Thursday, October 31, 2019

The Impact of Information System on Business Process Design Research Paper

The Impact of Information System on Business Process Design - Research Paper Example The use of information systems also enables the company to expand and grow its operations outwards to scales that were almost unimaginable through the analog system of business design and engineering, such as globalization processes through the creation of the subsidiaries by multinational corporations. Furthermore, the organizations also benefit from the large market sphere and control brought about by the introduction of business technology and information systems within the processes of conducting business. As such, the paper considers the best methods undertaken by businesses in expanding and modernizing their operations using and adoption of technology and information systems. In fact, information systems brought about a major revolution in specific organizational sectors such as the executive and management roles, as well as, the manner and style by which people work at their organizations. This is phenomenal through the redesign processes of these business operations, and the benefits achieved through the transformation of these new company practices. A business process is a structural procedure of diverse activities, tasks, or procedures within a business in order to achieve a specific goal, or produce a certain kind of service, product, or brand for meeting a particular demand from a customer, a market, or a business client. A business process incorporates a flowchart kind of operation whereby a sequence of integrated activities operate together through a process matrix based on a varied rules provided by the data in the processes. However, there are varied versions on the definition of business processes and how they affect the operations of a business.

Tuesday, October 29, 2019

Political Science Paper Proposal Assignment Example | Topics and Well Written Essays - 250 words

Political Science Paper Proposal - Assignment Example The events are attributed to the varying economic policies pursued by the various political ideologies. The Republicans have been containing the inflation rate which can only be realized by allowing some level of unemployment in the economy as demonstrated by Philip's curve. Frymer on his part considers the role of Black Americans in the national politics and how they are very critical in determining the outcome of each presidential election in the United States. His theory affirms the fact that the African-American interests, as well as voices, have been ignored in a number of instances by both the two political divides as they all majored on other groups that seemed to be more predictive in determining the outcome of an election process. The interests of the African-Americans have thus been left out in legislative policymaking and campaigns. His views appear to b in contrast to that of Bartels who is of the opinion that one party promotes inequality while the other party promotes e quality. Race plays a key role in the politics of America and this leads to inequality and marginalization based on the races. However, the two authors are in agreement that the government of the day plays a key role in determining the standards of living of various social classes and races. Further analysis of the works of these two scholars will reveal inner facts on the political landscape in America and how it affects the entire nation and its inhabitants irrespective of their cultural beliefs, race, and socio-economic status.

Sunday, October 27, 2019

Using gentamicin in the management of sepsis

Using gentamicin in the management of sepsis Sepsis is defined as the inflammatory response toward an infection (1). It is either simple or severe sepsis depending on the organ dysfunction involved as a result of the infection and other factors (2). In terms of the pathophysiology of severe sepsis, a cascade of inflammation and activation of the coagulation system associated with impaired fibrinolysis causes changes in microvascular circulation associated with organ dysfunction, severe sepsis, multiple organ dysfunction syndrome, and death (3). In terms of definitions of other sepsis-associated symptoms, it was generally agreed at the International Sepsis Definitions Conference which was convened in 2001 and the following definitions of sepsis syndromes were published in order to clarify the terminology used to describe the spectrum of disease that results from severe infection. Sepsis is the presence of infection in association with meeting the Systemic inflammatory response syndrome (SIRS) criteria (Box 1 (2)). The clinical significance of meeting SIRS criteria in the absence of organ dysfunction or shock is still unclear. Severe sepsis is defined as evidence of end-organ dysfunction such as altered mental status, episode of hypotension, elevated creatinine, or evidence of disseminated intravascular coagulopathy. Septic shock is defined as persistent hypotension despite adequate fluid resuscitation or tissue hypoperfusion manifested by a lactate greater than 4 mg/dL. Bacteremia is defined as the presence of viable bacteri a within the liquid component of blood (1). Acute pyelonephritis is defined as an acute infection of one or both kidneys; usually, the lower urinary tract is also involved (4). Antibiotic regimen of choice for Sepsis that is associated with urinary tract infection is Co-amoxiclav 1.2g 8 hourly intravenously together with Gentamicin IV dose of 5mg/kg once daily (5). Although that is controversial whether to use the ideal body weight (IBW) or to obtain blood samples indicating Gentamicin level to get the optimal dosing regimen for Gentamicin in obese patient due to risk of accumulation with Aminoglycoside and the fear of oto- and nephrotoxicity (6). Other supportive measures depend on the patients status; table 1 (1) contains helpful measures that indicate markers of organ dysfunction. Case Summary Our patient, C.M., is a 56 years old female who was admitted to the Accident and Emergency department (AE) due to an increased urinary frequency and a high temperature of 40.5 °C. Other complaints were back pain and shortness of breath (SOB). Also, the patient had reported a fall the night before admission. Moreover, the patient had vomited the night before and in the morning of admission. C.M. is a previous smoker who had stopped smoking several years ago and she lives with a partner. She is clinically obese weighing 100kg and her height is 152.4cm. Giving this, her ideal body weight (IBW) comes to 49kg. The only known allergy for this patient is microspores tapes. The patients past medical history (PMH) included asthma, non-insulin dependent diabetes mellitus (NIDDM) and fibromyalgia. She was on one puff daily of each Symbicort Turbohaler 200/6  µg and Ventolin Accuhaler for the management of her stage 3 asthma. Metformin 1g daily was prescribed for her diabetes control; however, its formulation was not mentioned (whether it is a sustained release tablet or a normal release one!). For her fibromyalgia, she was taking 300mg of Quinine sulphate daily together with 150mg of Amitriptyline daily (which is a very high dose; low dose of tricyclic antidepressant (T CA) is recommended i.e. 20-30mg of Amitriptyline). For her pain, the patient was on Co-codamol tablet as required (strength, dose and frequency were not mentioned). Having that she is a diabetic patient over 40 years old, a dose of Simvastatin 40mg daily was prescribed as a primary cardiovascular disease (CVD) protection measure. In addition, Omeprazole 20mg daily was one of her regular m edications with unclear indication. Investigations On admission, an Electrocardiography (ECG) was performed and indicated sinus tachycardia; which could be related to the high temperature, pain or sepsis. The patients vital signs were abnormal having a respiratory rate (RR) of 22 breaths per minute (normal is ~ 12bpm), a heart rate (HR) of 117 beat per minute (normal is ~ 70bpm) and a blood pressure (BP) of 142/65 mmHg (target for diabetic patients is Her laboratory investigations were almost normal except for some parameters. The Sodium level was a bit low which could be a result of the frequent urination or an Amitriptyline hyponatremic effect. Glucose and C-reactive protein (CRP) levels were high which might indicate the presence of infection. Thrombocytopenia may be caused by Quinine or Simvastatin administration! Impression and related Management Plan The patient was diagnosed as a pyelonephritis and sepsis case; so empirical antibiotic regimen was initiated with 1g Amoxicillin intravenously six hourly and 500mg ciprofloxacin orally once daily. Also, 1g Paracetamol intravenously six hourly and one liter Normal Saline intravenously over 24hours was started. Urinalysis on the first day indicated the presence of leucocytes, nitrites, glucose, ketones and blood which means a presence of infection. On the second day, blood culture showed a growth of E. coli which is sensitive to Gentamicin, therefore, 400mg Gentamicin intravenously every 24 hour was prescribed and ciprofloxacin was discontinued. Gentamicin plasma level was requested 6-14 hours after administration of the first dose. In addition to the patients regular medications, 50 mg of Cyclizine eight hourly and 20mg of Citalopram once daily were added, paracetamol IV was switched to orally in the second day and 30mg of oral codeine as required was prescribed ; but the patients Salbutamol Inhaler had been stopped for unclear reason. Discussion Revising the management plan for this patient and in comparison to the local guidelines for the management of pyelonephritis and sepsis patients, we would notice that 1.2g intravenous Co-Amoxiclav is the first-line choice of Penicillins, not Amoxicillin, together with Gentamicin. However, if the ideal body weight is required to obtain the appropriate dosing of Gentamicin for obese patients, so in this case, 245mg of Gentamicin supposed to be prescribed instead of 400mg which is the maximum daily dose (Although that some infectious diseases specialist would recommend going to the maximum dose to make sure that we get the maximum benefit; but we must consider patient status and severity of infection!). Also, it is essential to check the optimal timing for monitoring each drug plasma level, in our case, Gentamicin therapeutic drug monitoring (TDM) has not deviated from the local guidelines recommendation for the once daily dosing of Gentamicin i.e 6-14 hours after giving first dose. Having a patient with increased urination and vomiting, we must consider fluid replacement. Replacing with one liter Normal Saline (NS) might have not met the patients requirement! So it is recommended to check patients need to ensure appropriate replacement i.e. at least 2.5-3 liter daily. We could have recommended giving 2 liter NS each over 8 hours plus the addition of 500ml 5% Dextrose to ensure calories intake if the patient cannot tolerate oral intake. Considering the patients asthma control, we must confirm that Salbutamol inhaler was not mistakenly missed after admission. Since that SOB was one of the patients complaints, we must ensure that it was relieved, if not, consider 5mg of Salbutamol nebulizer four times daily to be added to the regimen and if nebulizer is not necessary, ask for Salbutamol inhaler to be charted as if required basis (6). Also, blood gases were not mentioned so it is probably safer to ask for the oxygen and carbon dioxide saturations to consider if oxygen therapy is needed! Confirm that the patient and nursing staff are aware of inhalers techniques. The patient is on Amitriptyline 150mg orally daily which is considered an old practice for the treatment of fibromyalgia (high dose TCA) and the current recommendation states 20-30mg of Amitriptyline daily for 8 weeks (6) so it is better to re-consider dosing or to change regimen. Low dose Sertraline or high dose Venlafaxine therapy may be effective (6) so consider changing if no further benefit of the use of Amitriptyline. For the associated pain, Paracetamol with Tramadol has better efficacy than Co-codamol. Pregabalin (150-300mg every 12 hours) may improve pain especially if combined with Tramadol; it also improves sleep and morning stiffness (6). So, knowing the patients control with the current medication would be helpful to consider treatment change or modeling to get the most of pharmacologic treatment. Suggesting alternative ways to manage symptoms is also recommended, e.g. spa therapy, physiotherapy, stress management, acupuncture or diet (6). NICE guidelines for the management of type II diabetes mellitus state that Metformin is the first line choice for obese patients. Choosing appropriate formulation that suits the patients lifestyle is essential to ensure patients compliance. Once daily dosing of sustained release formula could provide 24 hour control over glucose, but in this case the present of infection interfered with having accurate reading so it is logical to check the HbA1c to check the glycemic control over the last 8 weeks to consider any therapy modification. Also, pre- and post-prandial glucose level monitoring is required to avoid both hyper- and hypoglycemia using the current regimen. Statins must be prescribed for all diabetic patients who are over 40 years old (6) and having any risk factor of Coronary Vascular Diseases (CVD). The patient was on Simvastatin 40mg daily but no Cholesterol level obtained (consider Ezetimibe if high Cholesterol). Monitoring liver function tests (LFTs) and any muscular side effect is important. Also, having a high BP on admission, checking that BP is normal after sepsis reveals is vital. If persistent high BP, consider adding ACE inhibitors, having the benefit of BP control and protecting the heart in patients susceptible to Vascular Diseases. Weight loss in this patient is advisable so consider dietitian and physiotherapist review to consider going on diet and exercise. Also, annual eye check is recommended to control retinopathy due to DM. Cyclizine was prescribed on regular basis, so we better check if the patient is really on need of a regular anti-emetic, otherwise, consider changing it to as required basis. Regarding Paracetamol, it was prescribed on as needed basis but it was not put clear not to exceed the maximum daily dose, so it is recommended to clarify that to not give the patient more than 4g per day. It is safer to contact the patients GP to confirm the indication of Omeprazole and to consider discontinuation if no clear indication was obtained. Additionally, the patient was thrombocytopenic, which could be a side effect of administration either Quinine or Simvastatin, so monitoring the platelets count is highly recommended to prevent any complication, although DVT prophylaxis is not needed as long as the patient is mobile. Conclusion In conclusion, the overall patient management had no much deviation from the current guidelines recommendation except for some practice that need to be reviewed considering the current patients status. Therapeutic monitoring should be carried on because the patient is under risk of many complications or side effects. Lastly, patients awareness of her clinical condition and treatment requirement for each problem is helpful to prevent or reduce future health problems. Appendix 1: PATIENT MEDICATION PROFILE Patient details Name C.M. Consultant General Practitioner Address Gender Female Weight 100 kg Height 152.4 cm Community Pharmacist Date of Birth (Age) 56 y.o. Known Sensitivities Micropores tapes Social History Previous smoker, lives with partner Patient hospital stay Presenting complaint in primary care / reason for admission Admission date 2008 Increased urinary frequency Back pain Shortness of breath Vomiting Fall (the night before) Fever (40.5 °C) Discharge Date Discharged to Relevant medical history Relevant drug history Date Problem Description Date Medication Comments Asthma Symbicort 200/6 Turbohaler 1 puff daily Ventolin Accuhaler 1 puff daily Non-insulin dependent diabetes mellitus Metformin 1g daily Formulation? Fibromyalgia Co-codamol PRN Strength? Amitriptyline 150mg daily Too high! Quinine sulphate 300mg daily Duration? Simvastatin 40mg daily 1ry CVD prevention Omeprazole 20mg daily Indication? Relevant non drug treatment Prescribed Medication Start Stop Clinical/Laboratory Tests Result 1 Paracetamol 1g IV 6 hourly Day 1 Day 2 ECG Sinus tachycardia 2 0.9% sodium chloride 1000ml IV over 24 hours Day 1 HR 117 bpm 3 Amoxicillin 1g IV 6 hourly Day 1 BP 142/65 4 Ciprofloxacin 500mg PO OD Day 1 Day 2 RR 22 bpm 5 Metformin 1g PO OD Day 1 Urine analysis Leucocytes, nitrites. Glucose, ketones, blood +ve 6 Omeprazole 20mg PO OD Day 1 Blood culture E. coli 7 Quinine sulphate 300mg PO OD Day 1 Na 134 (135-145) 8 Simvastatin 40mg PO OD Day 1 CrCl 145.3 (78-120) 9 Amitriptyline 150mg PO OD Day 1 Glucose 8.9 (3.9-5) 10 Symbicort 200/6 inhaler 1 puff daily Day 1 CRP 180 ( 11 Codeine phosphate 30mg PO PRN Day 1 Bilirubin 35 (3-16) 12 Citalopram 20mg PO OD Day 1 PT 17 (12-15) 13 Cyclizine 50mg PO 8 hourly Day 1 APTT 39 (20-30) 14 Gentamicin 400mg IV 24 hourly Day 2 Platelets 70 (150-400) 15 Paracetamol 1g PO PRN Day 2 Clinical management Diagnosis Pharmaceutical Need Pyelonephritis Evidence-based treatment Sepsis Treatment according to guidelines Care Issue/Desired Output Action Output Confirm drug history + reconcile drug history Ask patient how and when she takes her medication and the indication for each medicine. Compare with GPs DHx + Phone GP for indications for amitrip., omep. and quinine, and when they were initiated. All regular meds have been charted except prn salbutamol. Patient is SOB; advise Dr to chart it prn. Confirm antibiotic regimen for pyelonephritis/sepsis in addition to TDM Check the local guidelines that amoxicillin is first-line for the indication (culture sens. to gent.).Calc. her ideal body weight and CrCl.Calc. gent. dose based on ideal body weight and compare to 400mg iv od (max dose).Check local guidelines whether 6-14 post dose gent. level is correct procedure. Chase level. Monitor BP, Temp, Pulse, RR for signs of resolving sepsis whilst on current regimen. Co-amox 1.2g iv tds is first-line with gent 5mg/kg (max 400mg, ideal body wt 49kg, CrCl 71ml/min). Recommend switch to co-amox because she needs 7/7 iv + oral. Recommend 245mg gent iv od Obtain level before 2nd dose is given+TDM for gent is correct. Review need for gent in 48h Fluid requirements possibly not being met by 1L N. saline in 24hours Request a running fluid balance chart due to vomiting + increased urinary frequency. Ask patient if she can tolerate oral liq. or if feels thirsty. Assess if iv is necessary (2.5L daily + replace losses) Advise doctor to amend first bag to 8 hours and chart 1L N.saline over 8hours + 500ml glucose 5% over 8 hours if patient cant tolerate oral liq. Is her current SOB being treated appropriately? If patient is still wheezy, ask for PaCO2 + PaO2. Request salbutamol nebs 5mg qds + O2 60% to be charted. If not currently SOB, ask for accuhaler to be charted prn. Assess inhaler technique for both inhalers when breathing ok Is her fibromyalgia regimen in-line with current evidence? Check Brit. Soc. Rheum for current guidance on fibromyalgia. Check that citalopram is the SSRI of choice in fibromyalgia since it has been started on admin. Review quinine; if has been in use for 3 months with no benefit consider stopping it High dose TCA is an old practice; current evidence states 25mg/day for 8 weeks. Advise a review of Amitrip. Low dose sertraline has better evidence for use in Fibro. Advise switch + show evidence to prescriber. Tramadol with paracetamol has better efficacy than co-codamol. Suggest trial switch and monitor for dizziness due to recent unexplained fall. Consider pregabalin. Lifestyle advice: stress management, diet, physiotherapy/massage, etc. Is her type II diabetes under control? Check SIGN guidelines on diabetes for current management. Request HbA1c test to determine control over last 2-3/12 Monitor glucose pre/post-prandial and random. Ask patient how she takes the metformin and how regularly Metformin is first-line in obese type II. From lab results, assist endocrinologist in determining whether metformin dose should be increased + which preparation suits patients lifestyle. Is her CVD primary prevention needs being met? Check SIGN guidelines on CVD primary prevention. Check BP + Cholesterol. Next UEs ask for urine albumin + protein levels. Ask patient about current diet and exercise plan (obese) + last eye test. Simvastatin 40mg charted. Check cholesterol. If it is high, may need ezetimibe 10mg od. LFTs ok BP 142/65, upon resolving sepsis recheck BP and initiate ACEi if appropriate. Advise dietician review (obese) + physiotherapy review (or GP) for plan (30mins exercise 5/7). Advise eye test once a year Regular cyclizine may be unnecessary Endorse chart for paracetamols maximum daily dose Reassess patients need for a regular anti-emetic and re-chart cyclizine as prn instead of regular if required Max 4g in 24 hours (e.g. 1g QDS) Highlight patients thrombocytopenia No need for DVT prophylaxis if patient is mobile. Mention that quinine or simvastatin could be the cause of low platelets. Suggest trial withdrawal of quinine if not planning on stopping anyway. Monitor Platelets level if continued. Indication for omeprazole Determine indication from GP and patient. Consider trial withdrawal if indication unknown. Appendix 2: Box 1. Consensus Conference of the American College of Chest Physicians and Society of Critical Care Medicine definitions for the various manifestations of infection.   Ãƒ ¢Ã¢â€š ¬Ã‚ ¢ Systemic Inflammatory Response Syndrome (SIRS): Manifest by two or more of the following conditions: 1. A temperature >38oC or 2. A heart rate >90 beats per minute 3. A respiratory rate >20 breaths per minute or a PaCO2 4. A white blood cell count >12,000/mm3 or 10% immature forms. à ¢Ã¢â€š ¬Ã‚ ¢ Infection:Microbial phenomenon characterised by an inflammatory response to the presence of microorganisms or the invasion of normally sterile host tissue by these organisms. à ¢Ã¢â€š ¬Ã‚ ¢ Bacteraemia: The presence of viable bacteria in the blood. à ¢Ã¢â€š ¬Ã‚ ¢ Sepsis (Simple): The systemic response to infection, manifested by two or more of the SIRS criteria pus an infection. à ¢Ã¢â€š ¬Ã‚ ¢ Sepsis (Severe): Sepsis associated with organ dysfunction, hypoperfusion, or hypotension. Hypoperfusion and perfusion abnormalities that may include, but are not limited to lactic acidosis, oliguria or an acute alteration in mental status. à ¢Ã¢â€š ¬Ã‚ ¢ Septic shock: Sepsis-induced hypotension despite adequate fluid resuscitation, along with the presence of perfusion abnormalities that may include, but are not limited to lactic acidosis, oliguria or an acute alteration in mental status. Patients who are receiving inotropic or vasopressor agents may not be hypotensive at the time that the perfusion abnormalities are measured. This is a subset of severe sepsis. à ¢Ã¢â€š ¬Ã‚ ¢ Sepsis-induced hypotension: A systolic blood pressure 40 mmHg from baseline in the absence of other causes for hypotension. Adapted from Bone RC et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 1992; 101: 1644-1655. Appendix 3: Table 1. Clinical and laboratory markers of organ dysfunction. Organ System Clinical Laboratory Cardiovascular Tachycardia Hypotension Cardiac arrest Arrhythmias Haemodynamic support Altered CVP, PCWP Reduced cardiac output Endocrine Weight loss Hyperglycaemia Hypoalbuminaemia Haematological Bleeding Thrombocytopenia Increased D-dimers Abnormal white cell count Abnormal clotting profile Gastrointestinal Ileus GI bleeding Acute pancreatitis Acalculous cholecystitis Decreased intestinal pH Elevated amylase Hepatic Jaundice Hyperbilirubinaemia Increased PT Elevated LFTs Hypoalbuminaemia Neurological Delirium Confusion Altered consciousness Altered EEG Renal Oliguria Anuria Renal replacement therapy Elevated creatinine Elevated urea Respiratory Tachypnoea Cyanosis Mechanical ventilation PaO2 SaO2 PaO2/FiO2 Immune Pyrexia Nosocomial infection Altered white cell count Impaired white cell function Adapted from Balk RA. Pathogenesis and management of multiple organ dysfunction or failure in severe sepsis and septic shock. Crit Care Clin 2000; 16: 337-352.

Friday, October 25, 2019

Economic Indicators Essay -- essays research papers

Economic Indicators   Ã‚  Ã‚  Ã‚  Ã‚  For the individual who watches CNN a great deal, the term Economic Indicators well recognized. However, for the individual who chooses not to make CNN a primary station, the term Economic Indicators can be extremely confusing. Economist often use very unlike terms when referring to the fluctuating economy. Economic Indicators happens to be one of the many terms that they use. So, what exactly are Economic Indicators, and what purpose do they serve? In addition to the previous stated questions, are they really that important?   Ã‚  Ã‚  Ã‚  Ã‚  Economic Indicators serve the purpose of spying on the economy, let me further elaborate. Economic Indicators are economic statistics. Examples of economic indicators are unemployment rates, GDP, and even the inflation rate. These so called Economic Indicators inform Economist how well, or how bad the economy is doing. By revealing the present state of the economy, the indicators allow economist to predict how well the economy will do in the future. Economic Indicators are very necessary. The levels of investments are contingent upon what Economic Indicators suggest. For example, if Economic Indicators suggest that the economy is going to do better or worst than the past, individuals may choose to change previous investment plans. As stated previously, economist and investors are dependent upon Economic Indicators.   Ã‚  Ã‚  Ã‚  Ã‚  There are three different typ... Economic Indicators Essay -- essays research papers Economic Indicators   Ã‚  Ã‚  Ã‚  Ã‚  For the individual who watches CNN a great deal, the term Economic Indicators well recognized. However, for the individual who chooses not to make CNN a primary station, the term Economic Indicators can be extremely confusing. Economist often use very unlike terms when referring to the fluctuating economy. Economic Indicators happens to be one of the many terms that they use. So, what exactly are Economic Indicators, and what purpose do they serve? In addition to the previous stated questions, are they really that important?   Ã‚  Ã‚  Ã‚  Ã‚  Economic Indicators serve the purpose of spying on the economy, let me further elaborate. Economic Indicators are economic statistics. Examples of economic indicators are unemployment rates, GDP, and even the inflation rate. These so called Economic Indicators inform Economist how well, or how bad the economy is doing. By revealing the present state of the economy, the indicators allow economist to predict how well the economy will do in the future. Economic Indicators are very necessary. The levels of investments are contingent upon what Economic Indicators suggest. For example, if Economic Indicators suggest that the economy is going to do better or worst than the past, individuals may choose to change previous investment plans. As stated previously, economist and investors are dependent upon Economic Indicators.   Ã‚  Ã‚  Ã‚  Ã‚  There are three different typ...

Thursday, October 24, 2019

Bondage and Discipline: The mystique behind BSDM Essay

Abstract Dating back to as far as 1969, Bondage and Discipline or BDSM is a form of sexual actions performed with abnormal dominance and submissions. An exotic sexual preference mostly involving role playing restraint, with the aid of foreign objects such as tassel tipped whips, paddles, gagging, etc. BDSM is derivative of Sadism and Masochism branch, only falling under separate concentration due to excessive and abnormal sexual tortures. Most sexual involvements require safe words; just incase the level of kink is surpassed and the recipient no longer feels a sense of sexual euphoria, and more of a urgency of danger. It is fairly normal for older couples to experiment BDSM, as well as mostly affecting the older population (40 and up). BDSM is affected by the population due to having much skeptical criticism amongst foreign communities. Keywords: BDSM, Sadism, Masochism, Kink The mystique behind Bondage and Discipline. Sweeping the nation in awkward fashion around the 1960’s, Bondage sex had apparently become the new â€Å"thing† or latest crave kids were partaking in. Bondage sex is a relative of the BDSM family, with the â€Å"B† standing for of course Bondage. Bondage and Discipline gives monotonous couples a little excitement in the bedroom. A most common reason behind bondage is so that both couples may gain pleasure from the restraint position in which one or the other may dwell in, while the pursuer engages in the thought of full dominance over the participant. People who take interest in this are known as Sadomasochistic. While some sadomasochistic people take pleasure in the sexual thrill of bondage sex, others benefit from the visual just as much. While this may be strange, but still done to this day, this may trigger  several questions toward mass society: 1) Why do people perform bondage sex? 2) Is it safe? 3) What sexual thrill do its occupants receive? 4) Is it actually helping keep relationships strong? Understanding that the usage of this may be limited due to the age of its occupants, it is safe to say that most children are not entertaining the idea of having Bondage and Discipline sex with their peers, nor will they be pursuing it anytime soon. Of course, we live in a world of curiosity, so it is not safe to count the younger generation out. However, sexual activity via teenagers is at an all time high, and easy access to porn sites makes it easier for little old Tommy or Susie to stumble upon the idea. Why do people perform bondage sex? Many couples incorporate Bondage sex into their lives, only to find it is sort of relationship steroid or adrenaline shot. Ever play fought with your mate before enticing them in a sexual comfort zone? Or teasing them toward the brink of hormonal eruption, whereas he or she is immensely aroused and will not stop at nothing to pursue a pleasant sexual endeavor? If so, then you have no need for this act. Bondage sex is usually incorporated into bland relationships lacking sexual drive. BDSM can either implement a spark or an explosion in sexual climax if used correctly. Bondage discipline strengthens the trust of both partners because the activity pushes the limits of each partner, bringing them beyond their typical comfort zone. The exotic mixture of fear and pleasure forms a potent concoction of euphoria. This fusion also forces both cohorts to instill a mammoth like trust in one another. It also helps the two (unlimited) in knowing each other better both mentally and physically. Und erstanding that with each slap, spank, lip-biting gesture could be a signal or pleasure or pain raises the enigma of how well you really know your significant other, being that one mistake or missed warning sign could be their last. Is it safe? Of course Bondage sex is not safe, that is what causes the sexual thrill of the activity. BDSM IS NOT FOR EVERYONE. Some couples will not be willing to journey out unto unfamiliar territory. Then again, we are humans, we are  known for being risk takers. Since the dawn of time humankind has risked everything into journeying into the unknown. For instance, in 1969 in attempts in beating the Soviets in the venturous Space Race, an audacious country (USA) sent three brave men, (Neil Armstrong, Edwin â€Å"Buzz† Aldrin, and Michael Collins were sent to the moon. Not only were they sent in attempts to beat out the Soviets, but to explore the unknown. You see, not anything we carry out is out of harm’s way. We dwell in times in which we may all perish by missiles, be engulfed in the rage of war, and drowned due to our lack of concern of the ozone layer and constant ignorance of quickly deteriorating polar caps. With that being said, if we were to place the two on an imagina ry Libra Scale, it is evident that bondage sex would be on the higher end. Also, another reason in why Bondage sex can be safer than what media portrays it to be, would be due to objects being used. Many adult toy companies are devising toys that with stringent safety precautions, as well as rising the age of the consumers to buy their product to 21 and up. There was a time when sex toys were a taboo, yet gradually, due to today’s generation, sex toys have become more blatant and commonly shown on late night commercials. This caused adult toy companies to take a step for the better. By creating smarter, innovative sex toys, scientist have derived adult toys the aid sexually and implemented devices that contribute toward the health of its users, such as therapeutic benefits for both men and women. For example, men who suffer from erectile dysfunction and abridged penile consciousness and women who partake in the usage of vibrators also stimulate vaginal blood flow. These enhancements also strengthen orgasms and the release of superior good-feeling hor mones. Due to the step-up in sexual toys, these altercations have made it safer for its users as well as implementing the devices for various uses. (Ashton, Devon G. â€Å"The Key Archives/BDSM Mystique 2010) Also, buzzing through the BDSM community is the term SSC. This stands for safe, sane, and consensual. Safe: this term is used to ensure that both users enacting in bondage activities should place health and safety at their highest priority. This reduces mistakes and problems; however there will  always be typical casualties amongst inexperienced users. Sane: client must partake in their right frame of mind when enacting in BDSM related activities.(Fredder, James. â€Å"Dr. Drew On Call.† HLNtv.com. BDSMreviews, 12 Sept. 2009) Noted, that these actions should not be undergone while under the influence of alcohol or drugs of any kind, for even if they enhance the experience, they also pall the users vision of clarity. Finally Consensual: All activities should have 100% consent from both parties. Consent from both partners allows actions that are made to be swift, and hoist trust between both. Also to keep in mind, even if consent from each party is of maximum percentage, legal consent may not create a difference between criminalist behaviors, and may fall liable upon any injury caused. Ultimately there is no such thing as being safe enough. Injury can occur at anytime, and it is up to both partners if BDSM activities are fit for them. No matter the activity, you can enhance you and your partner’s safety by properly following SSC, as well as possessing a mutual respect for each others body and responsibility. What sexual thrill do its occupants receive? In most cases, BDSM activities are done based on thrill. But before we go into detail the reader most know the roper definition of thrill. As defined by www.Dictionary.com, thrill is a sudden feeling of excitement or pleasure, (of an emotion or sensation) pass with nervous tremor. Also you should be informed on the term sexual thrill. As defined by www.Dictionary.com, sexual thrill is chiefly with reference to people) sexual activity, including specifically sexual intercourse. Now there are three types of thrills in which a Sadomasochistic person may partake in: 1) Visual thrill: Upon gaining sensation in visualizing others in BDSM activities. 2) Physical thrill: The intense sensation in partaking in BDSM activities. 3) Olfactory thrill: The urge of smelling someone held captive in BDSM activities. Depending of the user, each thrill initiates their endorphins in an unbridled frenzy. Visual thrill users usually do not get to intense with BDSM activities. Although the relish seeing oth ers in BDSM activities, they themselves may not want to engage in such activities, and usually their addiction can be controlled with the simple click of a mouse. Although others, such as Cuckold Visual Thrillers, usually pay other people to partake in BDSM related activates with their spouse and watch. Physical  thrill users are your typical run of the mill porno visualization guys and gals. These usually are the people that pop up in you head when you the Bondage and Discipline related activities. Depending on preference, these people usually dress in leather and gag their partners. Their acts usually involve handcuffed role play as well as external and internal mutilation. Being that they dress for the role and that they use a heavy amount of foreign objects, Physical thrill users usually construct a safe word. A safe word is usually a simple word used for when BDSM activities have placed one of the occupants in unfamiliar or painful territory; this causes the oppressor in ceasing in what they were doing and if necessary, to discontinue the session. The weirdest of them all, Olfactory thrillers, take a sexual thrill in smelling someone held captive in BDSM related activities. Usually, since BDSM clients wear leather for what ever purposes, the smell of leather, fear, and sex triggers OFT pleasant receptors, this gives them a feeling of elevated sexual sensation. Within the BDSM community, 78% say that OFT receives a stronger sexual sensation, and cause enormous orgasms. Bondage Discipline Submission Masochism based scientist have credited this theory. Lionel B. Wilkes, led researcher and developer in BDSM related activities states, â€Å"Olfactory thrill users tend to engage in an earlier and longer lasting sexual high due to the aroma compromising a supplementary and immediate itinerary toward cerebral brain receptors, which cause immense affect toward Dopamine receptors.† This simply means that because the occupant smells BDSM activities, the chances of the smell entering the nose and accessing the brain’s pleasant receptors and causing a sexual high, are extremely exponential. Noting that each thrill has its perks, it is not uncommon for some people to encompass a fixation of all three, these users are universal thrill seekers. This usually occurs in seasoned BDSM patients who have experienced a certain form of thrill so many times that the thrill became less appealing. To awaken their desire for BDSM activities, they partook in oth er thrills. It’s sort of like eating bland pizza for a while, and then you decide to add some hot sauce to it; this is how Universal users operate. Doing anything they can to maintain the feeling of euphoric sensation; even after the brain has developed a callus for it. Is it actually helping keep relationships strong? There are many reasons why Bondage and Discipline is used. Some people do it for the experience; just to they did it, while others do it for the peace the feel within themselves. Yet most of the time, couples do to intensify relationships. Understanding that 56% of the population partaking in BDSM related events are place in the 40 year old plus percentile, it evident that couples are using it to spice things up. After being married to some one for 20+ years, in bed experience may be lacking; most men around that age suffer from erectile dysfunction, which places a hassle on fulfilling their significant others sexual needs. Women around the ages 44-45 usually undergo painful menstruation cycles, thus declining the urge of sexual desire. By implementing Bondage activities in a slowly decomposing relationship ushers life. You reach heights in which you have never journeyed; you learn more about your significant other than ever before. Recent studies have shown, most married couples know about 48% of their significant others. Wow! Being together with someone for 20 or more years and to know only 48%?! Bondage and Discipline activities instill a major amount of trust in a relationship. In performing these acts, it is vital that you and your partner know each others limits; and by limits, the smallest gesture can be vital! If you do not know your significant others facial expression when they are in pain or enjoying themselves, then it is about time you learn. Being that BDSM activities are extremely dangerous, you have to have major trust in your partner. In an article published by ABC titled â€Å"Love hurts: Sadomasochism Danger.† ABC documents a 67 year old man who passed out and lost consciences in a sex club after participating in a BDSM scene. He lost consciousness while hanging his arms from a cross. The article explains that the damage was so severe; it took him a couple of days to recover. I believe this compliments my point, in which you should not partake in BDSM activities with anyone. (Lars, Hannah S. â€Å"Sex Toys – Combine Sexual Pleasure with Health Benefits.† Yahoo Contributor Network. Yahoo, July-Aug. 2008) Judy Kuriansky, a sex psychologist, says, â€Å"There is a triumvirate of guilt, embarrassment, and fear of intimacy for these people†¦ It’s rare that all of the sudden they can give up on being interested in pain and suddenly  capable of being loved.† I highly agree with Dr. Kuriansky, except for the phrase, â€Å"intimacy for these people†¦Ã¢â‚¬  As a result of information for www.BDSMfordummies.com they combat that the intimacy of Bondage and Discipline users should be sacred and held others of intimate meaning. Basically saying that these intimate acts should be held with intimate people; which prove my theory, which BDSM is just as safe as the users who partake in it. Essentially, a lot of harm can be avoided if you partake in it with someone you know. Psychosexual and relationship therapist Simone Bienne continued, â€Å"That’s certainly one thing that the BDSM community is very, very proud of — how they are able to communicate and thi s is essential how it spills out — the sexual relationship spills out into the emotional side of the relationship because you are able to manage conflict better because of strong communication.† (Laundry, Michelle. â€Å"32 Shocking Statistics of Relationship Insecurity.† McKinley Irvin. MCIB/Stats, Feb.-Mar. 2005. Web. 05 Apr. 2014.) All in all, Bondage Discipline is an extremely interesting and exotic way to rekindle a fading relationship, as well as arousing yourself. Although BDSM is pretty much for anyone, it should be for older people; by older I mean 21 and up. Of course I have no say in what people do behind closed doors, yet due to the information I have provided, and thanks to several credited websites, Bondage sex is very risky, and can also harm if placed in the hands of the young and inexperienced. Maybe it’s our desire to experience love in a different rendition, maybe it’s or innovative ways, or maybe, just maybe, it is our thirst to explore the unknown. References Ashton, Devon G. â€Å"The Key Archives/BDSM Mystique.† The Key RSS. XPN.org/thekey, May-June 2010. Web. 5 Apr. 2014. Fredder, James. â€Å"Dr. Drew On Call.† HLNtv.com. BDSMreviews, 12 Sept. 2009. Web. 30 Mar. 2014. Lars, Hannah S. â€Å"Sex Toys – Combine Sexual Pleasure with Health Benefits.† Yahoo Contributor Network. Yahoo, July-Aug. 2008. Web. 09 Apr. 2014. Laundry, Michelle. â€Å"32 Shocking Statistics of Relationship Insecurity.† McKinley Irvin. MCIB/Stats, Feb.-Mar. 2005. Web. 05 Apr. 2014. Michaelis, Viktoria. â€Å"Top 5 Benefits of Using Sex Toys – Viktoria Michaelis.† Viktoria Michaelis. PBS/top5benefit, 5 Nov. 2013. Web. 03 Apr. 2014. Perkins, Ronald. â€Å"What Is BDSM?† Examiner.com. GoogleinfoBDSM, 4 Dec. 2012. Web. 23 Mar. 2014.

Wednesday, October 23, 2019

Evaluate the different interpretations of the role of the state Essay

There are many different views about what the role of the state is and should be. All mainstream parties have concluded that there is some need for welfare provisions in a modern day liberal democracy. However with historical variations to each ideology it is sometime difficult to group an ideology as one. Also many variations agree with other ideological variations. The role of the state is a controversial issue with many differing ideas. Traditional conservatism stresses the importance of a strong state in order to maintain and uphold society. Authority and tradition are embedded in the state and act as the state to hold it together. Although Burke is a strong advocator of this view it is clear that from such a role the state could become a totalitarian state, especially with Conservatives believing that being born into society simply means you must follow its rule. A criticism of this view would be found in classical liberal ideology, with theorists such as Locke and Hobbs that would argue that by having a strong state individual freedoms were being eroded away. Also by no having any welfare provisions they were upholding a strong state that was full on inequality and exploitation of the working class especially during industrialisation. A one-nation approach then emerged that tried to solve some of the criticisms of traditional conservative ideology. Having a state as a welfare provider was a key principle to this variation. It is much he same as modern liberalism in the idea of protecting the working classes. However where as modern liberals wanted to liberate the working class from social evils to give them back their freedom, one-nation conservatives were more concerned with a social uprising by the lower orders (Disraeli) and therefore called for a more paternalistic approach to the state in order to protect the very make up of society. Never the less this improvement of welfare can be criticised mainly by classical liberals who state that individual freedoms were being restricted once again because of the welfare provisions being placed on individuals. As a result the criticism of a ‘nanny’ state caused the New Right conservatives to emerge. They believed in have the state as night watchmen, with free markets. However they have an inconsistent set of ideals as there are too different strands of New Right conservatism. Neo-conservatives call for a strong but minimal state, two things that contradict each other, where as neo-liberals call for minimal state and free markets. It is clear that this most recent form of conservative ideology is not coherent. Modern liberal ideology is one that has been subscribed to by both one-nation conservatives and social democrats, and is clearly a viable choice of role for the state. Green and Hohouse call for a need for a welfare state to free those who are exploited through industrialisation. It answers the criticism of Classical liberalism, that doesn’t provide any safe guard against social inequality, by providing a welfare state. It also avoids the possibility of unrest and revolution from the lower orders. Anarchists would argue that no state is required and put trust in the good nature of humans in running a society. I agree to some extent with Paine (classical liberal) that the state is a ‘necessary evil’ but I see the state as more of a safety net, there to protect when needed. Modern liberals believe that a welfare state answers the question of removing social inequalities, where as Marxists believe that removing the state initially is the answer. By radically redistributing wealth among society and eventually dissolving the state, it aims to eradicate an unfair class system, as it sees itself. However in order to achieve this stateless state, a strong state is required in order to implement it! Another ideology that doesn’t have a consistent set of ideas. I also believe that Marxism goes too far and encroaches too much on individual freedom. Never the less Gramsci would argue that because we are living in a liberal democracy we do not know what are actual needs are. We have our felt needs such as the vote and welfare provision, but we lack freedom for class oppression. This line of argument is flawed however because there is in this case then no-one who has no been influenced by a liberal democracy to inform us of what our actual needs are. Marxist ideology does have some credit in that they are attempting to eradicate class oppression which I believe is a credible aim but on the other hand the ideology is incoherent and difficult to imagine people subscribing to. Less radical forms of socialism are influenced by Marx but take a more practical approach to implementing his ideas. Social democrats see the capitalist economy as a part of the state but wish to humanise it to eradicate exploitation. Much as modern liberals attempted to do by implementing a welfare system. However a gradual change is required, and equality of opportunity is focused on; which is contrasting to democratic socialism who believes in a radical redistribution of wealth by taxation and nationalisation, with a focus on opportunity of outcome. Classical liberals would criticise this because by imposing such a large state, individual freedoms are being ignored. However feminists may argue that a radical change to the state may allow them to adapt the state to promote more equality for women. Clearly the aim to eradicate social inequality is plausible but the amount of state intervention into the economy in order to achieve this aim is just too greater price to pay for total e quality. In conclusion there is a clear consensus that a welfare state has its merits in a liberal democracy. It is the modern liberal approach, that both one-nation conservatism and social democrats have been influenced by, that protects its citizens whilst still allowing them individual freedoms. Although there is a clear argument that by imposing a welfare state individual freedoms are eroded but this is a small price to pay in order to protect against rebellion and unrest. But as Hobhouse and Green would highlight, a welfare state s needed to protect the individual freedoms that are eroded away through free capitalist societies. Although social democrats have a strength to their argument for a full remake of the economy and the framework of society I believe this goes too far. To remove the class system, would be to remove tradition and that is not necessary in order to protect individual freedoms, it could even go some way to eroding them further. A welfare state that doesn’t seek to become a ‘nanny’ state such as one-nation conservatism, but one that puts protection of individual freedoms at the forefront of its ideas would be a desirable way to run a state.

Tuesday, October 22, 2019

buy custom The Legacies of the Second World War essay

buy custom The Legacies of the Second World War essay Girls or the Slender Means tells of a life after war. It was around the year 1945 when the Second World War had just stopped. Many people had lost their belongings and they had to adapt to a new way of living. Things had changed drastically and this particular book, narrates a story about a group of girls who were of about thirty years and below. These girls were living in some remains of hostels that were left and were looking horrible after the explosions in the war. In the story, we are told about the physical outlook and all the new activities in city they lived in. The narrator tells of the ugly outlook of the city after bombings and shootings during the war. These girls now lived a life of survival due to all the destructions and many deaths including most probably those of their relatives i.e. parents and husbands. They had no place to call home and no one to call a parent or husband (Gob, 2008). As the writer describes the situation in the city where the girls lived, we can see how the place appeared like the ancient ruins with all rooms having their walls ripped off exposing everything from inside including the wall papers and, some had one side of the wall missing and lavatory chains hanging out from the roofs. There is a pace of stunning claim and sober retraction, which recurs throughout the building and in a bad state apart from being a less comfortable place to be in (Ishiguro, 1990). Apart from the girls, everyone else was also living a life of savaging due to the poverty that had spread all over London after the war. Many people lost jobs and businesses and there ware destructions of many main buildings where businesses contributing to the economy of a country like England would lead to the suffering of a huge number of people. That shows the picture of the city where the girls lived as the writer explained. Because of the destructions during the war, everyone who survived except a few people ended up poor but the majority of them were kind hearted. It, therefore, gives an account on the way people encountered a lot of problems and suffering due to the impacts or war. The girls went through the ordeals because they had to move away from their home to London to look for a means of survival. We are told of their love lives and how they managed to live in the hostels (Ishiguro, 1990). Muriel sparks story on the Girls of the slender means takes us back to the time after the world war two because, it shows the life lived by these particular girl. Compared to life of girls of their age in a stable country, it is evident that this city life is abnormal and uncomfortable. If it were not for the war, these girls would not be living such miserable lives. Generally, the story gives a detailed description of the frustrations of the people of Kensington after the World War II. The girls who were once close friends and lived normal lives in a peaceful community now have to look for a means to survive together. Due to the limited resources, which they shared, they quarreled at times and reconciled. They lived with disguised characters and they pretended that they were courageous but in the real sense, they were scared of what awaited them (Pinter, 1991). The size of their body did not lie very much on their means as in their semi- distinguished notions regarding their lives. Their situation before the war was a much usual and comfortable one where they could mingle, play around in girlish way and then it turned slowly into destruction and death. The past became a time to be missed and cherished, as the future was not promising anymore, as they had expected. The women and other people arund the city were also facing the same problems and what they did was going to determine their future. Some of the girls started experiencing tragedies like Joanna Childes death and many other calamities that befell the inhabitants around that area (Parkes, 2001). When we look at The remains Of the Day by Shizuo Ishiguro, the situation is that of desperation of a servant of a rich British politician who has so much influence in the country. This is the story telling us all about a butler in the Darlington hall whose name is Stevens. Stevens heads a dozen of servants in the hall and is an extremely loyal servant of Mr. Farraday. He is too loyal to an extent that he does not care about himself and his own life and relatives. He even fell in love with a woman and could not follow his heart because of his job. He did his job to perfection. Stevens admired Mr. Darlington all his life as he worked for him. He realized some of his faults later after the dead of his master and did not feel proud of himself, as he had done in the beginning. He realized he gave his whole life and time to Mr. Darlington, a man who later became responsible to the destruction of his country and even the entire world (Hawthome, 1993). The Remains or the Day according to Stevens means what next should happen in the remaining years of his life. He feels he accomplished something after working very well at Darlington hall after which he is satisfied and ready to start an even better life (Hochmuth, 2008). It really does not sound like Stevens working years were good or of any satisfaction in anyway. This is because he lost many opportunities in the name of work and it was also wrong to ignore the need of his father to be with him at the time of need. Stevens lost the love of his life to someone else because he had to work. It does not look like there were any achievements for him at all when he found out about that side of the story (Joshua, 2004). Stevens interpretations are less glorious as we discover all that he lost and could not achieve for the sake of being a good servant. The real material of this book is Stevens attempt to put his life together and start all over in pursuit happiness. The factual journey from Darlington hall the countryside in the West, is a story mechanism from dramatizing the more important journey that he makes at the level of consciousness. The writer points out his view by placing all the important achievements in the past, clarifying it only through recollections and assumptions (Fox, 2010). The text is seen as shaped by the legacies of the Second World War in the sense that, the two stories both have different relationships towards the time after the war. Both stories have occurrences that happened between the years of 1940s and 1950s. This shows they happened at a time just after the Second World War; this is because from the way everything is being narrated, the writer keeps mentioning the World War 2. As seen in the book titled the girls or the slender means, the narrator writes a clear perception of the hard times, which people underwent after the WW II. Therefore, it so obvious that the trends unfolding in both the story relate so much with the aftermath of world war two (Ishiguro, 1989). Focusing on the girls of the slender means, we can see that as we read the story, we come across many outcomes of the Second World War. The prominent effect is the destruction of the houses. From the descriptions of the remains of the building there, especially the hostel that girls lived in, it is said that it had turned to some kind of ruins and this gives a pperception of the need for freedom. The way the majority of the people existing at the time is that of kind hearted but poor. This portrays the severe economic disaster that is faced in relation to the outcome of the war. The two books generally talk about the broad changes that came about after the World War II, explaining about how the aftermath of the second world ward had affected the lives of the girls in Kensington and they did not appreciate anything that was brought about by the war. Contrary to that story, Stevens life also changed after the war, and according to him, it was for the better unlike the girls. Stevens wa s now working for a different person who was freer to an extent of letting him even drive his car. As much as Stevens was proud about his past life, he also believed that his future was more promising (Spark, 1998). The girls in the hostels and the people from their neighborhood on the other hand, had no reason to be happy at all. All they knew at that moment after the war was nothing but suffering and time-to-time tragedies they were facing. Therefore, the two books simulate the huge impacts during the post wartime, which came on different ways, with others experiencing promising lifestyles in future and others facing poverty and other forms of frustrations. This shows that after the World War II, there were effects all over the areas affected by war but they came in different forms whereby some people enjoyed the outcome and others really regretted it. The girls of the slender means shows how the people in Kensington were not even able to face the future as they dreaded it so much. They lived very miserable lives and they always meditated as they tried to imagine what the future held for them. Their greatest fear was the possibility of a worst future and they felt discouraged and became hopele ss. Getting the worst future meant that they might have had to face consequences of poverty, which could be diseases or deaths. Many were stressed up and everyone was just helpless (Edgecombe, 1990). Going back to the Remains Of The day, Stevens seemed more exited to face the life after the war, because he believed that he was now ready to start all over again after being a loyal servant for a good number of years. He knew that he had a chance to live an independent life and maybe he would be lucky and be a boss too, or even marry and have children. Nothing could change his mind about having a good future, as he was sure that a good life awaited him in the future. To him, that aftermath of the war had had a good impact in his life and he felt freer as a man. These two books display the big positive and negative impacts experienced by the end of the World War II, though in two different forms. There are those who at the end of the war brought agony and pain while there are those who experienced freedom and happiness (Ishiguro, 1990). In conclusion, the two writers have brought out an indication of what the past of a persons life does not reflect the future. The girls who are currently living in a dilapidated city once lived in good houses and a comfortable, hospitable environment. They had all the good things to enjoy in life and they did not imagine that their future could be ruined at one point. The memories of their good past lives remain to be a dream that may never come true. They just remember it with nostalgia but nothing could be reversed. It was all lost and for them, living was no longer an opportunity to enjoy but a time to worry for the future. On the other hand, Stevens past live has drastically changed and he has a reason to smile. He gets a better job and his dreams are yet to come true (Ishiguro, 1989). Buy custom The Legacies of the Second World War essay

Monday, October 21, 2019

How to Write a DBQ in APUSH in FIVE EASY STEPS Essays (292 words)

How to Write a DBQ in APUSH in FIVE EASY STEPS Essays (292 words) How to Write a DBQ in APUSH in FIVE EASY STEPS Read the prompt Brainstorm OI using categories Read the documents and place in the categories Write thesis Write essay STEP ONE: Read the questions Read the question. (What am I supposed to answer in my essay?) Pay attention to verbs! **Review IB terms on the board. STEP TWO: Brainstorm Similar to what we do for the FRQ, we brainstorm for the DBQ FIRST. You are required to demonstrate a thorough knowledge of the TOPIC not just the documents! You can use the pre-write structure. (T-chart, venn diagram, etc.) STEP THREE Read the documents. Its a good idea to take little notes in the margins about the main idea of each. That way you dont spend time later re-reading each one. Be careful to pay attention to APPARTS stuff. Underline author/date to save time. As you go, jot down which category each doc goes into. STEP FOUR: Thesis Use the formula to guide you. (X, However A, B,C therefore, Y) You need to do TWO things in a thesis: Say what you are going to write about (this is where you answer the question- Y) Say how youre going to answer the question (this is where you set up your answer- ABC) STEP FIVE: Write the body Each paragraph should have a category. NEVER write chronologically. You should answer the question using the documents AND outside information DONT RELY ON THE DOCS ALONE! Avoid direct quotes. If you do use them, you must apply them to the prompt! Write a conclusion if you have time. PRACTICE! Use the 1993 DBQ to practice the steps 1-4. You are not writing the full essay so ignore five. Remember to brainstorm for OI first then look at the docs.

Saturday, October 19, 2019

Alcohol Abuse

Alcohol Abuse Essay Alcohol Abuse Essay Alcohol is liquid distilled product of fermented fruits, grains and vegetables used as solvent, antiseptic and sedative moderate potential for abuse. Possible effects are intoxication, sensory alteration, and/or anxiety reduction. Symptoms of overdose staggering, odour of alcohol on breath, loss of coordination, slurred speech, dilated pupils, fetal alcohol syndrome (in babies), and/or nerve and liver damage. Withdrawal Syndrome is first sweating, tremors, then altered perception, followed by psychosis, fear, and finally auditory hallucinations. Indications of possible mis-use are confusion, disorientation, loss of motor nerve control, convulsions, shock, shallow respiration, involuntary defecation, drowsiness, respiratory depression and possible death. Alcohol is also known as: Booze, Juice, Brew, Vino, Sauce. You probably know why alcohol is abused some reasons are relaxation, sociability, and cheap high. But did you know that alcohol is a depressant that decreases the responses of the central nervous system. Excessive drinking can cause liver damage and psychotic behaviour. As little as two beers or drinks can impair coordination and thinking. Alcohol is often used by substance abusers to enhance the effects of other drugs. Alcohol continues to be the most frequently abused substance among young adults. HERE ARE SOME STRAIGHT FACTS ABOUT ALCOHOL.? Alcohol abuse is a pattern of problem drinking that results in health consequences, social, problems, or both. However, alcohol dependence, or alcoholism, refers to a disease that is characterized by abnormal alcohol-seeking behaviour that leads to impaired control over drinking. Short-term effects of alcohol use include: -Distorted vision, hearing, and coordination -Altered perceptions and emotions -Impaired judgment -Bad breath; hangovers Long-term effects of heavy alcohol use include: -Loss of appetite -Vitamin deficiencies -Stomach ailments -Skin problems -Sexual impotence -Liver damage -Heart and central nervous system damage -Memory loss Here are some quick clues to know if I, or someone close, has a drinking problem: -Inability to control drinkingit seems that regardless of what you decide beforehand, you frequently wind up drunk -Using alcohol to escape problems -A change in personalityturning from Dr. Jekyll to Mr. Hyde -A high tolerance leveldrinking just about everybody under the table -Blackoutssometimes not remembering what happened while drinking -Problems at work or in school as a result of drinking -Concern shown by family and friends about drinking If you have a drinking problem, or if you suspect you have a drinking problem, there are many others out there like you, and there is help available. You could talk to school counsellor, a friend, or a parent. Excessive alcohol consumption causes more than 100,000 deaths annually in the United States, and although the number shows little sign of declining, the rate per 100,000 population has trended down since the early 1980s. Accidents, mostly due to drunken driving, accounted for 24 percent of these deaths in 1992. Alcohol-related homicide and suicide accounted for 11 and 8 percent respectively. Certain types of cancer that are partly attributable to alcohol, such as those of the esophageus, larynx, and oral cavity, contributed another 17 percent. About 9 percent is due to alcohol-related stroke. One of the most important contributors to alcohol-related deaths is a group of 12 ailments wholly caused by alcohol, among which alcoholic cirrhosis of the liver and alcohol dependence syndrome are the most important. These 12 ailments together accounted for 18 percent of the total alcohol-related deaths in 1992. Mortality due to the 12 causes rises steeply into late middle age range and then declines markedly, with those 85 and over being at less than one-sixth the risk of 55 to 64-year olds. The most reliable data are for the 12 conditions wholly attributable to alcohol. The map shows these data for all people 35 and over. READ: Review Of On-Line Publications Essay PaperThe geographical distribution for men and women follows much the same pattern, although men are three times as likely to die of one of the 12 alcohol-induced ailments. The geographical distribution for whites and blacks follows roughly the same pattern but the rates for blacks are two and half times higher. In the late nineteenth century blacks, who were then far more abstemious than whites, were strong supporters of the temperance movement, but the movement in the South was taken over by whites bent on disenfranchising black people by any means possible, such .

Friday, October 18, 2019

Critical Interpretation of Contemporary American History Essay

Critical Interpretation of Contemporary American History - Essay Example In the book The Sorrows of Empire Johnson claims that increasing militarization of society and global political power of the USA limits ideas of democracy and liberty established by the US Constitution. The same ideas are expressed by Sundhaussen (1998) and Welch (2004) who state that militarization of society bring the American nation more 'sorrows and grievances' then security and peace. Among them are internal cleavage, economic stress, and external pressure. The means of military power is often identical to the means of assuming power in the first place. Following Sundhaussen (1998): "The military is by its very nature a potential threat to democracy, but in well-established democracies civilian supremacy has generally been maintained, though there are dangers of excessive military influence" (329). According to Johnson (2004), since 2001 the USA government has increased military spending and increased its military presence abroad. Furthermore, just as the original conspiracy to seize power had civilian adherents, the coup that presages a return to civilian rule is instigated by an alliance of military and civilian elements. Johnson compares modern American Empire with the Roman Empire which had a great influence on the western world and its historical development. For instance, "Bush and his administration have worked zealously to expand the powers of the presidency at the expense of the other branches of government" (23). The development of military empire is a part of the American history which goes back to the 1950s-1960s. In stark contrast to the Carter Administration, the Reagan Administration has been remarkably consistent in its foreign policy agenda and its attempts to follow through on campaign pledges. It has sponsored the country's largest ever military buildup. It has generated the highest level of tension in U.S. Soviet relations since the 1962 missile crisis, resulting, for several years, in a hiatus in communication at virtually all levels on virtually all issues (Aylett and DeMarco 98-99). It has reinforced the various intelligence agencies, expanding both surveillance and paramilitary capabilities, reinstating the practice of surveillance of U.S. citizens at home and abroad, treating any agency of government and any private organization or profession as legitimate "cover," and introducing new measures to protect secrecy and punish whistleblowers the Reagan Administration has escalated U.S. military involvement in Central American conflicts continuously, mindless of overwhelming popular opposition to its policies at home and in allied countries of Europe and Latin America; mindless of multiple opportunities for negotiation and compromise; and mindless, finally, of the certainty of ignominious failure (Aylett and DeMarco 101). While it is clear that security interests have always loomed large in the shaping of U.S. policy, it is less clear how such interests are defined and limited. The concept of security is eminently elastic. Johnson (2004) underlines that "the paradoxical effect of this grand strategy is that it may prove more radically disruptive of world order than anything the terrorists of September 11, 2001 could have hoped to achieve on their

Conflict Resolution at General Hospital Essay Example | Topics and Well Written Essays - 1000 words - 1

Conflict Resolution at General Hospital - Essay Example The General Hospital opened its doors in 1968 to provide quality medical care to the community around it and beyond. At first, gradual growth resulted to an increased number of patients and hospital activity in general. Recently, however, there was a sharp decline in patient occupancy from 90 percent to 60 percent. The hospital chief executive officer (CEO), Mike Hammer, believed that physicians played a significant role in this decline by having their allegiance to their profession rather than to the hospital. In his opinion, the physicians did not consider the economic repercussions of their medical practice; neither did they care about the situation in which they were placing the hospital. In this respect, the CEO used various conflict resolution techniques to solve the stalemate between the hospital and its employees, and among the employees. At first, the CEO attempted to communicate his concerns to physicians through Dr. Mark Williams, Director of Medicine, to no avail. Later on, he had to cut costs by computerization of hospital procedures resulting in firing of a highly efficient EKG reader, Dr. James Boyer, and replacing him with a non-satisfactory computerized EKG reading system. This infuriated the physicians as not only was one of them fired, but also the computerized system was implemented without their consent or consultation. Hammer refused to take responsibility and his Chief Operations Officer (COO), Marge Harding, who implemented the system without consultations, refused to attend meetings with physicians to avoid meeting them and explaining her policies. This is the first approach that the CEO took by organizing a meeting with the Director of Medicine who was in charge of the physicians. The intention was to have each party air its views on the situation at hand and come to an agreement that would be

Entrepreneurship and Innovation in Organisations Essay

Entrepreneurship and Innovation in Organisations - Essay Example Explanations of corporate growth and development, and of the organization's ability to maximise profitability over time have increasingly relied on the entrepreneurial function (Greiner, 1972). Simply defined, an entrepreneur is someone who organizes and assumes the risk of a business in return for the profits. Entrepreneurial success depends on the ability to think strategically, have a clear strategic vision, and achieve quick results. The meaning of entrepreneurship is bound up with the concept of uncertainty. Entrepreneurs create value by acting in the context of uncertainty. As Knight (1921) puts it, the entrepreneur is the "organizer of uncertainties," which means he possesses the ability to creatively reorganize the relationships between factors of production and market opportunities in ways that create value which otherwise would not have been generated. The ability to organize wealth-generating relationships between factors of production presupposes that a market opportunity exists for the entrepreneur to capture. This gives rise to the concept of the entrepreneur as being "noticer of opportunity" (Kirzner, 1973). Entrepreneurial behaviour is, thus, described as action taken on noticed opportunities. Markets are almost always in disequilibrium and based on price disparity and information asymmetry, there always exists opportunity for arbitrage. This opportunity, however, only generates value for the noticing entrepreneur. It can be deduced that value is generated not only by an entrepreneur who is "organizer of uncertainties", but also by the entrepreneur who is "noticer of opportunities" (Jones & Butler, 1992). In entrepreneurship, once an opportunity has been acted upon, a series of internal forces begin to interfere in the entrepreneurial process. A distinction arises between entrepreneurship and management in the firm, leading to agency problems. The agency problem occurs when it is difficult for one party to evaluate the performance of the other due to uncertainty in environmental, organizational, or task conditions. Moreover, the motives of the parties to an exchange may be different giving rise to opportunism and, in turn, agency problem (Jones & Butler, 1992). In the entrepreneurial context, risk preferences cause an agency problem because the principal and agent have different risk preferences. Agency theory elaborates on the different risk preferences by discussing risk aversion of agents stating that the agents are only rewarded normal salary even though they have to bear the uncertainty of entrepreneurial activities. On the other hand, the principal is the residual claimant of all net revenues of the activities. The reward to the principal is the entrepreneurial profit for undertaking uncertainty whereas the reward to the agent is normal salary for risk taking. This disparity in reward structure gives rise to agency problem where agents have no incentive to behave entrepreneurial (Jones & Butler, 1992). Agents face an additional problem if they have injected any capital in the organization. This is because if the organization engages in a risky venture and faces bankruptcy, the agents lose their capital and have difficulty in securing equivalent alternative employment. Therefore, there is no incentive for agents to invest in the organization. This causes a misalignment of interests of principals or entrepreneurs and agents or managers and results in a loss in a firm's

Thursday, October 17, 2019

Management Science & System Coursework Example | Topics and Well Written Essays - 3000 words

Management Science & System - Coursework Example This competency is described as the ability to systematically and fairly measure what is commonly thought as hidden costs difficult to quantify (INFORMS2010). Q. In the case study, five scenarios are presented (pages 60-61) but there is no detailed analysis of how the scenarios were identified. Explain how management science could have been used to identify a range of scenarios in this case. In the article â€Å"Accelerating the profitability of HP Supply chain,† the challenge to maintain corporate performance compels that a deeper analysis of simple product movement from end to end be drawn. First off, the industry pace dictates short term product value, whereas older products lose value quickly. Second, the HP operation is described by New York Times as an expansive business offering involving tens of thousands of products in million product configurations. Having the greater chunk of market shares in PCs, printers, and servers in over 170 countries across six continents is held by HP, continuous product entry occurs in the pipeline. To ensure effective service levels, HP has to contend with severe market diverse. Certain regions have less concentrated demands but high product variety. In which case, the inventory driven costs are considerably fixed values that can be controlled, if not brought to minimum, relative to its volume production. More importantly, these values can be measured and forecast (Davenport 2010, INFORMS2010, Ward et al 2010). The science behind the formulation of scenarios was pioneered by L. R. Ford. The idea is a particular scenario makes up network flows or a chain of related activities. In a set of scenarios, network flows could be analysed by comparison. The analysis assumes all variables remain unchanged except for a single factor in the supply chain configuration, which is altered deliberately to identify profit variation. Or, the cost structure determined in a particular scenario specifies the level of

Historical or Contemporary Leader Essay Example | Topics and Well Written Essays - 2000 words

Historical or Contemporary Leader - Essay Example From the discussion it is clear that Gandhi should be regarded as a pioneer of using non violent method is the primary method in gaining independence as the majority of the leaders before him relied on violence. The possibility of improvement is assessed in the next paragraph. The vulnerabilities of Gandhi are also explored together with the manner in which he tried to overcome them. The paper also provides insight into what the author learned why studying the legacy of this prominent leader. The rest of the paper features application of Kouzes and Posner view of leadership to Gandhi’s experience. It is argued that he employed all exemplary methods of leadership. It is also argued that the best theory that can describe his leadership is transformational leadership theory and the relevant evidence is provided.This paper stresses that  if one examines the life of Mahatma Gandhi, one will be able to see that he did not pay much attention to theoretical aspects of leadership. Th at is why he did not produce any comprehensive definition of it in writing. However, the way he interacted with his followers might be regarded as suitable way to explore what leadership meant to him. Thus, based on this observation, it is obvious that for Gandhi leadership was a unique relationship between people when one of them was directing the common efforts to achieve a particular goal. One should also keep in mind that leadership philosophy of this prominent individual consists of the following elements.

Wednesday, October 16, 2019

Entrepreneurship and Innovation in Organisations Essay

Entrepreneurship and Innovation in Organisations - Essay Example Explanations of corporate growth and development, and of the organization's ability to maximise profitability over time have increasingly relied on the entrepreneurial function (Greiner, 1972). Simply defined, an entrepreneur is someone who organizes and assumes the risk of a business in return for the profits. Entrepreneurial success depends on the ability to think strategically, have a clear strategic vision, and achieve quick results. The meaning of entrepreneurship is bound up with the concept of uncertainty. Entrepreneurs create value by acting in the context of uncertainty. As Knight (1921) puts it, the entrepreneur is the "organizer of uncertainties," which means he possesses the ability to creatively reorganize the relationships between factors of production and market opportunities in ways that create value which otherwise would not have been generated. The ability to organize wealth-generating relationships between factors of production presupposes that a market opportunity exists for the entrepreneur to capture. This gives rise to the concept of the entrepreneur as being "noticer of opportunity" (Kirzner, 1973). Entrepreneurial behaviour is, thus, described as action taken on noticed opportunities. Markets are almost always in disequilibrium and based on price disparity and information asymmetry, there always exists opportunity for arbitrage. This opportunity, however, only generates value for the noticing entrepreneur. It can be deduced that value is generated not only by an entrepreneur who is "organizer of uncertainties", but also by the entrepreneur who is "noticer of opportunities" (Jones & Butler, 1992). In entrepreneurship, once an opportunity has been acted upon, a series of internal forces begin to interfere in the entrepreneurial process. A distinction arises between entrepreneurship and management in the firm, leading to agency problems. The agency problem occurs when it is difficult for one party to evaluate the performance of the other due to uncertainty in environmental, organizational, or task conditions. Moreover, the motives of the parties to an exchange may be different giving rise to opportunism and, in turn, agency problem (Jones & Butler, 1992). In the entrepreneurial context, risk preferences cause an agency problem because the principal and agent have different risk preferences. Agency theory elaborates on the different risk preferences by discussing risk aversion of agents stating that the agents are only rewarded normal salary even though they have to bear the uncertainty of entrepreneurial activities. On the other hand, the principal is the residual claimant of all net revenues of the activities. The reward to the principal is the entrepreneurial profit for undertaking uncertainty whereas the reward to the agent is normal salary for risk taking. This disparity in reward structure gives rise to agency problem where agents have no incentive to behave entrepreneurial (Jones & Butler, 1992). Agents face an additional problem if they have injected any capital in the organization. This is because if the organization engages in a risky venture and faces bankruptcy, the agents lose their capital and have difficulty in securing equivalent alternative employment. Therefore, there is no incentive for agents to invest in the organization. This causes a misalignment of interests of principals or entrepreneurs and agents or managers and results in a loss in a firm's

Historical or Contemporary Leader Essay Example | Topics and Well Written Essays - 2000 words

Historical or Contemporary Leader - Essay Example From the discussion it is clear that Gandhi should be regarded as a pioneer of using non violent method is the primary method in gaining independence as the majority of the leaders before him relied on violence. The possibility of improvement is assessed in the next paragraph. The vulnerabilities of Gandhi are also explored together with the manner in which he tried to overcome them. The paper also provides insight into what the author learned why studying the legacy of this prominent leader. The rest of the paper features application of Kouzes and Posner view of leadership to Gandhi’s experience. It is argued that he employed all exemplary methods of leadership. It is also argued that the best theory that can describe his leadership is transformational leadership theory and the relevant evidence is provided.This paper stresses that  if one examines the life of Mahatma Gandhi, one will be able to see that he did not pay much attention to theoretical aspects of leadership. Th at is why he did not produce any comprehensive definition of it in writing. However, the way he interacted with his followers might be regarded as suitable way to explore what leadership meant to him. Thus, based on this observation, it is obvious that for Gandhi leadership was a unique relationship between people when one of them was directing the common efforts to achieve a particular goal. One should also keep in mind that leadership philosophy of this prominent individual consists of the following elements.

Tuesday, October 15, 2019

Child and Young Person Development Essay Example for Free

Child and Young Person Development Essay Understand child and young person development Understand the expected pattern of development for children and young people from birth to 19 years It is important to remember that development is holistic, and each child is unique and will develop in their own way. Many skills and areas of development overlap with one another. A child does not learn the skills needed to play football, for example, which may be considered as a physical skill, without having social, communication and cognitive skills as well. Aspects of development include physical, communication and language, intellectual/cognitive, social, emotional and behavioural and moral. Physical development This is an important area of children`s development and one often assumed will take place automatically as they grow and mature. Although children will develop many skills naturally as they get older. * 0-3 years. This is a period of fast physical development. When they are first born, babies have little control over their bodies. There movement are dependent on series of reflexes (for example, sucking and grasping) which they need to survive. In their first year they gradually learn to control over their bodies so that by 12 months, most babies will have a degree of mobility such as crawling or rolling. In the second year babies will continue to develop quickly and it is at this stage most children will start to walk. Their ability to control their movements will mean they will start to use their hands for pointing, holding small objects and will start to dress and feed themselves. They will be able to play with a ball and will enjoy climbing. In their third year, children will start to have more control over pencils and crayons and will enjoy turning pages in books. They should be able to use cups and feed themselves. They will start to walk and run with more confidence, and will be exploring toys such as tricycles. * 3-7 years. At this stage children will be able to carry out more co-ordinated movements and will be growing in confidence as a result. They will be refining the skills developed so far and will he more control over fine motor skills such as cutting, writing and drawing. They will be become more confident in running, hopping, kicking a ball and using larger equipment. * 7-12 years. Children will continue to grow and develop many of their skills. They may start to have hobbies and interests which mean that they are more practised in some areas, for example, sport or dance. Girls in particular will start to show some of the early signs of puberty from the age 10 or 11. In boys, puberty usually starts later, when there will be another period of rapid physical growth. * 12-16 years. At this stage of development, young people will be growing stronger. Boys will be starting to go through puberty and many girls have completed this process and have regular periods. Girls will experience breast enlargement and increase fat layers. Boys will experience enlargement of their testes and penis and muscle strength. Their voice will become deeper. Boys and girls may experience a growth spurt at this time also. * 16-19 years. This is the stage which young people become adults and often at their peak of their physical performance. Although many girls may have reached physical maturity, boys will continue to grow and change until their mid-20s. Communication and language development * 0-3 years. From the earliest stages adults will usually try to communicate with babies even though they are not yet able to understand what is being said. This is because it is important for babies to be stimulated and have an interest shown in them. Babies will be listening to language from those around them and will enjoy songs and games. Most will try to speak around 12 months although pronunciation will not be clear and words will usually be used in isolation. Between 1 and 2 years they will start to put words together and their vocabulary will start to increase fairly rapidly so that by 2 years, most children will know 200 words. Between 2-3 years children will be starting to use negatives and plurals in their speech. * 3-7 years. As children become more social and wider experiences they will start to use familiar phrases and expressions. They will also ask a large number of questions. * 7-12 years. By this stage most children will be fluent speakers of a language, and will be developing and refining their skills at reading and writing. Intellectual and cognitive development Children`s intellectual development will depend to a wide extent on their own experiences and the opportunities they are given from the earliest stages. It is also important that children will learn in a variety of ways. * 0-3 years. Babies will start to look at the world around them and will enjoy repetitive activities in which they can predict the outcome. For example, when something is hidden from they are able to find it. They may start to recognise colours. * 3-7 years. This is the period of development in which the children are becoming more skilled at the aspects of numbers and writing, as well as continuing to learn about their world. They will also start looking for adult approval and will start to learn to read. * 7-11 years. Children will start to develop activities or subjects which they enjoy. They will still be influenced by adults and will become fluent in reading and writing skills. They will develop their own thoughts preferences. * 12-16 years. Young people will usually now have a clear idea about their favourite subjects and ideas. They will be reflecting on their achievements and choosing their learning pathway. They also lack in confidence or avoid situations in which they have to do less popular subjects, to the extent they may truant. * 16-19 years. by the time they come to leave school, they will be thinking about a career and college choices based on the pathway and subjects they have selected. Social, emotional, behavioural and moral development * 0-3 years. Very young children will be starting to find out their own identities. They will need to form a strong attachment, the earliest of which will be the parents and carers. At this stage of development children may start to have tantrums through frustration and will want to start doing things for themselves. * 3-7 years. Children will still be developing their identities and will be starting to play with peers and social using imaginative play. This helps them to develop their concept of different roles in their lives. It is also important they are able to learn boundaries and why they are necessary. They will also be given a responsibility, for example, a class helper. * 7-12 years. Children`s friendships now will become more settled and they will have groups of friends. They will also require more independence to carry out activities such as problem solving. They will continue to need praise and encouragement and will be increasingly aware of what others may think of them. * 12-16 years. At this stage the self-esteem of children and young people can be very vulnerable. They still want to be independent of adults and spend more time with friends their own age, but continue to display childish behaviour. It maybe they are unsure how to behave in different situations. * 16-19 years. As young people enter adulthood they may still need advice and guidance from other adults. They will lack experience and individuals will vary in emotional maturity and the way which they interact with others. Personal factors Pupils` health If pupils suffer from poor health or a physical disability or impairment, this may restrict their development opportunities. For example, a pupil who has a medical condition or impairment may be less able to participate in some activities than other children. This will effect physical development but may also restrict social activities, for example, participating in sports. The child`s emotional development may also be affected depending on their needs and the extent they are affected. It is important that as I as an adult I`m aware of how pupils may be affected by these conditions and circumstances, so I can support them by ensuring them that they are included as far as possible. External factors Poverty and deprivation are likely to have a significant effect on pupil development. Statistics show that children who come from deprived backgrounds are likely to thrive and achieve well in school, as parents will find it more difficult to manage their children`s needs, which will in turn impact on all areas of development. These will all affect the way in which pupils are able to respond in different situations. Pupils will come from a range of different family environments, cultures and circumstances. Many families go through significant changes during the child`s school years. These may include a family break-up or a new partner, bereavement, illness, moving house or changing country. The personal choices of pupils will affect their development as they grow older, as they decide on friendship groups, extra-curricular activities, academic involvement and so on. They may need advice and support from adults to enable them to make the right choices. If a child is looked after or in care, this may affect their development in different ways. However, they will be usually monitored closely and there will be regular meetings with the school to ensure that they are making expected levels of progress. Where there are any issues, these will then be addressed straight away. In some cases children may come to school without any previous education- for example, if they are from another country where formal education may begin later. Alternatively they may come from a home schooling environment or a different method of schooling, so they may need to have some additional support until they become settled. Theories of development include Cognitive Piaget believed that the way children think and learn is governed by their age and stage of development, because learning is based on experiences which they build up as they become older. As children`s experiences change they adapt what they believe. For example, a child who sees only green apples will believe all apples are green. Children need to extend their experiences in order to extend their learning, and will eventually take ownership of this themselves so that they can think about experiences that they have not yet developed. Psychoanalytic Freud stated that our personalities are made up from three parts- the id, the ego and the superego. Each of these will develop with the child and each will develop in a subconscious way driven by psychological needs. The id is the instinctive part of our personality; in other words, it is based on biological needs such as hunger. A baby will cry if it is hungry and will not consider the needs of others around it. * The ego starts to develop as the child realises thats its behaviour may affect how its needs are met. For example, if it is hungry, it may not decide to cry for food but to wait, as food will come anyway. * The s uperego develops later on in childhood and it is based on the development of the conscience, the superego may develop conflicting views to that of the ego, and may punish the individual through guilt. Alternatively if the ego behaves well the superego will promote pride. Humanist Maslow was originally interested in behaviourism and studied the work of Watson. He also acknowledged Freud`s belief in the presence of the unconscious-however he did not think that individuals were driven by it. He felt that knowledge of ourselves were driven by it. Humanistic psychology is based on our free will, although we have a hierarchy of needs without which we will be unable to continue to progress. Social learning Bandura`s approach was also one of behaviourism, in other words, it was accepted the principles of conditioning. However Bandura stated that learning takes place through observing others rather than being taught or reinforced. Children sometimes copy the behaviour or activities of adults or peers without being told to do so, meaning learning is spontaneous. Operant conditioning Operant conditioning theory states that our learning is based on consequence which follows a particular behaviour. In other words we will repeat those experiences which are enjoyable and avoid those that are not. This is relevant for for learning experiences as it is for behaviour. For example, a child who is praised well at a particular task again. B. F. Skinner called this positive reinforcement. This work closely linked to that of John Watson, discussed below, although it differs from Watson`s in that individuals are more active in the process of learning and will make their own decisions based on the consequences of their own behaviour. Behaviourist Watson believed that we was all born with the same abilities and that anyone can be taught anything-it dies not depend on innate ability but on watching others. His idea `classical conditioning` and was born out of Ivan Pavlov`s research using dogs. Pavlov devised an experiment by ringing a bell when dogs were about to be fed, which made them salivate, as associated it with food appearing. The bell was then rung repeatedly with no food and gradually the dogs stopped salivating. Watson discounted emotions and feelings while learning and based on his theories purely on how individuals can be `trained` to behave in a particular way. Social pedagogy Social pedagogy is a humanistic framework to support development. It refers to holistic approach to the needs of the child through health, school, family and spiritual life, leisure activities and the community. Through social pedagogy the child is central through their involvement and interaction with the wider wide. The framework is socially constructed and may vary between cultures, contexts and the time it takes place. Methods of assessing development needs: * Assessment frameworks * Observations * Standard measurements * Information from carers and colleagues It is important to understand the purpose of observations as part of my role. This is because I will need to report back to the teacher, who will in turn report to parents and carers on the pupil progress. Parents and teachers should share information about pupils to enable them to work together in the pupil`s interest. These observations may be carried out formally and informally, these have advantages and disadvantages. Informal observations will be those which I carry out each day as work with pupils. These may be small but over time it will enable me to build a picture of each pupil. I may notice, for example, that individual is able to understand a new concepts very easily. A disadvantage to informal observations is that it may not be recorded and you might forgot. I may also be asked to carry out formal observations on pupils to support the teacher in assessing pupils` Standard measurements are used to measure a child`s physical development and to determine whether they are growing at the expected rate for their age. It is unlikely that I will be required to carry out this kind of check, as it will be done by health visitors. The Assessment Framework of Assessment Triangle is the term given to the way in which a child is assessed, to determine whether they are in need and what the nature of those needs is. In his way the child`s best interests can be planned for with regard to their stage of development. Standard measurements and assessment frameworks will be useful in deciding on whether the child is reaching expected milestones of development in different areas. I should not to be required to use these without the guidance and support form teacher or SENCO. Disability may affect development in a number of ways. Depending on the pupil`s needs, it may cause a delay in a particular aspect of their development – for example, a physical disability may affect their social skills if they become more withdrawn, or their behaviour if they become frustrated. Development may also be affected by the attitudes and expectations of others – if we assume that a disabled person will not be able to achieve and do not allow to take part, we restricting their development in all areas. When I am working with pupils who have special educational needs (SEN), you will find that many professionals and parents speak about the danger of `labelling` pupils. This is because it is important that we look at the needs of the individual first, without focusing on the pupil`s disabilities or impairment. How different types of intervention can promote positive outcomes As a teaching assistant I am involved in intervention groups and other group work on order to support pupils who are not progressing at the same rate as others. This is advised by either the SENCO or another professional who links with the school. * Social worker – a social worker might be involved if a child has been a cause of concern in the home environment or if the parents have asked for support. They will liaise with school regarding Looked After Children (LACs). Occasionally schools may contact social services directly if they have concerns about a child and their home environment. * Speech and language therapist – they will give a diagnosis of a particular ommunication delay or disorder and will also advise school and parents about ways in which they can support the child. Speech and language appointments will usually be delivered in blocks, followed by activities for pupils to work on before their next review. * Educational psychologist – they may become involved if, following intervention and action from speech and language therapists and teaching staff, the child is still not making progress. They will carry o ut an assessment and suggest next steps * Psychiatrist – may be asked to assess a child if there is serious concerns about their emotional development. Children will usually have been referred through a series of assessments before this takes place. * Youth justice – this form of intervention is a public body which aims to stop children and young people offending. The youth justice team may be involved in a partnership with schools and the community where there are cases of offending behaviour. It also acts in a preventative way by running youth inclusion programmes, which are targeted towards those who may be at high risk of offending. Physiotherapist – will advise and give targets to pupilsto work on around the development of their gross motor skills. They give exercises for school staff and parents to work on each depending on the needs of the child. * Nurse/health visitor – these medical professionals may be involved in supporting the development of some children where they have physical and health needs. They will usually come into school to advise and speak to staff generally with parents present. * Assist ive technologies – these are technologies which enable pupils who have specific needs to access the curriculum. They range from computer programmes to specific items such as a speech recognition device or a hearing aid and will give the individual an increased level of independence. How play/activities are used to support speech, language and communication We need to encourage children and young people to develop language and communication skills as much as possible, as this is a key area of their development. Adults will need to give children and young people opportunities to take part in speaking ang listening for different purposes and in different situations. It is important that pupils use language both in whole class and small group activities and I encourage them to talk about their own ideas. In early years play experiences can enhance all areas of development and can be directly specifically to address individual areas such as speaking and listening or can be used more generally to support all. Through play children will learn both about themselves and about others, and will use their speech, language and communication skills in order to interact in a non-pressured environment. As children grow older their play takes on rules which require skills of negotiation. Children and young people still need to receive the chance to enjoy self-directed activities and equipment which support their creative and investigative skills. It is important that they have opportunities to use their own initiative and at times work collaboratively. Project work particularly when problem solving, can support children and young children to develop their personal, learning and thinking skills. A great deal of our communication with others is expressed non-verbally. It is important for children and young people who are autistic for example may well have difficulty in recognising and interpreting non-verbal signs, when working with a pupil who has communication and interaction needs, you will to be using different non-verbal strategies to support them. Through using this foem of communication you will be giving pupils additional aid to understand. The kind of strategies to use include: * Using gestures – this could be something as simple as thumbs up or beckoning the pupil to come over. Pointing to objects – you can help pupils to understand by giving concrete examples of what you are discussing and encouraging pupils tp point to different objects in a similar way * Through facial expressions – a smile or a nod can show approval while you also indicate excitement, disapproval, happiness and other emotions * Through the use of body language – you show that you are giving the pupil attention through the way the way in wh ich you sit or stand A number of visual and auditory approaches can also be used to enhance communication * Pictures can be used to initiate or supplement conversation as they are a good starting point. The pupils can also use pictures to illustrate their ideas. * Games are often used successfully to initiate pupil`s speech and involve them in social interaction * Signs support pupils who are unable to communicate verbally. However, they should not be used exclusively by these pupils; other children will enjoy learning different signs as well as teaching them to one another * Technology such as CDs, computer programs and interactive white boards are useful means of stimulating pupil`s communication skills * Modelling language is important as it gives hildren the chance to hear the correct use of language * Music and singing are excellent ways of reinforcing language for all age groups * Drama and movement activities can provide alternative ways to communicate ideas Understanding the potential effects of transition on the children and young people`s development Whatever age group I am supporting at some stage I will be working with children or young people going through a transition phase. The term `transition` is applied in different situations in which children and young people will pass through a period of change. As well as more obvious school-based transitions, such as starting school, changing classes or key stage, or passing on to secondary school, children will pass other periods of transition with may lead to long or short term. These may include changes in personal circumstances or experiences, passing through puberty or simply a change in activity i the classroom. Different types of transition include: * Emotional – for example, bereavement, entering/leaving care * Physical – for example, moving to a new educational establishment, a new home/locality from one activity to another * Physiological – for example, puberty, long-term medical conditions * Intellectual – for example, moving from pre-school to primary or post-primary It is important that children have positive relationships during periods of transition, as they will need to feel secure in other areas of their lives. They may need to talk to someone about how they are feeling and make sure that there is opportunities for them to do this.