Unit 1 D2

Amy Holihan CACHE Level 3 Unit 1 D2 â€Å"Multi Agency working brings together practitioners from different sectors and professions to provide an integrated way of working to support children, young people and families. † (www. education. gov. uk 18. 10. 2021) Multi Agency Teams are made up of professionals who are brought into the childcare setting for a variety of different reasons.They ensure that all children, young people and families who need additional support have exactly the right professionals they need in order to support them. A Multi Agency Team could involve anyone who’s voluntary or job puts them in contact with children, young people or families. Other professionals who may work as part of a Multi-Agency Team are social workers, educational psychologists, health visitors and paediatric dieticians.They help children and young people who may be suffering from special needs, learning in difficulties or behavioural difficulties they assess these children and give them individual support and together with their families. The Multi Agency Team approach has many benefits such as there is better support for the parents and easier to meet every child and families individual needs and to address them more appropriately and children seeing professionals around then working together as a team.Communication between different services and confidentiality is crucial when working in a multi-agency team to ensure that all children and families get the support they need and their rights are never breached. â€Å"The CAF should be offered to children who have additional needs to those being met by universal services unless a child is presenting a need it is unlikely the CAF will be offered. The practitioner assesses needs by using the CAF. † (www. education. gov. uk 18. 10. 2012) The common Assessment Framework is to be used by all professionals who are in contact with children young people and their families.It is used to help practitioners i dentify a child’s need and offer them extra support before it reaches crisis point and to ensure important needs of children are not overlooked. Information is also shared between other practitioners so that parents only have to tell one professional information about their child. Parents also get to see the assessment information and get to voice their views and opinions with practitioners. Families play a big part when developing an action plan for meeting all children’s additional needs and consent must also be given by the parents.

How to Succeed in College Essay

For most, the collegiate experience represents a major cornerstone in life. Attending college can provide identity, give direction and fortify the foundation of its students. Success in college means always demonstrating responsible decision making. Attendance policies and rules of participation may not appear to be significant, but they can move a student to the right or to the left in the grading scale. It is also crucial to adhere to rigid standards that command accountability. Some Professors are adamant about participation and class involvement. Academia mandates setting goals and becoming objective. You will discover that these habits, when applied, enhance the window of opportunity for success to enter. Confidence is an essential part of being a successful college student. Likewise, a student that lacks this sort of discipline, readiness and mental strength will most likely be lackadaisical and less likely to thrive in college. The first key to succeeding in college is attenda nce. Being present and on time ensures that pertinent knowledge is ascertained. Most of all, showing up on time for every class allows the individual to develop positive attendance habits that are just as important in the job market. These habits reflect a sense of dependability to professors and employers alike. A student simply cannot gain information from a lecture if they are not present. Nonetheless, being present is only half of the equation. The next step is class participation. Professors want to see that their students can apply what is being taught to them. This element may stimulate debate, or even trigger thorough research on something in particular. At the college level, participation and attentiveness really exercise the mind. Consequently, when students work in groups, are involved in research and share opinions they are able to hone their communication skills. Subsequently, it is critical for any college student to set goals and concise objectives for accomplishing them. Individuals with something to work toward are most likely to thrive in any c ollege or university. Goals provide the determination to fuel students through adversity; school related or not. Objectives should be well-defined. They are actually small steps indicative of levels of accomplishment and success. For college students, enormous goals are not far-fetched, nor do they seem impossible to reach when clear  objectives exist. Students who regularly set goals and objectives possess more ambition and drive than those who do not. Goal-oriented people have a more resilient work ethic due to the fact that they can see the progression of their hard work when they arrive at specific objectives. This hard work creates a sense of gratitude and individual accomplishment. Ultimately, college students must be prepared mentally and harbor a positive attitude. Self-confidence must be present if anyone is to endure the investment and sacrifice that pave the way to becoming a college graduate. A confident student is one that can evade social distractions and work through personal adversity to get to the finish line. Successful college students and college graduates are mentally poised. This frame of mind beckons the hard-working college student to accept challenges, explore new modes of learning and to appreciate their individuality. A confident mind is a mind for success. The rigors of college can, at times, seem overwhelming. With so much information to process, students are bound to enter their respective careers with a solid grasp on what they are doing. Success in college is contingent almost completely on attitude and fortitude. The college freshman will discover that the road ahead is bumpy, demanding and can be painstaking. The graduating senior will be indebted forever for the journey. The investment is precious; the success affiliated with reaching the destination is boundless.

How Personal Can Ethics Get Essay

Abstract This paper is about the case study, â€Å"How Personal Can ethics Get†. This paper discusses the dilemmas that Valerie Young has to face at her Chicago based fragrance employer named Wisson. Secondly, I will discuss what I would do if I were in the same dilemma as Valerie. Next, it discusses how personal differences and preference can impact organizations ethics. Lastly, this paper discusses how organizational policies and procedures can impact organizational ethics. How Personal Can Ethics Get? This case focuses on the ethical dilemmas that Valerie Young has to deal with her employer Wisson. Valerie is an immigrant worker that is currently working in the United States on a work visa. Valerie has uncovered unethical practices by her manager Lionel Waters. Valerie has discovered that Lionel Waters was violating Wissons company policy that no employee should take personal payments, bribes or kickbacks to customers or suppliers or the receipt of kickbacks, bribes and personal kickbacks are prohibited. Valerie has discovered documentation showing that Waters is receiving personal kickbacks from two fragrance companies through his personal company. This concerns Valerie since her division only receives projects from these two fragrance companies now instead of the other fragrance companies they have worked for in the past. She did not understand this why they did not work with the other companies anymore. She claimed that the other companies had some great project but these companies did not receive consideration from Wisson. Waters demonstrates the self-serving principle of might-equals right, which states you do whatever you are powerful enough to impose on others without respect to socially acceptable behaviors(). Waters demonstrates this ethical principle by willingly funneling kickback money into his personal business account, which is a violation of company policy. Waters is powerful enough to receive kickbacks from the fragrance companies and keep it hidden since he is an executive at Wisson. Ethical Dilemmas that Valerie Faces Valerie was making copies at work when she found some documents on the printer that belonged to Waters. The documents were on letterheads from Waters personal consultation company. On these documents, Valerie found out that Waters has been collect kickbacks from two fragrance companies. Valerie was very stunned about her findings and she was not sure what to do. Valerie was recently accepted to a Master of Science program and did not want to jeopardize her education nor her job. She decided to keep this quit for the reason that she did not know who she could trust. Valerie is currently in the United States on a work visa. Due to this fact she must have a job in order to remain in the United States. She discusses her findings with her boyfriend who she feels is the only person she can trust. He suggests that she keeps her findings quite until she has completed school and has secured a job since she is on a work visa. Valerie uses an ethical intensity in making her decision. The ethical intensity she displays is the magnitude of consequences, which is defined as the harm or benefit accruing to individuals affected by a decision or behavior(). She displays magnitude of consequences since her decision will affect if she will be able to stay in the United States on her work visa or if she will be forced to leave if she brings forward her findings and loses her job at Wission. Valerie also displays the self-serving principle of hedonist, which you do whatever is in your own self interest(). She displays this principle because she knows that it would be unethical to keep her findings quite but she puts what would benefit her the most first. She decided to keep her findings quite at this time so she could finish her studies and run the risk of losing her job. What Valerie should do? If I were in the same dilemma as Valerie I would handle the situation in a different way. If I had found the personal documents that were violating company policy I would bring that information to the attention of my superiors. I would send this information anonymously. I would do it anonymously due to the fact that I do not want my identity revealed at this time. This would be important for the reason that if my identity were revealed I would run the risk of losing my job due to retaliation from Waters and associates that were inside this situation. I would not want to run this risk given that I am on a work visa and would be forced to leave the United States and jeopardize my education if I lose my job due to retaliation from any insiders. How Personal Differences and Preference Can  Impact Organizational Ethics Ethics is defined as the study of moral values, principles and rules, including the determination of standards of conduct and obligations for individuals and organizations(). This definition implies that one individual may make see one thing ethical while another may see it unethical. Individuals develop their own code of personal ethics based upon a wide variety of sources and belief systems. Virtually everybody acquires and develops their sense of right and wrong via their parents and parental influences(origin). Since there are many views of what is ethical and unethical, Lawerence Kohlberg developed the stages of moral development. This model demonstrates how an individual will make decision on ethical dilemmas within an organization. Kohlberg suggest that an individual progresses through these stages during their lifetime. This model is made up of six stages of moral development, which are divided into three levels of development. The first level of development is referred to as the â€Å"pre-conventional† level. At this level, an individual evaluates ethical issues based on idea of avoiding punishment and seek personal reward. The second level is termed â€Å"conventional† level. At this stage an individual evaluates ethical issues on the basis of the fairness to others and a desire to conform to societal rules and expectations. The highest level is referred to as the â€Å"principled level. At this level an individual is likely to apply principles, such as utilitarian, deontological, or justice, to ethical issues in attempt to resolve them(referece). According to Kohlberg, a person in the principled level is likely to look into themselves rather than be influenced by organizational expectations(reference). Business ethics is defined as principles and standards that guide behavior in the world of business(reference). The stages of moral development can be used to show how individuals at different levels will handle ethical situations within in organization. We can also use the stakeholder and shareholder to express personal differences. Individuals who use the shareholder perspective focuses on decisions that are in the owners’ best interest. Individuals who use the shareholder perspective feels that ethical business practices are ones that make the most money. Individuals who back the stakeholder perspective believe that companies should consider  the needs and interests of multiple stakeholder groups, not just those with direct financial stake in the organization’s profits and losses(business). In other words, organizations that use this perspective consider how decisions will affect individuals on the inside and outside of the organization. How Organizational Policies and Procedures can Impact Organizational Ethics Since individuals have different views and perceptions on ethical issues many organizations have created policies and procedures. These policies are usually termed as the organizations code of conduct. Codes of conduct are formal policies, procedures and enforcement mechanism that outline moral and ethical expectations of an organization(reference). These policies are important to an organization since they lay out the norms and belief of the organization. Policies and procedures allow organizations to handle ethical issues effectively as the rise within in the organization. Policies allow an organization to deal with an ethical matter in a uniform manner since the organization has outlined the norms and beliefs of the organization. Individuals within an organization may have a different set of norms and beliefs resulting in ethical issues being resolved in ways that the organization may deem unethical. Policies and procedures are vital to an organization culture. Conclusion In Conclusion, this case study presents a dilemma that individuals experience on a day-to-day basis’s. It is important for a person to deal with ethical issues in an ethical way. This case also shows how personal differences affect how ethical issues are dealt with. If Valerie was not an immigrant worker on a visa she may have approached this ethical issue in a different manner. It is also important for an organization to have policies and procedures in place to deal with ethical issues as they arise within an organization. Policies are also insure ethical dilemmas are resolved in a manner that the society deems ethical. This will insure that the organizational will thrive in the future.

The corporation Assignment Example | Topics and Well Written Essays - 500 words

The corporation - Assignment Example a range of industries such as manufacturing, pharmaceutical, oil, public relations, computer, branding, tire, and advertising and undercover marketing. In addition, the first management guru, critics, a range of academics, historians and thinkers, a Nobel-prize winning economist, and corporate spy, are interviewed and compared (The Corporation, 2004). In the film, cooperation is treated like human beings and subjected to psychiatrists diagnosis to determine how they would behave if they were human beings. Their behaviors are the major and minor details that make up the whole idea. By treating the cooperation as an individual, experts are able to determine its behavior. This builds the topic of the film, the behavior of the cooperation. The film producers interviews over forty people who are professionals in a different field such as business and psychology. In this way, the film informs people as they listen to experts describe the Cooperation. Use of direct interview informs the viewers the best. For instance, Joe Badaracco, a professor of Business Ethics at Harvard Business School is quoted to say, â€Å"In all his years teaching business, was never asked so pointedly what a business is† (The Corporation, 2004). By use of experts in the field of psychology and other fields, the movie persuades the viewer to believe its ideas. The people interviewed are experts in different fields including business and social sciences. Documentaries are based on some assumptions. In this documentary, the cooperation are assumed to human beings and subjected under psychiatric principles (The Corporation, 2004). The psychiatric analysis categorizes the film to match characteristics of a psychopath. It follows the attributes of the corporate world that shows features such as callous and lack of feelings for others, incapable of maintaining relationships, reckless and disregard others safety, a liar and con artist, lack guilt and one that goes against social norms and disrespect

Race and Religion Essay Example | Topics and Well Written Essays - 500 words

Race and Religion - Essay Example He then illustrates the attitude the religious community had towards the black population as they were not accepted as Christians. Rather, the community placed the black people in an environment associated with inferiority and slavery. Furthermore, black people are wrongly associated with the mark of Cain, which was falsely used to misrepresent these individuals as cursed. Father Brown states that traditionally in Exodus, the Jews would cry and tell their trials and tribulations to God who would come down to help them. Brown states that the white American religious denomination also attempted to adopt the same culture. However, West Africans had other approaches when it came to interaction with God. Hence, in this perspective, Brown illustrates the differences that existed in the religious activities of different races. He also illustrates how black West African individuals had to adapt to the western principles of religion. Father Brown also states the discrimination that existed towards black people even in some rituals in the church. These individuals were prohibited from singing certain songs, which further shows how European Christianity made blacks inferior individuals. The attitude that existed towards the black Catholics at that time made these individuals attend other churches that gave them the possibility to express themselves and feel the Holy Spirit. Brown relates to the fact that individuals from other races such as the Germans during the fall of the Berlin wall also sang souls which helped them relate with the spirits. This shows the necessity of this element which was denied to the black populations in the earlier times. Brown also relates the oppression that the African Americans endured to the walls of Jericho. He states that the reason individuals during these times related to the song about Jericho was because it resembled the situation they were experiencing. The African Americans were

A Quit Smoking Education Program For Parents Assignment

A Quit Smoking Education Program For Parents - Assignment Example Instead, what works for one may not work for another user, and vice versa. Nonetheless, certain key factors (a ‘best-practice’ process) assist most people to quit: the user should make the decision to quit; set a quit date; prepare on how to react to quitting obstacles; getting support family, friends or even successful quitters; if necessary, get medication; and finally stay quit by finding ways to deal with relapse and sustaining the quit status (Stead et al., 2008). In order to generate a cost-effective delivery model, and eventually succeed in implementing an improved curriculum, a healthy canteen, a staff exercises group and a school vegetable garden. For an improved curriculum, a number of decisions and planning steps need to be followed when preparing each aspect. The instructors should equip themselves for the challenge, without continuous training ensured to equip them with the necessary skills; both in helping the users opting out of smoking as well as those in need for advice against the practice. Once the course has been developed, assessment instruments should also be generated in form of checklists, objective tests, or rubrics (Jarvis & Wardle, 1999). However, for the medical attention that might be required by the smokers battling with relapse, the medical staff should ensure availability, sustainability, and continuity. As such, patients can benefit from ‘walk-in’ sessions, appointment and patient-follow-up system, and availability regardless of pharmacist workload. Jarvis, M, & Wardle, J. (1999). Social patterning of individual health behaviors: the case of cigarette smoking. In Marmot M, Wilkinson R, editors Social determinants of health. Oxford: Oxford University  Press.

Politics course work Essay Example | Topics and Well Written Essays - 1000 words

Politics course work - Essay Example The Prime Minster basically looks upon the policies that have been formulated by various members, such as the minister of transportation or minister of defense, and he decides what should be sent to the House of Commons to be presented as a bill, or if a draft should be passed or not. Election took place in the UK in May 2010 and it was between the Conservatives, headed by David Cameron, Labour headed by Gordon Brown, and Liberal democrats headed by Nick Clegg. This was the first time that all three candidates, none of the leaders had led a general election campaign. In 2010 after the election in which the conservative party emerged victorious, there arrived a situation in which conservatives were not of an overall majority. It needed twenty seats to form an overall majority (General Election 2010: the top 20 Conservative target seats, 2010), thus it resulted in hung parliament and so there were talks of a coalition government. (Election 2010: First hung parliament in UK for decades, 2010) After Gordon Brown’s resignation following the humiliating defeat in the elections (Gordon Brown resigns, 2010), Queen Elizabeth invited David Cameron to form a government. since he was already short of twenty-two seats he decided to form a coalition government with the Liberal Democrats. the reason behind David Cameron opting to form a coalition government with Conservatives was the manifesto of the conservatives, which was extremely anti ­-labour. Here the role of liberal democrats was extremely important since it did not agree with both the parties on a majority of issues; it was in a catch-22 situation as to with whom they shall form the government. After the invitation by Queen to David Cameron to form the government, there were coalition talks between Liberal democrats and conservatives as to what shall be the strategy to form the government or if they should just go ahead forming a hung parliament. The problems of forming a coalition government with the conser vatives were regarding their manifesto. If they formed a coalition with the Liberal Democrats they will not be able to fulfill their party manifesto. But at this point in time they had no choice because if they became part of a hung parliament, every other resolution would be vetoed by a joint action of labour and liberal democrats. And if they formed a coalition government with liberal democrats, they would have to follow a policy of give some and take some. The coalition dialogue took a total of five days and in the end David Cameron came out and successfully announced that the coalition talks have been â€Å"overwhelmingly approved†. Both the coalition parties agreed on the basic 11 principles on which they would act in one voice and there shall be no compromise on the following issues (Conservative-Liberal Democrat coalition deal, 2010): - 1. Deficit Reduction The deficit would be reduced and a total of 6 billion pounds worth of cuts would be made to decrease the budget d eficit. 2. Spending Review - NHS, Schools and a Fairer Society National Health Service would be looked into to increase the benefits it gives to the people who need them the most, as well as a review of the replacement of the trident system for the British defense (Trident replacement decision 'after 2015 elections', 2010). This

Hip-Hop as Black Music Essay Example | Topics and Well Written Essays - 1250 words

Hip-Hop as Black Music - Essay Example The first few chapters of the book dig out the exact origin of hip-hop which is an amalgamation of rap music, break-dancing and graffiti art. The social condition of New York in the 1970’s played a crucial role in hip-hop’s origination. According to Jeff Chang, the building of the Cross-Bronx road laid grounds for the birth of hip-hop music. The building of this road forced almost 60,000 people to relocate to other neighborhoods. Thus, while the white people moved to better places like the Westchester Country, the black and brown communities retreated to South Bronx which was annihilated economically. â€Å"Where once apartment buildings or private homes had stood were now hills of rubble, decorated with ripped-open bags of rotting garbage that had been flung atop them† and though there was an increase in social housing in the area, there were barely any jobs. Almost 80% of the youth were left jobless. Thus, gangs were formed by the American-African and Afro-Cari bbean mostly to revolt against the â€Å"white-gangs† who were already present in the neighborhood. Thus from Chang’s presentation of the historical settings it is evident that origin of this art form was in the impoverished South Bronx areas where â€Å"where a complex maelstrom of social and political forces at play in the 1950s, 60s, and early 70s left the African-American and Hispanic communities searching for a way out of a lives of poverty, gang-dominated crime, and drugs†.... One of the bases of the music is racism. Discrimination, loss of jobs, fake promises and deindustrialization paved the way for the â€Å"gang-culture†. Gangs like Black Panthers safeguarded the interests of the blacks and rebelled against the whites. Similarly, several other gangs came into existence. Puerto Rican revolutionaries and Bronx gangs joined hands with drug dealers and other illicit groups against the government. Thus, gradually and eventually a firm footed unity enveloped between the gangs. Chang also talks about some of the well-known pioneers and inventors of hip-hop music who started making their name in these gangs. DJ Kool herc was the inventor of hip-hop music and the best known DJ in the whole of New York City and was an immigrant from Kingston (Chang, pg-69). He created a new way of playing music, inspired by Jamaican sound culture, and became a renowned DJ. Along the same lines, Chang has also written about the emergence of another famous DJ- Afrika Bambaa taa who previously led a gang called Black Spade. Here we are able to understand that the impoverished areas hosted a lot of parties where. The parties were held as an alternative to gang life. Herc created his own music and recited words according to beats, thereby becoming laying grounds for rapping. Thus, hip-hop slowly emerged as a party movement where most people presented new music forms. These youth who were jobless and impoverished slowly developed an identity and brought in hip-hop music. In the next section, Chang describes the politics associated with hip-hop music. The political atmosphere caused a transformation of hip-hop music from a party music to a more politically inclined art form. The music form was implicitly political in the sense that youth from diverse national backgrounds

ABC Orange Juice Essay Example | Topics and Well Written Essays - 250 words - 1

ABC Orange Juice - Essay Example They ought to understand their aim of advertising, the target, media and competitors. ABC must actively involve the public, customers or not, in any activity which presents a forum for the customers to make comments about their Juice. This helps develop referrals and positive word of mouth from satisfied customers. Stake holders are very vital for the overall performance and success of the business hence they must be involved too. The public relations team must make available this forum by participating in community activities and sponsorships, producing annual reports, brochures and newsletters. In addition, they may also initiate educational programs to enlighten the public on the need to use their juice instead of others. ABC Orange juice in a move to market their product will employ sales promotion techniques such as sales force promotion, trade promotions, business promotions and consumer promotions. They will give appropriate commissions to their sales agents to motivate them. They may also involve them in sales competition with prizes or awards. In business promotion, they need to organise seminars and workshops and trade show displays. They can as well appease their customers by offering on-pack offers, bonuses and loyalty

The benefits of legal human cloning research outweigh the opponents Paper

The benefits of legal human cloning outweigh the opponents negitives - Research Paper Example This process eliminates the emotional pain and expense that accompanies the condition. Moreover, it even puts more couples in a position to have their own children (â€Å"The Advantages of Cloning† par. 6) Rejuvenation, also called therapeutic cloning, can only be advanced through the use of human cloning technology. In this process embryonic stem cells are vital as they are used to produce new tissues and organs, which are used to replace faulty ones such as hearts, spinal cord cells for paraplegics’ tissues. Thus, in this case, cloning plays a key role in preventing and alleviating human suffering for humans who have ailments like Parkinson’s disease and Alzheimer’s. At the same time, if well advanced, even the aging process could be reversed (â€Å"Benefits of Cloning: Benefits of Human Cloning† par. 2). Despite cloning being controversial, it may be a viable solution to many people considering genetic engineering may offer parents a choice of determining what features they would like their children to have. This is concerning their cognitive abilities and physical abilities (â€Å"The Advantages of Cloning† par .14). In addition, parents could have the chance to be better at raising their children, as genetically modified children would have their needs and abilities known to their parent’s beforehand (Smith par. 10). Apart from this, children would be less susceptible to illnesses since all defective genes would be corrected, and immunity boosted at the time of cloning. Moreover, through cloning organs used for transplants would be made readily available through human cloning. For example, currently there are no human livers to make transplant to those patients in need them, instead, pig livers are used to work as a provisional solution until a donor is found. Consequently, human cloning readily avails the required organs without having another person’s

Rhetorical analysis of Obama's speech Essay Example | Topics and Well Written Essays - 750 words

Rhetorical analysis of Obama's speech - Essay Example In this speech, Obama seeks to inform the audience on the 23 Executive Orders that he designed to address gun control and gun violence in America. Obama equally seeks to convince the audience on the need to address gun control and gun violence in America as well as persuade them to comply with the 23 Executive Orders that he designed. To achieve this, Obama relies on various rhetorical strategies. Notably, Obama uses different ethos, logos, and pathos to persuade the audience to address gun control and gun violence in America and comply with the 23 Executive Orders that he designed. Obama uses repetition where he replicates words and phrases to make a point. He uses the phrases â€Å"Let’s do the right thing† and â€Å"We will† to associate the audience with the idea of address gun control and gun violence in America (Paulson 1). He uses repetition to confirm the need for collaborative effort in controlling gun control and gun violence that persuades the audience to own the control measures. Obama uses an ethical appeal by convincing the audience on the credibility of various people addressing gun control and gun violence in America. As the President of America, Obama has authority to address this issue. He equally starts the speech by thanking and recognizing the efforts of Joe Biden who is the vice president of America in addressing gun control and gun violence in America (Paulson 1). This convinces the audience to adopt the recommended findings. Obama informs the audience that he tasked Joe Biden and his cabinet to propose mechanisms of controlling the effects of gun violence. Obama persuades the audience by asserting that he will rely and use the presidency powers to implement the proposals of Joe’s task force (Paulson 1). He also presents the credibility of Todd Jones to head the Bureau of Alcohol, Tobacco, and Firearms by confirming that he has been acting on this

Guns, Germs and Steel Essay Example for Free

Guns, Germs and Steel Essay The book Guns, Germs and Steel is an interesting impression of Jared Diamond to challenge and refresh our outlook towards the effect of politics to cultural and individual development as based from historical and theoretical concept. JD is a physiologist and evolutionary biologist and has made this work on a broader scope during his explorations in New Guinea to study the culture as well as the environment of the people. It started out in a prologue while Jared travels with his friend Yali, a New Guinean and questions the diminutive cargo of the locals against the bulk of cargos of the Eurasians. JD tried to explain to Yali by answering him with historical and theoretical views according to his research. JD said that while the natives own the land and the resources, the foreigners are capable of dominance because they are superior in technology as can be seen with their tools and machinery. But JD explained to Yali that what he sees is not proof of the superiority of the Eurasians over the natives but rather the opposite. JD said that Yali’s people are actually smarter and adaptable to any environment because they live in a world that has requires critical survival. Chapter 1 of the book discusses the origin of man and their discovery of tools and art as depicted from their paintings. JD theorizes that man made a great leap and used his intelligence 50,000 years ago as found on skeletons found in Australia and New Guinea. Accordingly, the Americans were probably colonized during 11,000 BC which correspond to the final stage of the Pleistocene Era and the melting of the ice in the last Ice Age. Chapter 2 details the war between the Maoris against the Morioris in Polynesia as early as 1835 in the Chatham islands and. Polynesia during that period has different set of climates, geography, resources and political and social conditions which lead to less diversification of human populations to be able to adapt in their environment. Chapter 3 details the conquest of European Francisco Pizarro and his men to capture Atahuallpa, the Inca emperor at Cajamarca, Peru in 1532. The superior weapons and their armor which were made of steel and the horses and cavalry pushes the natives out of their place while the Europeans brought along with them diseases such as smallpox and eventually infected and killed another native emperor of different tribe. JD pointed out that people of dominant culture has the foremost advantage over those who are less in technology and political organization as the Incas does not have. On Chapter 4 of the book, JD significantly emphasizes the importance of agriculture to propel the development of a fragile society because with the increase of food production there is a room for population to grow larger and stronger. Enough supply of food can sustain people to be more vigorous and organize themselves without resorting to violence to survive. An organized society can form political government to protect its people against conquest such as JD pointed out. In chapter 5, the author describes the technology of calibrating sites for food production by naming sites and crops suitable to grow in their environment while in chapter 6, 7 and 8 discusses his confidence the possibility of converting native hunters into agriculturist because of degeneration of wild games and animals in their environment. He said that there are already great varieties of plants and animals that can be domesticated and cultured and there is no need to hunt for food for a family to survive. JD gave an example in chapter 9 and 10 the success of the Indians in domesticating animals and prevents the extinction of wild animals in their forest. He said that breeding animals is one of the most accepted principles in domesticating animals that even wild species of animals can be bred in captivity. But this depends on the adaptability of animals with the climatic conditions on certain locality. Lack of animal adaptation means limited domestication and cultivation of animals and plants. The New World on the other hand is located on a tropical zone therefore people have more favorable climatic conditions as compared with the Eurasian countries. However, major infectious diseases or what JD calls â€Å"killers of humanity† mainly comes from animals men domesticates. He said that small pox originates from cowpox, flu from pigs and ducks and tuberculosis from cattle. These are only few of the negative impact on the cultivation of livestock by man that even people in the cities are not safe from certain diseases as they kept animals as pets. Industrialization gave man endemic diseases because he attracts germ carrying pests and we now have yellow fever, hookworm, bubonic plague and many other diseases transmitted by pests. Man also is a carrier of pest and diseases to his fellow human such as the body lice, sexually transmitted disease and other human infections. The following chapters introduced the origins of writings in early period of Mesoamerica and most part of Asia. JD significantly highlights necessity as the mother of invention and the invention of writings lead to the invention of the technology and then to arms for weapons and destruction. He said that the introduction of technology was also the beginning of civilizations to colonize other civilizations, destroying their population and their culture. The author also reviews the societal form of organization on a certain level which starts from the smaller faction or the band. The â€Å"band† is composed of people that are usually related by blood, nomadic in nature and have one ethnicity and language and no more than 5 to 80 people bonded together to be form a small society. The â€Å"tribe†, however has more people with fixed community, one ethnicity and language but being led by a leader in a societal form of government such as tribe in New Guinea and Australia . The â€Å"group† leads to chiefdoms and then to a larger extent which forms the state. The â€Å"state† have more than 50,000 people living in various villages, class and residence-based relationships. They also have more than one language, have centralized bureaucratic government levels and politicians to man the government, the law and the state. States have also their police and militaries to protect its citizenry against injustice. This was discussed on chapter 14. Chapter 15 to 16 depicts the Australian and New Guinean’ climate where Yali belongs. These two countries were formerly united as one large mass of land but separated because of the effect of large body of water 10,000 years ago. The following chapters discuss how China became the China of today which brought by forced unification of the Qin dynasty in 221 BC. Continuous fighting and dominance of Asian ethnicities in old China produces mixed races of different Asian origins but came up to have one traditional language which is the Sino-Tibetan family of languages. Among these languages is the Mandarin. Chapter 17 is explained by JD on how the islands of the Pacific were able to be colonized by the Asians who arrived in New Guinea around 40,000 BC. This Asian group composes the ancestors of Philippine Negritos and formerly called the Austronesian. Their migrations began from China, reached Taiwan and then the Philippines at around 3000 BC. Those who came to Sumatra and Java became the Malayo-Polynesian while those who arrived in Northern New Guinea and Samoa became the Samoans. JD reviews on chapter 18 the factors which led to the European conquering Americas. The Europeans are better in food production, domestication of animals, producing metals and weapons, organization of armies, transportation and communication and solid political organization which the people of early America lacks. The people of the New World such as New Guinea, however are more primitive and backward and lacks capabilities to organize themselves. This was the reason why the Europeans or the Eurasians have been able to establish their colony in their nation without conflict and resistance. And finally chapter 19 discusses how the people of Africa came to be blacks. Accordingly, in the previous era, North Africans were whites who resemble Middle Eastern and Europeans and speak Afro-Asiatic languages. The pygmies or small black African people are mostly confined to Central Africa but were outnumbered by indigenous people. The blacks occupy only most of the Saharan Africa but extended their occupancy to the East coast to Cape town. From there they began to cultivate crops and domesticate animals and expand largely in numbers. The epilogue of this book answers Yali’s question on why whites have been so successful with their trades and always have larger cargos compared with the locals on a shipping trade comes to conclusion. The book answers his question by chapters and details. The effect of geographical formation and the environment clearly emphasizes the commencement of dominance by the Eurasian whites. Dominance factors illustrates the capability of the Eurasian to domesticate plant and animals better than the people of the New World, the speed of their technology which also sped up the rates of migration and their concrete population and size of their continents enable them to migrate and search for more opportunities to other continents. Furthermore, JD wants to search further with his study to come up with more variables that could defend his theory. He believes that he can only do this through natural historical experiments that need to be researched. These involve the history of human societies which are always intricate to understand than the lost dinosaurs of the old world (McGoodwin). Work Cited: McGoodwin, Michael. Jared Diamond: Guns, Germs and Steel. (2000). April 10, 2008 http://mcgoodwin. net/pages/gungermsteel. html.

Effects of the Environment on Organisms Primary Productivity

Effects of the Environment on Organisms Primary Productivity In this lab, samples of pond water were taken and measured using the Wrinkler and the Light and Dark bottle method in order to study the effects of the environment on primary productivity in organisms. The central purpose was to determine the effect of temperature on the amount of dissolved oxygen and photosyntehitic activity on primary productivity. The results from part A indicate that as temperature increases the amount of oxygen present decreases and the results from part B indicate that as the amount of photosynthetic activity increases the amount of oxygen present growths. For most organisms Oxygen is vital for cellular respiration. There is an abundance of oxygen in the atmosphere (about 200 milliliters of processes). Dissolved Oxygen is oxygen that is dissolved in water. In the aquatic environment there are only five to ten milliliters of DO in a liter of water. Dissolved Oxygen is required by all aquatic organisms. As water travels past an aquatic organisms gills (or other breathing apparatus), microscopic bubbles of oxygen gas in the water, called  (DO), are moved from the water to their blood.  At  low dissolved oxygen levels called hypoxia animal growth or reproduction can be damaged while the complete lack of oxygen called anoxia will kill animals. Also most algae, macrophytes, and any chemical reactions important for lakes require oxygen to survive. The Wrinkler method is used in this lab to measure the amount dissolved oxygen. The procedure includes the addition of alkaline iodine and magnanous sulfate to a water sample. From that manganous hydroxide is produced and upon acidification is changed to a manganese compound by oxygen in the sample. Immediately, the compound reacts with the iodine to release iodine which changes the water color to yellow. The amount of free iodine is equal to the amount of oxygen in the sample. The amount of iodine is measured by titration with sodium thiosulfate until the sample loses the yellowish color. The methods precision rate is 0.1 to 0.6%. The general question for part A of the lab involves the effect of temperature on dissolved oxygen . The hypothesis predicts that the relationship between temperature and dissolved oxygen will be an inverse relationship. So as the temperature increases the amount of dissolved oxygen will decrease. Five major gases that all have biological and physiochemical similar but differ in behavior and origin are dissolved in aquatic environments. The most important are nitrogen, oxygen, and carbon dioxide. Oxygen takes up about 21% of the atmosphere and nitrogen 78%. Water vapor takes up to 3% in volume. Most gases follow Henrys law that states that at constant temperature the amount of gas absorbed by a given volume of liquid is proportional to the pressure in atmosphere that the gas exerts. An exception is Carbon dioxide which may combine with numerous cations while entering natural waters to become more abundant than what the principle of Henrys law dictates. It can be found in both combined and free states. The amount of atmospheric component can be found dissolved in an aquatic environment can be predicted with the following formula: C= K*P where C equals the concentration of the gas that is absorbed, K equals the solubility factor, and P equals the partial pressure of the gas. Temperature is one factor that can influence the amount of oxygen dissolved in water. Waters capability to hold oxygen lowers as water becomes warmer. Warmer water becomes saturated more easily with oxygen. This effect of temperature on DO results in a seasonal wavering of DO in a body of water. Wind also mixes oxygen into the water as it blows across the surface. Oxygen decrease can be so severe enough on windy nights to kill fish. Another factor that affects dissolved oxygen is photosynthetic activity. Aquatic plants are capable of producing more oxygen in bright light. So during night when photosynthesis cannot balance the loss of oxygen through decomposition and respiration, the amount of DO could gradually decrease. Also the amount of DO could differentiate with the lake depth. More oxygen is produced near the top of the lake which is most exposed so that photosynthetic activity can occur from the sunlight. Oxygen consumption is also great along the bottom of a lake, where sunke n  organic  matter accumulates and decomposes. The amount of DO is lowest before dawn when photosynthesis continues. In addition, Microbial processes consume oxygen as organic material decays. Waterfalls, rapids, and wave action all aerate water and increase oxygen concentration. Salinity is the content of dissolved salts in water. As temperature and salinity increase the solubility of oxygen in water decreases. Partial pressure of oxygen in the air above water also influences the amount of DO in water. At higher elevations, less oxygen is present because the air is less dense. Because the air is less dense, it contains less oxygen. Seasonal changes can affect the DO concentrations. Warmer temperatures during summer speed up the rates of photosynthesis and decomposition. When growing season comes to an end and all of the plants die, their decomposition results in heavy oxygen consumption. Also seasonal events, such as changes in lake water levels, volume of  inflows  and   outflows, and presence of ice cover, also cause natural variation in the amount of DO. The general question for part B of the lab is the effect of photosynthetic activity on primary productivity. The hypothesis states that as the amount of light increases the more oxygen will be consumed, showing a direct relationship between photosynthetic activity and primary productivity. Primary productivity is the rate at which plants and other photosynthetic organisms produce organic compounds in the ecosystem. Only organisms that have photosynthetic pigments can use sunlight to produce new organic compounds from inorganic substances. The basic equation of photosynthesis is: 6Co2+6H20à  C6H12O6+6O. This equation says that green plants consume carbon for carbohydrate production from the carbon dioxide in H20 or in air. A measure of oxygen production over time gives a method of finding the amount of carbon that has been bound in organic compounds over a period of time. For each millimeter of oxygen produced about .535 milligrams of carbon has been integrated. Primary productivity can be measured by the rate of sugar formation, the rate of oxygen production, and the amount of carbon dioxide used. Measuring dissolved oxygen can gauge primary productivity in an aquatic ecosystem because oxygen is one of the most easily measured products of both respiration and photosyn thesis. The method of measuring the rate of oxygen production is used in this lab. The light and dark bottle method is one method of measuring the rate of oxygen production. With this method, the DO concentrations of samples of lake, ocean, samples of laboratory algal cultures, or river water are measured and compared before and after incubation bottles in light and darkness. In the lab the light and dark bottle method is used to measure the amount of oxygen in The amount of oxygen that the organisms in the bottles are consuming is indicated by the difference between the measurement of DO in the initial and dark bottles. The biological processes of photosynthesis and respiration are occurring in the bottles exposed to light so the change over time in DO concentration from the initial concentration measures net productivity. Net productivity is the organic material that remains after photosynthetic organisms in an ecosystem have used some of these compounds for their cellular energy needs (cellular respiration). Gross productivity is the entire photosynthetic produc tion of organic compounds in an ecosystem. It is the difference over time between amount of DO in the light bottle and the dark bottle. Materials Pond water 2 Bulbs: Sylvania Gro-Lux F40/GRO/AQ/WS/RP 40W A8/8a Tank Masking tape Carolina Lab 12: Dissolved Oxygen and Aquatic Primary Productivity kit 8-station 74663DA Aluminum Foil Aquaculture aquarium pump MK1504 Thermometer Rubber bands Tank 2 dirt stones Methods Begin part A of the lab by filling three of the bottles with samples of water in the three different temperatures given. With the procedure given, determine the DO of each sample and record the values. Record the values with the class data and then enter the class means in the table. Graph both the lab group data and class data as a scatter plot and draw the line of best fit. Begin part B of the lab, on the first day get seven BOD (water sampling) bottles. Fill all the bottles with the algal or lake water sample given. The water samples in this experiment are from the Green Hope High School wetland. The alga was kept under light for 24 hours a day until January 3rd. The solution then was strained until microscopic colonies of algae were existent. On January 18th, the tank was drained and 20 liters of H2O was used to dilute the solution. For one week, 6 tubes of algal growth were administered to the solution Take caution not to leave air bubbles at the top of the bottles. Label the cap of each bottle with measuring tape. Mark the labels as follows: I ( for initial, D (for dark), 100%, 65%, 25%, 10%, and 2%. Determine the DO for the Initial bottle now. Record this value. Record the class Initial bottle mean. The Initial amount of DO is the DO that the water has to begin with. With aluminum foil, cover the Dark bottle so that no light can enter. No photosynt hesis can occur in this bottle therefore the process of respiration by all of the organisms present will be the only thing that changes the DO. Plastic window screens will stimulate the attenuation of natural light that occurs because of the depth in a body of water. Wrap screen layers around the bottles in the following patterns: 100% light- no screens. Wrap; 65% light- 1 screen layer; % 25 light- 3 screen layers; 10% light- 5 screen layers; and 2 % light- 8 screen layers Make sure to cover the bottoms of the bottles to keep light from entering there. Use clothespins or rubber bands to keep the screens in place. Put the bottles on their sides under the bank of lights. Make sure to turn the bottles so that the labels are facing down to keep from preventing light from getting to the contents. Leave the bottles overnight under constant illumination. On day two of part B, determine the DO in all the bottles that were under the lights. Record the DO of the Dark bottle. Calculate the respiration rate using the formula in the table. Record the other bottles in another table. Complete the calculations to determine the gross and net productivity in each bottle. Follow the Wrinkler method. Fill the water sampling bottle. Add eight drops of Manganous Sulfate Solution. Add eight drops of Alkaline Potassium Iodine Azide. Cap and mix the bottle. Allow the precipitate to settle. Use the 1.0 g spoon to add Sulfuric Acid Powder or 8 drops of Sulfuric Acid. Cap and mix until reagent and precipitate dissolve. Fill the test tube to the 20 mL line. Fill the titrator with Sodium Thiosulfate. Titrate until the sample color is pale yellow. Make sure to not disturb the titrator. Add 8 drops of starch indicator. Continue titration until blue color disappears and the solution is colorless. Read result in ppm Dissolved Oxygen. (College Board, 2001) Equations and Calculations L= Initial Bottle, L= Light Bottle, D= Dark Bottle L-I= Net Productivity I-D= Respiration L-D= Gross Productivity Average= Sum of the values from each group/# of groups Results This table showed the group and class average for par A of the lab. The class average is calculated from table 2. The data shows the dissolved oxygen concentration at the cold, room, and warm temperature. The graph shows class data from table 2. The line of best fit shows the decreasing overall trend in dissolved oxygen. As shown by the line as the temperature increase, the amount of DO decreases. This shows the group for part B of the lab. The DO, gross, and net productivity are shown. The gross productivity was found by calculating the DO of the light bottle minus the DO of the dork bottle. So the Gross Productivity of 0 screens and 100% light is 20.0-0.0 which equals 20.00. The Net productivity was found by calculating the light bottle minus the initial bottle. So the net productivity of 0 screens and 100% light is 20.00-8.2 which equals 11.8. The gross and net productivity must be calculated per day so the gross and net productivity calculated form the data had to be divided by two. The table shows the DO concentration of the class. The average DO is calculated by adding all eight of the groups DO and then dividing by eight. Class Gross Productivity Similar to the net productivity, the gross productivity was calculated for two days and needs to be for one day. Each gross productivity of each group was divided into two, and then the average of the eight groups gave the class average of gross productivity for each bottle. Graph 2 The graph shows that as the number of screens increased the DO decreased. Next, the net productivity was calculated from the DO values from chart 5. Because the DO was accumulated over a period of two days the net productivity must also be divided by two. Graph 3 The graph shows that the more screens there were the less DO was present. The screens obstructed light so the more screens there were the more light that was obstructed. The respiration rate was calculated by calculating The DO of the Initial bottle minus the DO of the Dark bottle. So the respiration rate for the group data was the original value of Initial dissolved oxygen divided by 2 minus the DO of the Dark bottle, so 8.2/2 is equal to 4.1-0.0 which is equal to 4.1. The results were accurate because the average was derived from four different groups for part A and eight different groups for part B, performing the same experiments. There was expression for variability because the temperature among the groups were not exactly the same and the sources of error may have led to unwanted variability. Conclusion The results from part A support the hypothesis predicting that the relationship between temperature and dissolved oxygen would be an inverse relationship. Graph 1 shows that as the temperature increases the amount of DO decreases. The results from part B prove the hypothesis which states that there is a direct relationship between the amount of light an organism receives and the amount dissolved oxygen present. Graphs 2 shows that the more screens there were to obstruct light, the less the net productivity of DO there was. The net productivity shows the change over time in DO concentration from the initial. The results proved to be accurate and effectively showed the effects of temperature and light on dissolved oxygen. An error that occurred in the lab was that the bulbs were placed parallel to the tray which caused the light intensity to be varied affecting the amount of DO. Also the bottles may have been shaken while being filled allowing additional oxygen to enter. A third error could have been that the Winkler test may not have been performed quickly enough which maybe have allowed the temperature to be changed in the warm and cold bottles. This maybe have affected the amount of DO present. Also the dark bottle may not have been covered completely allowing light to be absorbed. This would also have affected the amount of DO. The cap may not have been screwed on all the way allowing oxygen to leak, affecting the DO. One improvement could be to place the bottles parallel to the tray so that each bottle receives the same amount of light. Another improvement could be to allow the DO to only accumulate for one day rather than for two. One possible extension is to measure the amount of DO produced at various depths in a lake. Another extension is to measure the affect in dissolved oxygen production if algae is supplied with nitrates and/or phosphates. Work Cited Biology lab manual for students,  2001,  New York: College Board Campbell, N.A., Reece, J. B., Mitchell, L.G. (1999).  Biology (5th ed.). Menlo Park:  Benjamin/Cummings. Dissolved Oxygen. (2007, December 7).  Retrieved from Water on the Web website:  http://www.waterontheweb.org/under/waterquality/oxygen.htm Dissolved Oxygen Water Quality Test Kit. (n.d).  Retrieved from LaMOTTE COMPANY website:  http://www.lamotte.com/pages/common/pdf/instruct/7414.pdf The Flow of Energy: Primary Production to Higher Trophic Levels. (2008, October 31).  Retrieved from University of Michigan website:  http://www.globalchange.umich.edu/globalchange1/current/lectures/kling/energyflow/energyflow.html

Health Literacy in Australia

Health Literacy in Australia Health literacy was defined as â€Å"the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions† (IOM, 2004, p. 32).Inotherwords, it is the person’s ability obtain and understand healthcare information and make decisions based on those information whilst following those instructions during the treatment process. Health literacy can contextual where demands are made as well as skill which is brought upon by the participating parties according to the situation ((Rudd, Moeykens, Colton, 1999). According to the statistics almost 50 percent of the patient admitted that they are not familiar to basic information about healthcare. A successful treatment can be linked to be directly proportional to the health literacy and low level of this may lead to an unsuccessful treatment or the patient being wrongly diagnosed. As health literacy is directly related peoples health, those who have low level of health literacy are known to have poor health status than those having high level end experience a better life style regards to their overall health conditions. A good level of health literacy may allow people to make decisions that will allow them to make life changing decisions about their health Every day, people confront situations that involve life-changing decisions about their health. When people can obtain, communicate, process, and understand health information and services they are able to make decisions about health care. So, health literacy is more than just reading and having numeracy skills, but also includes elements such as cultural differences in society and health care provisions. â€Å"Limited health literacy occurs when those involved are not able to get and use the information and services. Lack of clear information and its importance, people get into situation that may not be ideally desirable. Moreover, people with low level of hea lth literacy are known to have a significant disadvantage to understand and execute medical treatments and prevent health care effectively which translates to their health. They have less or limited understanding about the medications, medical conditions and how to self-care. Health literacy level can be related to demography, economy and the way we communicate. It can be roughly categorized in terms of age, ethnicity, age and language. Among these categories people who have English as the second language seems to be the most affected with the low level of health literacy. As, we know that people responses to illness behaviors are culturally determined ( Smylie, Williams, Cooper, 2006).In Australia there exists a large number of migrant population and a large part of that comes from non-English speaking countries or who have English as a second language. These are further exaggerated their cultural barriers and economic challenges for accessing the services As it is rare to a obtain and access information about primary health care other than English which sometimes may be a cause of major concern as migrant people may not have the satisfactory level English to know the effects and methods required for the desired final results. Migrant people are found t o be affected by the health inequalities which are determined by the social determinants such where they were born, brought up, work and their age which are shaped through economy and resources. In Australia, people from various countries have migrated in search of their dreams and as they start journey most of them have a humble begging’s and the problem of health literacy arises for those who come as Asian countries and refugees as their origin being a non –English speaking and for most of them have not known at all but when they begin their life in Australia it is a different story as they have to come up with terms to know the language and access information in the language they have never known or access with makes their starting a very very hard. Migrant people come to Australia with limited English speaking abilities which can be a serious issue. A good health care needs patients and medical professionals to discuss the problem and how to address those issues. Studies have shown that communication is the major factor in creating misunderstanding in patient health conditions as well as being wrongly diagnosed which may cause a major problem towards the final outcome on the overall patient health. Another issue regarding the health literacy and is the delaying in seeking health care for themselves and their children. They have admitted that language as the major barrier in health care as they find difficult to explain the problem and understand the complex and sensitive health issues. As we now have established that the problems in health care is due to the failure to access, process and understand information about their health and the process. These problems are more significant in migrant peoples and people with low income which develops a level of inequality. Now, it is up to the clinicians to try to narrow this inequality and increase the overall health of these people whilst increasing their health literacy. Medical professionals need to innovative approaches in order to improve health literacy. They may opt to use evidence based strategies which address health literacy that may include interventions which is simplifying and improving information, using video or other targeted approaches to patient education, and improving patient–provider communication. They may adopt a user centered approach, use a universal precautions approach or targeting and tailoring communications as well as apply organizational changes. In a user centered approach health prof essionals may need to involver members of the target group in the design and testing process. They can also use proven designs that worked in the past. Using a universal precaution approach starts with a clear communication and should be the bottom line of every health information exchanges. As we know that medical professionals have a magic stick which can determine what is going on with a particular person simply just by looking so they need to use precautions which is true in the case of health literacy. For this very reason, health workers advocate in using a universal precautions approach to health communication as they, a high number of patients will have difficulty understanding health information. Parker and Kreps note that even though everyone will not be at the same health literacy level, it is always best to use the clearest language possible. Adopting universal precautions, health professionals must use clear communication with everyone, regardless of their perceived hea lth literacy skills. Having targeted and tailored approaches to communication clinician’s display would allow them with self-management and health related outcomes with patients having limited literacy. Targeted approaches are adapted when we need to meet the needs of specific groups such as people with limited literacy skills. Tailored programs and communication are based on individual and unique requirements. As the health literacy among the people improves their expectations also increases so hospitals need to assess their weaknesses and strengths to improve the quality of health care. Ref: Institute of Medicine (2009).Toward health equity and patient-centeredness: Integrating health literacy, disparities reduction, and quality improvement workshop summary.Washington, DC: The National Academies Press. Rudd, R., Moeykens, B. Colton, TC. (1999) Health and literacy: A review of medical and public health literature. In J. Comings, B. Garners, C. Smith, eds. Annual Review of Adult Learning and Literacy, Volume I. New York, NY: Jossey-Bass. Rudd, R . E., Anderson, J . E., Oppenheimer, S., Nath , C. (2007). Health literacy: An update of public health and medical literature. In J. P. Comi ngs, B. Garner, C. Smith. (E ds.),Review of adult learning and literacy(vol . 7) (pp 175–204). Mahwa h, NJ: Lawrence Erlbaum Associates. Health Literacy: Information for Clinicians at University of  Washington Medical Center: http://depts.washington.edu/pfes/HealthLiteracy/HealthLiteracyUW.htm Smylie, J., Williams, L., Cooper, N. (2006). Culture-based  literacy and Aboriginal health. Canadian journal of public  health, 97, S21-S25.

Al Capone Essay -- essays research papers

Al Capone I: Al Capone was born in New York City in 1899. His father, Gabriel and his wife, Teresa, came to America in 1894. They brought their two kids, Vincenzo, and Raffaele. In 1895 their third son was born, who they named Salvatore. II: The Capone family was nice and quit, Gabriel never hit the kids, he just "preached" to them and they'd listen. "...nothing about the Capone family was inherently disturbed, violent, or dishonest." Gabriel became an American citizen in 1906, his children all had Italian names but for the outside world they'd have different names. III: After Al was born Gabriel moved the family to an apartment above his barbershop in Brooklyn. This move would influence Al forever, he was exposed to other nationalities, Swedes, Irish, Germans, and Chinese lived in the neighborhood instead Italians as it had been. Education didn't mean much for many in New York, after you got out of high school you'd probably get a job. Al had good grades until he entered 6th grade. When he was fourteen he yelled at a teacher who hit him, he hit her back and was expelled from school, he never went to school again after that. About the same time that happened his family moved to a neighborhood that had a long lasting impression on him. This is where he met his first crime boss, Johnny Torrio and his future wife, Mae. IV: Johnny Torrio was a smart crime boss. He realized you needed brains and allies to survive. Many young boys worked for him, running errands mainly. But he started to trust the young Al Capone and gave him larger jobs to do. Many kids were in gangs, wether it be gangs of nationality, Irish, Italian, German, or ones of religion, Jewish gangs. V: Al was a good kid, came home on time and helped the family. No one would have suspected Al of becoming a mob boss. For awhile he worked at regular jobs, first a munitions factory then worked as a paper cutter. Frankie Yale was another crime boss except just the opposite of the "peaceful" Johnny Torrio. He built his gang off muscle. Yale opened a bar on Coney Island called the Havard Inn. Johnny Torrio got Al a job working there as a bartender. VI: Capone’s job at the Harvard Inn was to be a bartender, a bouncer and even wait on tables. One day he was waiting on a young couple and he leaned over and said to the woman "Honey, you have a nice ass and I mean that as a c... ...Jack Guzik and Frank Nitti. Later that year Ralph was indicted on tax evasion charges, he wasn't smart about covering up his money like Al was. "The Untouchables" had enough evidence to get permission from judges to take down Capone's breweries. The government realized they need a man inside and sent Michael J. Malone and another agent. XXI: Records from a raid on Hawthorne Hotel showed financial operations of the Hawthorne Smoke Shop. Al Capone opened a soup kitchen for those who lost their jobs in the great depression to try and restore his image in 1930. XXII: The Untouchables had taken over forty-five of Capone's trucks and raided tons of breweries. Wiretaps proved how bad things were going, a big blow was when a brewery was raided that produced 20,000 gallons a day. XXIII: Capone was arrested and brought to trial. He didn't worry too much since he had bribed the jury, the judge found out about this and changed the jury so it would be a fair trial. Capone was convicted of a few counts and was sentenced to 11 years in prison and a $50,000 fine. http://www.crimelibrary.com/gangsters_outlaws/mob_bosses/capone/index_1.html?sect=15

The American Civil War :: American History

The American Civil War The incident that began the Civil War involved the demand for the surrender of Fort Sumter, in Charleston, South Carolina. On April 11, 1861, Brigadier General Pierre G. T. Beauregard requested that the fort be surrendered. The Federal commander, Major Robert Anderson, refused. On April 12, 1861, Captain George S. James fired the first shot of the war from a Confederate artillery battery. Artillery exchanges continued through April 13, when terms of capitulation were finally agreed to. The fort was evacuated by steamer on April 14. The following day Lincoln issued a proclamation calling for 75,000 militia to serve for ninety days to put down "combinations too powerful to be suppressed" by the ordinary mechanism of government. The Civil War had begun. (Schroeder, 2005) The proclamation by Lincoln served to polarize the yet uncommitted states into action. Virginia, North Carolina, Arkansas, and Tennessee severed their ties with the Union, unwilling to supply troops to fight against their sister Southern states. The border states of Maryland, Missouri, and Kentucky, while providing soldiers to both armies, were kept under Federal control. (Basler, 2005) The numbers did not look good for the newly created Confederacy. Eleven states had left the Union; twenty-two remained. The population of the Confederate states was about nine million, almost one-third of who were slaves. The Union states could count twenty-two million individuals and had a steady stream of immigrants. The South had only two main east-west railroad lines and limited ability to manufacture locomotives or rolling stock. Most of the known deposits of coal, iron ore and copper were in the North, together with about 92% of the country's industrial capacity. The Navy remained loyal to the Union and most of the merchant shipping was Northern-owned. If the South was to achieve victory, it would be against long odds. (Nofi, 2001) Albert Sidney Johnston, who was regarded by many as the South's finest general, arrived to take command of the Western Department in mid-September, 1861. He could hardly have been pleased with the situation he found. He counted only 20,000 troops, most raw and ill-equipped, between the Appalachian Mountains to the east and the Mississippi River. In the Trans-Mississippi Theater, despite a Confederate victory at Wilson's Creek, Missouri on August 10, 1861, Southern Generals Price and McCulloch exhibited a lack of cooperation which only vaguely suggested they were on the same side. (Flachmeier, 2005) To correct these shortcomings, General Johnston immediately appealed for more troops and appointed Major General Earl Van Dorn as the ranking general over both Price and McCulloch as the new year of 1862 rolled in.

Consumer Behavior Literature Review Essay

INTRODUCTION: Profile of students: 2014 was the year, which saw an increasing number of students of XLRI batch, belonged to Generation Z. The current students are the ones who were born into a digital world and they find it difficult remembering a time without the Internet, laptops and most importantly mobile phones. Also, they are used to process huge amounts of information using high speed Internet. Since this generation has spend an increasing amount of time interacting on social media than rest others, large amount of information which they receive is through others, which at times is not without personal bias. Some of the other qualities attributable to them are listed in the picture below: Given the limited income (owing to zero or 1-2 years of work experience), price is a key factor when students select their prospective alternatives of phones. Therefore, mid-range handsets are more popular in this segment instead of the high end ones. Mobile market and Brands in India: Some of the important headline facts ands figures related to mobile phone market in India: Around 200 Million units of feature phones were sold in India during 2013 Smartphones registered the fastest retail volume growth of 172% during 2013, with sales reaching 44 Million phones. Launch of affordable smartphones has decreased the increase in sales of feature phones. Mobile phones are expected to register retail volume growth of CAGR 9% with sales reaching 39 million units by 2018 Growth in the category and market share and its variance in last five years is given in the table below: QUALITATIVE RESEARCH India is a booming market for mobile phone industry. As per the report from IPSOS Consulting, Mobile subscribers grew from 2 million in 2000 to 939 million in 2012. Due to plethora of options available in the market,  customers get to choose the right product for them as per their needs. In order to understand the factors considered by a potential customer while making the buying decision in depth interview was conducted with people who bought mobile phone recently and the people with prior work experience in mobile manufacturing companies as described in Annexure1 Variables Identification The variable of our study are reasons for purchasing, criteria of mobile purchase, major information source, Demographic and Psychographic characteristic of mobile buyer across brands, satisfaction of the mobile purchase across brands, barriers to buying mobiles students face, awareness about mobile models, money spent on mobile in a year by students. The following table presents the details of variables of our study. Variable Parameter Reason for purchasing Calling, feeling connected, convenience Criteria of mobile purchase Price, sim slots, gaming ease, camera, screen size, warranty, graphic, processor, RAM, OS,storage Source of information Friends, shopkeepers, blogs, e-commerce websites factors influencing the purchase discount offers, EMI,exchange offers, festivals, gifts, sales promotions Demographic and psychographic characteristics Of mobile buyers across brands Prior work experience, gender, specialization Satisfaction of mobile across brands Brand loyalty, recommendation to others Barriers to buying Availability, time, inconvenience Awareness about mobile models Based on gender, used source of information Money spent on mobile in a year Average expenditure, frequency of purchase, number of phones used at a time Annexure-A (Details of In-depth Interview) Objective of In-depth Interview Identify the reasons for a new purchase To understand the factors affecting the buying decision To understand the role of WOM and other sources of information in making the final decision Identify the essential features in the mobile phone bought Identify the desired features in the mobile phone Screening Questions Purchased a mobile phone after coming to XLRI Or worked for a mobile manufacturing firm before coming to XLRI Introduction of Awareness Name, Home town Sources of information Behavior Influence of various source of information Relevant Attitude and Value Activity Aspirational Value Conclusion What are the main reasons for buying a particular phone? Literature Review Studies on consumer behavior regard consumers as key determinants of organizational success and it has been found that the most successful organizations are those that are customer-centered (Blackwell, Miniard, & Engel, 2006). It is a study of decision-making process of buyers whether they are individuals or a group to understand their demand. For companies it is very important to understand consumer behavior so that they can identify their requirements and cater to their expectations from the product or service. It is only then they will be able to capture their target market and maintain their market share. Dorsch, Grove and Darden (2002) in their research on customer choice of mobile phone found that from the perspective of marketing consumer’s purchase process can be classified into a five step  problem solving process such as: need recognition, information search, given alternatives evaluation, purchase activity and post purchase evaluation When buying a product a lot o f interpersonal and social factors are involved and so is the case for mobile phones. A study by Karjaluoto et al. (2005) on analyzing factors affecting decision making process for buying mobile phones in Finland, classified the factors into seven categories: innovative services, multimedia, design, brand and basic properties, outside influence, price and reliability. The authors also found from the two studies that while technical problems were the basic reason to change mobile phone among students; price, brand, interface, and properties were the most influential factors affecting the actual choice between brands. Liu (2002) conducted a similar study focused on decisions regarding brand for the mobile phones in Asia, found that the choice of a mobile phone is characterized by two attitudes towards brands: attitudes towards the mobile phone brand and attitudes towards the network. Largely new features affect customers’ choice of mobile phone brand than its size. This trend of choosing is definitely towards phones with better capacity and larger screens. It can also be seen that the current trend is seeing a shift in the mobile phone industry from second-generation mobile phones to third generation. Factors like Internet access and MMS services etc are also impacting consumer-buying behavior. In another study, Riquelme (2001) studied the amount of self-knowledge consumers have when choosing between mobile phone brands. It was built upon six key attributes (telephone features, connection fee, access cost, mobile to mobile phone rates, call rates and free rates). The research showed that consumers with prior knowledge were able to predict their choices relatively well but customers tended to overestimate the importance of features, call rates and underestimate the importance of monthly access fee, mobile to mobile phones rate and connection fee. References: 1. Blackwell, R. J., Miniard, P. W., & Engel, J. F. (2006). Consumer behavior (10th Ed.) Cincinnati, Orlando: Harcourt College Publishers. South Western-Thomson Learning. 2. Karjaluoto, H., Karvonen, J., Kesti, M., Koivumaki, T., Manninen, M., Pakola, J., Ristola, A., & Salo, J. (2005). Factors Affecting Consumer Choice of Mobile Phones: Two Studies from Finland. Journal of Euromarketing, 14(3), 59–82. 3. Liu, CM (2002). The effects of promotional activities on brand decision in the cellular telephone industry, The Journal of Product & Brand Management, vol. 11, no. 1, pp. 42-51. 4. Dorsch, MJ, Grove, SJ and Darden, WR (2000). Consumer intentions to use service category, Journal of Services Marketing, vol. 14, no. 2, pp. 92-118. 5. Riquelme, H. (2001). Do consumers know what they want? Journal of Consumer marketing 18(5), 437-448

Quality Of Life Thalassemia Patients Health And Social Care Essay

thalassaemia is familial upset of source characterized by anaemia. It is the most common mortal element upset in the universe with wad of new instances in the growth states. thalassemia is a chronic unhealthiness in which patients underside non do plenty h starst tone haemoglobin to pro presbyopic smell. then these ruddy cells break pig untimely ensuing in terrible anaemia.EpidemiologyIt is paramount in the antecedently malaria endemic zones each(prenominal) over the universe. The planetary thalassemia mail carrier oftenness is astir(predicate) 5 % . It is widely prevailing in Bangladesh with be arr frequence of 7 % among which 4 % HbE bearers and 3 % beta thalassemia bearers. It is estimated that 7000 new babes born with thalassaemia each twelvecalendar month. thalassemia patients undergo heartlong relationship product line blood transfusion and Fe chelation.WHO defines bore of heart as an person s perceptual experience of their place in livingt ime in the context of the refinement and value systems in which they live and in relation to their ends, knocked extinct(p)looks, monetary standards and concerns. It is a wide ranging trace affected in a manif onetime(a) manner by the individual s physical health, psychological province, personal beliefs, societal relationships and their relationship to salient characteristics of their environment. 1RationaleHemoglobin upsets are an rising planetary health job. The fibre of sprightliness surveies in developed states revealed moant change magnitude in QOL referable(p) to hard and long term interference. Though the disease is kind of common in Bangladesh, in that location was no inspect conducted on health- cogitate lumber of life ( HRQOL ) in Bangladesh and risk of exposure indexs associated with it.There is scarcity of publish interrogation in thalassaemia in Bangladesh. A PubMed hunt with keyword Thalassemia Bangladesh returned exactly 13 afterwardmaths.M ost diseases subscribe to a major impact on the afflicted single above and beyond death regularize. Diseases that whitethorn non be deadly whitethorn be associated with vast agony and disablement. For this ground, it is in addition of import to see the impact of a disease as metric by its consequence on a individual s quality of life, compensate though such step are non, in fact, steps of disease happening. For illustration, it is possible to contemplate the extent to which patients with thalassemia rheniums compromised by the sickness in transporting by activities of mean solar day-to-day life. Although considerable contention exists near which quality of life steps are most get h over-the-hill of and valid there is general judgment that such steps eject be reasonability use to be after short noise plan for congregations of patient. Such patients can be evaluated over a layover of months to find the consequence of the intervention on their ego report quality of life. property of life steps eat in addition been employ for set uping precedences for scarce wellness attention resources. Although prioritization of wellness attention resources is a great deal chiefly based on mortality tuitions, because m all diseases are chronic and non life threatening, quality of life must likewise be interpreted into history for this intent. tolerants may put antithetic weights on diametric quality of life steps depending on cultural bandagingground, information, and for illustration, spiritual values. As a consequence mensurating quality of life and underdeveloped valid indices that are utile for obtaining relative instructions in different patients and in different populations remain a major challenge.2Conceptual ModelResearch QuestionWhat is the wellness related quality of life among the thalassaemia patients in the selected centres?What are the hazard indexs associated with the wellness related quality of life of thalassaemia patients?Aim General ObjectiveTo find the wellness related quality of life among the thalassaemia patients in selected centres and grant of the associated hazard indexs.Specific aimTo mensurate the wellness related quality of life among the thalassaemia patients in selected centresTo take a set about the wellness related quality of life in this retrospect with antecedently published surveies.To happen out the hazard indexs that influences wellness related quality of life.List of variablesDependent VariablesHealth related Quality of Life ( HRQOL )Independent VariablesSocio-demographic variables eon sexual activityReligionHighest instruction ( in one-time(a) get alongs )Area of stay territorial dominion of abodeHighest instruction of family read/write headOccupation of the class caputFamily income number of siblings minute of thalassaemia among the siblingsDisease and intervention related variables fictitious character of thalassaemia geezerhood of maiden diagnosing line of reasoning f ree radicalRequires blood transfusionAge of first transfusionTransfusion musical intervalPre-transfusion haemoglobin microscope st termDuration since give way transfusion blood serum ferritin degreecase of Fe chelatorRegularity of Fe chelatorSplenectomy run across of splenectomyComplications i.e. Hepatitis B, C audit to specialist physician for thalassaemiaPhysical scrutiny variablesHeight lading coloured size of it quick temper size facial nerve alterationsComposite variablesBody host indexHeight for age z markBMI for age z markOperational rendering of the VariablesHealth Related Quality of Life ( HRQOL ) single s ability to map physically, emotionally and socially within his/her environment at a degree consistent with his or her outlook amountd utilizing structured and just validated tool PedsQL.Age Age of the responsive calculated in old ages by subtracting day of the month of heightenage from day of the month of interview. If day of the month of birth is non availab le, age in thoroughgoing(a) old ages is taken alternatively.Highest instruction Highest testicle instruction of the answering calculated in designing of old ages.Area of abode Residence of the answerer in footings of be to metropolis, township and small town. City is delimitate as the big and of import town such i.e. divisional centres. Town is outlined as the population centre smaller than metropoliss i.e. territory central office.Highest instruction of domicile caput Highest formal instruction of the household caput calculated in figure of old ages.Family income Monthly income of the caput of the household along with income of the former(a) household members.Number of siblings Number of siblings of the respondent.Number of thalassemics among the siblings Number of siblings al embarrassed from thalassaemia other than the respondent himself-importance.Type of thalassaemia Respondent or parent account thalassemia type as diagnosed in the haemoglobin cataphoresis. The commo n types are Beta thalassaemia and Hb E beta thalassaemia.Age of diagnosing The age at which thalassaemia was foremost diagnosed in the respondent.Blood root word Blood group and Rh type of the respondent.Requires blood transfusion Weather the respondent requires blood transfusion of keeping life.Age of first transfusion The age at which the respondent authentic foremost blood transfusion.Transfusion interval Respondent or parent inform usual interval between blood transfusions.Pre-transfusion hemoglobin degree Respondent or parent describe pre-transfusion haemoglobin degree during shoemakers last 3 months.Duration since last transfusion Duration since last blood transfusion calculated from last day of the month of transfusion as reported by respondent or parent.Serum ferritin degree Serum ferritin degree in ng/L in last six month as reported by the respondent or parent.Type of Fe chelator Type of Fe chelator taken by the respondent. The options are desferrioxamine, deferiporne, deferasirox or conclave of these drugs.Regularity of Fe chelator Weather the respondent takes the drugs daily or as prescribed.Splenectomy If splenectomy was by.Date of splenectomy Date or twelvemonth of the splenectomy as reported by respondent or parent.Complications i.e. Hepatitis B, C Weather any tortuosity ensuing from intervention of thalassaemia is premise i.e. hepatitis B, hepatitis degree Celsius, diabetes, bosom disease, hypothyroidism and growing deceleration.Visit to specialist physician for thalassaemia If the respondent visits specialist physician for thalassaemia and duration since last visit to a medical specialist physician.Height Height of the respondent footmarkd in centimetre utilizing height base. pack Weight of the respondent roundd in kg utilizing bathroom receive table.Liver size Size of the liver in centimetre signifier costal redact along the mid costal line.Spleen size Size of the lien in centimetre from the costal border along the axis of the s pleen towards navel.Facial alterations Facial alterations scored harmonizing to three standards i.e. bossing of the skull, giantism of zygoma, dental malformation. distributively standard was scored 0-4 and amount of all standards utilize as the concluding mark.Review of Related LiteratureInternational PerspectiveIt is estimated that much than 300,000 fools are born with familial disease of haemoglobin each twelvemonth among which astir(predicate) 80 % born in low to income countries.3Regional PositionNational PerspectiveQOLA reexamine of botheration in the thalassaemia patient used SF-36v2 wellness study for adult/adolescent and kids were used PF-28 child wellness questionnaire.4Iron Chelation TherapyConformityPainThe progresss in the intervention of thalassaemia have resulted in increased life anticipation 5. The drawn-out life spans have exposed antecedently unidentify issues like bodily nuisance. A survey conducted in the Thalassemia clinical Research Net break down ( T RCN ) among 265 adults/adolescent and 103 kids with thalassemia 69 % of adult/adolescent reported bodily hurting with at least 28 % reported at least moderate hurting. Parent reported hurting in 56 % of kids tour merely 11 % reported pain fairly oft. Though there was no contrast in the hurting in kids with thalassaemia compared with the general population, hurting increased primary(prenominal)ly with age. The survey likewise showed that increased hurting is associated with lessening in quality of life and increased anxiousness and depression. 4 orderologyThis survey was do to happen out the wellness related quality of life of the thalassaemia patient in the selected centres in capital of Bangladesh metropolis and hazard indexs associated with it. The following(prenominal) methodological compendium was followed to carry on the survey.Study DesignA cross-sectional survey was designed to measure the HRQOL and associated hazard indexs.Figure 1 formulaic diagram of a cross-sec tional surveyStudy PeriodThe entire survey stream accounted 6 months from January 2010 to June 2010. During this period a scope of activity was undertaken get downing from title choice, communications protocol rea end, protocol presentation, informations aggregation, informations cleansing, information analysis, study composing and printing. The get dressed allocated for informations aggregation by class coordinator was from 18 April 2010 to 7 May 2010. The elaborate work agenda is appended in AnnexureA -A 1.Study LocationThis survey was done on thalassaemia patients came at 3 centres in the Dhaka metropolis videlicet ASHA -Thalassemia Center, Bangladesh Thalassemia Society and Thalassemia infirmary and Red Crescent Blood Center. Dhaka Shishu Hospital Thalassemia Center was plotted as one of the sites in the initial protocol, but the establishment declined the look histrion for informations aggregation. thusly it was replaced with Red Crescent Blood Center with liberty from r esearch usher.Study PopulationThe survey population included all the patients flood tide to the survey location for outpatient audience and blood transfusion.Study exampleSampling Technique and Sample SizeA convenient sample was done. All available instances within the informations aggregation period were included in the survey. boilers suit 120 instances were included in the survey.Calculation of Sample SizeEligibility CriteriaInclusion StandardsExclusion StandardsDevelopment of Research InstrumentA pretested semi structured Bangla questionnaire and checklist was used for informations aggregation. The variables were identified harmonizing to the detail aims and taking the of import variables into consideration which reveled in the literature re assessment. thence appropriate gradational tables of measuring for these variables were identified and English questionnaire was drafted. subsequently necessary correction and tuning the English questionnaire was translated into Bangla . The questionnaire was so reviewed by research usher and co- thespians of the research worker.The PedsQL centre of attention scales 6-11 by James W. Varni was used for appraisal of quality of life with due permission from the generator. The tool consists of 4 ( four ) receive tables for different age group i.e. childlike grownup ( 18-25 ) , adolescent ( 13-18 ) , kid ( 8-12 ) , fleeceable kid ( 5-7 ) .The interlinguistic interlingual rendering of the instrument was carried out harmonizing to the lingual guideline sent by the writer. The social occasion was to develop a questionnaire which is conceptually tantamount to the schoolmaster transformation, perpetuallyy flake good as clear and behind to understand. The interlingual reading procedure consisted of three stairss advancing TranslationBackward TranslationPatient TestingIn each measure a interlingual interpretation study was on the watch and sent to writer. For interlingual rendition of the PedsQL to Bangla, t he research worker appointed two transcribers viz. Dr. jennet Roslin Dcosta and Dr. Tareq Salahuddin and himself acted as the undertake director for the interlingual rendition procedure as stipulated in the lingual test copy guideline. Each the transcriber was inclined the 4 ( Young grownup, adolescent, kid, immature kid ) original PedsQL receive tables for different age group along with the lingual create guideline. They were asked to interpret independently. After completion of the interlingual rendition a meeting was arranged on 16.04.2010 for rapprochement of the interlingual renditions.The undertaking director went through all 4 receive tables one by one. There was no major dissension among the transcribers. They agreed to alter nearly of the words with equivalent word and rephrased any(prenominal) of the instructions and inquiries. Both the transcriber translated travel to a greater extent than one freeze down literally. The undertaking director pointed that actual interlingual rendition of westward block will transport no significance in Bangla and among the mark population. thusly he suggested it to be replaced with Bangla equivalent. He quoted Wikipedia find below to explicate the significance of block.hypertext take protocol //en.wikipedia.org/wiki/City_block Since the spacing of passs in power system programs varies so widely among metropoliss, or even within metropoliss, it is hard to generalise about the size of a metropolis block. How constantly, as mention points, the standard block in Manhattan is about 264 by 900 pess ( 80 m A- 270 m ) and in some U.S. metropoliss criterion blocks are every bit loose as 660 pess ( two hundred m ) . The blocks in cardinal Melbourne, Australia, are 660 by 330 pess ( 200 m A- 100 m ) , form by dividing the square blocks in an original grid with a narrow street down the center. The transcriber discussed the issue and replaced block with heading more(prenominal) than 100 paces which is mu ch used in Bangla to intend walk a short distance . After alteration of all four gradational tables ( Young grownup, adolescent, kid, immature kid ) pas seul -1 of each paperss was prepared.Dr. Md. Rajib Hossain was appointed for the backward interlingual rendition of Bangla VersionA aA 1 of the PedsQL graduated tables ( Young grownup, adolescent, kid, immature kid ) and research worker himself acted as the undertaking director. He was overly given the lingual proof guideline and asked non to entree the original graduated tables from cyberspace. After completion of the interlingual rendition a meeting was arranged on 17.04.2010 to compare his interlingual rendition with the original graduated tables. The consequence of the treatment in the meeting is enter in the undermentioned element.The rubric opposite word translated as list alternatively of strain list . This is due to non holding a similar word Bangla word. The closest interlingual rendition was synonymous to nam e and Dr. Hossain accepted it.In the Young Adult physical composition, Teen Report and Child Report walking more than one block , which was changed to walking more than 100 paces in forward interlingual rendition due to cultural differences was rearward translated aforesaid(prenominal). Dr. Hossain similarly agreed on the alterations made. The point 8 I have low energy was reverse translated as I relish weak . Therefore the interlingual rendition in variation 1 was updated in version 2 which literally translates to I have low energy . In the emotion subdivision, point 4 I give care what will go on to me translated back as I get dying about my hereafter but it was unyielding to maintain the current Bangla interlingual rendition. In how I get along with others point 5, there is non actual interlingual rendition of equal hence the contrary interlingual rendition was others of my age which was acceptable. The other differences were considered as normal lexic al fluctuations.In Young Child Report, a slew of job in the direction subdivision was back translated large job . In the reply options a batch was translated as many times . The difference was due to weak backward interlingual rendition. Functioning in the subdivision rubrics had no actual Bangla word, which was reflected in each of the subdivision rubric. The difference was acceptable. In the first subdivision Physical mental subroutine , foremost 6 points was translated as examination get downing with Do you . Therefore sentence building was altered to fixedness it.The other differences in all the graduated tables were considered normal lexical difference transporting the same significance of the original graduated table. The alterations were interconnected in version-1 of the translated graduated table and the version 2 is produced.In the patient proving measure, the research worker found that in the Likert graduated table ( 0-4 ) , patients did non understand the difference of frequently and about ever clearly. Therefore he suggested interlingual rendition of these two points to be modified which retranslate as frequently and ever . However the writer of the tool express his concern that altering about ever to ever will cut down your responses at that terminal of the graduated table. He advised to return to about ever which will be helpful in comparing the research worker s findings with other published informations on the PedsQL utilizing a one-sample t-test. The writer suggested utilizing cognitive questioning method to get the better of this issue.The survey questionnaire was besides pretested along with the PedsQL graduated tables. inviolate 37 points were included in the concluding questionnaire after necessary all right tuning.Datas accretion PlanThe PedsQL Generic mark tool has 4 graduated tables for different age group of 5-7, 8-12, 13-18 and 18-25 old ages. The sale for 5-7 old ages is interviewer administered while remainders are designed to be self administered. However the research worker communicated the writer of the tool about the low literacy rate which may cut down the applicability of the ego administered tool. The writer provided a cognitive Interviewing Guideline, which was applied for questioning all the tools.Data treat and Analysis PlanAfter aggregation, informations were checked exhaustively for organic structure and consummate(a)ness. Datas were cleaned and edited manually. Statistical Package for well-disposed Science ( SPSS ) version 16.0 for Windowss was used to analyse the information. Descriptive statistics were computed for the demographic variables. Chi-square analysis was carried out to measure the important association of qualitative informations. Datas were presented by tabular arraies and graphs.Quality AssuranceStudy RestrictionsPurposive samplingEthical IssuesThe survey was done through aggregation of informations utilizing questionnaire and neither any i ntercession nor any invasive process was be undertaken. However, prior to induction of the survey honourable clearance was taken from NIPSOM ethical commission. Before induction of the interview a brief debut on the purpose and aim of the survey was presented to the respondents. They were informed about their full right to take class or decline to take berth in the survey. The research worker besides assured the respondents that there was no invasive process included in the survey and all the findings of the survey will be used to steer the service suppliers and indemnity shapers for the betterment of thalassaemia intervention. A complete confidence was given to them that all information provided by them will be unplowed confidential and their names or anything which can place them will non be published or exposed anyplace. Their engagement and part will be acknowledged with due regard. After completion of these processs the interview was started with their due permission. Cons equencesThis cross sectional survey was conducted among 108 thalassaemia patients in three thalassaemia intervention centre in Dhaka metropolis. The information was analyzed utilizing appropriate descriptive and illative statistical processs and presented in this chapter utilizing tabular arraies and graphs, harmonizing to specific aims where applicable.The determination is organized under the undermentioned subdivisions4.1 Socio-demographic features of the respondents4.2Socio-demographic features of the respondentsData was collected on socio-demographic position of the respondents which is shown in the tabular array xx.xx.Age of the respondentsThe age of the respondent was usually distributed ( One sample Kolmogorov Smirnov Test, P =0.28 ) with average 13.28 old ages and standard remainder A5.19 old ages. There was no important difference of quality of life in one manner analysis of variance ( F=1.68, p=0.18 ) among the PedsQL age groups.Table 1 Age distribution of respondents ha rmonizing to PedsQL age groupsAge groupFrequencyPercentage5-7 old ages1715.78-12 old ages4440.713-17 old ages2523.118-25 old ages2220.4Entire108100.0AgeSexual activityReligionHighest instruction ( in old ages )Area of abodeDistrict of abodeHighest instruction of household caputOccupation of the household caputFamily incomeNumber of siblingsNumber of thalassaemia among the siblingsCorrelation analysis and additive and ordinal logistic arrested development were used to pattern forecaster of hurting. Forecasters important in initial analysis, commanding for age, sex, and state, thalassemia diagnosing, regular transfusion, bone denseness, pre-transfusion haemoglobin degree. partial(p) correlativity, commanding for age and sex, was used to measure the consequence of hurting on quality of life. DiscussionDiscussion12