Wednesday, October 30, 2019

The Role of Neurotechnology In Mitigating Developmental Progression of Research Paper

The Role of Neurotechnology In Mitigating Developmental Progression of Brain Disease - Research Paper Example One such condition which has been studied thoroughly is congenital diaphramatic hernia2. Of recent interest is fetal investigation and therapy of neurological disorders like spina bifida which are potential candidates for fetal therapy and there is some evidence that fetal interventions, when compared to postnatal interventions can improve postnatal neurological outcomes. This study aims to ascertain the role of neurotechnological advances in mitigation of the progression of neurological disorders, through review of suitable literature. Methods In order to retrieved articles for review, the electronic databases PUBMED and Google Scholar were used. The words used for search were â€Å"fetal therapy† or â€Å"fetal intervention† or â€Å"neurotechnology† with â€Å"brain disorders of fetus†. Several articles were displayed. Based on the contents of the abstracts, some of the articles were selected and studied. Both reviews and controlled studies were picked up for this research project to gain overall information about the topic and the research aim in study. Discussion Advances in technology in the form of powerful imaging strategies and improved sampling techniques have revealed the mystery of the fetus that was once secretive3. Most of the malformations that are diagnosed prenatally are managed best by appropriate medical and surgical therapy after birth. This may required planned delivery at a tertiary care after safe maternal transport. However, a few anatomic abnormalities with predictable consequences after birth may require surgical intervention before birth itself4 . In early 1980s, developmental pathophysiology of several anomalies which were potentially correctable was ascertained in animal models.5 The natural history of these diseases was determined through serial observation among animal models. Thereafter, selection criteria for prenatal intervention were developed. In the process, various anesthetic and tocolytic regime ns were refined and protocolised and also surgical aspects of hysterotomy and fetal repair were refined and developed. In the later stages, minimally invasive techniques for fetal intervention were developed and refined. All these advances in technology have benefited several fetal patients and it is hoped that more advances are made in this novel strategy allowing advanced forms of treatment on the fetus like tissue engineering, stem cell transplantation and gene therapy in both anatomic and non-anatomic defects (Harrison, 2003).6 During the previous decade, 3 important trends pertaining to fetal therapy have emerged for congenital diaphragmatic hernia7. In the first trend, the surgeons moved away from total surgical repair of the anatomical defect, especially in those liver herniation where repair was technically difficult, and developed induction of lung growth by

Monday, October 28, 2019

Ethics and Issues in Counseling Essay Example for Free

Ethics and Issues in Counseling Essay Question 1 a) Ethics are a list of conduct or principles drawn with the purpose of providing a guideline to what defines professional practice (Corey, 2009) while values are the basis of one’s thoughts or ideals in which decisions are generated (Manthei, 1997). Certain institutions derive their own core values to help provide a guide to â€Å"proper† behaviors. In simple terms, ethics are like â€Å"rules† within a society, culture or institution while values are like â€Å"policeman† in our mind, helping us determine between desirable and non-desirable behaviors while keeping in mind these â€Å"rules† that governs them (Dolgoff, Loewenberg Harrington, 2008). The professional code of ethics is a guide designed to determine what constitutes professionalism in which governs the institution in the best interest of the values of the profession (Corey, 2009). It not only serves as a clarification to existing and future members of the institution or association governing it, but also helps supports the mission and vision of the institution or association. Its objective is to provide guidelines to practitioners, clarify the professional stand of institutions and organizations governing these practitioners, and at the same time protecting the rights of clients (consumers) (Corey, Corey Callanan, 2003). The Professional Code of Ethics also helps to bound practitioners ethically so that they do not try to impose their own values onto others and behave as moral authorities. While the Professional Code of Ethics may be written as clear as possible and as comprehensive as possible, in reality there are person’s feelings, values, as well as emotions involved, which are absent during the compilation (Betan, 1997). The ACA Code of Ethics (2005) states â€Å"Counselors terminate a counseling relationship when it becomes reasonably apparent that the client no longer needs assistance, is not likely to benefit, or is being harmed by continued counseling.† The practitioner would be caught in a conflict when his agency deems the client fit to be discharged but he feels otherwise (Betan, 1997). Ethical guides may not be easily integrated into one of vast cultural diversity like that of Singapore as most of the Professional Code of Ethics were formulated within that of a Western context. As such, cultural, socioeconomic as well as linguistic differences may have been neglected in the process (Betan, 1997); while the code may hold autonomy of client at high regards, the cultural stand of the client may not be so. Confidentiality itself also poses a great arguing standpoint especially in a multicultural context whereby there are traditions as well as cultural rules to adhere to (Welfel, 2012). Another important point to not neglect while considering the limitations of the Professional Code of Ethics is its congruency towards the local state laws (Betan, 1997). For instance, one state regulation for consumption of alcohol may differ that from another. In putting ethics into consideration, practitioners should also be aware of their own local state laws. b) Two values that I value as important in life are honesty and being just, ie to try my best to make sure I give or receive equal treatments. Being a straightforward person, I believe in being honest at all times and to take responsibility for your own actions. I believe in giving others a benefit of doubt, unless I have concrete evidence that he/she is telling a lie. I uphold the value of equality; to treat others the way you would like to be treated. Thus, I try my very best not to be bias and constantly remind myself to stay in a neutral stand when others are involved. Because I believe strongly in always giving others the benefit of doubt, I would not doubt on the credibility of my clients’ words even though they might sound absurd. By doing so, it gains trust from clients and help in rapport building with clients. On the flip side, if the client is not a willing client, he might manipulate the trust I have and may try to lie and mislead me. Due to my eagerness to be non-bias and be fair and just as much as I can, I may end up trying to argue and inevitably try to prove myself when some clients at times show biasness towards me due to my experience and age. This  could hinder my work with them as I might try to convince them that they are being bias and indirectly in one way or another, try to argue or indirectly try hard to prove myself. This may come across to some as being argumentative, especially when I always have something to retort back whenever they say something negative, thus spoiling the therapeutic relationship. Of course, being non-bias is important in the counseling relationship as it helps one to not be judgmental and to always maintain a partial perspective. Question 2 The 6 moral principles forming the basis of functioning at the highest level of ethical profession as summarized by Corey et al. (2003, p.16) are autonomy, veracity, justice, nonmaleficence, beneficence, and fidelity. Autonomy refers to the rights or freedom to decide and make independent decisions or choices in one’s own accord within a social and cultural context. Thus, the respect for such autonomy brings about an acceptance that others have a right to choose and act in accordance to his own wishes, unless they hinder the rights of others (Altmaier Hansen, 2011); practitioners aim at encouraging independence in client and discourage client’s dependency on him. Veracity or truthfulness refers to the practitioner being obliged to be truthful with his clients (Corey et al., 2003). The guideline in the Ethical Principles of Psychologists and Code of Conduct of the American Psychological Association (2002) states, â€Å"Psychologists do not make false, deceptive, or fraudulent statements†¦Ã¢â‚¬  (para. 5.01b) since trust is very important in building up a good therapeutic relationship with clients. Justice means to be fair by providing equal treatment to all regardless of culture, religion, race, gender, socioeconomic status, sexual orientation, disability or age, as they are entitled to equal access and treatment (Corey et al, 2003). To be nonmaleficence means to not cause harm, including actions that might pose a risk to harm another (Altmaier Hansen, 2011). Practitioners are responsible for their clients to ensure that their risks for exploitation or might result in potential harm are brought down to a minimal (Corey et al, 2003). Beneficence refers to promoting the good and the wellbeing of clients and of others, to help clients grow and develop in their cultural context as well as doing good in their social context (Corey et al, 2003). In short, practitioners are responsible towards contributing to the welfare and growth of another being (Altmaier Hansen, 2011). Lastly but not least, fidelity means to be truthful in making honest and realistic commitments and honoring these commitments (Corey et al, 2003). It is very important to build a trusting relationship between the practitioners and the people whom they work with and thus practitioners are responsible to make sure they honor fidelity at least on their end (Altmairt Hansen, 2011). Question 3 a) The 8 essential personal attributes of an effective counselor are emotional intelligence (EQ), warmth and care, unconditional positive attitude (regard), genuineness and authenticity, patience, analytical ability, person-centered and nurturing style of communication and lastly, clear and specific communication. Emotional intelligence is defined as the ability to be able to distinguish and have self-awareness of one’s own as well as others’ emotions and feelings, and to be able to use this and guide one’s behavior and thinking, hence encourages development of emotional closeness with the client (Coetzee Jacobs, 2006). Warmth and care is important in the therapeutic relationship in rapport building as it helps show client that the practitioner is genuinely concern (Coetzee Jacobs, 2006). When warmth and care is present, practitioner is more aware of client’s cognitive and  emotional needs and the relationship will be more accepting towards each other (Coetzee Jacobs, 2006). Unconditional positive attitude (regard) is important because it challenges client’s beliefs that if they do not behave in a certain way, others would not accept them. Client had to be sure that his counselor would still see him in the same way after the ‘awful truth’ is made known (Dryden, 1999). The role of genuineness simply means to be yourself; to be sincere, transparent and not putting on a false front (Palmer Milner, 2006). This role of being genuine and authentic is one that is most challenging, as it requires one to have very high level of self-awareness (Palmer Milner, 2006). It is important for counselors to have this quality due to the high level of trust needed in order to build effective therapeutic relationship with clients. Patience is an important attribute as different types of clients requires different amount of time to build the trust with practitioners and to be able to open up. While some clients do not have difficulty expressing themselves, some of them do find great difficulty in doing so and would then require much more patience and time from the counselor. Analytical ability is important in listening as it helps the counselor to be able to analyze his own emotions as well as facial expressions while listening to the client (Singh, 2007). In terms of case study, analytical ability is also important to the counselor in helping him to analyze and decipher the bulk of information being presented to him (Singh, 2007). Person-centeredness style of communication refers to the ability to communicate to accept another as a complete unique individual (Wood, 2009). That is to say, counselors do not form pre-conceptualized ideas on how the person is like and not make assumptions during the conversation with client. Nurturing communication occurs when parties involved in the conversation relate to each other in a caretaking manner; indicating to each other that the relationship is being valued (Wood, 2009). Last but not least, clear and specific communication is very important in ensuring that the counseling session is being communicated in the way that it is meant to, without allowing either parties involved to have any misunderstandings after the session. b) If I were to choose 3 attributes that I think are important for myself to undergo the necessary personal transformation, it would be patience, analytical ability and unconditional positive regard. I think that I sometimes lack patience in a counseling session and tend to unknowingly try to rush the conversation by interrupting and not giving client enough time to think about what was being said or asked. Also at times, client may need time for reflection, resulting in pauses during the conversation. While I understand the importance of having such ‘quiet moments’ in a counseling session, I tend to be impatient and would unknowingly try to say something to fill up these ‘uneasy moments of silence’. Analytical ability is something, which I feel I am lacked of. I find myself ‘lost’ in long lengthy conversations at times and unable to ‘process’ huge amounts of information shared. I tend to be more straight-forth in my facial expressions too, and I hope to be more cautious in this area, thus being able to give information being shared more thoughts instead of just deciphering it from the surface level. To be able to achieve complete unconditional positive regard in a conversation is I feel, requires that of a high cognitive level. As every single individual comes from a different background and different culture and social environment, unconditional positive regards is important if counselors want to build on having a therapeutic relationship with client. Without it, clients would not want to return for further therapies or might refrain from sharing certain important information, which could be helpful in the therapeutic process. References: American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. Washington, DC: Author. Altmaier, E.M. Hansen, J.C. (2011). The Oxford Handbook of Counseling Psychology. NY: Oxford University Press Betan, E.J.(1997). Toward a hermeneutic model of ethical decision making in clinical practice. Ethics Behaviour, 7(4), 347-365. doi: 10.1207/s15327019eb0704_6 Coetzee, M. Jacobs, H.R. (2006) Career Counselling and Guidance in the Workplace. Cape Town, South Africa: Juta and Company Corey, G. (2009). Theory and Practice of Counseling and Psychotherapy (8th Ed, pp. 37) CA: Cengage Learning Corey, G., Corey, M.S. Callanan, P. (2003). Issues and Ethics in the Helping Professions. (6Th Ed) CA: Brooks/Cole Dryden, W. (1999) Four Approaches to Counselling and Psychotherapy. NY: Routledge Dolgoff, R., Loewenberg, F.M. Harrington, D. (2008). Ethical Decisions for Social Work Practice (8Th Ed, pp. 19-23) CA: Cengage Learning Manthei, R. (1997). Counselling: The Skills of Finding Solutions to Problems. NZ: Routledge Palmer, S. Milner, P. (2006) Integrative Stress Counselling: A Humanistic Problem-Focused Approach. GB: Sage Publications Co. Singh, K. (2007). Counselling Skills for Managers. New Delhi: PHI Learning Pvt. Ltd. Wood, J.T. (2009) Interpersonal Communication: Everyday Encounters. CA: Cengage Learning Welfel, E.R. (2012). Ethics in Counseling Psychotherapy (5th Ed, pp. 150-160) CA: Cengage Learning.

Saturday, October 26, 2019

Hannah Webster Fosters The Coquette Essay -- Hannah Webster Foster Th

Hannah Webster Foster's The Coquette Eliza Wharton has sinned. She has also seduced, deceived, loved, and been had. With The Coquette Hannah Webster Foster uses Eliza as an allegory, the archetype of a woman gone wrong. To a twentieth century reader Eliza's fate seems over-dramatized, pathetic, perhaps even silly. She loved a man but circumstance dissuaded their marriage and forced them to establish a guilt-laden, whirlwind of a tryst that destroyed both of their lives. A twentieth century reader may have championed Sanford's divorce, she may have championed the affair, she may have championed Eliza's acceptance of Boyer's proposal. She may have thrown the book angrily at the floor, disgraced by the picture of ineffectual, trapped, female characters. We might see similar reactions when placing Foster's novel in an eighteenth century context. But would they be the reactions that Foster anticipated? Were eighteenth century female readers to see The Coquette as an instructional text, or were they supposed to enjoy it without applying it to their own lives? Did she aim to teach her female audience about proper conduct, and to warn about the dangers of the licentious seducer? The book was a best seller; why would this type of text have been so popular? Writing a journal from the perspective of a fictional eighteenth century reader, a mother whose daughter is the age of Eliza's friends, will allow me to employ reader-response criticism to help answer these questions and to decipher the possible social influences and/or meanings of the novel. Though reader-response criticism varies from critic to critic, it relies largely on the idea that the reader herself is a valid critic, that her critique is influenced by time and place,... ...ontagu." [http://darkwing.uoregon.edu/~rbear/montagu.html#Introductions]. June 1996. 2. Davidson, Cathy. Revoultion and the Word, The Rise of the Novel in America. New York: Oxford University Press, 1986. 3. Foster, Hannah Webster. The Coquette. New York: Oxford University Press, 1986. 4. Jauss, Hans Robert. Toward an Aesthetic of Reception. Minneapolis: University of Minnesota Press, 1982. 5. Moi, Toril. Sexual Textual Politics. London: Routledge, 1985. 6. Murfin, Ross C. "What is Reader-Response Criticism?" in The Scarlet Letter. Nathaniel Hawthorne. Boston: Bedford, 1991. 7. Rabinowitz, Peter J. "Johns Hopkins Guide to LIterary Theory" [http://www.press.jhu.edu/books/hopkins_guide_to_literary_theory/entries/reader-esponse_theory_and_criticism.html]. 1997. 8. Wollstonecraft, Mary. A Vindication of the Rights of Woman. New York: Penguin, 1992.

Thursday, October 24, 2019

Use Of Alfuzosin And Trial Health And Social Care Essay

Patients and Methods: A sum of 63 patients showing with a first episode of self-generated AUR related to BPH underwent exigency catheterisation and were so indiscriminately and blindly assigned to have 10 milligrams alfuzosin one time day-to-day or placebo at a ratio of 2:1 for 3 yearss. The efficaciousness standard of this survey was the rate of successful TWOC within 24 hours after catheter remotion. The influence of factors such as age, urine keeping volume, fluid ingestion, irregularity and urinary piece of land infection ( UTI ) on TWOC result was besides assessed. Acute urinary keeping ( AUR ) represents one of most important and painful events in the natural history of benign prostate hyperplasia ( BPH ) . Up to a 3rd of patients undergoing surgical intervention for BPH present with acute urinary keeping ( AUR ) . [ 1 ] Acute urinary keeping is associated with important anxiousness, uncomfortableness and patient incommodiousness. The impact on patients ‘ health-related quality of life is comparable to an onslaught of nephritic gripes. [ 2 ] The most common cause of urinary keeping is benign prostate hyperplasia. [ 3 ] Acute urinary keeping was one time considered an absolute indicant for prostatectomy but the patients ‘ desire to avoid surgery and development of successful medical direction has led to a more conservative attack normally being adopted. The attack and direction of AUR has undergone a profound alteration over the last decennary. We herein discourse the hazard factors and recent tendencies in the direction of AUR seco ndary to BPH. Between Jan. 2010 and October 2010, 63 patients with a minimal age of 51 old ages with a first episode of self-generated AUR related to BPH and a urine keeping volume of between 500 and 1,500 milliliter at catheterisation were enrolled in a randomised prospective placebo controlled survey done at Medical metropolis, Baghdad. All causes of precipitated AUR were considered as exclusion standards except irregularity and a high fluid consumption to find the specific influence of these two parametric quantities. Work force included in this survey were those older than 50 old ages presented with AUR and have residuary piss greater than 500 milliliters. Patients were excluded when they have neurogenic vesica disfunction, ague or chronic prostatitis, history of prostate and urethral surgery, known vesica rocks, urethral stenosis, coagulum keeping secondary to haematurias of any cause, residuary volume inferior to 500 milliliter or superior to 1,500ml, AUR non related to BPH, and those with o ther diseases including Parkinson ‘s disease, insulin dependant diabetes, multiple induration, stroke or myocardial infarction within the old 6 months, hepatic abnormalcies, neutropenia, nephritic inadequacy, unstable or terrible bosom failure, postural hypotension or faint, known hypersensitivity to ?-blockers, and suspected or diagnosed evolutive neoplastic disease. Patients having sympathomimetics, 5?-reductase inhibitors, tricyclic antidepressants, anticholinergics, or first coevals antihistamines were besides excluded. At admittance and after the diagnosing of AUR associated with BPH was established, urethral vesica catheterisation was performed. Patients were randomized to have 10 milligrams alfuzosin one time day-to-day or placebo with a ratio of 2 on alfuzosin to 1 on placebo harmonizing to a centrally established randomisation list. The catheter was removed after a lower limit of 2 doses of study drug and each patient received 1 extra tablet the twenty-four hours afte r catheter remotion. Catheterization clip and drained volume at catheterisation every bit good as patient demographic informations, BPH history, and general medical and surgical history were recorded. Clinical scrutiny and standard research lab trials were performed. TWOC was considered successful if the patient returned to satisfactory elimination within the first 24 hours following remotion of the urethral catheter without re-catheterization. No value of post-void residuary piss was specified. Sixty three patients enduring from first episode of AUR due to BPH were prospectively randomized into 2 groups of 42 for alfuzosin and 21 for placebo.The terminal point of the survey was the per centum of successful TWOCs. The influence on TWOC success rate by age, drained volume at catheterisation, active UTI at registration, irregularity before AUR, and unstable consumption within 24 hours before AUR was tested utilizing logistic arrested development method. The per centums of successful T WOC were compared between the groups utilizing chi -square trials. The per centum of patients who experienced at least 1 inauspicious event was lower in the alfuzosin group ( 3 of 40 or 8.4 % ) than in the placebo group ( 3 of 20 or 13.1 % ) . The most often reported event potentially related to ?-blockade in the alfuzosin group was orthostatic hypotension ( 1 of 40 patients or 2.5 % ) .DiscussionPressing prostate surgery performed for AUR consequences in greater morbidity and mortality than the same surgery performed on an elected footing. Surgical intercession in the presence of a urinary catheter can besides take to an increased hazard of sepsis. [ 4-6 ] , potentially lending to the ascertained addition in operative morbidity in this aged group. [ 7,8 ] For illustration, in the survey of Pickard et al 1,242 work forces who presented in AUR and underwent prostatectomy were at increased hazard for perioperative complications and at extra hazard for decease compared to work forces who underwent elected prostatectomy for symptoms entirely. Thus, inte rvention steps that can avoid pressing surgery or let surgical intercession on an elected footing without the presence of a urinary catheter can be considered of import in the direction of AUR. This survey demonstrates that 10 milligrams alfuzosin one time day-to-day facilitates the return to normal elimination in patients undergoing TWOC for a first episode of self-generated AUR and it is good tolerated. It besides confirms that patient age 65 old ages or older and drained volume 1,000 milliliter or greater are risk factors for TWOC failure. Nevertheless, after leting for these 2 factors alfuzosin improved the successful TWOC. Some methodological facets of the survey may foremost be considered. The Study was designed to reflect existent life criterion medical attention in footings of the intervention of work forces in AUR. Thus, the context of the survey was peculiarly hard because it involved patients seen for exigency attention, whereas most clinical surveies in the BPH field are done in the more controlled scene of an outpatient clinic. The usage of a suprapubic catheter for AUR alleviation was considered but the overpowering bulk of published articles on AUR refer chiefly to a urethral catheter for initial direction, reflecting the common usage of this device in clinical pattern. [ 9 ] Therefore, a transurethral catheter was chosen. While a suprapubic catheter confers advantages in long-run usage, the demand for increased experience, clip and disbursal for this process are non offset by such advantages in the short Term [ 10 ] Catheterization continuance may besides be discussed. In the survey the catheter was removed after 2 doses of study drug that is after 2 or 3 yearss of catheterisation. Sing the high response rate observed in the placebo group ( 35 % ) and the fact that the success rate of TWOC clearly increases with continuance of catheterisation. [ 11 ] it is possible that shorter catheterisation or even in and out catheterisation would hold been an appropriate option. However, there is presently no consensus on this point.The consequences of the current survey are consistent with those antecedently reported with other ?1-blockers [ 12-15 ] and with 5mg alfuzosin twice daily [ 16 ] in little groups of patients in AUR. In the latter double-blind, randomized survey invalidating after catheter remotion was successful in 22 of 40 patients ( 55 % ) having alfuzosin vs 12 of 41 ( 29 % ) receiving placebo. This lower placebo response ( 29 % ) may be explained by the shorter continuance of catheterisation ( less than 2 yearss ) , as discussed. Age has been shown to be an of import factor that significantly influences TWOC result. In the old survey done with 5 milligrams alfuzosin twice daily the average age of patients with successful TWOC regardless of intervention was a average 4.5 old ages younger than that in those who failed to invalidate ( p 0.015 ) . [ 16 ] In the current survey, in which no upper age bound was set in the inc lusion standards, enabling aged work forces to be included and reflecting the prevalence of AUR, the inauspicious influence of age on TWOC result was once more clearly demonstrated. However, even in aged patients ( age 65 old ages or older ) at high hazard for TWOC failure alfuzosin increased the opportunities of successful elimination compared with placebo. The current survey besides confirmed the reported inauspicious influence of big drained volume on TWOC result. [ 17 ] Nevertheless, in patients with a drained volume of 1,000 milliliter or greater who were, therefore, more likely to hold impaired detrusor map a higher per centum of successful TWOCs was observed in the alfuzosin group compared with the placebo group. Other factors normally associated with AUR, viz. irregularity, acute urinary infection and/or high fluid intake were found to hold no important influence on TWOC result. [ 18,9,10 ] The consequences of the current survey are consistent with those reported by Madhu et Al. [ 19 ] Alfuzosin was good tolerated in this population of aged and frail patients with a average age of 69 old ages who were treated in an exigency state of affairs, including 32 % and 15 % with a history of high blood pressure and ischaemic bosom disease, severally. The incidence of inauspicious events or serious inauspicious events was comparable to that of placebo. It must be recognized that, sing the earnestness of the possible mortality/morbidity associated with exigency surgery for AUR and morbidity related to long-run catheterisation, the somewhat higher incidence of postural hypotension ( 2.5 % ) reported with alfuzosin in this acute state of affairs compared with placebo is to be considered negligible.DecisionThis survey clearly demonstrates that 10 milligrams alfuzosin one time day-to-day is effectual for bettering the opportunity of successful TWOC after a first episode of self-generated BPH related AUR even in aged patients and in patients with a big drained volume who are at increased hazard for TWOC failure. There is no increased hazard of an inauspicious event. The obvious benefit is that work forces can hold the catheter removed quickly and return place without the uncomfortableness and possible morbidity associated with an in situ catheter. Furthermore, in patients necessitating BPH surgery this should lend to diminish the morbidity and mortality normally associated with an acute process.

Wednesday, October 23, 2019

Associate Level Material Essay

As part of your Research Plan, you must draft a research question for your research paper. A research question, which is more specific and focused then a general topic, is the question that you will answer in your paper. For example, if your general area of interest is Social Security, a potential research question might ask, â€Å"How might low-income families save more money under a reformed Social Security plan that includes personal retirement accounts? As you develop a research question, keep in mind that you will research sources with both supporting and different viewpoints. Do not select a narrow or one-sided issue that will limit your research; instead, develop a research question that lends itself to further exploration and debate. What is you topic or area of interest? My topic area of interest is early media exposure and the subsequent attention problems in children. In what ways is this topic appropriate for a persuasive essay? This topic is appropriate for a persuasive essay because it asks what attention problems can occur from children being exposed to media at an early age. One of the attention issues that this could entail is attention deficit disorder. What is your research question? My research question is does early exposure to television and internet relate to attention, behavior and sleep problems in children. How is your research question significant or relevant to the wider community? My research question is relevant to the wider community because the audience reading the paper would include parents, teachers, and those working with children. What background information provides the preliminary grounds for your research? The background information that provides the preliminary grounds for my research are studies I found conducted by child psychologists, and pediatricians. What are some expert or authoritative sources of information for your topic? I plan to use the graphs, and information from studies conducted from child psychologists and pediatricians within my paper to give a broader scoop of the negative and positive effects media has on children. What types of materials do you expect to review for your research paper? I expect to review books, news articles, and research materials such as graphs and chart when conducting my research on this subject. What procedures will you follow to conduct your research? I will follow the procedures of the SQ3R system, as well as APA format. I will also use webs and graphs to jot ideas and free write. What difficulties do you anticipate in conducting your research and supporting your side of the issue? The only difficulties I anticipate in conducting my research is writers block and the possible lack of valid source options as I hate to use wikipedia and blogs in any paper they simply are not credible nor appropriate for a college level paper. ï » ¿Associate Level Material Essay Statistics UCR and Self-Report Data Complete the matrix below. To complete this matrix, list two pros and two cons of Uniform Crime Report (UCR) data and two pros and two cons of self-report data. Statistical Information Pros Cons Official Information: Uniform Crime Report (UCR) According to â€Å"Uniform Crime Reporting Statistics† (n.d.), † The UCR Program collects statistics on violent crime (murder and nonnegligent manslaughter, forcible rape, robbery, and aggravated assault) and property crime (burglary, larceny-theft, and motor vehicle theft)†. â€Å"By congressional mandate, arson was added as the eighth Part I offense in 1979. Arson statistics are not available for access on this site† (â€Å"Uniform Crime Reporting Statistics†, n.d.). Valid assessments are possible only with careful study and analysis of the various unique conditions affecting each local law enforcement jurisdiction (â€Å"Uniform Crime Reporting Statistics†, n.d.). According to â€Å"Uniform Crime Reporting Statistics† (n.d.), â€Å"Until data users examine all the variables that affect crime in a town, city, county, state, region, or other jurisdiction, they can make no meaningful comparisons.† Unofficial Information: Self-Report Data â€Å"The great advantage of self-report is that it gives you the respondents’ own views directly† (Barker, Pistrang, & Elliott, 2005). â€Å"The self-report methods can be used to obtain information in situations where observational data are not normally available† (Barker, Pistrang, & Elliott, 2005). â€Å"People are not always truthful or forth coming with information during studies† (Barker, Pistrang, & Elliott, 2005). â€Å"The research participants  may not be able to provide the level of detail, or use the concepts, that the researcher is interested in† (Barker, Pistrang, & Elliott, 2005). Web Resources Identify one Web resource of official information and one Web resource of unofficial information about the occurrence of delinquency in the United States. Copy and paste the URL addresses into the spaces provided. Official Information URL of Web site: http://www.ucrdatatool.gov/ranking.cfm Name of Web site: Uniform Crime Reporting Statistics Unofficial Information URL of Web site: http://www.wiley.com/legacy/wileychi/barker/supp/excerpt.pdf Name of Web site: Self-Report Methods ï » ¿Associate Level Material Essay Plate Tectonics Worksheet Answer the lab questions for this week and summarize the lab experience using this form. Carefully read Ch. 8 of Geoscience Laboratory.   Complete this week’s lab by filling in your responses to the questions from Geoscience Laboratory. Although you are only required to respond to the questions in this worksheet, you are encouraged to answer others from the text on your own. Questions and charts are from Geoscience Laboratory, 5th ed. (p. 133-150), by T. Freeman, 2009, New York, NY: John Wiley & Sons. Reprinted with permission. Lab Questions: 8.4 Which has the greater proportion of Iron, Magnetite, or Hematite? Hematite 8.7 When the reverse switch of a drill is thrown the drill rotates in the opposite direction. How does that affect the drill’s circuitry? The flow of electricity produces a magnetic field and a loop of wire within a magnetic field produces a flow of electricity, when the switch is thrown it reverses the magnetic field making drill spin in the direction of the current flow. .9 Name the 2 other spheres. 8.11 As Columbus’s fleet sailed westward the discrepancy between magnetic north and celestial north changed. Did it increase of decrease? Decreased, North magnetic pole deviates approximately 11 percent from the geographic pole. 8.12 Explain the difference in the orientations of the inclined compass needles in figure 8.18. Toward which cardinal direction is the observer facing? The needle of the compass dips downward in the northern hemisphere and upward in the southern hemisphere. 8.16 During which of these 5 geologic periods were Europe and North America most different in their positions with Earth’s magnetic field? Triassic 8.17 Place the 3 kinds of reefs in figure 8.26 in their order of succession from oldest first to youngest last. Fringing reefs are the oldest, the next oldest would be the barrier reefs, and the youngest reefs are the atoll. 8.18 What explains the shrinking of ocean crust as the crust moves away from volcanoes? As the ocean crust moves away from the volcanoes the shrink because there is lower temperatures. Once the volcanoes form them they begin moving away downward. 8.20 Does it appear in figure 8.29 that the reversals in Earth’s magnetic field are separated in equal periods of time, or are they random in their occurrences? They are random in their occurrences because for example, some periods they reversed 3 times, while in other periods they did not reverse at all. 8.21 What were the three observations that Vine and Mathews made about the stripes? 1. Directional trends- stripes tend to change all on the same direction. 2. Order of the color coding on sides of the ridges- the order of the colors on the side of the ridges corresponds to the color on the sea floor. 3. Widths of stripes compared to the duration of stripes-the wider the stripes are the longer the stripes lived. 8.25 Why doesn’t the South American plate descend beneath the Nazca plate? The Nazca plate is denser than the South American plate. 8.26 How many years will it be until Los Angeles and San Francisco are side by side? Approximately in 12.5 million years 8.27 What is the average rate of northward movement of India during the past 71 million years (in centimeters per year)? 15/71= approximately 2.12 cm per year 8.28 In centimeters per year, calculate the rate at which the Pacific plate is moving northwestern to the hotspot (which is marked by present day volcanoes). 50/5= 10 centimeters per year 8.30 Describe the direction of movement of the Pacific plate during the development of the volcanic islands that comprise the Seamounts. How has that direction changed? During the development of volcanic islands, the pacific plates used to move more northward, but due to the bend in the seamounts caused the plates to shift its movement more on the northwest direction. Lab Summary: Address the following in a 200-300 word summary: Summarize the general principles and purpose of the lab. Explain how this lab helped you better understand the topics and concepts addressed this week. Describe what you found challenging about this lab. Describe what you found interesting about this lab. Write your summary here: This lab was very informative about plate tectonics I learn quite a bit of new information during this study. There were a few thing that I can remember studying during high school, such as continental drift and how continents formed from one single land mass called Pangaea. One thing that I found challenging was about the earth’s magnetic fields, I have never know how magnetic field could ever change. And during this lab I saw that it did not change once but multiple times throughout the years, I even had problems answering a few lab questions about the magnetic field. I also found this topic to be a little challenging, but also very interesting to learn about. Another interesting thing I learned about in this lab was about how a compass can have discrepancy between the magnetic north and the celestial north. As the book says, this discrepancy made some members of the Columbus fleet gave up on their journey because they thought it was a sign. The thing I found to be interesting was how to calculate movement of the tectonic plates. Once again I really enjoyed this section of labs and look forward to the next set of lab assignments. ï » ¿Associate Level Material Essay Generate a list of at least 10 of President Jefferson’s decisions and actions. Decide which party’s ideals are most aligned with the decision or action and provide an explanation of why the decision or action aligns with that party. Decisions and Actions Democratic-Republican Party’s Beliefs and Ideals Federalist Party’s Beliefs and Ideals The Size of the government was reduced The decision was supported by Democratic and Republican as they wanted a smaller government Federalist didn’t support his decision as they wanted a larger and more stronger government Louisiana Purchase Allowed them to lighten their grip on the nation so they were not opposed. Strongly opposed the purchase, favoring close relations with Britain over closer lies to Napoleon, and were concerned that the US had paid a large sum of money just to declare war on Spain Lewis and Clark Expedition Through this would establish relationships with the natives. Wanted to learn more about the Natives in the west. Felt that exploring what was to the west of them would ruin what they had established in the east. The Embargo Act 1807 To Force Britain to reconsider on the American trade by prohibiting their goods from being shipped Was to stop all trade during Jefferson’s second term. Abolition of slave trade It opposed to the political power of slavery rather than slavery itself Wanted to continue slave trade. Military academy established Opposed federalist polices if high tariffs, a navy, military spending, national debt and banking Resources to explore and expand Less Formality Form of dress code. They stood for the less wealthy Believed in keeping an elegance in the white house and worn a more formal attire. The Legality of Partisanship Want to reassess the judges. The senate refused to convict federalist judge Repealed many taxes and reduced the number of federal employees Lined up with their beliefs for a small, weak government. Were in favor of taxation. Land Policies Made the Parcels smaller and more affordable, and allowed for payment over time, rather than a large lump sum Were not in favor of the payment plan Expanding the Agrarian Republic Western expansion was favored Did no want to expand the land Alliance with France Was in favor of this Alliance with France Wanted to work with the British Repelled the judiciary Act of 1801 They were all for it Jefferson had dismissed many federalist and judges so they were against it. Part 2: Response Write a 350-word response to the following question: How â€Å"Jeffersonian† was Thomas Jefferson as president? Jefferson doesn’t fit neatly into the label â€Å"Jeffersonian†. Jefferson’s commitment to the separation of church and state, his â€Å"Virginia Act for Establishing Religious Freedom,† adopted in 1786, barred government from taxing to fund churches. As president, he wrote that he respected the First Amendment’s â€Å"wall of separation between church and state.† Yet he allowed and attended religious services in the U.S. Capitol and used federal funds to finance Christian missions to Native American nations. Jefferson hoped that converting Indians would induce them to embrace private property and live like their white neighbors. Jefferson’s embrace of strict construction, or limiting the federal government to powers explicitly granted by the Constitution, also masks contradictions. When in 1803 Jefferson learned that the United States could buy the Louisiana Territory from France for $15 million, at first he thought that a constitutional amendment would be needed to authorize the treaty. But instead, he directed American diplomats to make the deal without an amendment. Jefferson argued that he held the presidency in trust for the American people. Like any trustee, he could use his powers creatively for their benefit. If they approved of what he did, even if it seemed to violate the Constitution, they could reelect him. Jefferson’s ownership of slaves also collides with the democratic spirit that â€Å"Jeffersonian† implies. The man who wrote in the Declaration of Independence that â€Å"all men are created equal† owned slaves all his life. His 1787 book â€Å"Notes on the State of Virginia† displays the discord over slavery that bedeviled him. In one chapter, he insisted that slavery was a dreadful wrong and that, in a contest between rebelling slaves and their masters, â€Å"the Almighty has no attribute which could take sides with us.† In another, he suggested â€Å"as a suspicion only† that people of African descent were inferior to people of European descent, and that this inferiority might explain and even partly justify slavery. His friend James Madison explained that, like â€Å"others of great genius,† Jefferson had a habit â€Å"of expressing in strong and round terms, impressions of the moment.† The third president’s closest political ally, Madison learned the hard way to take Jefferson’s inconsistencies in stride. Posterity ought to do the same, as expecting perfect consistency from imperfect human beings will always result in disappointment and cynicism. Instead of bowing down before Jefferson, we should have the courage to look him in the eye.

Tuesday, October 22, 2019

Richard the Lion Hearted essays

Richard the Lion Hearted essays Greek Mythology played a very key role in the lives of the Greeks. Through the many legends about the gods, the Greeks were able to find reasons for all the laws of nature in a supernatural form. These legends were passed down from generation to generation until the spread of Christianity. On top of giving the Greeks reasons for natures action, their religion also gave them a faith that thing were going to be okay, which is something that all humans crave. The Greeks had 13 major gods. They often used these gods in their myths and prayed to them for particular needs. The head of the gods was Zeus who was also the god of the sky. Whenever Zeus spoke, he was listened to and his word was always final. Zeus had two brothers, Poseidon and Hades. The three brothers drew straws to decide who would control the skies, who would control the seas, and who would control the underworld. Zeus gained control over the skies and became king of the gods. Zeus used his mighty thunderbolts to punish all those who disobeyed him. Zeus married Hera, making her the queen of the gods. The sky god was extremely unfaithful to his wife and slept with women from queens all the way down to peasants. Since Zeus was king of the gods Hera could rarely force Zeus to do any penance, so she took out her wrath on the women Zeus slept with. Zeuss symbols were thunderbolts and eagles. When the three brothers drew straws to determine what area they would control Poseidon got the sea. His wife was Amphritrite who was a Nereid. Like Zeus, Poseidon was not very faithful to his spouse and had many affairs with the nymphs. Poseidon fathered several children who were extremely cruel and wild. Among his children were Orion the giant and the Polyphemus Cyclops. In art, Poseidon is generally featured holding a trident and accompanied by a dolphin. Also, Poseidon was said to have created many animals. He accidentally created such animals as the zebras while perf...

Monday, October 21, 2019

Chicken Flight essays

Chicken Flight essays A chickens wing size in proportion to its body is very small compared to other birds. Supporting this idea is the evidence found in the lab measurements that were made last week: the chickens leg alone weighed approximately 215 g, where as a single wing weighed only 72 g. If the weight of a chicken is estimated and compared to the wing, then it is evident that a wing with so little muscle and mass could not support the massive weight of the chicken. Chickens also cant fly because of heart complications. The heart is essential to flight because it provides oxygen to the muscles that will be used. When one has a small heart in comparison with their body, movement must be minimized as to not strain the heart.. The proportion of heart size to body mass is naturally larger in birds (.8%) than in mammals (.6%) because of the endurance the heart needs to fly. Although similarities do exist, the chickens heart is much different than that of the Humans. Chickens have a very high metabolic rate where as humans have a medium one. A chickens heart can beat up to 300 beats per minute. The kind of muscle present in the wings of the chicken is also a major factor in their lack of ability to fly. White meat signifies the absence of major exercise, while dark meat shows constant exercise. In the domesticated chicken, which mostly sits and walks around, the dark meet is found in the leg and thigh area, whereas the white meat is in the wings (Lab). The absence of dark meat in the wing area is another indicator that chickens lack the necessities to fly because they are deficient in the muscles they need. ...

Sunday, October 20, 2019

7 steps to rock your face-to-face interview

7 steps to rock your face-to-face interview It’s time for your in-person interview. Maybe you’re here after acing an initial phone interview, or maybe you just skipped straight to this stage. You have a suit cleaned and pressed, copies of your resume ready in a folder, and dreams of new business cards dancing in your head. Here are the steps you should take in order to impress your interviewer enough so you keep progressing through the hiring process. 1. Know your stuff backwards and forwards.â€Å"Do your homework† and â€Å"be prepared† should already be catch phrases burned into your brain. You should be digging deep into industry research, looking for information about the company, its competitors, and anything currently or imminently relevant in the field. Scope out some current employees on LinkedIn. Learn everything you can so you can go in and dazzle them.2. Anticipate problems you’ll be asked to solve.Set yourself apart from the crowd by making sure to brainstorm solutions to the emp loyer’s problems before the interview. The open position is probably focused on one section of the company. Have ideas ready to describe how you will help solve issues specific to the department that is hiring. Show the value of what you bring to the table- in concrete terms. Make your interview not about you personally, but about what you can do for this employer.3. Get the intel on your interviewer.Figure out who you are meeting with in advance and study up. If you’re meeting with a rep from human resources and not the person you’ll work for, prepare to tone down the lingo and industry language you would use if a company manager were interviewing you. Pitch yourself the same way (super qualified, motivated, and a great fit), but tailor your presentation to the audience.4. Build a relationship.Establish a rapport by treating your interview like a conversation. Ask questions. Answer redundant questions as though you’d never heard them before. Find a way t o let your interviewer talk about themselves or the company; it will ease your nerves and also get them to open up a bit. Remember to listen and engage- conversation is a two-way street. Being interested can often be  more important than being interesting.5. Have stories ready.Anecdotes are great illustrations to the dry bullet points of your resume. For everything positive you’re going to say about yourself, be prepared to have an anecdote to illustrate and back it up. Describe specific actions and solutions you took in tricky situations. Paint a picture of just how clutch you are under pressure.6. Show how much you want the gig.It never hurts to show your enthusiasm for the job, the industry, or the company. Don’t be so enthusiastic that you bubble over and talk through every silence with your nervousness, but do express how excited you feel about the opportunity and the potential privilege of working there.7. Strive to impress in everything you do.Make an impact f rom the second you walk in the door: this includes being punctual and dressing like a grown-up professional. Mind your body language- watch the fidgeting- and shake hands with confidence. When you look and act the part, you’ll already be at such an advantage that the rest of it will come quite easily.

Saturday, October 19, 2019

Feminism Essay Example | Topics and Well Written Essays - 500 words - 5

Feminism - Essay Example The reason that female oppression goes unnoticed among many in the community is the fact that women are not actually a minority group which makes it hard for many people to view it as a major issue. A number of feminist factions have come up over the years fighting to safeguard women on the same opportunities and privileges as men in the society. Such include women being paid the same wage as men for the same job done, women having a say in the policies passed by the government and gives women an opportunity to expand their businesses and careers to levels they never could in the past. Feminism movements have received both the negative and positive reactions depending on the social context and the nature of the individuals themselves. These reactions range from anti-feminists to male chauvinists to pro-feminists. To most people’s surprise, there are men who have recently come out recently fighting for equal rights for men in their family, divorce settlements and in the anti-discrimination law. According to Emma Watson, most people view feminists to be â€Å"†¦too strong, too aggressive, isolating, anti-men and, unattractive.† (United Nations, Para 2). This is often how men who are against the idea of female and man equality often perceive the notion. Recently, campaigns such as Women Against Feminism have come about which portray women fighting for equality to be man-hating. However, this is not the case. The main aim of the feminism movements that are underway all aim at ensuring that women get the same opportunity as men in the community. A number of feminist writers are in pact that pinpointing oneself as a feminist is a strong stand that any man in the community can take against the fight over sexism. It is important that men be given an opportunity to join the movement for feminism, which is the strategy that the UN is currently trying to incorporate in their recent campaign HeForShe, which purposes at

Friday, October 18, 2019

Enterprise Architecture and its evolution Essay Example | Topics and Well Written Essays - 500 words

Enterprise Architecture and its evolution - Essay Example n enterprise communicates with the other stakeholders regarding the future of the business in terms of the integrating various business perspectives offered by the stakeholders to the technical aspects of the business that will see advance in future (Giachetti, 2010). Enterprise Architecture caters for the relationship between the people within an organization, the processes involved, the enterprise technology and information, and how all these relates to the external business environment (Giachetti, 2010). Therefore, EA is a very important component for any business that wishes to advance and transform into an effective enterprise. It embarks on addressing the challenges that a business entity is facing and how such challenges can be overcome, through the provision of a mode of governance to implement and provide holistic solutions to the existing as well as potential future problems (Giachetti, 2010). Enterprise Architecture therefore indicates the desired future state of a business entity, while guiding the enterprise through the process of achieving its desired state. This sees a business move from its present simple system to advanced data and information structures that reinforce the business performance and competitive ability. This way, EA serves to enhance the efficiency and effectiveness of a business (Giachetti, 2010). It is through EA that business structures are centralized, while the processes and the flow of information is streamlined to incorporate timeliness and accuracy. This way, running and management of business activities becomes an easier and successful event. The greatest advantage of EA is the fact that it indicates the desired future business state and then establishes the intermediate steps that will be undertaken to as to realize this state (Giachetti, 2010). The evolution of Enterprise Architecture can be traced to the 1990s, where the need to address the issues of complex business systems arose. It is during this period that

International experiences for Utilization of Solar Energy For Thermal Research Paper

International experiences for Utilization of Solar Energy For Thermal Desalination - Research Paper Example Therefore, there has been a considerable interest in the use of renewable or alternative energy sources to meet the demands of the industry (Eltawil, Zhengming, and Yuan 2009: 2245), since the supply of these renewable forms is potentially unlimited and the generation of energy is almost completely clean. That, and given their low cost of maintenance (Eltawil, Zhengming, and Yuan 2009: 2245), such energy sources, especially the harvesting of solar energy, has been getting much attention lately. The ultimate use of solar energy is for the desalination of brackish water in order to produce and supply WHO approved drinkable water to areas that are almost deprived of fresh water resources (Eltawil, Zhengming, and Yuan 2009: 2246). Water is the fundamental need of humanity, and a fundamental requirement for the functioning of industry and society. However, the overwhelming ratio of water is in the form of seawater or other forms of brackish water; it is estimated that only 3% if water is available as fresh water, and out of that, less than 1% is accessible (Eltawil, Zhengming, and Yuan 2009: 2246). ... Already, over a billion of the world’s population has no access to fresh water, and the demand is likely to increase by 40% of the present amount (Eltawil, Zhengming, and Yuan 2009: 2246). In light of these statistics, it has become imperative that new avenues be explored that should provide with an easy, cheap and clean method of fresh water production. To that end, the utilisation of solar energy is the most effective. This paper analyses three methods of harbouring this technology, namely Multi-effect distillation or MED, Multistage Flash Distillation or MSF, and Reverse Osmosis, the distribution for which is given below. Fig. 1: â€Å"Distribution of renewable energy powered desalination technologies† (Eltawil, Zhengming, and Yuan 2009: 2248). It explores which of these methods is the most efficient and cost-effective. It will start with a discussion of each of these methods, as follows, followed by a study of advantages of MED over the other methods. Multi-effect d istillation, or MED, is the most common and the oldest of all the techniques used for freshwater desalination (Bruggen 2003: 7). It harnesses the concept of evaporation-condensation, in that steam obtained from brackish water by evaporation is allowed to condense at a low temperature and pressure, and the heat thus given off is utilised to evaporate more water from the brine (Bruggen 2003: 7). The water produced upon condensation of steam is collected as non-saline fresh water; the ultimate goal of the set up. It is obvious that initially some energy from an external source would be needed in order to produce steam and start the cycle; the rest of the steps in the cycle are

Thursday, October 17, 2019

Caring for Populations Part 1 Essay Example | Topics and Well Written Essays - 1000 words

Caring for Populations Part 1 - Essay Example Basically, nursing is concerned with human health and since the community has become a setting for constant illness, it has become the duty of a nurse to work for the well being of the community. Community Health Nursing refers to nursing outside hospitals or such institutions. It can be perceived as â€Å"nursing without walls† (Clemen-Stone et al., 2002, p. 31). Nurses in the community are in a position to work towards helping the families and population of unfamiliar and remote areas by making ethical and valued decisions. The US population, apart from showing a trend of increase, is also becoming more diverse. Thus, the need for a change in the healthcare system in this country is imperative because a large number of communicable diseases including HIV/AIDS are prevalent among the population, especially young adults. Therefore, there is an urgent need for health care authorities, local bodies as well as citizens to focus on the causes and effects of such health problems in young adults and design suitable preventive measures through Community Health Nursing. The young adult population has become a group that carries a set of problems and they have been identified as undergoing a decline in moral values as they are pleasure seekers, which result in the transmission of diseases due to unsafe sexual activities and drug usage. This issue is universal and the respective communities cannot absolve themselves from the responsibility for this. Many of the youngsters in age group of 10-29 are identified as unhealthy. About one third of this community is also obese or overweight. Most of the males in this category smoke and another major part of them drink. On the other hand, females become victims of teenage pregnancy and transmission of infectious diseases. Studies have proved that many of the young people, especially the minor groups, ail health problems because they fear to seek healthcare and they do not have much knowledge about the health services avail able. They are the group who are badly affected by HIV/AIDS. Female includes a large share of HIV/AIDS cases among teens than the other adults. This clearly indicates a lack of community involvement in healthcare of population, and a nurse has to play a key role in this environment by creating awareness in the local population about the gravity of the situation and by creating awareness in the community about the significance of preventing diseases. Studies also reveal that 1% to 5% of suicide prevails among adolescents and young adults. The tendency to commit suicide in the population derives from depression and lack of motivation or a sense of life. Thus, the community, including parents has a vital role to play in showing the right direction to the young generation and ensuring their physical as well as mental well being. A community based approach will be of immense help for the prevention of such youth suicides and providing them proper mental health. Female students have been found to be comparatively more likely than male students to have thought about committing suicide and have planned to commit suicide. There are also cases of suicide which requires medical attention. Community health nursing can provide counseling for such individuals and assure them the support to and create awareness in them about the relevance of social life and instill in them a sense of the worth of living a good life. The Youth Risk

Although some people feel airport security infringes on our privacy, Research Paper

Although some people feel airport security infringes on our privacy, It is necessary in order to keep our country and everyone that flies safe - Research Paper Example Any loophole on the part of airport security may lead to security threat to passengers. Although some people feel airport security infringes on our privacy, it is necessary in order to keep our country and everyone that flies safe. The intention of this paper is to identify the need for security in airports. Arguments for security check at the airport indicate that security checks prevent air terrorism attack (Schneier). The September 11 terrorist attack was a great lesson for the need of tight security at the airport. Analysts argue that proper security screening at the airport prevent passengers with harmful intentions from executing their plans. Some people do not intend to travel, but to blow airplanes. Security check prevents such individuals from bordering planes carrying their weapons of mass destruction. Before the September 11 terror attack, many passengers could carry some weapons. It is quite hard to read what is in the human mind. It is important to take precaution by observing security measures in order to avoid issues of security or terror threats. Terrorists usually look for slightest security weakness in order to execute their terror attack. Research on airport security revealed that the cost of preventing security attack is quite cheaper than the cost of security damage . Airport security seeks to protect facilities serving in the aviation industry and the aircraft against unlawful acts (Bajoria). Aviation facilities costs million of dollars thus they require protection from destruction. Mounting a security check at the airport is the only secure way of preventing individuals with ill intentions from carrying out their plans. When individuals with ill intentions get an opportunity to blow an aircraft, the aircraft company would lose its property and workers. This would be harmful to the economy of the country. Aviation industry contributes to the economy through provision of employment, taxes, promotion of trade among others. For a country

Wednesday, October 16, 2019

Caring for Populations Part 1 Essay Example | Topics and Well Written Essays - 1000 words

Caring for Populations Part 1 - Essay Example Basically, nursing is concerned with human health and since the community has become a setting for constant illness, it has become the duty of a nurse to work for the well being of the community. Community Health Nursing refers to nursing outside hospitals or such institutions. It can be perceived as â€Å"nursing without walls† (Clemen-Stone et al., 2002, p. 31). Nurses in the community are in a position to work towards helping the families and population of unfamiliar and remote areas by making ethical and valued decisions. The US population, apart from showing a trend of increase, is also becoming more diverse. Thus, the need for a change in the healthcare system in this country is imperative because a large number of communicable diseases including HIV/AIDS are prevalent among the population, especially young adults. Therefore, there is an urgent need for health care authorities, local bodies as well as citizens to focus on the causes and effects of such health problems in young adults and design suitable preventive measures through Community Health Nursing. The young adult population has become a group that carries a set of problems and they have been identified as undergoing a decline in moral values as they are pleasure seekers, which result in the transmission of diseases due to unsafe sexual activities and drug usage. This issue is universal and the respective communities cannot absolve themselves from the responsibility for this. Many of the youngsters in age group of 10-29 are identified as unhealthy. About one third of this community is also obese or overweight. Most of the males in this category smoke and another major part of them drink. On the other hand, females become victims of teenage pregnancy and transmission of infectious diseases. Studies have proved that many of the young people, especially the minor groups, ail health problems because they fear to seek healthcare and they do not have much knowledge about the health services avail able. They are the group who are badly affected by HIV/AIDS. Female includes a large share of HIV/AIDS cases among teens than the other adults. This clearly indicates a lack of community involvement in healthcare of population, and a nurse has to play a key role in this environment by creating awareness in the local population about the gravity of the situation and by creating awareness in the community about the significance of preventing diseases. Studies also reveal that 1% to 5% of suicide prevails among adolescents and young adults. The tendency to commit suicide in the population derives from depression and lack of motivation or a sense of life. Thus, the community, including parents has a vital role to play in showing the right direction to the young generation and ensuring their physical as well as mental well being. A community based approach will be of immense help for the prevention of such youth suicides and providing them proper mental health. Female students have been found to be comparatively more likely than male students to have thought about committing suicide and have planned to commit suicide. There are also cases of suicide which requires medical attention. Community health nursing can provide counseling for such individuals and assure them the support to and create awareness in them about the relevance of social life and instill in them a sense of the worth of living a good life. The Youth Risk

Tuesday, October 15, 2019

Masking Poor Communication Essay Example | Topics and Well Written Essays - 500 words

Masking Poor Communication - Essay Example I remember the time when I told my husband that it would be nice to go on a vacation during the Christmas break. On my mind however, we cannot afford the vacation yet because of some bills which we still have to pay. Unfortunately, my husband thought that I was making a hint for him to plan a vacation. I assumed that he understood that it was just a thought and did not require a plan of action. On his end, he assumed that I was asking him to schedule one. What happened is we had to go ahead with the vacation since the booking was made already but of course, I felt it was an unnecessary expense. The good thing though is that we both enjoyed our time together. But miscommunication does not always have a happy ending. Some of our miscommunication experiences are sometimes quite frustrating. To try to resolve this problem of miscommunication and to make sure that it will be minimized in the future, it is important that I do not assume that I understand or my partner understands (Thompson , n.d.). I should confirm what I heard by repeating what the other person said. If for example, my partner told me that we will meet at the corner coffee shop at 9:00 am, I will confirm by repeating and saying, â€Å"We will meet at the corner coffee shop at 9:00 am.† The implicit rule is to double check with each other (Thompson, n.d.).

Monday, October 14, 2019

Adolescence and Clothes Essay Example for Free

Adolescence and Clothes Essay Good afternoon, today I will try to express my opinion about this statement „You can tell a great deal about people from the clothes they wearâ€Å". And I will speak about which age group of people care most about their looks, how important is fashion for me and what is advantages and disadvantages of wearing a school unifrom. I agree with this statement , because you can get to know a lot of about people from they clothes. For example if man wear formal clothes I can make and overall opinion about him. He is formal, intelligent elegant and taking care of himself. If I would saw someone at work with dirty and tear clothes of course I would think about him not so good. I think teenager are the group of people who care most about their looks.Teenagers believe their looks are the key to a good relationship and it will help become popular at the scholl. But When theyre older, theyll realize it doesnt work like that. Fashion helps to express themselves and also provides teenagers a sense of identity by signaling which grouping they belong to (emo punk, goth, etc.) And in my opinion Celebrities perhaps are the greatest influences on teenagers in the modern world, and they can have a huge impact on a teens ideas about fashion and its importance. Fashion isnt important to me at all. I dont care about having the newest, the most trendy, or the best label for anything. To me, being trendy is not expressing yourself, it is merely following the crowd and trying to fit in. I just prefer to be myself.And I wear what I like. I study at gymnasium so we wear school unifrom. I think school uniform have advantages and disadvantages. Here are some advantages : 1. People automatically respect you Whenever wed go on fieldtrips, people comment on how professional and nice we looked 2. Everyone looks exactly the same You dont have to worry about not wearing the right thing. And some disadvantages : 1.Its annoying wearing the same thing as everyone else 2. You wear it everyday, all day it‘s just become boring . And lack of Variety To sum up everyone should wear clothes which they like and feel good with.These clothes will show the real you. Because other people can tell a great deal about you from the clothes you wear.

Sunday, October 13, 2019

Methods of Refrigeration: Literature Review

Methods of Refrigeration: Literature Review REVIEW OF LITERATURE 2.1 Introduction In study of applied thermo dynamics all the while we have been observing heat transfer from a system at higher temperature to that at lower temperature. Now in the study of refrigeration we will be observing various methods of cooling the objects and maintaining the temperature of bodies at values lower than surrounding temperature. According to American society of Heating, Refrigeration and Air-conditioning Engineers (ASHARE) â€Å"Refrigeration is the science of providing and maintaining temperature below that of the surrounding (ambient) temperature†. In the olden days around 2500 years B.C. Indians, Egyptians, etc., were producing ice by keeping water in the porous posts open to cold atmosphere during the night period. The evaporation of water in almost cool dry air accompanied with recitative heat transfer in the clear night caused the formation of ice even when the ambient temperature was above the freezing temperature. Further references are available which support the use of ice in China 1000 years BC. Nero, the emperor, was using ice for cooling beverages. Further, the East Indians were able to produce refrigeration by dissolving salt in water as early as 4th century A.D., of course, on very small scale. The use of evaporative cooling is another application of refrigeration used olden days. The cooling of water in earthen pots for drinking purpose; is the most common example where the evaporation for water through the pores of earthen pot is accompanied with cooling of water. The fore said methods of the production of cooling were not feasible for the commercial use due to very small amount of ice production. Availability of natural ice in limited regions and unavailability of good quality insulation confined the application of ice to those localities only. These all led to the development of artificial refrigeration side, a few would be presented here. Thomas Harris and John Long got the earliest British parent in 1790. Later on in 1834 Jacob Perkins developed hand operated refrigeration system using ether (volatile) as the working fluid. Ether vapor is sucked by the hand-operated compressor and then high temperature and pressure either vapor is condensed in the water cooled chamber (condenser). Liquid ether is finally throttled to the lower pressure, and thus evaporation of this liquid in chamber A lowers the temperature of water surrounding the vessel. Finally ice is formed. In this system, ether is used again and again in the cyclic process with negli gible wastage. In 1851, Dr. John Garrie of Florida, a physician obtained the first American patent of a cold air machine to produce ice in order to cure people suffering from the high fever. Instead of air or ether, sulphuric ether was used by Dr. James Harrison of Australia in 1860, the world’s first installation of refrigeration machine for brewery. The steam engine works as a power source which drives the compressor for the pressurization of sulphuric ether vapor, which is, in turn, condensed and is allowed to expand and evaporate in order to produce refrigeration. Dr. Alexander Kirk of England constructed a cold air machine is 1861 similar to that of Dr. Gorrie. The air was compressed by a reciprocating compressor driven by a steam engine running on coal. His actual machine consumed about 1 kg of coal to produce 4 kg of ice (approximately). In the 19th century, there was tremendous development of refrigeration systems to replace natural ice by artificial ice producing machines. Unfortunately steam engine, a very low speed power developing source, was used to drive the compressor, rendering very poor performance of the refrigeration system. Some Recent Advancements of in Refrigeration In the beginning of 20th century, large sized refrigeration machines were under progress. By 1904 about 450 ton cooling system for air conditioning the New York Stock Exchange was installed. In Germany people used air conditioning in theatre for comfort purposes. In around 1911 the compressor speed was raised between 100 to 300 rpm. The first two-stage modem compressor was brought under use in 1915. During the civil war there was an acute shortage of the supply of natural ice from the north. Hence, Ferdinand Care of the USA developed vapour-absorption refrigeration system ammonia as a refrigerant and water as a absorbent. The system consists of an evaporator, an absorber, a pump, a generator, a condenser and an expansion device. The evaporated vapor is absorbed by the weak ammonia-water mixture in the absorber yielding strong aqua ammonia. The pump delivers this strong solution into the generator where heat transfer from a burner separates ammonia vapor and the weak ammonia water returns to the absorber. On the other hand the ammonia vapor condenses in the condenser before being throttled. The throttled ammonia liquid enters the evaporator resulting in completion of the cyclic process. In the beginning of two decades of the twentieth century, the development in refrigeration system was confined to refinement in cold air machines and vapor compression thermoelectric, pulse tube refrigeration systems, etc. The developments are vortex tube, steam-jet refrigeration system, availability of materials of specific properties for thermoelectric materials. The possible use of waste heat or solar energy in case of vapor-absorption and thermoelectric systems has led to development of several commercial units these days especially due to the like hood of future energy crisis, the world is going to face. A condenser is a heat exchanger is which de-superheating of high temperature vapor changes the phase from vapor to liquid and sub cooling of condensate occurs. The condenser is an important device used in the high pressure side of a refrigeration system. Its function is to remove heat of hot vapor refrigerant discharged from the compressor. The hot vapor refrigerant consists of the heat absorbed by the evaporator and the heat of compression added by the mechanical energy of the compressor motor. The heat from the hot vapor refrigerant in a condenser is removed first by transferring it to the walls of the condenser tubes and then from the tubes to the condensing or cooling medium. The cooling medium may be air or water or a combination of the two. An air cooled condenser is one in which the removal of heat is done by air. It consists of steel or copper tubing through which the refrigerant flows. The size of tube usually ranges from 6mm to 18mm outside diameter, depending upon the size of the condenser. Generally copper tubes are used because of its excellent heat transfer ability. The condensers with steel tubes are used in ammonia refrigerating systems. Majority of the domestic refrigerators uses the natural convection air cooled condenser. The present work refrigerator uses the natural convection air cooled condenser. In natural convection air cooled condenser, the heat transfer from the condenser coils to the air is by natural convection. As the air comes in contact with the warm condenser tubes, it absorbs heat from the refrigerant and thus the temperature of air increases. The warm air being lighter, rises up and cold air from below rises to take away the heat from the condenser. This cycle continues in natural convection air cooled condensers. This work is an experimental approach to increase the heat to be rejected in the condenser as well as increase the performance of the system. If the condenser is having more fins spacing then the number of fins avail able at the condenser are less. Due to this surface area decreases. Therefore less heat transfer occurs. On the other hand if the condenser is having less fins spacing then the number of fins available at the Condensers are more. Therefore more heat rejection takes place in the condenser. Because of more heat rejection sub cooling occurs at the exit of the condenser which in turn increases the performance of the system. Decreasing energy consumption and increasing efficiency is one of the most important points in our era. Becoming a matter of primary importance in air conditioning, industrial and commercial cooling applications, supermarket cooling, blast freezing and process cooling applications, energy efficiency affects design of chillers (and its equipment such as condensers, compressors etc.) and urges manufacturers to develop high performance, energy-efficient, environment friendly, economic, and long life products. Becoming a matter of primary importance in air conditioning, industrial cooling, supermarket cooling, commercial cooling, blast freezing and process cooling applications, etc., energy efficiency affects the design of chillers that account for a significant ratio of the energy consumption in plants. Legal legislations that for the short run limit, and in the long run prohibit the use of fluids of high global warming potential, that are detrimental to the ozone layer are also influential on designs. Since air cooled condensers are among the essential components of cooling groups, efforts to improve their energy efficiency are made incessantly, the related national and international standards are upgraded and limitations on their energy consumptions are always increasing. Our statement will convey –in the light of the latest applicable standards- detailed and comparative information on applications aimed at improving the energy efficiency in air cooled condensers, highlighting the importance of energy efficiency in cooling installations. 2.2 The effect of condensation temperature on capacity The condensation temperature of the refrigerant is considered to be 6 °C – 20 °C above air inlet temperature for general purposes. The condensation temperature varies according to the ambient temperature in which the system will operate. This said, the condensation temperature for applications is commonly taken as 30-60 °C. Factors taken into consideration for determining the condensation temperature Ambient temperature, Thermo physical properties of the refrigerant, Properties of the selected compressor and The dimensions of the condenser. While providing the nominal condenser capacity in condensers as per the Euro vent Standard, the air inlet temperature and condensation temperature are taken as 25 °C and 40 °C respectively. In other words, T = 15  °C. A low value should be selected for the temperature differential T, in places of high ambient temperature. For instance, while designing for the conditions of Antalya the T value should be selected within the range of 7 ° 10 ° C. For systems that will operate in outdoor environments in conditions of Turkey, the temperature differential should be lowered as one goes from the north to the south and selections should be made accordingly. It must always be considered that High Compression Temperature creates a load on the compressor that reduces efficiency and shortens its useful life. It will be quite beneficial in the design for the condensation temperature to be specified as low as possible. However, in some conditions it is not possible to take a low value for the condensation temperature. For example in Middle East countries where the outdoor temperature is 50 °C-55 °C, high condenser temperature is unavoidable. The following example shows the compressor absorbed power at various condensation temperatures and the achieved cooling capacities for a semi-hermetic type HGX4/555-4 model compressor manufactured by BOCK, which uses R134A gas. The cooling gas selected for the example is R134A. As seen from the table, when the condensation temperature rises from 30 °C to 60 °C, the compressor draws 25% more power while the cooling capacity drops by 38.5%, the COP value decreases by 51% and the a unit that is 38.5% larger must be used to achieve the cooling capacity declared in the design. 2.3 Tried and True for Millennia Copper tubing has been in use by civilization for thousands of years, and it has been found present in the water lines of Ancient Egypt. Modern-day houses having copper pipes installed 70 years ago are still working well in the present day and require far less to fix and modify than alternative methods. Should you choose copper, you will have very little maintenance, whereas even stainless steel begins to rust over time, especially if it is not painted or coated. There are a great variety of uses for copper tubing. If you invest a high degree into copper, you may be able to easily reclaim your investment with high rates of return for reuse and recycling for example. Copper is a fantastic renewable resource because it is easily recycled. Beneficial Qualities of Copper Tubing Proven Longevity Comparably Lightweight Resistant to Corrosion Can Be Formed to Shape Largely Nontoxic and Non Carcinogenic 2.4 Copper Condenser Coils Condensers are one of the prominent uses of copper tubing. Changing gases into liquids occur at appropriate temperature dew point. Coppers fantastic heat transfer rates are one of the best choices for achieving this goal, exceeding other heat transfer tubing materials (such as aluminum in this case) by nearly 800% while maintaining a strong, lightweight structure. Having a higher heat transfer rate renders less total material necessary for a given space, allowing for more compact, lightweight, and simple condenser applications that minimize back pressure. CTCG builds condensers with copper tubing, aluminum tubing, and stainless steel tubing, to customer printsbut we highly recommend copper tubing for condenser applications. 2.5 All Designs Accepted for Review Whether your coil is, serpentine, coaxial, or completely customized, all designs are accepted for review. Both hard drawn and annealed, flexible copper tubing acceptable for forming and coiling. Easily outsource production runs of custom copper tubing coils or buy bulk loads of custom and non-custom length copper tubing, including level wound coils, water tubing and piping, refrigeration tubing, DWV and capillary tubing. Providing Tubing Coils for Most Industries Copper meets many industries highest standards for excellence; thus we recommend the use of copper for your applications in The Aerospace Industry, Construction Industry, Freon Recycling Industry, Medical Industry, and the AC Refrigeration Industry Most projects can be easily manufactured, including such items as gas turbines, artistic projects, diagnostic hardware, in one to four weeks (and sometimes faster). Check our present inventory to see what tube types can be serviced this month 2.6 Why Copper Copper tubing is the ideal material for many applications. Its strength, the ease with which it is fabricated and soldered, and its high conductivity to heat is invaluable in the process of building homes and industrial buildings, particularly for the refrigeration and air conditioning equipment installed. Tubing made from copper is one of the few naturally-sourced materials that are 100% recyclable, so no metal is lost in reclaiming copper from pipes no longer needed, making it a good choice for the future. Maori Trends and Paradigms: 1919 to Present Day Maori Trends and Paradigms: 1919 to Present Day Research hauora Maori trends and paradigms from 1919 to the present day Unit Standard 18414 Gilanne M. Natividad Identify the Region The TÄ maki Makaurau region stretches from the South Kaipara in the north to the southern reaches of the Manukau Harbour and covers more than 5,600 square kilometres. It is the smallest of the Te Puni KÄ kiri regions but contains the largest population of MÄ ori. Identify the Hauora Maori trends and paradigms Lung cancer Is a disease whereby, cells grow uncontrollably in the lung tissue usually beginning in the lining of the bronchi or bronchioles (small tubes in the lungs, through which air passes while breathing). As these tumours enlarge they can block off the bronchi and restrict the airflow into the lung. They commonly spread into the local lymph nodes and occasionally the chest wall. This reduces the airways capacity leading to shortness of breath and coughing. The growth may lead to metastasis, which is when the cancer spreads to other areas of the body. Smoking is the most common cause of lung cancer and is attributed to approximately 85% of cases. Lung cancer in non-smokers is attributed to a combination of genetic factors, radon gas, asbestos and air pollution, including second-hand smoke. (Cancer NZ) Cervical Cancer Is cancer of the cervix, which is the lower part of the uterus or womb. Cervical cancer develops slowly over time, usually taking many years, when abnormal cells grow on the cervix. These abnormal cells are caused by infection with high-risk types of HPV. Abnormalities in the cells of the cervix can be detected by cervical screening and removed. Each year there are around 25,000 abnormal smear test results among New Zealand women. The most important risk factor for cervical cancer is persistent HPV infection. Other factors may contribute, including: Genetics: some women are more likely to get cancer than others (family history) Smoking: tobacco is a factor in causing many types of cancer, including cervical cancer. Women who smoke are twice as likely as non-smokers to develop cervical cancer Nutrition: women with a diet low in fruits and vegetables have an increased risk Number of sexual partners: the more sexual partners a person has, the higher their risk of contracting HPV Not having regular smear tests: this increases a woman’s risk of developing cervical cancer. (Ministry of Health, 2014) Gynaecological cancers are not common cancers but they do take the lives of around 350 New Zealand women each year. Ovarian cancer causes around 190 of these deaths. For all the gynaecological cancers, like most cancers, the risk increases with age. For ovarian and endometrial (lining of the uterus) cancers the causes are not well understood. However it is known that; †¢ Women who have not had children †¢ Women who are overweight May have an increased risk for these cancers a cause of some cervical, vulval and vaginal cancers is a virus called human papilloma virus (HPV). This is a common sexually transmitted virus. Most women are infected with it at some point in their lives. For most women it will never cause any problems. However, for a few women it causes cell changes that can lead to cancer. (Gynaecological Cancers Information for all Women, 2012) Colon Cancer or Bowel Cancer Bowel cancer is named according to where it is found: for example, cancer of the colon, cancer of the rectum or colorectal cancer. This cancer occurs when the cells in some part of the bowel grow abnormally and form a lump or tumour. Most cancers are in the large bowel. Cancer in the small bowel is less common. How common is bowel cancer? The latest provisional information available from the New Zealand Cancer Registry1 recorded 2,759 new cases of colorectal cancer in 2008. It is one of the most common cancers among both men and women in New Zealand. It may occur at any age, although 90 percent of cases are found in people over the age of 50. There are different risk factors in developing Bowel Cancer: Lifestyle A diet high in fat and protein and low in fruit and vegetables Alcohol consumption Weight gain, particularly around the waist Low rates of physical activity. Family History of Bowel Cancer Rare Genetic Conditions (Bowel Cancer Matepukupuku Puku Hamuti, 2009) Identify traditional approaches to Hauora Maori Models of health The Medical Wheel (Stamler, 2003) Purpose: effectiveness of healthcare for Maori by delivering quality service. 4 themes Mental Emotional Spiritual Physical Te Pae Mahutonga (Durie, 2011) Purpose: the star constellation focuses on modern health promotion 4 stars Mauriora – cultural identity Waiora – environmental protection Toiora – healthy lifestyle Te Oronga – participation in society Te Wheke (Pere, 1984) Purpose: this is to link between the mind, spirit, human connection with the whanau and the physical world. 10 components Te whÄ nau – the family Waiora – total wellbeing for the individual and family Wairuatanga – spirituality Hinengaro – the mind Taha tinana – physical wellbeing Whanaungatanga extended family Mauri – life force in people and objects Mana ake – unique identity of individuals and family HÄ  a koro ma, a kui ma – breath of life from forbearers Whatumanawa – the open and healthy expression of emotion Te Whare Tapa Wha (Durie, 1984) Purpose: is to set foundation for a holistic approach and to reflect on a way of being 4 components Wairua spiritual Hinengaro mind Tinana body Whanau – family Utilising of Maori medicine Rongoa MÄ ori – traditional MÄ ori medicine Rongoais the MÄ ori term for medicines that are produced from native plants in New Zealand. Use of these medicines prevented many sicknesses, and provided remedies for the sick. In traditional MÄ ori healing, diagnosis involved a holistic approach that included mind, body and spirit mauri(spark or life force),wairua(spirit), andtapu(natural law).Whakapapaor genealogy was also considered. Tohunga, the medical practitioners of the MÄ ori world, passed their knowledge down through the generations, and modern MÄ ori healers still use many of the concepts and practices.(100% New Zealand, 1999) Identify issues to primary and secondary health service Discrimination The role of discrimination and racism in harming health is not new but has received increasing attention over the past 20 years. Doctors have been shown to be less likely to advocate for preventive measures for Maori patients than for non-Maori patients, and Maoris may be less likely than non-Maoris to be referred for surgical care. (Lis Ellison-Loschmann, 2006) Accessibility Access has been defined in terms of both ‘access to’ and ‘access through’ health care, the latter concept taking into account the quality of the service being provided. Health care need and health care quality have been developed into framework for measuring disparities in access to care, a framework that includes broader environmental and societal factors like racism that may affect access. There is increasing evidence that Maoris and non-Maoris differ in terms of access to both primary and secondary health care services that Maoris are less likely to be referred for surgical care and specialist services, and that, given the disparities in mortality, they receive lower than expected levels of quality hospital care than non-Maoris. One survey showed that 38% of Maori adults reported problems in obtaining necessary care in their local area, as compared with 16% of non-Maoris. Maoris were almost twice as likely as non-Maoris (34% vs 18%) to have gone without health care in the past year because of the cost of such care. This adds to previous evidence that cost is a significant barrier to Maoris’ access to health services. (Lis Ellison-Loschmann, 2006) Affordability Many of the Maori people are unemployed due to lack of qualifications for they did not have a chance to study. This results to not being able to avail the health services offered in Tamaki Makau Rau whether it is primary or secondary health services. Instead of seeking professional help from the doctors or health workers, they tend to self-medicate by buying over the counter medicines to have a relief on whatever symptoms they are experiencing. The development of Maori health services At the beginning of the 20th century, Maori leadership played a key role in advancing health promotion and disease control activities within Maori communities.This approach was to be important throughout the century, and there are many examples of both national and local Maori-led initiatives committed to advancing Maori health. These initiatives occurred outside of the mainstream services being provided at the time, which made them vulnerable to changes in government and funding availability. An opportunity for the focused development of Maori provider services emerged with the introduction of the 1991 health reforms. However, this restructuring of health and social services also led to a widening gap in inequality, as evident in such key determinants of health as income, education, employment, and housing. Moreover, the reforms had direct effects on the health of Maoris, particularly that of children. What are the differences between health services provided by Maoris and those provided by non-Maoris? Crengle identified use of Maori models of health and promotion of positive Maori development as 2 key philosophies underpinning Maori primary health care services. Maori cultural processes used as a basis for developing and delivering contemporary health services that support self-sufficiency and Maori control are crucial to the success of these provider organizations. Maori provider services have specifically identified access issues as a key factor and have used a range of strategies to address these issues, including extensive mobile services and outreach clinics (alongside a health center service base), free or low-cost health care, employment of primarily Maori staff who are more likely to have access to Maori consumers in their communities,and active inclusion of the community in the planning and delivery of services. The number of Maori health providers increased from 13 in 1993 to 240 in 2004. However, these providers continue to face a number of difficulties. For example, a lack of good primary health data, such as ethnicity data, has limited the potential of many Maori health providers, and a small Maori health work-force has been quickly absorbed into the growing number of Maori provider organizations. Also, the short contract time frames in place require extensive renegotiations each year. In addition, because Maori providers work primarily with families at high levels of need in terms of health services, increased costs are inevitable if health gains are to be achieved, and funders must take this situation into account. Similar policy initiatives have recently been adopted in Canada and Australia to improve the health of indigenous peoples; however, the contractual environments in these countries lean toward single multiyear funding contracts for comprehensive primary health care, and there is early evidence that such systems are more efficient for providers and promote better outcomes among consumers. It is too soon to assess the effects that the Maori provider organizations are having on the health status of Maoris, and these organizations should be viewed as representing one of a package of necessary long-term measures. Although the evidence that such strategies are effective is not yet available, there is certainly evidence that the reverse is true; that is, health service provision with little Maori participation results in poor Maori outcomes. (Lis Ellison-Loschmann, 2006) Government Health Policy i.e Whanau Ora It is when the family is empowered as a whole in facing the health problems instead of focusing individually with the whanau members. It encourages the family to help one another in dealing with sickness or any ailments by giving them health lectures, brochures and pamphlets with regards to the disease. Explain the research methodology Result of consultation with local iwi and/or hapu Consultation helps develop a cooperative working relationship with local Iwi and Hapu. Te reo drives tikanga and kawa for each Iwi and Hapu. It is done usually before and during the research, for the researchers to advise them of the nature of the intended study and invite their comments and/ or involvement. Ethical and cultural considerations within a hauora context As a researcher, we should secure consent first. So that the subject will be aware on what is the scope of the research and on how he or she can participate. It is also given to secure his/her rights as a subject. The researcher should also consider his client’s cultural safety by not putting into risk his client’s cultural beliefs. The researcher should also work on establishing the relationship and set rapport or also known as whakapapa-kawakia. The researcher should allow his client to do their Karakia before and after their session. Data collection and tikanga Data is collected for this unit standard by using different available resources which involves the three trends namely Lung Cancer, Gynaecological Cacer and Bowel Cancer. These are by utilizing books, journals, websites and notes from our lectures with respect to the Tikanga of the subject. It I important to observe their Tikanga for they will uphold each other’s culture and beliefs. Describe the research methodology in accordance with research ethics and tikanga Maori, ensuring you cover the following areas: Complete literature review has been already submitted. Sourcing information References: Bowel Cancer Matepukupuku Puku Hamuti. (2009) Cancer Society: Understanding Cancer, 7-10. Gynaecological Cancers Information for All Women. (2012) Cancer Society, 1-2 Ministry of Health. (2014, January 23). Retrieved January 30,2014, from Ministry of Health, http://www.health.govt.nz/your-health/condition-and-treatment/diseases-and-illnesses/cancer/cervical-cancer Te Puni Kokiri. (2012, March 6). Retrieved January 30, 2014, from Te Puni Kokiri: http://www.tpk.govt.nz/ Ministry of Health. (2010). Trends in Cancer Incidence by Ethics and Socioeconomic Group, New Zealand 1981-2004. Trends in Cancer Incidence by Ethics and Socioeconomic Group, New Zealand 1981-2004, 52-57 The American Heritage ® Dictionary of the English Language, Fourth Edition copyright  ©2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. The Free Dictionary. (n.d.) Retrieved January 30, 2014, from The Free Dictionary, http://www.thefreedictionary.com/auckland Procedures for recording and analysing information and presenting findings Assessment Task 2 Analyse research regarding hauora Maori trends and paradigms from 1919 to the present day The table above shows the cancer registration by tumour sites for Maori clients in year 2003-2006, Northern Region. There is a high significance rate which is 63% in Lung Cancer for Maori people. This is mainly because of the exposure to cigarette smoking and second hand smoke that the Maori people are experiencing. Next is, Colorectal Cancer with 18%, which mainly caused by not eating enough vegetables high in fibre. The diet of the Maori people has a major impact in the second leading cancer. Most of the Maori people eats meat and processed food which contributes in acquiring colorectal cancer. The next three types of cancer are under the umbrella of gynaecological cancer for women. These three has different contributing risk factors which are obesity, improper diet, number of pregnancy and genetics. It can be prevented by undergoing screening and regular check-up with their OB-Gyne. Most of the Maori women are getting pregnant with their first child at an early age which causes them to bear more children through their lifetime that may cause one of these cancers. Assessment Task 3 Present your findings and explain a present day health priority for Maori The leading five female cancer registrations were breast, colorectal, melanoma, lung and uterus in the Northern Region and nationally for the period 2003-2006, accounting for approximately 65% of all female cancers. The leading five male cancer registrations were cancers of the prostate, colorectal, melanoma, lung and non-Hodgkin’s cancer in the Northern Region and nationally for the period 2003-2006, accounting for approximately 65% of all male cancers. Uterine cancer was the second most common cancer (12%) amongst Pacific women, both nationally and in the Northern Region. Cervical cancer was among the five most common female cancers in Maori, Pacific and Asian women but not in European/Other women in the Northern Region. Nationally, cervical cancer was in the top five female cancers for Asian women only. In the early years, Maori people don’t have the enough knowledge with Cancer and they seek help with their local village doctor and instructed to take herbal medicines to relieve whatever symptoms they were experiencing that moment. And later on will be deceased due to different complications without knowing the real cause. The present day health priority for Maori is early screening for cancers. For female Maoris, they can undergo mammography for breast cancer screening, and Pap smear for cervical cancer screening. For male Maoris, they can undergo Digital Rectal Examination to check if there are any tenderness and lumps in their prostate. Early prevention is important for there are many treatments that can be used like surgical removal of lumps or undergoing radiotherapy and chemotherapy treatments. The chance of survival is high when the cancer is diagnosed at the early stage. Proper health education and having Maori representatives in public health care services is important for the Maori, for they will feel that they are safe and secured if they will speak to their co-Maori people in regards with their health concerns. The partnership of the Maori with The Crown will help the Maori people to avail the different health services offered by The Ministry of Health with respect to their culture and beliefs.