Community Health Needs Assessment Tools Health And Social Care Essay

The research demand to bring forth qualitative and quantitative informations sing a peculiar community wellness demand is straight proportionate to the impact that the peculiar wellness demand has on the community and sometimes even the mortality/morbidity generated by the peculiar wellness job. In this respect, in this current appraisal we review the wellness demands of coal excavation workers in West Virginia, USA to place jeopardies and hazard factors refering to their wellness, by virtuousness of their designated profession. Community wellness demands appraisal is a strict undertaking that serves the population under survey by clarifying the current demands, reflecting the state of affairs which is frequently non balanced between wellness suppliers, insurance strategies, wellness disposal and/or community leaders. It besides serves at placing peculiar demands that are overlooked by health care functionaries that are either fresh or debatable by clarifying perceived and expressed wellness and well-being demands. In other words, it can be a utile means to picture the selected community ‘s skyline in regard to wellness demands, health care deficits and aetiology, all utile countries for the facilitation of better public wellness direction. In order to execute an accurate community wellness demands appraisal, research should be grounded on an up to day of the month background survey of the selected population ‘s demographics and nose count ( socioeconomic, work force and other ) informations, where available. Furthermore, peculiar wellness factors should be taken into history by pull offing information presently disseminated through health care functionaries ( such as mortality, disease prevalence, hazard factors analysis ) . This research would besides profit from an on-site reappraisal of environmental and work related conditions, if possible. The most utile and widely used instrument to carry on a community wellness demands appraisal and subsequent analysis is by agencies of a structured questionnaire based study that will use cross sectional and population specific points targeted at the current wellness demand. Furthermore, the instrument should be designed with attending to environment and province specific conditions, such as ordinances and Torahs, insurance coverage and even so, local traditions and unwritten codifications of behavior. For the above grounds, in this essay we will carry on a reappraisal of available information on the community of Coal Mining Workers in West Virginia, USA. After the acquisition and analysis of the pertaining informations, we will show a structured study instrument, taking to place wellness demands with regard to bing wellness jobs and patient satisfaction. BACKGROUND-RESEARCH We searched a broad array of online databases and administrations supplying demographic and other information for the population in inquiry. We besides conducted a MEDLINE hunt, to pull the image of already identified wellness demands and/or needs appraisals already conducted in this population. Search footings employed were â€Å" coal workers † , â€Å" west Virginia † , â€Å" wellness demands † , â€Å" pneumonoconiosis ‘ , â€Å" interstitial lung disease † , â€Å" occupational jeopardy † entirely or in combination. West Virginia is a province in the Middle atlantic subdivision of the USA, capital Charleston. The province is ill-famed for its mountain composing and important coal excavation industries. The mineral and coal resources in the country are huge, and West Virginia has been considered to hold fuelled a great portion of the industrial revolution of the developed universe. Furthermore, coal excavation and related work constituted major portion of the employment activities of the province, while still in the twenty-first century, it is believed that mining safety and environmental concerns are amongst the most ambitious issues confronting the province. In 2009, West Virginia was inhabited by 1,819,777 people. 5.6 % of West Virginia ‘s population were reported as under 5, 22.3 % under 18, and 15.3 % were 65 or older. Females made up about 51.4 % of the population ( United States Census Bureau, 2010 ) . Furthermore, harmonizing to US Census Bureau Data, West Virginia is the 3rd lowest in per capita income province. It besides ranks last at average family income. Virginia ‘s grownup population with a unmarried man ‘s grade is the lowest in the U.S. At 17.3 % . The chief economic system is coal, and the province is the lead in coal production, 2nd merely to Wyoming.From the West Virginia Office of Miners ‘ Health, Safety and Training we find that the West Virginia Coal Industry provides about 30,000 direct occupations in WV, including mineworkers, mine contractors, coal readying works employees and mine supply companies. In peculiar 20,715 are registered as employees in the 188 active coal mines in WV, while an extra 4,842 work as an independent contractor. From the same beginning we read that for 2009, fatal accidents were 3, non fatal accidents 1,164 and the accident frequence was estimated to be A 2.79 % . Involved in accidents are chiefly high electromotive force equipment, and countries in and around river burden outs. But apart from human deaths, a major wellness job for VW coal excavation workers is pneumonoconiosis, or ‘black lung ‘ . The CDC has implemented a safety and wellness chapter sing occupational Respiratory Disease Surveillance, and particularly for coal mineworkers, the Enhanced Coal Workers ‘ Health Surveillance Program ( ECWHSP ) . The ECWHSP includes studies that include specifically designed standardized wellness questionnaires, work histories, spirometry testing, radiographic scrutinies, and aggregation of other relevant wellness information, which are gathered in a specially designed nomadic scrutiny unit by trained forces on site.Results of the ECWHSP 2009 study on mine workers in West Virginia are shown on table 1: Finding Examined Rate Entire Engagement 1,884 20 % 9,593 pneumonoconiosis ( & gt ; =1/0 or PMF ) . 93 5 % 1,884 pneumonoconiosis ( & gt ; =2/1 or PMF ) . 43 2 % PMF 24 1 % advanced pneumonoconiosis 35 2 % hold a chronic cough. 624 34 % conveying up emotionlessnesss from their thorax. 690 38 % hold chest sounds of wheezing. 613 34 % hold had an onslaught of wheezing 738 41 % hold experienced dyspnoea on degree 741 41 % hold experienced dyspnoea on a hill 1,119 62 % hold chest stringency 672 37 % hold chronic bronchitis. 142 8 % hold emphysema. 79 4 % hold had pneumonia 337 19 % hold asthma 132 7 % hold TB. 4 0 % ne'er smoked. 954 53 % former tobacco users 455 25 % current tobacco users 393 22 % Although under a batch of debate, coal and in general volatiles ( dust ) have been proven by sufficient evident as causes of respiratory harm. In item, in coal mineworkers a important association between the degree of FEV1 and dust was found, even after accommodation for age, build and smoke ( Cowie,1999 ; Soutar 1989 ) . Some more interesting figures arise from the State Health Facts web site, shown in Table 2: Measured index WEST VIRGINIA USA Age-Adjusted Invasive Cancer Incidence Rate per 100,000 Population, 2005 484.2 458.4 Births of Low Birth weight as a Percentage of All Births, 2006 9.7 8.3 Number of Deaths per 100,000 Population, 2007 951.7 760.31 Life Expectancy at Birth ( in old ages ) , 2005 75.3 78.0 Percentage of Adults Who Have Ever Been Told by a Doctor that They Have Diabetess, 2008 11,9 8,2 Number of Deaths Due to Diseases of the Heart per 100,000 Population, 2006 236,9 200,2 Asthma prevalence among grownups 9.0 8,2 Percentage of Adult Population Aged 21-64 Old ages Who Reported a Disability, 2007 22,4 12,8 The above figures need to be assessed in cautiousness sing the high prevalence of â€Å" business of coal worker † in West Virginia. Apart from the evident pathophysiology of dust come ining the lungs and rendering them inveterate inflammatory, with marks of fibrosis and atelectasia or other interstitial pneumonic disease or pneumonoconiasis, wellness demands of coal excavation workers are extended to a assortment of diseases that are non as normally identifiable at the first expression. Although current testing methods and occupational policies do be for these workers, they tend to be centred on respiratory diseases. Coal Mining nevertheless, is a demanding, clip devouring manual labor that is frequently clamant and causes a assortment of clinical manifestations. As such we can see lower dorsum hurting, physical restrictions ( Galagher,2005 ) cervical spinal column degenerative alterations, vibration-hazard related organic structure alterations, sudden coronary decease ( Kopytina et al, 1993 ) , skin lesions ( Begraca et al, 1991 ) and mental wellness alterations ( Lagunov,1991 ) . Furthermore, the coal excavation community frequently has unmet demands on the degree of healthcare entree and use, that different stakeholders are normally incognizant. In a survey by Smith et al,2005 a community wellness demands appraisal was the agencies to the proviso of a community nurse and a alteration in healthcare proviso among former mineworkers in Kent. Having reviewed the major constituents of community wellness demands appraisal for mine workers in West Virginia and holding conducted the appropriate background reappraisal, we propose the undermentioned questionnaire as a tool to carry oning an effectual and fruitful rating of sensed and existent wellness demands, in a community of mine workers. This tool comprises of a wellness demands assessment portion, where the replies are left unfastened and positions are encouraged for propositions in order to ease the analysis of expected wellness and engagement to wellness concerns. The 2nd portion is a standardised demographics and wellness questionnaire that is used widely in this signifier, with minor changes in measuring the perceived wellness and demographic information of the survey population in inquiry. Emphasis is given on other diseases that might impact the coal excavation community ( participants are requested to number five-5 major wellness concerns ) and on sensed degree of attending and attention this community is having or should be having harmonizing to its demands. A inquiry sing their sibling ‘s wellness is put in the terminal to clarify concerns that are besides documented in the literature sing out of site taint with dust by coal workers that bring their occupational jeopardy in the household place or by scattering in neighborly countries ( Pless-Mulloli et Al, 2001 ) . Questionnaire: We are carry oning a reappraisal of the Health Needs within the WV coal excavation community. Along with statistical informations and analysis we are besides interested in your point of views. Instruction manuals Part One: Health Problems There are several factors that influence or find whether the people in your coal mineworker ‘s community are healthy. From the undermentioned list, delight rank from 1-5 ( 1 being the highest precedence ) what you think are the top five wellness and disablement issues impacting your community? Health Issue Your Ranking ( 1-5 ) Asthma / Respiratory Disease / Pneumoconiasis Cancer Cardiovascular Disease Depression / Psychiatric Disorders Diabetess Disability Drug and Alcohol usage Nutrition Fleshiness Oral Health Physical Injury ( including force and accidents ) Self injury / Suicide Sexual Health Smoking Other ( delight stipulate below ) What do you believe is needed to turn to the top three precedence issues identified above and what difference will this do? Issue 1: Issue 2: Issue 3: What is needed? What is needed? What is needed? What difference will this do? What difference will this do? What difference will this do? How much influence do you believe the following have as to whether people in your coal excavation community are healthy? Please mark each factor with an Ten, ranking â€Å" influence † from 1-5 following with an Ten Influence ( 1 is most, 5 is least ) Factors 1 2 3 4 5 Cost of services Ease of entree to wellness services Education Employment Family support Housing Income Social Isolation Conveyance Community support Insurance position Other ( delight stipulate below ) Your inside informations Please supply us with some information about yourself. This will help us with the analysis of the questionnaire consequences. Please mark the following that applies to you with an Ten Name ( optional ) Cultural Group American German decent Latino Other Gender Male Female Age Range Children ( aged 0 – 14 ) Adults ( aged 25 – 64 ) Youth ( aged 15 – 24 ) Older Peoples ( aged 65+ ) Where make you populate? metropolitan country county How many old ages have you worked in the coal excavation sector? ( figure of old ages ) Make you see your ego healthy? Yes No What is your chief concern? How frequently do you see a physician? List one preventative diagnostic trial that you had the old 6 months: ( colorectal showing, pap trial, ECG, CXR, ultrasonogram etc ) : Does your employer offer wellness promotion/wellness plans? Yes No Type of wellness insurance ( province ) : In the undermentioned subdivision, select which answer describes you. *Note that N/A stands for non applicableAAlways Sometimes Never N/A You wear a place belt: You wear a helmet when siting a bike, Rollerblading or skateboarding: You drive the posted velocity bound: You eat at least 5 helpings of fruits and veggies each twenty-four hours: You eat fast nutrient more than one time a hebdomad: You exercise at a moderate gait at least 30 proceedingss per twenty-four hours, 5 yearss per hebdomad: You consume more than 3 alcoholic drinks per twenty-four hours ( female ) or more than 5 per twenty-four hours ( male ) : You smoke coffin nails: You chew baccy: You are exposed to secondhand fume in your place or at work: You use illegal drugs ( marihuana, cocaine, Methedrine, etc. ) : You perform self-exams for malignant neoplastic disease ( chest or testicular ) : You wash your custodies with soap and H2O after utilizing the public toilet: You undergo physiotherapy for lower dorsum hurting You apply sunscreen earlier planned clip outside: You get a grippe shooting each twelvemonth: You pattern safe sex ( rubber or other barrier method, etc. ) : You take vitamin pills or addendums day-to-day: You spend money on chancing more than one time a month: You attend spiritual services on a regular basis: You volunteer in your community ( church, schools, civic organisations, etc. ) : You donate money to community based organisations ( churches, non net income organisations, etc. ) : You get adequate sleep each dark ( 7-9 hours ) : You feel stressed out: You feel happy about your life: You feel lonely: You worry about losing your occupation: You feel safe in your community: You are afraid for your kids ‘s wellness You feel that the authorities is apt for your wellness You feel that the authorities is apt for your kids ‘s wellness

Drawbacks of the Common Law System

Explain the drawbacks of the common law system in England and Wales. ‘Common law’ originated in England in the 11th century. Today in the United States of America, some common law principles from the original English Law are being applied.Alongside it is the branching body of Common Law which is in the process of being set as a part of stare decisis which itself is an abbreviation of the Latin phrase ‘stare decisis et non quieta movere’ which translates as ‘to stand by decisions and not to disturb settled matters’, whereby the judicial systems decisions and interpretation of statutory law provisions by judges, are becoming a part of the common law. Judges too do look to these decisions as a guideline, reference or as a necessary precedent to follow, whilst making their own decisions.Although advantages of the system have been significant in England and Wales, drawbacks of the system gradually came on par. As these decisions are based on past cas es, predictability of the outcome increased and people are more exposed to what should be expected, however so, with the element of predictability, absurdity on deciding cases may occur. In referring to a decided case, if there appears to be no change and the decision is followed again by a judge, a bad decision will eventually be perpetuated.And considering common law systems have been following precedents as a base, changes takes a long time to happen. In the meantime, a bad decision from a past case continues to be upheld. It became a major criticism of common law systems that it can be hard to locate the relevant principles due to the available volume of material. Common law which was based on the principle of binding precedent meant that judges must follow precedent even if they disagree with it.Judges too were not able to distinguish essentially similar cases although they were on grounds decision made would be inappropriate. Lord Denning too criticised the doctrine to stand b y what has been decided by saying, â€Å"if lawyers hold to their precedents too closely, forgetful of the fundamental principles of truth and justice which they should serve, they may find the whole edifice comes tumbling down about them. Just as the scientist seeks for truth, so the lawyer should seek for justice.Just as the scientist takes his instances and from them builds up his general propositions, so the lawyer should take his precedents and from them build up his general principles. Just as the propositions of the scientist fail to be modified when shown not to fit all instances, or even discarded when shown in error, so the principles of the lawyer should be modified when found to be unsuited to the times or discarded when found to work injustice. , which in other words meant accepting the decisions of old law leads to unfairness and injustice. Furthermore, when precedent appears absent the common law legal system will be bound to face difficulties in making judgements. D ifficulties will arise and flood various parties which include judges and those with intention to claim justice will be at lost with the unavailability of a decided precedent to refer to. This has been said on certain occasion to lead to a high degree of unpredictability based on illogical distinctions.

TMA04_B200B Essay Example | Topics and Well Written Essays - 1500 words

TMA04_B200B - Essay Example Weber saw all large organisations as bureaucratic in nature and the need to control and regulate work routines. Emile Durkheim was much less concerned with matters of work and organisation than Weber and Marx (Lincoln, 2004) but did write substantially on culture, which has an indirect significance for the study of organisations. Weber argued that organizations are means of coordinating human activities and what they produce in a systematic way, and emphasized the role of controlling information in developing organisations as well as written rules related to its functioning. In short, his concept of the bureaucratic organisation is characterised by a clear hierarchical structure, rules and regulations, division of labour and specialisation etc. In a bureaucracy, roles and relationships are clearly defined, and it is based on a legal-rational type of authority derived â€Å"from the belief in the legitimacy of law† (Nickinovich, 2000, p. 267). Also in a bureaucracy, offices are clearly specified and officials are appointed on the basis of a contract being subject to a unified control and disciplinary system (Salaman reader, p. 98-99). Weber regarded bureaucracy as â€Å"the most efficient way of running large organisations† (Buchanan, 1997, p. 366) because of its rational basis, and likened them to sophisticated machines. He also associated it with precision, reliability and speed. It is the standardisation in terms of rules and procedures to govern employee behaviour and decisions taken according to set criteria, that gives bureaucracy its strength. This is because â€Å"rules serve to direct individual action in ways that promote the technical efficiency of the organisation† (Nickinovich, 2000, p. 268). Contrary to Weber regarding bureaucracy as efficient, in practice it is also considered to be inefficient, so much so that the term ‘bureaucracy’ now has some negative connotations as it did

Multiculturalism Issue and Data-based Solution Article

Multiculturalism Issue and Data-based Solution - Article Example There seems to be no end in sight for rising tuition prices. Research has been done time and again to figure out why tuition prices continue to rise, especially when institutions, private or public, used to be free or of minimal fees. While there is no one definite answer to this dilemma, six factors have been figured out as to what could be causing the tuition rise, and they are as follows: economic and fiscal conditions of the individual states; demographic and postsecondary enrollment patterns; characteristics of state political systems; postsecondary governance patterns; regional influences; and various aid policies at the state, federal, and institutional levels. These aspects contribute to the costly fees that students must pay for higher education. â€Å"The Influence of Active Learning on the College Student Departure Process† is about the departure rates of students attending both two-year and four-year colleges. Approximately one-half of students leave after their first year at a two-year college, and almost one-fourth of students leave after the first year at a four-year college. These constant departures are thought to be caused by a lack of classroom-based academic experiences. Researchers have produced theories that have pointed to the fact that students really come to rely on what goes on inside of a classroom, not only during school hours but after. These theorists have come to the conclusion that students will depart a school if the school is not meeting their expectations in regard to their learning experiences. However, as is the case with the former article, this theory for student departure is just that – a theory. There is no definite way to know what makes students want to leave school after the fi rst year. Many students leave because they miss their home or their families, or they change their majors.

Methodological Issues in Interviewing Dissertation

Methodological Issues in Interviewing - Dissertation Example The type of methodology adopted in a study is influenced by the nature of the reaches and the topic that is being studied. When a researcher is deicing on the methodology to adopt for a particular study, he/she must think of how the research questions and the hypotheses are going to be addressed. The methodology should clearly describe how the study can be replicated in another situation. Every stage of the process must be explained and justified. Â  Krueger (2008) describes secondary research is an approach to research in which existing information is summarized, collated, and synthesized. In secondary research, the researcher uses information and data that had been collected by other researchers. A variety of sources are used in secondary research. They include letters, documents, previous primary studies, books, journals, diaries, autobiographies, and archival records (Saunders et al., 2009). Magazines articles, marketing reports, and data from company websites can also be used in secondary studies. There are several advantages of using secondary research. First, it saves the researcher a lot of times. In this approach, the researcher does not have to go to the field to collect primary data. On the contrary, he uses information that is already documented. This allows him to spend more time in analyzing the data (Saunders et al., 2009). Secondly, secondary research allows the researcher to approach a subject or topic of stu dy from different perspectives. The use of a variety of sources to collect data allows the researcher to understand and evaluate the perspectives of another researcher on the topic of study. Secondary research also gives the researcher general background information on the topic of study.

Economic context of Banking Essay Example | Topics and Well Written Essays - 2000 words

Economic context of Banking - Essay Example There has been revolutionary structural reformation after financial liberalization in 1990s. The Reserve Bank of India (RBI) made its firm role as the administrative agency of supervision and banking. The structure of the banking sector has undergone a significant transformation wherein the public sector banks have been observed in losing their relative importance which resulted to have more domestic private banks and more foreign banks. Even if a number of measures have been taken by the government to ensure higher stability, competition and efficiency, there still exist some problems in with the banking system, for example profitability of public sector banks has not been increased, and foreign banks are not performing at their desired level and so on. The overall performance of the banking sector has improved over time, but desired level of performance has not been reached. Hence the paper also provides my opinions regarding some recommendations. Introduction In many countries gov ernment plays an important role in maintaining competition, efficiency and stability in the operation of banking system. However, it would be quite interesting to consider a particular country and examine to what extent government supports the banking system in enhancing competition, stability and efficiency. For this purpose, the banking system of India will be chosen in this paper as India has a very active and a very interesting banking sector where public, private and foreign banks have their own importance and operate simultaneously. This paper will first look at the banking system of India and the role that the Indian government does play in increasing competition, stability and efficiency in Indian banking sector. Thus it will go on analyzing the extent to which the governmental efforts have been able to enhance the performance of the banks. Finally, some recommendations would be forwarded on how to effectively increase competition, stability and efficiency of banking sector. Indian Banking sector and the role of government in increasing competition, stability and efficiency in Indian banking sector The Government of India when nationalizing all the popular Indian banks in 1969 sought that banking was "inspired by a larger social purpose" and should attend national importance and goals such as rapid development in agriculture, small scale industry and exports. Now a day a body of direct and indirect proof is there to show that credit markets in developing countries frequently fail to make credit where its social product might be the highest. (Agarwal, 2003) Nationalization of Indian banks has helped in meeting social needs of the country. Earlier, the banks only concentrated on lending their money to big industrial houses. But after nationalization, the banks extend their loans to small scale industrialists, peasants and other individuals also. Nationalization has also helped in expansion of banking network to the rural areas as well. Peasants and small scale industrialized are also getting loans at lower interest rates. All these have helped in the growth and development of relatively poor segment of the population. (Agarwal, 2003; Mohan, 2005) However, nationalization has put various regulations

Discuss Abraham Maslow's theory (hierarchy) on motivation, Essay

Discuss Abraham Maslow's theory (hierarchy) on motivation, particularly how evident and effective it is in our day-to-day decisions, actions and (college) study patterns - Essay Example Abraham Maslow in developed the theory in 1943. This theory aimed at understanding why the needs of individuals change over time. Abraham Maslow named this theory as the needs hierarchy of employees. He developed that there is a difference between the motives and drives and every individual has nine main needs and motives to work. He developed a hierarchy of the needs and expressed them as featured in the diagram below. 1. Biological requirements: these needs include the basics like sunlight, food, water, sexual expression, rest, and oxygen. These are the basic requirements in everyone’s lives without which anyone would die. 2. Safety needs: The need for security, comfort, tranquility, freedom from fear, and threat from the environment. These needs form the next highest needs of a human being. If these needs are not met, individuals could fell inferior and helpless and unsatisfied. 3. Affiliation needs: these refer to the needs of attachments, affection, love and belonging. If these needs are not met individuals would loss confidence however if a persons needs are satisfied the individual would become a self – confident. 4. Esteem needs: These refer to the individual need for achievement, self – esteem, independence, prestige, attention and appreciation. These needs basically refer to the need for a stable life and respect from others. 5. Knowing and Understanding: It is human nature to have a need to know and understand the various things around one self. This need is based on the curiosity, experimenting, philosophizing, learning and exploring. 9. Self – actualization needs: These are the highest form of needs in an individual’s life. These refer to the need of individuals to have a clear need to know them selves completely and develop to the full potential (Maslow, 1998). Maslow argued that each of these needs required to be fulfilled in the order of the hierarchy since the needs would not be effective motivators

Role of Allied Professional Essay Example | Topics and Well Written Essays - 750 words

Role of Allied Professional - Essay Example However, the pharmacist may refuse to honor such prescription, if in his or her own judgment as a professional pharmacist find that, honoring such prescription may result to total violation of the law. Secondly, the pharmacist may refuse to honor Doctor’s prescription if the drugs prescribed may jeopardize the life of a patient by creating an addiction. In addition, the pharmacist may refuse to honor such prescription if it violates the interest of a patient. Further, the pharmacist has a professional duty of exercising professional duty in ensuring the best interest of patient’s health. Pharmacist also a responsibility of providing counseling guidance to patients on the risk associated with the drug if it is not properly utilized (Buerki & Vottero, 2002). Based on this case it can be observed that the pharmacist observed some of those responsibilities as required by the law. For example, when the Plaintiff/ patient (Patrick McLaughlin) delivered the prescription from Doctor Edwards, the pharmacist (Kathy ODell and Craig Merrick) honored the prescription as ordered by the Doctor. However, he failed to exercise his responsibility by supplying more drugs to McLaughlin despite the fact that the records indicated that McLaughlin had consumed more propoxyphene drugs than required. Further, he failed to caution the patient of the health risk that could result if he consumes an overdose (Legal Inc, 2013). I agree with the court findings in favor of Hooks because, Hooks was not a direct causation of the injuries sustained by Patrick McLaughlin. In addition, Hooks was not attributed to McLaughlin attempts to commit suicide. Secondly, the pharmacists were within their line of professional duty by observing the prescription recommended by the Doctor. In addition, the case was decided based on the principle of Stare decisis. Whereby, the same precedent used in the previous cases was followed. For example, the ruling for this case made based

Altered Hematology & Cardiovascular System Case Study

Altered Hematology & Cardiovascular System - Case Study Example Hypoxia of central nervous system causes faintness and headaches while myocardial hypoxia results in palpitations and increased heart rates (Kumar et al 2005). She has a history of chronic blood loss which is due to menorrhagia. Other causes of chronic blood loss include gastrointestinal bleeding, malignant diseases and urinary bleeding. Chronic blood loss anemia results from blood loss in small amounts, which occurs over a long period of time and it results in iron deficiency anemia because the iron stores of the body are depleted. Consequently, the oxygen-carrying capacity of the red blood cells is reduced and the patient presents with signs and symptoms of anemia. The clinical features of the chronic blood loss anemia are not severe until the hemoglobin levels of the blood are extremely low (Emmanuel et al 2001). The shortness of breath of the patient is explained by the decreased oxygen content of the blood cell which is exacerbated due to exertion (Kumar et al 2005). As mentione d in the case she presented with severity of symptoms while playing golf at a high course which induced exertion. Chronic blood loss is a very important and common cause of iron deficiency anemia which is caused when all iron stores are depleted due to external hemorrhage over a long period of time. Iron deficiency anemia (IDA) presents with a peripheral blood film of microcytic and hypochromic red blood cells. The serum reserves of ferritin and hemosiderin are utilized in the initial stages of blood loss, however, when these stores have also been consumed, the symptoms of anemia manifest. Serum iron, ferritin and transferring levels are also reduced (Kumar et al 2005). Another... The paper tells that proper amount of rest and limitation of the daily activities to a certain extent will help the patient to control the signs and symptoms of CHF. The restriction of daily physical exertion will put less amount of workload on the heart and hence, improve the condition of the patient. The second step in managing the case is a proper diet plan. The patient should be advised to reduce the sodium content in his food items as this will reduce water retention in his body lowering the cardiac workload. The sodium content should be limited to 1.5 to 2g per day. Alcohol consumption should also be lowered down to only one drink per day which plays an important role in lowering the systolic blood pressure by 2-4 points. Chronic alcoholism is a very important cause of cardiomyopathy and if the patient shows a positive history of alcoholism he should be advised to consume a low to moderate amount of alcohol. Weight control and a dietary calorie limitation are recommended in the obese patients. They are advised to a body mass index of 18.5 to 24.9 and eat a healthy balanced diet comprising of green vegetables, fruits, and low-fat food items. Exercise including aerobic and strength training in CHF patients in an adequate amount also helps in improving the patient’s condition. The patient should be advised to exercise for 30 minutes five to six times a week and increase his physical activity. However, if he complains of angina pain, shows symptoms of respiratory distress, CNS symptoms or increased fatigue exercise should be stopped.

Housing Dhaka Essay Example for Free

Housing Dhaka Essay One of the major consequences of rapid urbanization in Bangladesh has been the persistent deterioration of housing situation in metropolitan areas. The concentration of the poor in such areas and the ever-widening gap between the demand for and supply Iand for housing have led to the deyelopment of of low_income settlements on environmentally sensitive and hazard-prone lands. The problem is particularly acute in Dhaka where the poor residents have been increasingly constrained to such marginal land, in preferred sites. The inabirity of the poor residents is largely attributed to the prevailing prolitical situation of the country, ineptitude public as they arc unable to buy or rent land of organizations, nonchalant altitude of the government and predatory nature of the formal land market in Dhaka. The urban poor ofDhaka have come to realise that they do not folm part of the privileged group(s) to which the city authoriries cater their service and that they have been left out to fend for themselves. With this realisation the poor have sought to  provide housing for themselves. In such attempts, unauthorised settlements have developed in various marginal places, especially along and over water regimes in Dhaka. Over the years development of settlements and deliberate encroachment by private and public sector development have led to the disappearance of lakes, canals, flood plains, etc. rhat existed within the city. In thls process numerous ponds and tanks have also disappeared, creating an ecological imbalance with Dhaka experiencing the worst flood in history in r9gg. Dhaka has arso rost much of its beauty and its natural heritage. On the other hand, atlempts to creare spaces or pseudo-land over and along water bodies and swamps without proper planning and design techniques have produced undesirable outcomes and red to serious decline in envrronmental conditions in the immediate and sunounding area where such spaces have been created. Life and health of local residents as well as the city residents have put been to risk. Considering the gravity of the problem the aim of this paper is to investrgate how the urban poor of Dhaka are constrained to marginal places and shed light on aspects which bring about this situation. This paper also aims to highlight the problems produced as a result of creation of spaces over water and suggests measure to reverse such hazardous living conditions of the urban poor in Dhaka. It is assumed that unprecedented urbanization and ineptitude ofconcerned authorities have produced conditions forcing the 55 56 U rbanization in Bangladesh urban poor to live in marginal places. The paper, thus, begins with appraisals of issues related to the urbanization of Dhaka such as its land value and the Prospect of housing provision for the poor in this city before investigating the actual problem of creating unplanned spaces for living. Information for this paper has been collected from both primary and secondary sources. The Exodus Towards Dhaka The rate ofpopulation growth for Dhaka has been. 3 percent, 9. 4 Percent and 7. 8 percent dudng the 196l-1974, 1974-1981 and l98l-1991 pe ods respectively (RAJUK, 1995). This has produced a number of unexpected outcomes in recent decades, such as rapidity of urban growth and mega-population of the city. The reason for such rapid growth is the status of Dhaka as a capital city and the centripetal nature of concentration of major activities and facilities within the city-as a result people from all over Bangladesh are atbacted towards this city. Added to it are the prevailing political situation of the country, stagnant rural economy and nonchalant attitude of the government towards decentralization. The result is that Dhaka is suffering from over-population while other towns and rural areas are suffering for want of industries, factories, etc. Informal job opponunities have declined in areas outside Dhaka The sheer number of people living in this city makes any son of business prosper and thrive. Thus, businesses or jobs mean chances for people to survive.

A Streetcar Named Desire | Analysis

A Streetcar Named Desire | Analysis A Streetcar Named Desire, a play by a Southern playwright Tennessee Williams, presents the problems of the United States after both wars and Great Depression. It also touches the issues of immigrant families and the old settlers. Although the play is situated in the South but the compelling manner in which he provides themes makes it rather universal. A Streetcar Named Desire has two strong characters Blanche DuBois and Stanley Kowalski that are concurrently similar and different. Both try to hide their own weakness but in a different way and try to get rid of their inner and also outer problem, but in a different way. Blanche DuBois arrives to her sisters apartment, which is located in New Orleanss part called Elysian Fields, to escape from her unpleasant reality. She and her sister Stella Kowalski are descendants of the old Southern aristocracy and they are descendants of the old immigrants. Even at the beginning of the play Blanche DuBois is considered to be a fallen woman in the eyes of others. She lost all family fortune and family estate Belle Reve, she was present her husbands suicide, her history of sexual relationships is very rich and she also has a serious drinking problem which she tries to cover up. Blanche is an opposite character to her sister Stella. According to their individual past they symbolize dark and light, dirty and clean characters. Blanche, who has very rich personal history which is a heavy burden to her and in fact forces her to leave a family estate behind and leave her hometown, in the play undertakes a process of cleaning herself and she tries to brush her life from every mistake she made and start new life. Underneath all the dirt and sins, there is an insecure, dislocated individual. In A Streetcar Named Desire there are several processes and action for that purpose. The cleaning does not include only personal history, reputation, her body but also relationships and the way she is treated. Blanches problems with men started when she got married too young a hidden homosexual, who committed suicide after the confrontation with his sexuality. During her carrier as a teacher she seduced or was seduced by many men including her student. Although she probably never was alone in her hometown but certainly she was lonely. Because of all her dirty and bad history of her, she wants to make a relationship in a right way. For Blanche a vision of marriage with Mitch means to escape from dirty and sinful past, to clean herself from the other men. In this case, the wearing of white dress, which is a colour of innocence, as a bride would symbolically clean her history with men. Mens exploitation of her sexuality has left her with a very poor reputation and with that came destitution. She believes she is an honorable lady of South who deserves to be treated that way but with all the gossips she cannot be. She tries to find a typical Southern gentleman who can save her and take care of her. This chivalric man is in the play represented by non-existing millionaire Shep Huntleigh. Blanche is depending on sexual admirations of men for it brings her almost lost self-esteem. In spite of every attempt for gaining normal marriage and dignity she fails again. Blanche will never be able to clean herself from the past and men because of her relying on them and putting her fate in their hands. The dependency and inability to see thing realistically leads to inevitable downfall rather than to purge. The strongest motif of the cleaning processes is bathing. Blanche bathes throughout the whole A Streetcar Named Desire. She claims that the hot water calms her nerves and in the Scene Two she says, à ¢Ã¢â€š ¬Ã‚ ¦all freshly bathed and scented, and feeling like a brand new human being! So the cleaning is taken as a physical symbol on the one hand metaphorically and on the other hand literally. Her sexual experiences made her a dirty person and subconsciously she wants to get rid of her odious history. Her efforts to forget and clean herself cannot erase her past and because of that her bathing takes a long time, it is almost never done. Blanches constant bathing starts in the Scene Two. Stanley and Stella are talking about the lost of Belle Reve. Stella is satisfied with the Blanches answer that it had to be sacrificed. However, pragmatic Stanley wants to see all the papers concerning the family estate. He seemed to always hope of owning the estate or take an advantage from its sale. Stanley checks clothes in Blanches trunk and accuses Blanche that money from the sale is in her wardrobe now instead of in his pocket. While Blanche is bathing first facts about her history is revealing. She baths as she would like to wash her guilt of losing the Belle Reve. And behind her back others are deciding of her future. During bathing Blanche is singing. In Scene Two and Seven there is a popular ballad Its Only a Paper Moon. The lyrics Its a Barnum and Bailey world / Just as phony as it can be / But it wouldnt be make-believe / If you believed in me, describe the world where love is turn from reality into a phony fantasy. Love dos not exist in the real world and it is only imagined. It narrates Blanches life and her strong believe that her future happiness with Mitch lies in her behaviour. Blanche thinks that if she would try hard enough the hope would have become reality. The song very well accompanies the process of cleaning herself during bathing. Tennessee Williams use a juxtaposition of Blanches perception of her love life and the cruel reality, Blanches optimistic interpretation of the song with Stanleys mischievous revelations about her. Williams creates an ironic dramatic situation where Blanche is singing about, in fact, nonsense. As Blanche takes a bath Stanley tells Stella about her sisters sexual history. Other important thing is taking place behind Blanches back. Stanley tells Stella that he also told the whole history not only to her but also to Mich. Stella is now sure that Mitch will never marry Blanche because of that. While Blanche is bathing other important information about her reveals. On the outside Blanche appears to be fresh and temporarily renewed. However, she fails the process of cleaning herself from past and her reputation again. Stanley has objections against Blanches constant bathing. On a metaphorical level he shows his rejections towards Blanches processes of cleaning and purification. There is other song Blanche is using for getting rid of her past and becoming as innocent as she was when she has been still married. The Varsouviana Polka is the tune which she hears in her head. It is also a tune which she was dancing with her husband and when she last saw him alive. The song reminds Blanche times of innocence and the time when the decline of her life became. The day when Allen Grey committed suicide she saw him with other male friend in bed and pretended that nothing happened. However, during dancing on the tune of Varsouviana Polka she told him that she found him disgusting. The polka represents Blanches longing for innocence which is already lost. First Blanche hears it during the meeting of Stanley in the Scene One. Other appearance of the tune accompanies Blanches narration of her young husbands death. Since her mental decline begins she can hear the Varsouviana Polka constantly. For the purposes of process of cleaning she tires to move her miseries out of rea lity and focuses on her imaginary dream past world, she focuses on the becoming innocent again. In fact, her insanity is a token of regression to ideal imaginary environment. In conclusion, Blanche in A Streetcar Named Desire tries through various ways to get rid of the past, sins, mistakes, memories and reputation. She arrived in Elysian Fields, which is the place where souls come before they can come back to our world, we can assume that her journey will start all over again. So from the beginning it is clear that Blanche is going to fail. Her problems go hand in hand. Her troubles with man would be cleaned by a wearing of a white dress at her wedding with Mitch, Blanches obsessive bathing resembles plunging of souls, the processes of cleaning are very psychic because she hopes to get away her habitual sins, alcohol does not wash away memories and also the songs which accompanied washing of the sins away do not help. Blanche is forced to leave with all her mistakes back to the rough reality but from the fresh new start but to the same stained history and reputation. Literature Williams, Tennessee. A Streetcar Named Desire . New York: Signet, 1974.

Essay --

It was a hot summer night in the middle of August, me and my good friends just graduated high school and we had an array of graduation parties to attend. It was ten o’clock and my buddies had been drinking for some time now, we all were having a good time dancing, talking, and reminiscing all the good times we had in high school and all the crazy things we did. My buddy offered me a drink and I figured, why not, were all here with our parents and having a good time. Little did I know, this was a start to a very bad night. By mid night, I wasn’t feeling too hot so I decided to take a break and lay down, not ten minutes after laying down I got up and got sick, and it didn’t happen just once. The next morning I woke up and didn’t know where I was or what happened the night before. What I experienced that night was one of the worst things I have ever experienced in my life. Those are just some of small effects that binge drinking can have on your body. In toda y’s society, drinking has become a big problem. Many people think drinking is a social norm. So drink to have a good time, and some people drink because they can’t help it. Binge drinking refers to a high volume alcohol consumption over a short period of time, and is frequently defined as the consumption of four or more drinks at a single sitting for women, and five or more drinks at a single sitting for men. Binge drinking goes hand in hand with physiological effects. Test have shown that binge drinking may put people at risk of coronary heart disease risk, psychiatric morbidity, and cognitive impairment. Infants that are born to a women that binge drank while pregnant are thought to have behavioral difficulties as they grow up (Lim). Along with the short terms of binge drinkin... ... years, researchers have found that binge drinking has a negative effect of the lung as well. Excessive drinking may cause cell dysfunction within the layer of tissue lining the airway, making it hard to breathe for some people. On many campuses, in many bars, and parties all over the world people are binge drinking. Little do they know that what they are doing in extremely bad for their bodies. Some people don’t think twice about it but people should really be concerned about what they put in their bodies. They are at high risk for injury in the short-term due to behavioral disinhibiting, temporary impairment of judgment, nausea and vomiting, and hangover symptoms. It only gets worst in the long run, there are many different long-term effects that can affect them for the rest of their lives. People should really think twice before they start to have a â€Å"good time.†

Terrorism: We Must Fight ISIS :: Terrorism, ISIS

The world is at a rough point. ISIS has been taking over Iraq and Syria and no one there has been able to resist the spread. Some people from other countries wish to go fight lethally or non-lethally against the terrorist threat. There are also some that go to fight for ISIS. Allowing foreign volunteers to fight for the enemy should be recognized as a terrorist action. What should stop them from going to train with terrorists only to go back to their home country and spread terrorism there? The real issue is how countries view what is a terrorist country. A country may revoke a right of citizenship if someone wishes to go fight in a terrorist country. It could also be that the country considers a foreign volunteer to be a samaritan for a cause that they feel passionate enough that they would want to fight and possibly die for. The other part is the human element. It is natural for a human to go to a place and possibly fight for someone else because they feel that they need to help fellow humans with their cause. This reason is why the world sees so many foreigners fighting in countries like Syria and Iraq. This is also why some people go to fight for ISIS. ISIS is a major problem for Iran. Because we are neighbors to Iraq, we have a greater danger of being invaded. When it comes to volunteers, we have been sending over personnel to train Shia militants to fight ISIS. This effort, however, might not be enough. ISIS keeps growing stronger with its numerous amount of recruits. While others may go to Syria to fight against ISIS, the number is still not enough. Some people may think that we are a source of terrorism, we are not and are trying to fight it. The Sunni jihadists are after us, and we need Shias to fight with us (Byman). What we need are fighters from other countries to help assist in fighting against ISIS. There have been too many foreigners going to ISIS, women included. In October 2014, there were 4 women alone who tried to go fight for Syria but were arrested (Erlanger). Our problem is that we need the use of foreign volunteers in these armed conflicts because ISIS in Syria and Iraq are both way too close to home, and fearing an attack from them is quite possible.

The Social/Economic Upper-Class in England in Mrs. Dalloway, Sense and

The social/economic upper-class in England in Virginia Woolf’s Mrs. Dalloway, Jane Austen’s Sense and Sensibility, and Oscar Wilde’s The Picture of Dorian Gray are depicted through the characters’ lifestyles, wealth, and behaviors. Woolf, Austen, and Wilde give insightful portrayals of the characters by emphasizing their social roles in the England society. Their portrayals of the characters suggest that they are critical of the upper-class’ factitious lifestyles. Members of England’s social/economic upper-class in Woolf’s, Austen’s, and Wilde’s literary works are distinguished by their lifestyles. In Woolf’s Mrs. Dalloway, the upper-class appear to have a simple and comfortable life. One of Woolf’s focuses of the upper-class’ lifestyle is Clarissa Dalloway. Clarissa’s lifestyle consists of planning and hosting social events for the members of the upper-class. When Woolf says, â€Å"Mrs. Dalloway said she would buy the flowers herself. For Lucy had her work cut out for her† (Woolf 3), he notes that it is not often that the upper-class women carry out their own duties. The women are also perceived as lazy because they do not have to work for a living. The upper-class women spend much of their leisure time shopping, maintaining their social role by attending social gatherings, and indulging in their desires. They seem to live a lavish lifestyle because â€Å"they lived with everyth ing they wanted† (Woolf 111), whether it was â€Å"breakfast in bed† (Woolf 111), or having servants to do their work for them. Austen’s Sense and Sensibility provides detailed perceptions of the upper-class lifestyles. Similar to Woolf’s descriptions in Mrs. Dalloway, the aspects of the upper-class in Austen’s novel imply that they live a relaxed lifestyle.... ...hasize the influences that the upper-class social status has on a person’s lifestyle, behavior, and perspective of others. They also emphasize the social expectations and restrictions for the upper-class women, including their social role, appearance, and personalities. It is indicated from the authors’ literary works, that people are judged based on their social position. Woolf, Austen, and Wilde’s portrayals of the upper-class in their literary works show that an upper-class social status does not ensure happiness. Works Cited Austen, Jane. Sense and Sensibility. Ed. Stephanie Stark. London: Penguin, 2002. Print. Wilde, Oscar. The Picture of Dorian Gray. Michael Patrick Gillespie, Editor. Norton Critical Edition. New York: W.W. Norton & Company, Inc., 2007. Woolf, Virginia. Mrs Dalloway. London: The Hogarth Press 1925. London: Penguin books, 1996.

Lab 12

What is an ionic bond? Typically an ionic bond occurs between one metal and one non-metal ion. One atom borrows one or more electrons from another atom. An ionic bond is a type of chemical bond that occurs when one atom loses an electron to form a positive ion and the other atom gains an electron to form a negative ion, which then result in attraction. 2. What is a covalent bond? A covalent bond is a bond that occurs when atoms in a molecule share a pair of electrons. For example, â€Å"the atoms in sugar do not form ions; instead, they are held together because of shared electrons. † 3.Do you think sugar or salt will melt at a higher temperature? Explain your answer. Since sugar is composed of covalent bonds and salt composed of ionic bonds, I think salt will take a higher temperature to melt because salt is bonded together by stronger bonds. Ionic bonds are much stronger than covalent bonds. Covalent bonds are not as strong as ionic bonds so it will not require such a high t emperature to make sugar melt. Part 1 Observations for the sugar solution: There were occasional bubbles off of the steel screw, but no lines of black or yellow off of either like with the salt solution.Observations for the salt solution: The iron nail gave off constant â€Å"streaks† of a blue/green color. The steel screw had constant â€Å"streaks† of yellow as well as many, many tiny bubbles the entire time. The nail also got much more dark after the salt solution. Part 2: Observations for the melting of sugar: Almost immediately the sugar began to melt. At first the sugar just turned from a pure, solid white to a white sugar that almost looked like more of a liquid. Then the sugar began to â€Å"pop† into tiny bubbles and quickly got faster.The tiny bubbles would then â€Å"grow† into larger brown bubbles. Observations for the salt solution: The salt solution created quiet popping noises after several seconds of being held above the candle. The salt t ook much longer to melt than the sugar. The salt also did not have near as large of a reaction as the sugar. The salt just turned darker, where as the sugar made huge bubbles. Questions 1. Why is it important to use distilled water instead of tap water used in Part 1? Distilled water is formed from condensed steam, which therefore makes it free from mineral and organic salts.Regular water is physically purified and chemically treated to kill germs, but contains many salts in it. Distilled water is free of salts, but regular tap water contains many salts. Therefore, if we are trying to see what happens for sugar, it would not be purely sugar if we used tap water because tap water contains salts. If we used tap water we would be mixing salt and sugar so we would not get accurate results. 2. In Part 1, why did you not observe a stream of bubbles coming off the stainless steel screw in the sugar solution?Since sugar is composed of covalent bonds and therefore as we saw in part 2, takes much less time to melt, I think we didn’t observe bubbles because there was not as much as a reaction since it â€Å"melted† so much faster. Also, sugar does not change its composition when added to water, but salt does. Therefore, perhaps the sugar does not cause the screw to bubble much. 3. Did any bubbles form off the screw in the sugar solution at all? Why might this happen despite your answer to Question 2? I did see occasional bubbles, which could be due to the slight chemical reaction of the two chemicals.However, it was obviously not as strong as with the salt since the salt changed its composition when added to water and so did the steel when exposed to the mixture. The transfer of energy might have been so great for the sugar that the sugar only reacted really briefly since it has a much lower melting point. However, the salt has a much higher melting point so perhaps the reaction was so much greater since the transfer of energy was so great, as needed with s alt, that there was more to react with for the salt than the sugar. 4.In Part 1, why did you observe a stream of bubbles coming off the steel screw in the salt solution? The salt solution created much more of a reaction and needs a much higher transfer of energy in order to react. The high transfer of energy created constant bubbles, where as with the sugar it did not. Perhaps the transfer of energy was so much for the salt solution that there were only really brief reactions. However, with the salt solution it needs so much energy in order to change so when all the energy is created in the salt solution, there is a much larger reaction. 5. Explain any changes that took place on the nail.The part of the nail that was exposed to the water changed in each solution. When it was in the sugar solution, the color changed very, very slightly. However, when the nail was placed in the salt solution, the part that was exposed changed a lot. The part that was in the salt solution became much d arker than the part that was not in the salt solution. 6. In Part 2, which of the substances had the lower melting point? Was this what you expected? Explain your results. The sugar had the lower melting point by a lot. The sugar immediately began to melt, but the salt took a lot longer to melt.The sugar began to melt so quickly since it was only held together by covalent bonds. The salt took a lot longer and had less of a reaction since it was held together by ionic bonds, which are much stronger. As explained in the pre-lab questions, this is exactly what I expected. The sugar melt with a much larger reaction as well (as can be seen in the photo below). The salt only popped and the individual crystals turned darker, where as the sugar actually melted and bursted into large bubbles. I think this is because it had such a low melting point that it created a large and immediate reaction.

Mao’s domestic policies Essay

Essay Question: To what extend do you consider Mao’s domestic policies more successful than his foreign policies? Between the years 1949 and 1976 China was in a faze of changes, which varied in good and bad, the way roller coasters vary in ups and downs. Mao Zedong was the Chairman during those years whom one could make responsible for numerous successes and failures in China. His domestic and foreign policies were the causes of millions of deaths, economic highs and lows, unhappy peasants and many more factors which harmed and helped China to build up and backwards after feudalism had been removed from China. The Five Year Plan, which was a duplicate of the plan that Russia used to overcome the countries misery, took place between 1952 and 1956 and was a success for entire China. The Hundred Flowers Campaign, which Mao started in 1957, is known to be one of his greatest failures and resulted in chaos, along with the collectivisation plan in the late 1950’s and early 1960’s and the Great Leap Forward Mao failed to help his country. As he supported the Korean War in the 1950’s Chinas budget decreased my thousand of millions of Yuan. This foreign policy was a disaster for China and even though several domestic policies were introduced, none of them could really keep China and it’s masses in population contend. Due to the support China had provided Korea with many more people died. If Korean had not been supported by Chinas budget, then one could argue that not as many people would have been killed the Korean War. Maybe the number of deaths could have been reduced to half a million or so, one can only speculate, yet it is clear that this foreign policy did not do any good, but much more harm. It did not only destroy human lives, it also harassed the Chinese budget and as a result made China very weak. PRC Expenditure in Percentages of Total Budget: As is shown on the table in 1950 the percent of money which was taken away from the budget is 41,5 %. This is almost half of the entire Chinese budget. Most of this money supported the Korean War and helped Korean to defend itself. By 1957 this percentile had gone down, but all most every other one went up. For an example 51,4 % of the Chinese budget was being used to support the economic development. This is a vast amount of money needed to support the economic development of a country. Even though this foreign policy supported Korean, it was and opposition for the donator, China. The Five Year Plan can be viewed purely as a success. Mao was impressed with what Lenin had accomplished with it and decided to do the same. Mao and the PRC, People Republic of China, build up the same Five Year Plan as Russia and succeeded. The National Resources Committee, NRC, had already taken care of several industrial ideas, which Mao had, and they were also the ones who had total control over the industrial investment sections. During the Five Year Plan a significant amount of migration took place. Families moved from the countryside into the large cities to find jobs at factories. One major factor that makes the Five Year Plan a success is of the inflation, from which China had been suffering for many years, which Mao achieved to decrease. It dropped from over 1,000 percent to nearly 15 percent and was a result of a raise of taxes and a change of the Chinese currency from the Chinese Dollar to the Yuan. Not only did the PRC want to focus on the production of steel, coal and petrol-chemicals, but also on transportations such as the Chinese automobile. An event, which is a perfect example to demonstrate the successes of the Five Year Plan would be the construction of a road and railway bridge, which crossed the Yangzi River, which can be seen as a contribution to the modernization of China. By 1952 the PRC had introduced their goals of what they wanted to achieve during the Five Year Plan. Their targets were to produce at least 555,000 bicycles by 1957, yet instead they produced more than 1,740,000. Also, they planned on manufacturing 4,000 trucks, but they achieved to produce more than 7,500. However magnificent this all sounds and how proud China must have been, if Russia had not helped China to industrialize, they would have never been able to compare themselves with the Soviet Union after their Five Year Plan had Worked so well. Meaning, China was not as successful as Russia had been, because China got the Soviet Unions support, whereas Russia made it on their own two feet. However, one should give credit to Mao for the Five Year Plan, because this was one of his only successful domestic policies and it gave China a better economic position in the world. The Hundred Flowers Campaign, which was a domestic policy, introduced in 1956, was probably Mao’s greatest Failure during has dictatorship. When Mao became the Chairman in 1949 he strict freedom of speech policies, since he did not welcome any other political opinions other than those of communism. In 1956, Mao Zedong decided it was time to allow people in China to speak their minds free from fear of persecution by the government. Mao wanted to encourage free speech and healthy arguments. This was introduced with the phrase â€Å"let a hundred flowers bloom.† With this he wanted allow the expression of diverse ideas. Mao colleagues to stop this policy, due to the fact that Stalin had lost power in Poland and Hungry through this policy. However, he pressured boldly forward. After some time thing got out of hand and Mao replaced it with the ‘anti-rightist’ operation. Mao sent intellectuals, layers and even teacher to the countryside, had them humiliated publicly, or let them be assassinated. The Hundred Flowers Campaign was a disaster. Thousands were killed because they had their own opinion and expressed it freely, just the way Mao had provoked. When Mao said: â€Å"It is only by using discussion, criticism and reasoning that we can really foster correct ideas, overcome wrong ideas and really settle issues.† and then killed the majority of those who obeyed his new policy, one must ask oneself, what he really intended with this. One could argue that Mao did not create the Hundred Flower Campaign to get feed-back and criticism so that he can improve the countries situation, it is thought that Mao introduced the Campaign to find those who had something to say against him and his ideas in a quicker and more efficient way than before. In conclusion, Mao became more powerful, however, be betrayed his own country. This is how one can see where his domestic policies were much less successful than his foreign ones. With his foreign policy mention earlier, he provoked death due to a war, whereas in his domestic policies he provoked death due to his own ignorance and utter ruthlessness. Once one has made one mistake, it seems as though one has released a chain of reactions. At least this is the case for Mao, because his next mistake was not far from his last one. The Great Leap Forward, which took place in 1958-1962, was a hardship on the peasants. Even though China had modernized and industrialized there were still many problems to come. Although Mao stood upright for equal treatment of all humans and even though Mao and his family were peasants, he set up a list of strict rules for the peasants to obey. This was a result of the following. Mao realized that not enough food was being produced and brought to the cities, because of the migration that took place in the Five Year Plan. Too much of the population was now working in the factories and the economic planner concluded that this was the fault of the peasants. Since the peasant families were increasing rapidly each month, too much grain was going to the individual families, and thus, Mao decided to put the peasants under strict central control and direction. During the great peasant revolution Mao had given the serfs freedom and the land that once belonged to the landowners now belonged to them. However, the Collectivisation Plan changed everything. Now the peasants were not working for themselves anymore, but for the government, to prevent another shortage of grain in the cities. China’s agricultural land was split into 70,000 communes, each consisting of 750,000 brigades, each made up of 200 households. The setting of prices, distribution of products, farming methods and the sales were all controlled by the PRC. Since the targets of grain production of the government were so high, there was not much grain left for the people. Hunger and death was well known during that time, and millions had died of starvation. Alone in Tibet 20% of the population had starved to death. The main problem of this crisis was that nobody told Mao about these happenings, because they were all afraid to undergo the same destiny as all the others who told him the bad news. However, one man did find the courage after all and open his heart to Mao. Mr. Peng Dehuai was the minister of defence, and decided to let Chairman know about the disasters that were going on. He was dismissed and sent to the countryside. By now nearly all of China was afraid to say anything against or even to him. The Collectivisation system pulled China down more than ever. In 1958 200 million tons of grain were being produced, but in 1962 less than 160 million tons were produced. A similar thing happened to the meat production. In 19584,3 million tons of meat were being manufactured and by 1968 only 1,9 tons were being produced. Mao’s plan had once again not worked. Almost thirty million people died in China from his domestic policies, however, his foreign policies did not cause such harsh consequences for anyone. One must look at the success of the domestic and foreign policies from three different perspectives. One, the Chinese citizens perspective during Mao’s dictatorship, two, Mao’s own viewpoint, and three, the perception of the success of today’s people. The Chinese people of that time lived the changes, the success and most of all the failures. Like in many situations, the negative things were paid more attention, due to the harsher memories, which are well in mind. The people suffered, lost family members and were tortured mentally and physically. Even though Mao became like a God for them after the â€Å"Little Red Book† was published in May 1964. It was a book of quotations from Mao and was there to give the Chinese citizens a better view of what he was doing. Mao was feared and therefore obeyed. From Mao’s point of view, things seemed to be going great because be barely received feedback from his colleagues, because they were too afraid of him as well. The fear, which developed through out the years came from the punishment that people had to undergo. The rumours of what was happening did not even have to go around the country; the majority of the people saw the humiliations and various other punishments with their own eyes. Anyhow, Mao was partially not informed about the millions of deaths that were occurring, therefore he was probably satisfied with his work, and believed that he was successful. Then, if one looks at the overall damaged he caused with his domestic and foreign policies one can see that his domestic policies were much less successful than his foreign policies. If Mao would still be alive today he would possibly realize his mistakes and would think similar to the perspective of today. Mao was a man with visions and ideas, which he thought to be most important. However, he did more harm then did he help people with his domestic and foreign policies. One can even consider his foreign policies more successful in some ways, because his support in the Korean War did not kill as many people as his domestic polices resulted in killing. Nevertheless, one mustn’t generalize everything. One must also look from different perspectives such as Mao’s for an example. He was often left uninformed about what was really going on in the country; therefore he was most likely felt successful. The peasants had a much different point of view due to the more authentic experiences they had to undergo. But by looking at the situation form the modern eyes of today, one can clearly see the successes and failures of Chairman Mao’s dictatorship. His domestic policies were less successful than his foreign policies due to the numbers of deaths. It seems as though Mao released a chain reaction of mistakes as he did his first one with the Hundred Flowers Campaign in 1957, and that there was no way of stopping it.

Different Aspects of Pain Essay

Pain is a subject to which all people can relate. There are many different types of pain, and people react to these pains in various ways. Pain is also caused from many different sources. It could be from grief, stress, or a significant event that occurs in one’s life. Pain is defined in the Dictionary as â€Å"mental or emotional suffering or torment.† The poetry of Robert Frost, James Langston Hughes, and Emily Dickinson all display different aspects of pain. Robert Lee Frost was born on March 26, 1874 in San Francisco, California where his father worked as a newspaper editor. This may have been where Robert was first exposed to the aspect of writing. Robert’s first published poem was in a school newspaper at the age of 16 where he wrote a poem on the subject of Cortez in Mexico. Although he attended Dartmouth for seven weeks and spent two years at Harvard, he never finished a college education with a degree. After he had gotten married, he worked as a schoolteacher, and during this period is when he spent time writing the majority of his poetry. After his teaching career, he moved to England to pursue getting his works published since his poetry was not accepted for publishing in America. His first two books of poems, A Boy’s Will and North of Boston, were published in England and then later in America due to the overwhelming popularity of them in England (Greenberg ix-x). Frost’s poem â€Å"Out, Out† tells a story of the tragic death of a boy due to a buzz saw. The title is an allusion to act five William Shakespeare’s Macbeth, where the main character, Macbeth, performs a soliloquy regarding the death of his wife: â€Å"Out, out, brief candle! / Life’s but a walking shadow, a poor player / That struts and frets his hour upon the stage / And then is heard no more. It is a tale / Told by an idiot, full of sound and fury, / Signifying nothing.† The allusion to Shakespeare in the title is appropriate to the subject matter because the soliloquy of Macbeth states that life is short, and inevitably will end. That is the message that Robert Frost is trying to convey in this poem. There are two different aspects of pain that appear in â€Å"Out, Out.† The first  one is the aspect of physical pain. This occurs when the buzz saw the boy is using, hits the boy’s hand and injures the hand severely. â€Å"As if to prove saws knew what supper meant, / Leaped out at the boy’s hand, / or seemed to leap — (Frost 522)† The boy then begins to feel the pain of what has just happened, the physical pain of his hand being severed by the buzz saw. The next type of pain that can be seen here is the psychological pain, caused by stress. As a result of the boy’s injury, he begins to fall into pieces about the whole matter (clarify this somehow. â€Å"fall into pieces† sounds a little ambiguous as well as clichà ©) . The poem says that the boy â€Å"half in appeal, but as if to keep / the life from spilling. Then the boy saw all — (Frost 522).† These two lines of the poem depict that the boy is old enough to understand what is going on with what is happening. His hand is injured beyond what the doctors can repair, and there is a high possibility of death because of what has just happened. The word ‘Life’ in this poem represents the blood that flowing from his hand. One can also see the apathy displayed by the rest of his family. Even though a member of the family has just died due to a tragic accident â€Å"Little–less–nothing!–and that ended it (Frost 522)† they show no pain of the loss of a family member. It is depicted in the last two lines of the poem, â€Å"No more to build on there. And they, since they / Were not the one dead, turned to their affairs (Frost 522).† This shows that they had no emotion to the event, and went on to what they were doing as if nothing had happened in the first place. The second piece of poetry presented is one by James Langston Hughes. James Langston Hughes was born February 1, 1902 in Joplin Missouri. He spent his early life living with his grandmother in Illinois. Hughes began to write poems, and also some short stories, while he was in high school. Hughes mentions that the primary influences to his writing are Paul Lawrence Dunbar, Carl Sandburg, and Walt Whitman. His first book of poetry, entitled The Weary Blues, was published in 1926, while he was in college. Hughes graduated from Lincoln University three years following the publication of his first book of poetry. The year following his college graduated, Hughes  won the Harmon gold medal for literature for the first novel that he wrote, Not Without Laughter. James Langston Hughes poem â€Å"The Negro Speaks of Rivers† was the first poem of his that was published. This poem was also set to music later on. It is written from the perspective of a man that ties together African and African-American history. Hughes does this by naming different rivers that are in Africa and also those that are in the United States. This is where the wordplay of Langston Hughes can be seen. The type of pain that is displayed in this poem is not very obvious, but it is more implied than directly stated. Seeing that this poems speaks of African and African-American History, the idea of the oppression that these people groups have gone through is something that can be inferred from what the poem says. Both of these people groups have gone through major oppression because of slavery, inequality, and the like. (while it is not obvious I would recommend trying to find a few lines that can possibly show the pain) The final poem presented here is a poem from Emily Dickinson. Emily Dickinson was born in the year 1830 in a family that was considered to be very wealthy for that time period. Her father ultimately led the family and was a religious man for the family. He read prayers and passages of scripture to all that lived in the household to maintain this. She attended the seminary for a year, but went home after that year due to a significant amount of unpleasant experiences. After Emily left school, she isolated herself from all activities and responsibilities that were outside of the household, and kept to herself most of the time. She spent a significant amount of time reading books. Because of the morals that her father had, there were not many things for her to choose from, as her father thought that most books that were available at the time might shake up her thinking patterns. She then settled to read the Bible, classical myths, and also the works of William Shakespeare. Because of this, a great amount of the poems that she wrote had allusion to her readings contained in them. Although there is very little that people know of Emily Dickinson’s outside life, but after reading the  poems that she has written, one can gain some access to the inside life in Emily Dickinson (Madden 1287). Emily Dickinson wrote nearly two thousand different poems in her lifetime (Madden 1288). Only but a few of these poems were intentionally published by her. Although Emily made her brother and sister promise to destroy all of her works following her death, her sister, Lavinia, could not gain the strength to destroy her sister Emily’s poetry. Not too far following her death in 1886, nine volumes of her works that were revised in wording, punctuation, structure, and rhyme were published. Unedited versions that were true to the original manuscript of Emily Dickinson where not published until 1955 (Madden 1288). Most of the poems of Emily Dickinson were her own personal laments that she did not intend for the public to ever see. â€Å"After A Great Pain, A Formal Feeling Comes† is an example of one of these extremely personal poems. During the time that this poem was written, Dickinson had just lost a very close friend. She was also beginning to dismiss the ideas of a career, starting a family, and making contact with anything or anyone that was outside of her own house. This whole poem directly deals with the pain of emotional loss that comes with the passing away of a person that is extremely close. Death was something that Dickinson never adjusted to, and it is displayed in this poem. She depicts how the feeling sits heavily and does not seem to go away very quickly â€Å"The Nerves sit ceremonious, like Tombs–(Dickinson 1291)† (Lundin 95). In the last two lines of the first stanza Dickinson says, â€Å"The stiff Heart questions what it He, that bore, / And Yesterday, or Centuries before? (Dickinson 1291)† Here she is reliving past pains and grief that have occurred in her life before the death of her friend. She also relives past painful moments in her life in the second stanza â€Å"The Feet, mechanical, go round (Dickinson 1291)† (Grabher 217). In the last stanza, Dickinson focuses on the present pain that is in her life. â€Å"This is the Hour of Lead– (Dickinson 1291)† refers to the passing of  Dickinson’s close friend. She then goes over the stages of how she moves on from these painful experiences: â€Å"As Freezing persons, recollect the Snow– / First–Chill–then Stupor–then the letting go– (Dickinson 1291)† The way that she ends this poems makes it appear as though she is trailing off into a land of thought to go dwell on what has just happened, to begin her process of recovery (Lundin 234). As one can see, many different aspects of pain have been discussed. Robert Frost’s â€Å"Out, Out† discussed physical pain due to an injury, and also the pain of stress due to that injury. James Langston Hughes implied the racial oppression of Africans and African-Americans that had gone before him in â€Å"The Negro Speaks of Rivers.† Emily Dickinson goes deep into her personal life and displays emotional pain with â€Å"After A Great Pain, A Formal Feeling Comes† by reminiscing on past grief and dealing with a new grief due to the death of a friend. As one reads through and analyzes these poems, one can see the way that pain is displayed in the midst of them and how each separate type affects people in different ways.

National Initiatives Essay

Many national initiatives have been developed over the years as society becomes more progressive and tolerant, the results of these legislative regulation at every level from international law all the way down to individual practice policy have an effect on anti-discriminatory practice in health and social care systems Conventions and fundamental and regulation European Convention on Human Rights and Fundamental Freedoms 1950 Article 14 in this convention concerns discrimination and prohibits discrimination based on many different factors such as Race, Sex, Age etc. It also can extend to protect against discrimination of different sexual orientation and legal rights of people under national law. In terms of Health and social care and anti-discriminatory practice this Article is very important as it sets the basis for a non-discriminatory Health a Social care System. This article states in essence that by and large everyone has the right to be treated without being discriminated against for any illogical reason such as a person not being treated because they mentally Ill. It should mean also that more health professionals cannot be hired based on discrimination from the employer against other applicants. E.G a dental practice picks a Caucasian applicant over an Asian Applicant based purely on their own prejudice against Asian people. Sex Discrimination Act 1975 This act dictates that men and women are protected by law from being discriminated against on the bases of their sex or marital status. This act gives men and women the rights to the same level of treatment by health professionals and to attain the same positions as one another. This makes a more diverse workforce and in health & social care which is a diverse environment, this is a good thing. Codes of Practice and Charters Codes of practice are enforced by individual practices and Healthcare Centres, These are all similar in most respects but usually are specified to the practice itself. For example a Dentist and a Hospital for the mentally infirm will have different codes of practice due to the complete difference in patient, treatment and the overall healthcare plan. But this show’s just some of the benefits and uses of practice codes in healthcare as it allows room for maximum patient care. These codes of practice however generally address what is considered to be discrimination in the practice and what sanctions follow if any of these codes are broken. This helps to ensure that all employees are aware what discriminatory practice is and this allows no excuse when discriminatory practice is carried out by and employee. Organisational Policies and procedures Organisational policies and procedures affect various things in health & social care including positive promotion of individual rights, advocacy, staff development and training, complaints procedures, confidentiality. Promoting individual rights Individual rights cover a large range of rights and good organisational policies cover the protection of these against discrimination. People’s individual rights in the health and social system must be protected against any infringement on them e.g. their personal beliefs. Advocacy An advocate is someone who stand’s in the place of and speaks for someone who is not able to represent themselves, e.g. an advocate for a mental patient or a child. This person is responsible for said person and should only act in their best interests. Advocates promote anti discriminatory practice by giving a voice to those without one, stopping discrimination based on lack of social ability. Staff development and training It is essential that staff are trained properly in anti-discriminatory practice, this allows them to develop as professional’s with a duty to uphold the rights of individuals and to work against discrimination where seen. Complaints procedures and confidentiality Complaints procedures must be followed up quickly and efficiently as any possible discrimination must be investigated and also that complaints processed properly can make for improvements in the delivery of healthcare. Patient’s confidentiality must be kept at all times as any illness is private to whomever has it. National initiatives are in place for a reason, practices are still working every day to promote anti-discriminatory practice, the idea to produce an equal, quality and efficient healthcare system that works for everyone is still not a complete reality but with more initiatives and good practice it could be.

Discussion 700 Assignment Example | Topics and Well Written Essays - 250 words

Discussion 700 - Assignment Example This assumption is underpinned by the fact that there is a point of intersection between patients’ seeking clinical care because of their problems and nurses availing themselves in willingness to offer the care. The theory assumes that therapeutic interaction cause patients and nurses to mature. This is because both of them end up learning something new from the encounter. Thirdly, the theory assumes that interviewing skills and communication skills will remain essential to nursing. Through these skills, nurses gather information about the issues of the patient in order to decide accurately about the most appropriate care. The last assumption is that self-understanding is important for nurses to facilitate patient growth and not limit the patient’s choices (Meleis, 2007). Man is an important concept to this theory and it perceives man as an organism that seeks ways of reducing the tensions drawing from their felt needs. According to this theory, health denotes a concept that shows progress of human processes towards community, productive and constructive living ((Basavanthappa, 2007)). Peplau perceived society or environment as containing mores and culture that are important to treatment. Nursing entails a relationship between persons in need of health services and health workers trained to recognize and address these needs. The theory is clear that a therapeutic alliance is imperative for a nursing process to succeed. It has remained consistent through time (Peterson & Bredow, 2009). Finally, the theory holds that the nursing process happens in stages. These stages are orientation, identification, exploitation, and

The six day war israel against the arab states Essay

The six day war israel against the arab states - Essay Example Moreover, it has also resulted in a special relationship between Israel and the United States after the conclusion of the war, with military support available for Israel from America. This has further fuelled the discord in the Middle east region. In 1956, during the Suez crisis, Israel had advanced its military into the Sinai peninsula, but with heavy diplomatic pressure from both the United States and the Soviet Union, Israel withdrew forces and a UN peacekeeping force was stationed in Sinai. One of the major reasons why the Suez crisis had been precipitated was the closure of the Tiran strait to Israeli shipping, but after the Suez crisis, the strait was reopened and there was temporary peace in the region despite the lack of resolution of the issues plaguing the region, since none of the Arab States recognized Israel as a separate state. The events leading up to the war were actually set into motion when Egypt became suspicious about an imminent Isreali attack on Syria planned for May 17, 1967. Such suspicions were based upon militant speeches that were being made by Israeli leaders and the substance of a Soviet intelligence report on the hostilities along the Israeli-Syrian border. As a result, Nassar personally ordered for the mobilization two divisions of troops across the Suez Canal during a late night meeting on May 13 and 14. (Bergman 2000, p 44). These troops were to be sent into Sinai with the intent of putting the armed forces in Sinai on full alert and completing the troop mobilization before an anticipated Israeli attack on May 17th. On May 18, 1967, the UAR began expelling the United Nations Emergency forces, which were there to provide a peace keeping buffer in the area and this led up to the closure of the Straits of Tiran to Israeli ships on May 23rd. This was akin to a trumpet call for war, because Israel had earlier made a public declaration that it would equate any interference with freedom of navigation along

Lodon Underground Essay Example | Topics and Well Written Essays - 1500 words

Lodon Underground - Essay Example In its effort to serve the UK residents, the UK government provides various merit goods including London Underground and health as well as London underground. This paper aims at discussing London Underground as one of the merit goods that are enjoyed by the residents of the United Kingdom. London Underground is an important metro system that serves residents of UK. Serving more than 270 stations, London Underground was originally operated by various companies including City and South London Railway and Electric traction trains. The vision of London Underground is to deliver a state of art world-class underground globally (Hardy, 2002). Also referred to as Tube, London Underground obtains its revenue mostly from the large number of massagers it serves in the UK. One of the major reasons as to why large number of passengers uses the Tube is due to its convenience as well as the high speed that it adopts. According to the Tube management, safety and reliability cannot result to world-class transport system even though they are the base of good service. As a result, London Underground believes that quality of travelling is the most vital aspect to passengers. One of the major challenges facing London Underground is keeping the city of London on the move while the Tube is being transformed. As the demand for the use of London Underground rise, it has resulted to expansive investment in order to improve its revenue and provide world class services. The success of Tube is based on its efforts to put the experience of its passengers at the central position of its strategies. For example, the organization maintains helpful and always available staff, adequate security systems and high-quality information. During their travelling, most of the passengers using the Tube use Oysters. An Oyster is smartcard that is plastic in

Summery 2 Essay Example | Topics and Well Written Essays - 500 words

Summery 2 - Essay Example The intricate nature by which most people try to protect their privacy from the outside world may be astonishing, but it is not something that is new. This paper will examine the issues presented by the article, and find out how people can use this information to their benefit. The article cites that the end of this generation might mark a period of transition. This transition is one that requires information in order to survive, and for people to immediately recognize the need to have some privacy. People favor privacy, and there is now a way in which technology can assist one in attaining this freedom. The internet can provide the safety net that most people wish for when it comes to their private lives. However, people are not using these avenues to protect their lives. There is the presence of data encryption software that may allow people to live their lives as they see fit, and it is only through asking that one may be able to look into someone else’s life. However, as the article goes on to suggest, individuals are now trying to get the best out of the technological advancement period by exchanging information in order to get information. The lives of any individual who is worth news can be easily accessed, and their lives made public. This is what the change in times is also bringing forth. People are now exchanging their ideals for a less subtle way of life, which implies that prying has become a way of life for most people. This has become a way of life for the American people. Everybody is now linked through the mere touch of a button as this is quickly becoming a wired world. In conclusion, privacy is an important aspect of any society. Privacy was not something that people were familiar with, and that the evolution of time has brought some kind of peace to some people. Now, one can only see what another chooses to show the public. However, it is high time people stop lowering their standards to some of the crucial

Case study Example | Topics and Well Written Essays - 250 words - 137

Case Study Example Also, it can be attributed to enhanced morale of employees. Q3. The major changes in the situation revolved around the management system of the company. Before, the process of assembling garments involved numerous sub-assembly units before completion. The new system places the entire production of garments in the hands of every employee. In the new scheme, the workers control the entire assembly of garments while the management still make strategic decisions regarding production and also supply workers with essential materials for the production process. Q4. Suppose the new change was aborted and workers went back to the old system, the morale of the workers would slump to its all time low as they would be so demoralized because of the failure and also going back to a system that seemed to lower their work enthusiasm. Also, the percentage of controllable rejects would increase because the old system placed no direct responsibility for the reject on workers. Absenteeism would once again plague the company and the overall productivity of the company would decline

Management and Leadership development (Are leaders born or made) Essay

Management and Leadership development (Are leaders born or made) - Essay Example The model has been identified but not applied to organisations How do you demonstrate that your idea in part one will actually work in a real life environment? Would this be a universal model? (Refer to paper one) There is no indication of this model being universal, include at the beginning or the end Prove that it works. The model hasn’t been proven to work Show how it works and in relation to your literature? Not enough Demonstrate my model or concept could work in a variety of sectors e.g. public sector, commercial sector, or how it would work in different sizes of organisations, e.g small, medium and large Identified organisations but not applied the model the way they operate in leadership development Pick out the main points on the organisations (critical information) and that have relevance to if leaders are born or made and remove the rest of the material as it is descriptive and irrelevant, (This paper is only meant to be (2200 words max) The essay has some valid poi nts on organisations – However, they need to be backed by theory and all related to whether leaders are born or developed and the suggested model in the introduction I have also highlighted some points below Investigate the Operationalisation of Management and Leadership Development into Practice, Based on the Key Ideas Identified in Part One Part one entailed exploring into the study of contemporary management and leadership development, focusing on the topic ‘Are Leaders Born or Developed over Time’. Apart from presenting an array of diverse literatures that reviewed both arguments, the outcome of the study indicated that no one is a natural born leader. The case studies now will be discussing on how these theories and practices are displayed in management and leadership styles in the real life working environment across various sectors. The model that would be applied is based on the theoretical framework that leaders are developed over time. Through the concu rrent collaborative applications of both Adair (2003) and House (1971) who argued that leaders don’t have to be born but can develop leadership skills (Adair, 2003) and leaders set goals with employees and find paths, takes action, and develop one’s knowledge, skills and abilities as leaders (House, 1971) towards the achievement of organisational goals. Research by Giber (2009) has proved that if we tie leadership development to business strategy to the need of the business, it results in excellent organisational growth. The pressure to integrate leadership development activities and initiatives in the overall strategic objective of the business is the most important and overarching trend in recent history. Discussion Rolls Royce is a technology leader which employes 36,000 people assigned in offices, manufacturing and service facilities operating in 50 countries. The company has long history of employee development but currently they are reexamining their development strategy. In 2005, a review of talent management has been conducted, which until now, was being managed locally within business units. Currently, a new concept of talent management at global scale has been introduced (Jane Yarnall, 2008). Rolls Royce has realized the importance of talent management and that it should not be a standalone approach. Leaders can only emerge by identifying the potential talent