has a knock on effect. When you don’t exercise it has adverse effects on your body muscle wastage and weakening means you may become breathless easier as you will have less muscle and/or strength to perform the same tasks and will require more effort and put more metabolic demand on your body compared to if you had stronger muscles. Muscle weakness whatever the cause has severe consequences, including exercise limitation, reduced quality of life, more of a demand for healthcare assistance and its resources and more severely reduced survival. Physical de-conditioning may lead to a marked decrease in a patient’s ability to cope with activities of daily living, finding even the simplest of tasks to be leaving them breathless, consequently leading to a decrease in quality of life and also decreased survival. It is apparent that systemic manifestations are typical in COPD. Granted, many patients demonstrate a gradual and significant weight loss that exacerbates the course and prognosis of disease. This weight loss is also accompanied by peripheral muscle dysfunction and weakness. (Decramer, M. Et al. 2005, PP. s3-s10) With COPD it is not just the physical effects that play a role in the disease there are neuropsychiatric disorders like depression and anxiety which are more common in people with COPD. Depression in people with COPD rises with an increase in hypoxemia, carbon dioxide levels or dyspnoea. Hypoxemia may be a substantial cause in the development of depression and anxiety in COPD due to brain injury; however oxygen therapy results in little or no improvement in the severity of the depression. Another cause of morbidity of depression and anxiety is negative self-perception and restrictions in behavioural functioning due to reduced physical capacity. (Armstrong 2010 PP. 132) Although the COPD patient population is proven to be more depressed than the general medical population, it is not more anxious, the levels of anxiety observed in the general medical or surgical population on the wards were very similar to those observed in the COPD population. Despite the similarities compared to the other wards the anxiety levels are still high compared to the population without any disease or disorder. (Light, R, W.et al. 1985, PP.35-38) COPD patients with psychiatric conditions spend twice as much time in hospital compared to those without depression and anxiety. It is also found that the quality of life of COPD patients can be impaired in all dimensions compared to those without depression and anxiety, high impact was seen both on walking around, mobility, sleep and rest. (MIKKELSEN, R, L. 2004, PP.65-70) Anxious patients tend to have quite significantly shorter pre-rehabilitation exercise capacity compared with non-anxious patients as do patients with increased depression compared with those who are not depressed. Patients following a pulmonary rehabilitation program for COPD show a statistically significant fall in both anxiety and depression as they progress in their program, with no patients showing any increases in either depression or anxiety. Patients with higher star ting anxiety level show a significantly larger increase their exercise capacity than those who start off with lower anxiety levels. Exercise rehabilitation is shown to produce clear improvements in anxiety and depression and to some extent reduces the number of patients with high anxiety and depression compared to no intervention. So exercise benefits COPD suffers with anxiety and depression at least as much as do those with lower levels. (Nicholas, Rudkin, and White, 1999, PP. 362-365) COPD has effects on the cardiovascular system by increasing the risk of cardiovascular disease by up to three-fold. Several different studies have shown that the function of endothelial in COPD is abnormal in both the pulmonary and systemic circulations. The means that underlie these abnormalities are also unclear. It is obvious that tobacco smoking is a shared risk factor for both COPD and cardiovascular disease. Although, it is possible that there are other factors which may quite substantially increase the cardiovascular risk of patients with COPD. With this in mind, many authors agree that the persistent, low-grade, systemic inflammation that occurs in COPD may contribute further to the pathobiology of these cardiovascular abnormalities in COPD. If true, this may have substantial therapeutic implications in the management of these patients because anti-inflammatory therapy would be beneficial not only for the chronic inflammatory process which their lungs are undergoing but also for the prevention of cardiovascular disease. (AgustÄ ±Ã‚ ´, 2005, 367-370.) It is shown that the leading causes of mortality in those with COPD are cardiovascular in nature. Cardiovascular causes are listed as the main cause of death in nearly 50% of the cases, Nevertheless, this data, suggest that a large proportion of patients with COPD die from cardiovascular complications.   (Sin and Man, 2005, p8-11) The impact on cardiovascular function in COPD is mainly due to the increased right ventricular afterload caused by an increase in pulmonary vascular resistance resulting from the structural changes that take place in the pulmonary circulation with the disease One of the most beneficial treatments for COPD and its symptoms is exercise; exercise is proven to have a beneficial effect on your body compared to not exercising. By exercising you significantly increase your muscle strength and endurance. This means muscle dystrophy and atrophy are stopped and even reversed. You see a significant increase in endurance when you walk also as a result of exercising regularly and it also promotes increased efficiency of peripheral muscle oxygen extraction after muscle training, with less contribution from anaerobic (lactic acid) metabolism during exercise. (Clark, Cochrane, and Mackay, 1996, PP. 2590-2596) Aerobic capacity (VO2max) or maximum oxygen uptake is decreased with patients presenting with COPD, due to this the body starts to utilise the anaerobic energy system, this means that for walking the same distance as a normal person you will be utilising the phosphate and the lactic acid system which use less oxygen therefore your muscles fatigue easier. Lactate or metabolic threshold (VO2u) is known as exercise intensity with a sustained increase in blood lactate that cannot be prevented. Lactate threshold may be elevated by as much as 100% of its resting value by successful aerobic training in a normal subject. A de-conditioned individual there for has the potential for a significantly greater improvement in VO2max and VO2u with exercise training. When effective, this modality of physical reconditioning leads to improved functional exercise capacity and reduced breathlessness. Early implementation is desirable to obtain more meaningful responses. (COOPER, 2001, PP. S671-s679) Upper extremity exercise is also important for people who suffer from COPD as they are restricted in the amount of upper body exertion they can achieve even as much as to elevate their arm may cause dyspnoea and increased respiratory demands. It is shown that during unsupported arm exercise the respiratory muscles of the rib cage work actively help to maintain the posture of the upper torso and extended arms; due to this they decrease their roll in respiration in COPD patients. Therefore dyspnoea is worse with arm exercise than it is with leg exercise at the same total body oxygen consumption, suggesting that the load borne by the other inspiratory muscles must increase for the same level of increasing ventilation. (Grazzini, 2005, PP. 1403-1412) The increased demands even during a simple arm elevation may play a role in the development of the patient’s dyspnoea.   The limitation that occurs is a major problem that patients report when performing daily living activities involving the arms. It is important to apply an intervention of exercise training to try help. An upper extremity training regime for patients with COPD results in a reduction of ventilation requirements which will allow patients with COPD to perf orm sustained upper extremity activity with considerably less dyspnoea. A comprehensive pulmonary rehab programme that includes arm exercises, results in reduced metabolic and ventilator requirements for a simple arm lift. The addition of such training has been shown to improve upper extremity exercise endurances. Subjects who are in the early stages or whom are less severe may tolerate these increased loads without difficulty, whereas in severely obstructed patients with minimal reserve, increased ventilatory exertion and the associated recruitment of the diaphragm may contribute to increased dyspnoea. Although has some beneficial effects in this and most other studies to date, ventilatory capacity does not improve in terms of pulmonary function tests nor does fev or fev1. Additionally there is no cross over benefit to arm exercises or lower body exercises so it is important to incorporate both into a pulmonary rehabilitation for a patient with COPD to seek maximum benefit from the program. (Couser, Martinez and Celli, 1993, PP. 37-41) With COPD muscle wastage is quite common and 25% of all patients suffer from it. Muscle weakness and wastage also has adverse effects on fatigue. Leg fatigue for example limits patients with COPD in exercise. Normally the perception for muscle fatigue is higher in people with weak leg muscles than to those who are said to have strong legs. Patients with stronger muscles are said to have better exercise capacity this is true for people without COPD. Quadriceps strength has been found to have a significant effect on exercise capacity. So it is said that â€Å"leg fatigue is inversely proportional to leg muscle strength†. (Bourbeau, Nault, and Borycki, 2002, PP.190-191) Strength training is also appealing because it improves muscle strength and mass much better compared to aerobic training. In addition strength training causes less dyspnoea in the exercise period compared to aerobic training. Because of this it may be easier to tolerate for patients with severe cases of COPD. The re are different types of strength training can be used depending on the desired objective or the condition the patient is in. The different types are strength training where you are lifting between (90-100%) of one rep max (RM) this is using low repetitions with high weight which ameliorates strength, whereas when you use a lower weight and higher repetitions you work at a lower intensity for more reps which works on endurance. Moderate intensity work at (10-12) reps performed at 60-80% of one RM is ideal for patients with COPD as it fulfils the objective of building muscle strength and endurance while avoiding the likelihood of muscle injury which is common in high weight low repetition work. It is important to have your medication and a partner. This is important because, effectively, you may become disabled due to your breathlessness. (Bourbeau, Nault, and Borycki, 2002, PP.190-191) Physiotherapists address many of the symptoms of COPD like reducing the work of breathing, promoting clearance of the airways, improving mobility and promoting rehabilitation. Promoting successful management of these complex patients is in two parts: the accurate assessment of the patient to identify clear goals of treatment and team work, which underpins a thorough knowledge of the individual patient. (Mikelsons, 2008, PP. 2-7) There are three main techniques which may improve the efficiency of your breathing, pursed lip breathing, diaphragmatic breathing and paced breathing. These three techniques encourage complete emptying of your lungs and slower, deeper breaths, which will improve the efficiency of your breathing and encourages control of your breathing. Diaphragmatic breathing involves encouraging patients to move the abdominal wall predominantly during inspiration with reduction of rib cage movement and inhale slowly and deeply, in order to improve chest wall movement and the distribution of ventilation, decrease the work of breathing and improve exercise capacity. By utilizing the main muscle of inspiration, the diaphragm, it encourages relaxation of smaller, less efficient respiratory muscles. Using the diaphragm allows more air to move into the lungs with each breath which makes each breath more efficient. Diaphragmatic breathing also decreases the work of breathing by reducing the use smaller, less efficient muscles of the neck and shoulders. (NYU Medical Centre 1997). Diaphragmatic breathing (DB) has been claimed, but not demonstrated, to correct abnormal chest wall motion, in turn decrease the work of breathing (WOB) and dyspnoea and improve ventilation distribution. (Vitacca et al., 1998) Pursed lip breathing is commonly used in COPD patients as it is thought to alleviate dyspnoea. (Spahija, de Marchie, and Grassino, 2005, PP. 640-650) PLB is done by breathing in through the nose and out through the mouth against a resistance created by pursing the lips, this helps to prevent airway collapse. PLB helps you exhale more completely because it slows your respiratory rate and helps to keep your airways open longer. It has been shown that by performing PLB during exertion can lead to a reduction in respiratory rate and increased recovery rate compared with spontaneous breathing PLB can be used just prior to and during activities that have made you short of breath in the past.. PLB during exertion may therefore be a useful addition to the breathless patient’s regime and may be taught as a strategy to reduce respiratory rate of patients with COPD. It is good to use PLB when walking on inclines, up stairs and during any exercise or exertion. Despite the exercises being effective in reducing respiratory rate and decreasing work of breathing it is of note that it has been shown that fatigue of the diaphragm may develop earlier when using slow, deep breathing, but no differences in dyspnoea or exercise tolerance were found.12 R. Garrod, K. Dallimore and J. Cook et al., An evaluation of the acute impact of pursed lips breathing on walking distance in nonspontaneous pursed lips breathing chronic obstructive pulmonary disease patients, Chronic Respir Dis 2 (2) (2005), pp. 67–72. Full Text via CrossRef | View Record in Scopus | Cited By in Scopus (12) Paced breathing involves coordinating your breathing pattern with the activity you are doing. For example, when walking on level surfaces breathe in for a count of 2 steps and out for a count of 4 steps. This will help regulate your breathing reducing anxiety and promote good relaxed and controlled breathing allowing you to continue with your activity. Physiotherapists prescribe Breathing exercises l ike Diaphragmatic breathing, breathing control and pursed lip breathing are to relieve breathlessness and promote relaxation. (NYU Medical Centre, 1997) Physiotherapists also teach a techniques called airway clearance techniques the most popular being called active cycle breathing technique (ACBT) which is used for acute exarberations of COPD during exercise. This technique is done by using an alternating depth of breathing to move phlegm from the small airways at the bottom of your lungs to the larger airways near the top where they can be cleared more easily with huffing/coughing in turn making it easier to breath by removing obstructions. ACBT is used by 88% of physiotherapists to treat acute exarberations of COPD. (Connolly and Yohannes 2007 pp. 110-113) Airway clearance techniques have a variety of different techniques such as the ACBT which has been explained, forced expiration technique (FET), and postural drainage (PD). PD is when the physiotherapist puts the patient in positions which make it easier to remove sputum because the cilia are damaged and cannot aid in its clearance of sputum. FET is used instead of coughing to re move sputum, it is found to be more effective than coughing. The main indicator for determining which of the techniques to use of any airway clearance technique is how much sputum they can clear while coughing independently. This will be a key indicator for a patient in the self-management of their disease and patients will be taught modifications of their airway clearance regime during an acute exacerbation by their physiotherapist. (Mikelsons, 2008 pgs 2-7) Physiotherapists may prescribe inspiratory muscle training (IMT) which has been used for co-ordination of respiratory muscles allows maximization of the use of abdominal muscles as inspiratory accessory muscles and has been proven to show benefits in exercise tolerance, Inspiratory muscle endurance and strength, breathlessness and improve quality of life. (Mikelsons, 2008 pgs 2-7) state that by including IMT in an exercise programme it has been shown to increase maximal inspiratory pressure, perception of breathlessness and health-related quality of life.50 R. Magadle, A.K. McConnell, M. Beckerman and P. Weiner, Inspiratory muscle training in pulmonary rehabilitation programme in COPD patients, Respir Med 101 (2007), pp. 1500–1505. Article | PDF (465 K) | View Record in Scopus | Cited By in Scopus (8) High-intensity IMT has also been shown to produce beneficial reductions in dyspnoea and fatigue in COPD patients. Usually a physiotherapist would prescribe training that would ta ke place over 6 to 9 weeks using   from 30 to 60% of maximal inspiratory pressure depending on the patient and how much they can manage, this differs from person to person. Another study by (Lotters et al., 2002 pp. 570-577) also had positive results and stated that IMT alone significantly improves inspiratory muscle strength and endurance, whereas the sensation of dyspnoea significantly decreases in patients with COPD. Although there are no significant additional effects of IMT on exercise performance IMT plus general exercise reconditioning has strong significant training effects on inspiratory muscle strength and endurance, especially in patients with inspiratory muscle weakness. In addition, a clinically significant decrease in dyspnoea sensation at rest and during exercise is also a result of IMT. Conclusion In conclusion there is an array of benefits of exercise training demonstrated in the essay which include, increase in exercise capacity, decrease in breathlessness, substantial changes in health related quality of life, decrease in anxiety, and improvements in depression. It has been shown that the inclusion of strength training is also necessary in the exercise prescription to help reduce fatigue; it has shown benefits in relief of respiratory demand in turn reducing dyspnoea. When evaluating anxiety and depression, there have been studies that show a higher rate of depression and anxiety in COPD patients than the general public. In comparison with the general medical population the rate of anxiety was not proven to be higher but much the same, although the level of depression in patients with COPD tended to be higher due to the disease having a reduced physical capacity and knowing that it will gradually get worse. Although by including a pulmonary rehabilitation program for COPD, patients show a statistically significant fall in both anxiety and depression as they progress in their program, with no patients showing any increases in either depression or anxiety. The inclusion of IMT used by physiotherapists combined with an exercise program has been shown to significantly increase in inspiratory muscle strength and inspiratory muscle endurance leading to the reduction of dyspnoea. Combining all of these techniques help in the management of COPD however it has to be said that although exercise improves certain symptoms of COPD, there still a null outcome when it comes to improvements in lung function (FEV1 or FEV). Referencing AgustÄ ±Ã‚ ´ A. G. N. (2005) Systemic Effects of Chronic Obstructive Pulmonary Disease. American thoracic society, 2 (4), 367-370. Armstrong, C. L. Ed. (2010) Handbook of medical neuropsychology: applications of cognitive neuroscience. New York: Springer. Bourbeau, J. Nault, D. and Borycki, E. (2002) Comprehensive management of chronic obstructive pulmonary disease. Canada:   BC Decker Inc. Clark, C.J. Cochrane, L. and Mackay, E. (1996) Low intensity peripheral muscle conditioning improves exercise tolerance and breathlessness in COPD. European respiratory journal, 9 (12), 2590-2596 Connolly, M. J. and Yohannes A. M. (2007) A national survey: percussion, vibration, shaking and active cycle breathing techniques used in patients with acute exacerbations of chronic obstructive pulmonary disease. Physiotherapy, 93 (2), 110-113. COOPER C. B. (2001) Exercise in chronic pulmonary disease: aerobic exercise prescription. Medicine Science in Sports Exercise.   33 (7), S671-s679. Couser, Jr. J. I. Martinez, F. J. and Celli, B. R. (1993) Pulmonary rehabilitation that includes arm exercise reduces metabolic and ventilatory requirements for simple arm elevation. CHEST, 103 (1), 37-41. Decramer, M. et al. (2005) Systemic effects of COPD. Respiratory medicine, 99 (2), S3-s10. Grazzini, M. (2005) Pathophysiology of exercise dyspnea in healthy subjects and in patients with chronic obstructive pulmonary disease. Respiratory medicine, 99(11), 1403-1412. Light, R. W. et al. (1985) Prevalence of depression and anxiety in patients with COPD. Relationship to functional capacity. Chest, 87 (1), 35-38. Lotters, F. et al (2002), Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. European respiratory journal, 20 (3), 570-577. Miles, J. And Roberts, J. (2005) Chronic obstructive pulmonary disease 1st ed London: Class publishing. Mikelsons, M. (2008), The role of physiotherapy in the management of COPD, COPD update: Respiratory medicine, 4(1), 2-7. MIKKELSEN, R. L. (2004) Anxiety and depression in patients with chronic obstructive pulmonary disease, A review. European respiratory society, 58 (1)65-70. Nicholas, J. Rudkin, S. T. and White, R. J. (1999) Anxiety and Depression in Severe Chronic Obstructive Pulmonary Disease: The Effects of Pulmonary Rehabilitation. Journal of Cardiopulmonary Rehabilitation, 19 (6), 362-365. NYU Medical Center (1997) COPD AND EXERCISE   [ONLINE]. Available at; http://pfrc.med.nyu.edu/handouts/pdf/proced/copdexer.pdf [Accessed 20 April 2011] Patient.co.uk (2010) Chronic Obstructive Pulmonary Disease [ONLINE]. Available at; patient.co.uk/health/Chronic-Obstructive-Pulmonary-Disease.htm [Accessed 18 August 2011] Sin, D. D. and Paul Man S. F. (2005) Chronic Obstructive Pulmonary Disease as a Risk Factor for Cardiovascular Morbidity and Mortality. The American thoracic society, 2(1) 8-11. Spahija, J. de Marchie, M. and Grassino, A. (2005) Effects of Imposed Pursed-Lips Breathing on Respiratory Mechanics and Dyspnea at Rest and During Exercise in COPD. Chest,128 (2), 640-650. Vitacca, et al., (1998) Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency. European respiratory journal, 11 (2), 408-415.