Management Information Systems and Health Care Information...

Management Information Systems and Health Care Information Systems Many of people do not know what Management Information Systems and Health Care Information Systems do or the well paying jobs that that are in that field range. Other people know a very slim amount about them but do not understand why someone would want to major in these fields. This research will help you become more familiar with what they are, what they do, and the career choices they bring along, and how this field is very dominate in the job market. Management information systems, also known as MIS, are computer systems that direct business and organize operations or files. Many people wonder why someone would want to major in Management information systems.†¦show more content†¦All of these jobs are in high demand in the job market today and are very well paying jobs. Being in the field of Management information systems has many benefits to a job. Being in this field today you play a vital role in your workplace because you can have additional duties to do. Now you will take a look at one of the jobs in this field, an information systems manager. Information system managers usually like to work in a clean office space. They usually work very long hours something they will have to work either weekends or evenings if they have to finish something that they did not finish. A few problems that an information systems manager is such as eye strain and wrist problems from working on a computer all day. A bachelor’s deg ree is usually needed for this job although most employers will try to look someone with a graduate degree with a background in business and some computers based class. Health Care Information Management is something that is becoming extremely popular. Health Care Information Management Systems are computer systems that keep patient files, protect the security of the patient’s information, and keep everything more organized that a human would be able to. Employment in this field is expected to grow much faster than it has been. Jobs for this field include: Director HIM, Supervisor HIM Data Analyst, Auditor, Private Officer, Clinic Manager, VitalShow MoreRelatedInformation Management/Information Technology Analysis.1462 Words   |  6 PagesInformation Management/Information Technology Analysis Introduction Health management information systems (HMIS) encompass an area of practice and knowledge that ensures that healthcare information is available to enable synchronized and instantaneous delivery. It also entails vital health-oriented decision-making for a variety of purposes across varied organizations, disciplines and settings. Additionally, it centers on the management of resources to gather, sore, manage, retrieveRead MoreOrganization Planning, Project Management, and Information Technology1319 Words   |  6 PagesProject Management, and Information Technology The successful implementation and subsequent meaningful use of information technology solutions within a health care organization is a challenging and iterative process. The organization must engage in careful and ongoing strategic and tactical planning to ensure that the implemented technology will ultimately be effective and beneficial for its practitioners, staff, and patients. To prepare for this Application Assignment, review the information presentedRead MoreA Report On A Hospital Information System1599 Words   |  7 PagesHospital Information System (HIS) refers to the information system used in hospitals for efficiently managing a huge data generated all-round the year. It deals with monitoring of the health status, provision of different services, drug stocks and consumption patterns, equipment status and availability, Finances and revenue management. Thus, a HIS can be installed in order to manage any of these. These systems help the hospitals in keeping an accurate, relevant and up to date information from variousRead MoreEvaluation Of A Patient Care Application1725 Words   |  7 PagesDetermine, within the health care setting, the main features, capabilities, and operational benefits to a health care organization using the following: Provide specific examples of each: patient care applications, management and enterprise systems, e-Health applic ations, and strategic decision-support applications. Patient Care Applications Patient care applications are one element of HMIS geared towards patient centric management. According to Tan Payton (2010) these applications are â€Å"designedRead MoreCase Analysis : Systems Acquisition1220 Words   |  5 Pages The Case Analysis: Systems Acquisition Courtney Givler MHA 616 Health Care Management Information Systems Instructor Deborah Bertsch May 9, 2016 The Case Analysis: Systems Acquisition For several years, the healthcare industry has focused on information technology for advancements. Now many health care leaders are seeking more complex information management processes. Information technology has advanced health care from a paper-based industry to a virtual enterprise. Providers areRead MoreThe New Electronic Health Record System905 Words   |  4 PagesThe Henry Ford Health System has currently acquired another hospital system from the Jackson area, thus creating a six-hospital affiliate system (Henry Ford Health, 2016). Upon further review of the electronic health record programs, the board of directors have come to the conclusion that there must be a new electronic health record system developed that will link the medical records amongst all of the various hospitals. Quality of care is what the Henry Ford Health system strives for, thus, thereRead MoreEssay on Future Trends in Health Care1177 Words   |  5 PagesThe future trends in health care are limitle ss. From using applications that perform EKG’s to robot-assisted surgery, the rapid expansion of technology applications in health care is astounding. Advancing technology also pushes the boundaries of health care in its ability to integrate health care information. The integration of health care information is critical to the effective, efficient delivery of quality care in a now fragmented health care system. This paper will assess how the internet orRead MoreHealth Care At The Healthcare Industry1684 Words   |  7 PagesHealth care informatics delivers a promising future for the health care industry. Big data analytics, computer aided decision support, and systems integration will provide health care organizations with new tactics to treat patients while controlling cost. â€Å"Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrea se paperwork, and expand access to affordable healthRead MoreHealth Care Information Management Essay742 Words   |  3 PagesMany people are not aware of what professionals are responsible for in the fields of Management Information Systems and Health Care Information Systems or what well-paying jobs are available in those fields. Some people know a small of information about them but do nor do they understand why someone would want to major in these fields. This information obtained research of these fields will help the reader become more familiar help you become more familiar with what they are, what they do, the careerRead MoreApplication Of Electronic Information Systems Essay1704 Words   |  7 PagesIntroduction Use of electronic information systems is a strategic idea that any organization can adopt. Information systems help organizations to store information in an organized format that can be easily retrieved. Proponents of using information systems in hospitals argue that it guarantees the safety of information for both the patient and the provider by making it easy to store and access health care information. It’s a shift from the manual hard copy store of data on databases (Beaumont, 2000)

Methods of Interrogation Pows Free Essays

METHODS OF INTERROGATION OF A PRISONER OF WAR Introduction 1. A ‘Prisoner of War’ is a person, whether combatant or non-combatant, who is held in custody by an enemy power during or immediately after an armed conflict. The treatment of prisoners has always been matter of debate in the world and many declarations and resolutions have been made in this regard including Geneva Convention of 1949. We will write a custom essay sample on Methods of Interrogation Pows or any similar topic only for you Order Now War is a time of confusion and while many suffer from it, there are many who benefit in the fog of it. The military personnel, whenever caught, have to be treated as PsOW and they have certain rights and privileges. The enemy always utilizes this opportunity to the fullest and employs certain obvious and hidden methods to extract information from the PsOW. Rights of a POW 2. The POW can only be interrogated by following the rules and regulations laid down in the Article (v) of Geneva Convention of 1949. A prisoner of war needs only to give his name, number and rank and must remain silent on all other matters and resist all enemy efforts to extract information from him. In case his rights are violated, the violators are subject to the provisions of international law and they may be tried by the international criminal court. Methods of Interrogation 3. A number of interrogation techniques have been used of approved for use. They include standard Army methods in compliance with the Third Geneva Convention, as well as other approaches which are either questionable or clearly exceed the strictures protecting POWs. Several of the latter may also violate other limitations outside the scope of human imagination. 4. Numerous devices may be effectively employed by the interrogator to establish mental contact or rapport with POW. At the outset it should be emphasized that the objective of an interrogation is seldom, if ever, to obtain an admission or a confession. The subject is interrogated for accurate and reliable information. Several common methods interrogation which are being used for the purpose by interrogators are briefly discussed below. (a)Show of Knowledge or â€Å"We know all†. In this method, the interrogator familiarizes himself with all available data on the POW and his unit or whatever subject is being explored. He asks questions to which he already has the answers and scornfully answers them himself when the POW hesitates. He is striving to convince the POW that he already knows all the POW does so that resistance is wasted effort. When the prisoner starts giving correct information and answers freely, a few â€Å"mystery† questions can be slipped in. Dummy questions should still be used from time to time to test the POW, to conceal from him the fact that he is giving new information, and to prevent him from realizing that he is â€Å"spilling the beans†. (b)Stool Pigeons. Enemies infiltrate their own men in the POW camps under the garb of PsOW from other units or services. They make PsOW discuss various aspects of service amongst themselves and extract information. (c)Consolation. Innocent looking folks like servants, guards, sweepers try to console the PsOW offer small favour and then make efforts to get the required information. (d)Bugging. The camps and residences etc of PsOW are bugged and their conversation taped. (e)Favours. Money and other Favours are offered and assurances given that no damage will be done to the individual, if he cooperates. (f)Recruitment. A few PsOW are recruited and then utilized for collection of information from other PsOW. (g)Direct approach. In this method the interrogator seemingly â€Å"lays the cards on the table†, apparently makes no attempt to hide the purpose of the questioning. This approach should be used only in cases where the interrogator assumes or knows that the person interrogated will not refuse to give information. (h)Rapid fire questioning. This method consists of a rapidly delivered series of questions which keeps the POW constantly on the defensive and off balance thereby weakening resistance an/ or his determination to give evasive answers. When this approach is employed the POW often loses patience, becomes angry, offended, or confused, and begins to talk in self defense. (j)Emotional approach. This method consists of playing upon the emotions of a person in order to bring out the required information. When using this method, the interrogator creates an atmosphere of emotional confusion designed to reduce security consciousness. The emotional approach utilizes hate, revenge, fear, jealousy, sadness, pity, and similar emotions. It also exploits religious and patriotic feelings, sense of social duty, and other concepts based on emotional reactions. (k)Trickery. This method has an almost limitless number of variations. Its purpose is to cause the POW to divulge information without being aware of it, or without a conscious or willful choice in the matter. (l)Censoring. The mail of PsOW is censored. (m)Third Degree Methods. Third degree methods are used to break the PsOW. It is apparent from above that once captured as prisoner of war, the responsibility of a service person increases many folds and he must keep his mouth tightly shut to ensure that no information is leaked out. However, he must look normal and should not give impression of being in possession of full information. (n)Propaganda. The PsOW are given propaganda material to read, to hear from radio or from the TV to see to break them down and lower their spirits. This is done to bring their morale down to a certain level where they themselves will start giving information thinking their country might or already has lost the war. (p)Stupid interrogator. In this method the interrogator pretends to be a stupid individual with very little understanding of military or other matters. This device may have the desired effect of disarming the person interrogated. The POW is required to â€Å"explain† everything (Even inconsequential items) because the interrogator is so â€Å"stupid. † 5. Variations. Any of the usual methods may be varied in many ways. Here are some variations which might fit into any of the categories of the methods listed in Para 4above. (a)Sympathy. (b)Sternness. (c)Pride and ego. (d)National pride. (e)Face saving. (f)Bluff. (g)Fear. (h)Drawing attention away from the real object. (j)Threat and rescue. Conclusion 6. There are many others; in fact, the variety of methods is limited only by the initiative, imagination, and ingenuity of the interrogator. The interrogation method should be tailored to suit each individual case, and may be combined with other methods to suit special requirements. How to cite Methods of Interrogation Pows, Papers

Choose two poems from your selection of First World War Poetry Essay Example For Students

Choose two poems from your selection of First World War Poetry Essay I have chosen the two poems The Send-Off by Wilfred Owen and Dulce et Decorum est by Wilfred Owen, because I found these two poems very moving, and I could associate with them, from what I already know about the First World War. The Send-Off and Dulce et decorum est are both written by the same poet, and they both look at different aspects of the First World War. The Send-Off is about the young battalions of soldiers being sent away to their death. The title is very ominous and threatening, it makes you feel worried that you might be sent away as well. It also gives you a feeling of coldness and a feeling of not being wanted or cared for. The first sentence Down the close darkening lanes gives you a feeling of claustrophobia, a feeling of being alone. It is also reminiscent of the trenches, it is trying to give the soldiers a pre-view before they actually reach the real thing. The feeling of unwantedness continues on through the first stanza, To the siding shed, gives us the impression that the soldiers were just pushed to the side, like disregarded objects. The words grimly gay show that the men are pretending to be happy and excited on the outside, but deep down they are probably very worried and anxious a bout where they are going. Stanza two is very short, it is also very ironic. The words wreath and spray are normally associated with funerals. The men have been given these wreaths, possibly suggesting that they are going to die, in reality they were given to them as good luck presents. Wilfred Owen has given us a different view of this topic, we can see it as if they have been given their last presents, a present of peace and security. In stanza three, even though there is a suggestion of death, the atmosphere is very unceremonious. The porters think nothing of these young men leaving, they just carry on with their daily routine. and a casual tramp Stood staring hard this shows that the tramp does not care either, he does not care that they are going off to die for their country. Sorry to miss them from the upland camp. The tramp is only sorry to see them go because they fed him, and that is all he cares about. In stanza four there is a definite feeling of conspiracy against the soldiers. lamp winked to the guard, this suggests that the guards know where the soldiers are going and why they are going, whereas the soldiers do not really know where they are going to end up. All they know is that the government knows where they are going, but no one else. Stanza five is connected with stanza four. It says So secretly, like wrongs hushed-up, they went this suggests that the war leaders who were going with them know what they are doing, and they know that what they are doing with these poor men is wrong. This stanza talks about how this was not this mens home, and that is why there is no saying of good byes. No one here will ever know where those soldiers have been sent, this is why the whole trip is going to be a conspiracy. Stanza six shows that no one will ever hear of these soldiers again. They will never hear if these men died or survived, or whether the flowers that they were handed before they left were in fact for good luck or a symbol of death. Stanza seven is asking whether there will be hundreds of men returning, just like there were hundreds of men sent away. The answer to this would have to be no. Not enough men will be returning to have any celebrations of any form, too many men were just sent away to their death. In the final stanza it explains how the men who do survive and return creep back. They creep back because they are ashamed of returning because of what they did, they were not the only victims of the war, and they are ashamed because they killed also. They are also ashamed because of the men who have not returned from this terrible ordeal. When the men arrive there is no one around, no celebrations or congratulations, to still village wells. The final line is Up half known roads. This tells us that the men who are returning can not remember where they are, even though they have been there previously. They do not remember the scenes that they have returned to because they have got the scenes of tragic, sickening war in their heads, they have been mentally disturbed from this disgusting experience. The Send-Off is a poem that uses a stressed and then unstressed rhythm. It keeps this up the whole way through the poem, emphasizing the darkness and sadness of what these men are going to. Throughout the poem the rhyme is also upheld, in an A, B, A, A, B formation, this gives the poem continuation and order, just like the battalions of men, it also is quite monotonous, therefore making it sound as though these men are walking slowly, not wanting to get on the train. In the first line Wilfred Owen uses alliteration by saying Down the close darkening lanes, the two Ds emphasize the mood and atmosphere of the men going to war. In the third line Wilfred Owen uses an oxymoron, which is where he uses two contradicting words to give the reader a deeper insight to the situation. He says grimly gay telling us that these men were just pretending to be happy, and to be brave. Owen then follows on with a monosyllable As mens are, dead. Yet again this is another technique that he uses to emphasi ze a point. This time he goes straight to the point and says that the men undoubtedly will die. Glencoe World History Chapter 12 (NAMES)In the final stanza Wilfred Owen is talking about how he felt, and how us, the readers, would feel if we had to walk behind the wagon that was carrying that dead mans body. He goes into great detail about this man, this is because he can distinctly remember his face when he was drowning in the gas. Wilfred Owen, again, manages to involve the reader into the poem, he says you too could pace Behind the wagon that we flung him in. This line also shows the unceremonious way that this man, who died for his country, was treated after his death. The way that no one cared, and no one cared because they were used to this sight, they were used to seeing men, dead. And watch the white eyes writhing in his face, His hanging face, like a devils sick of sin; This sentence shows how this man that has died, did not die peacefully, he died in pain. Bitter as the cud Of vile, incurable sores on innocent tongues,-My friend, you would not tell such high zest This is saying that if you had actually seen these sights you would not tell the lie. When Wilfred Owen says My friend he is on our level, he can associate himself with us, and this makes us feel that we can be friends with him, and listen to him like a friend. To children ardent for some desperate glory, the word glory is the complete contrast to what this day actually is, it is not exciting or good. The old Lie : Dulce et decorum est Pro patria mori. This last line in the poem means It is sweet and fitting to die for your native land. The way that Wilfred Owen says The old Lie shows that he does not agree with this statement at all, he does not believe that dying for your country is the right thing to do. This poem is emphasizing Wilfred Owens anger for the waste of life that the First World War caused. Dulce et decorum est uses an iambic pentameter rhythm, this means that the poem has about ten syllables per line, making it rhythmic and very constant. The rhyme is also very constant and it uses an A, B, A, B formation, to give the poem a feeling of order, when in fact, the men are tired and instead of being tall they are slouching and small. Men marched asleep this is using alliteration. Alliteration draws attention to the statement, in this case it draws attention to the fact that the men are so tired that they are falling asleep as they march. Wilfred Owen wants to emphasize this because it shows just how exhausting this was, and that they were getting so tired, just to get to safety. floundering the ing on the end makes the word sound longer, it gives the effect that this man is not having just a quick death, he is dying painfully and slowly. And floundering like a man in fire or lime this is a simile saying that this man was acting as though he was actually drowning. He plunges at me, guttering, choking, drowning. Wilfred Owen uses ing on the end of all these words to, once again, make them sound longer and make it sound as though this man is suffering before dying. And watch the white eyes writhing in his face,here again he uses alliteration, he does this to draw your attention to the fact that this man id pleading for Wilfred Owens help, even though he is now dead. Wilfred Owen uses senses in this poem to give us a concrete reality of war, to draw us into the story and actually picture the scenes of war in our head. In all my dreams before my helpless sight. If you could hear, at every jolt, I think that Wilfred Owen finishes off the poem very well by reciting the title, and using it in such a way that you know that this saying is wrong, and that in fact Dulce et decorum est Pro patria mori is a lie. The two poems that I have written about The Send-Off and Dulce et decorum est both by Wilfred Owen show how he feels about the First World War. They both give leave the impression on you that he hated war. This is probably because he was involved in the war and felt all of the feelings and saw all of the things that he talks about in the poems. They both talk about how reluctant the soldiers are to be there or to be going there, but the reason they are going to fight is for there country. The only reason that they are going to fight for their country is because they have been led to believe that that is the correct thing to do.

Johnny Tremain Essays (527 words) - Johnny Tremain,

Johnny Tremain When the book started, Johnny was an annoying pain who always fought and always made bad comments about people. Ever since his mother had died, he has been a blacksmith's apprentice working under a man named Mr. Lampham. His mother arranged for it to be that way before she died. She left Johnny with a silver cup. It was told to Johnny that when all of his hope is lost, and God has turned away from him, then only shall he go to the merchant Lyte and present it to him. Johnny kept it in a chest in the attic all locked up. Johnny was the easiest to teach the art of being a blacksmith. He could read and write, and was a fast learner. This made him the most valuable in the family. He always treated the other learners very badly. This is why one day, they played a trick on him. Johnny and Mr. Lampham had a very important client they were working for. They were going to make him a special bowl for his wife's birthday. Johnny was working all week on the handles he was to design. He came close to the end of the week but he still hadn't got it perfectly right. On Saturday he was told that he couldn't work because he couldn't work on Sabbath. So, Johnny told Mrs. Lampham about this and she said that he could secretly work on Sunday. While Johnny was working, One of the other workers handed him a broken piece which had a crack in the side. It broke and silver when everywhere. Johnny's hand went on the stove. He nearly burned it, it was completely silver on his palm. They called for an old lady. A month later, they were going to unwrap his hand out of the cloth they put it in. When they took off the cloth, it was crippled. Johnny's thumb grew into his other fingers. He couldn't work as a blacksmith so he became useless. Mr. Lampham told Johnny to go look for another job. So Johnny went into town and looked with no luck. He came upon a Printers work place and soon started working there. He became friends with guy named Rab, who was two years older than he was. Johnny learned to control his temper while with Rab, and read many of their books which they had. He was taught by Rab to ride a horse. Johnny learned to ride one of the toughest horses. The horse's name was Goblin. Johnny went into other towns delivering papers to subscribers on Goblin. He still found a place to meet Cill, a girl whom he liked in Mr. Lampham's house. He met her in the middle of town. She gave him updates on news which happened recently. Johnny later began part of the Tea Party. He was there throwing tea even with his bad hand. When the British were here, Rab wanted one of their guns because it seemed more modernized than ours. So he talked one soldier into giving him his gun so that the man could be a farmer. Rab fought hard but was killed at Lexington and Concord. Johnny was never found again. At the end of the book, Johnny learned to be a better person overall.

A Plan for Positive Influence

A Plan for Positive Influence Motivation is defined as the processes that account for an individual's intensity, direction, and persistence of effort toward attaining a goal (Robbins Judge, 2007). Motivation is intense and shows how hard a person tries in order to achieve goals, it has direction that shows that the persons efforts are put in the right direction to achieve goals and it also takes into account persistence which means how long a person can make efforts in order to achieve goals. Job satisfaction refers to how content a person is with his job. It shows the persons willingness to do a job and how happy he feels doing the job. Some of the factors that typically influence job satisfaction would be the nature of the work, promotions, money, supervision, relationships and coworkers. Performance is the activity that goes on in an organization. Motivation, job satisfaction and performance variables are all directly related to each other.The Hungry Hustlerz: Starvation Is MotivationThe greater the motivatio n among employees, the higher will be their job satisfaction and eventually their performance will be the best and vice versa. The plan outlined below will aim at improving motivation of the team members primarily, which would effect job satisfaction among the team members and thus improve performance of the team to make the project a success.Team AssessmentsThere are many attributes that need to be looked at when it comes to working on a big project where there may be the possibility of many individuals who are assigned to the project. There's ones personality, effort, involvement, and style when it comes to working as a group. Obviously, no one person works or thinks alike. Each team member would contribute in some form or the other, keeping in mind the positive qualities that each hold. Based on the assessment that was taken by my...

The Definition, History, and Impact of Redlining

The Definition, History, and Impact of Redlining Redlining, a process by which banks and other institutions refuse to offer mortgages or offer worse rates to customers in certain neighborhoods based on their racial and ethnic composition, is one of the clearest examples of institutionalized racism in the history of the United States. Although the practice was formally outlawed in 1968 with the passage of the Fair Housing Act, it continues in various forms to this day. History of Housing Discrimination Fifty years after the abolition of slavery, local governments continued to legally enforce housing segregation through exclusionary zoning laws, city ordinances which prohibited the sale of property to Black people. In 1917, when the Supreme Court ruled these zoning laws unconstitutional, homeowners swiftly replaced them with racially restrictive covenants, agreements between property owners which banned the sale of homes in a neighborhood to certain racial groups. By the time the Supreme Court found racially restrictive covenants themselves unconstitutional in 1947, the practice was so widespread that these agreements were difficult to invalidate and almost impossible to reverse. According to a magazine article, 80% of neighborhoods in Chicago and Los Angeles carried racially restrictive covenants by 1940. The Federal Government Begins Redlining The federal government was not involved in housing until 1934 when the Federal Housing Administration (FHA) was created as part of the New Deal. The FHA sought to restore the housing market after the Great Depression by incentivizing homeownership and introducing the mortgage lending system we still use today. Instead of creating policies to make housing more equitable, the FHA did the opposite. It took advantage of racially restrictive covenants and insisted that the properties they insured use them. Along with the Home Owner’s Loan Coalition (HOLC), a federally-funded program created to help homeowners refinance their mortgages, the FHA introduced redlining policies in over 200 American cities. Beginning in 1934, the HOLC included in the FHA Underwriting Handbook â€Å"residential security maps† used to help the government decide which neighborhoods would make secure investments and which should be off-limits for issuing mortgages. The maps were color-coded according to these guidelines: Green (â€Å"Best†): Green areas represented in-demand, up-and-coming neighborhoods where â€Å"professional men† lived. These neighborhoods were explicitly homogenous, lacking â€Å"a single foreigner or Negro.†Blue (â€Å"Still Desirable†): These neighborhoods had â€Å"reached their peak† but were thought to be stable due to their low risk of â€Å"infiltration† by non-white groups.Yellow (â€Å"Definitely Declining†): Most yellow areas bordered black neighborhoods. They were considered risky due to the â€Å"threat of infiltration of foreign-born, negro, or lower grade populations.†Red (â€Å"Hazardous†): Red areas were neighborhoods where â€Å"infiltration† had already occurred. These neighborhoods, almost all of them populated by Black residents, were described by the HOLC as having an â€Å"undesirable population† and were ineligible for FHA backing. These maps would help the government decide which properties were eligible for FHA backing. Green and blue neighborhoods, which usually had majority-white populations, were considered good investments. It was easy to get a loan in these areas. Yellow neighborhoods were considered â€Å"risky† and red areas (those with the highest percentage of Black residents) were ineligible for FHA backing. The End of Redlining The Fair Housing Act of 1968, which explicitly prohibited racial discrimination, put an end to legally-sanctioned redlining policies like those used by the FHA. However, like racially restrictive covenants, redlining policies were difficult to stamp out and have continued even in recent years. A 2008 paper, for example, found denial rates for loans to Black people in Mississippi to be disproportionate compared to any racial discrepancy in credit score history. In 2010, an investigation by the United States Justice Department found that the financial institution Wells Fargo had used similar policies to restrict loans to certain racial groups. The investigation began after a New York Times article exposed the company’s own racially-biased lending practices. The Times reported that loan officers had referred to their Black customers as â€Å"mud people† and to the subprime loans they pushed on them â€Å"ghetto loans.† Redlining policies are not limited to mortgage lending, however. Other industries also use race as a factor in their decision-making policies, usually in ways that ultimately hurt minorities. Some grocery stores, for example, have been shown to raise prices of certain products in stores located in primarily Black and Latino neighborhoods. Impact The impact of redlining goes beyond the individual families who were denied loans based on the racial composition of their neighborhoods. Many neighborhoods that were labeled â€Å"Yellow† or â€Å"Red† by the HOLC back in the 1930s are still underdeveloped and underserved compared to nearby â€Å"Green† and â€Å"Blue† neighborhoods with largely white populations. Blocks in these neighborhoods tend to be empty or lined with vacant buildings. They often lack basic services, like banking or healthcare, and have fewer job opportunities and transportation options. The government may have put an end to the redlining policies that it created in the 1930s, but as of 2018, it has yet to offer adequate resources to help neighborhoods recover from the damage that these policies inflicted. Sources Coates, Ta-Nehisi. â€Å"The Case for Reparations.†Ã‚  The Atlantic, Atlantic Media Company, 17 Aug. 2017, www.theatlantic.com/magazine/archive/2014/06/the-case-for-reparations/361631/.â€Å"1934: Federal Housing Administration Created.†Ã‚  Fair Housing Center of Greater Boston, www.bostonfairhousing.org/timeline/1934-FHA.htmlâ€Å"The Legacy of Redlining in Rust Belt Cities.†Ã‚  Belt Magazine, beltmag.com/the-legacy-of-redlining-in-rust-belt-cities/.Redlining (1937- ) | The Black Past: Remembered and Reclaimed, www.blackpast.org/aah/redlining-1937.â€Å"Understanding Fair Housing,† U.S. Commission on Civil Rights Clearinghouse Publication 42, February 1973. Electronically accessed,  law.umaryland.edu/marshall/usccr/documents/cr11042.pdfLab, Digital Scholarship. â€Å"Mapping Inequality.†Ã‚  Digital Scholarship Lab, dsl.richmond.edu/panorama/redlining/.

Evidence relating to family issue Essay Example | Topics and Well Written Essays - 1250 words

Evidence relating to family issue - Essay Example The understanding of major concerns impinging upon these families: interactions or relationships with healthcare providers and social support are improved when they are defined as family weaknesses, resources, and evaluation within the perspective of the family systems theory. Of these models, family evaluation emphasises the essence of observing the family from the point of view of the family itself (Bengston, Acock, Allen, Dilworth-Anderson, & Klein, 2004). This approach will be used in the assessment of the single-mother and her family as well as the potential stress she may experience due to the demands of motherhood, work life and care giving. This particular assessment will be used in identifying the best strategies for coping and managing time that she and her family can apply. Involvement in the treatment procedure could be difficult for healthcare providers and families for various causes. Nurses supporting adults with dementia showed dissatisfaction working with elderly caregivers and sensed that these caregivers were more doubtful than others they assisted (Smith, Coleman & Bradshaw, 2002). Furthermore, nurses observed parents were opposed to adjustments when it was, in the belief of the nurse, are for the benefit of the client (Hanson, 2001). The single-mother, being in her early forties and being the primary caregiver of her father, may have problems dealing with support service providers. Furthermore, being a single-parent to three children she may resist proposed family adjustment strategies from the nurse/s. She will more likely refuse to change her coping strategies and time management because these adjustments mean adjustments in the entire family systems and processes. In addition to that, her mother refuses to acquire healthcare support for her father for the reason that her mother believes that it is her responsibility to take care of her

Global operations management Essay Example | Topics and Well Written Essays - 2000 words

Global operations management - Essay Example To increase its influence and reach more customers in various parts of the world, Huawei has also entered into partnerships with numerous companies. Theories of Internalisation The term internationalisation is descriptive of the methods that are used by business organisations to adapt their numerous operations, in regards to company policies, resources and organisational structure, to suit foreign environments (Dunning 2006). Before embarking on the process of internationalisation, business organisations have to take into account factors such as the geographic distance of the overseas market being considered, the different company associated operations that the company will engage in the foreign branch, and the level to which the company would like to integrate corporate activities (Mitgwe 2006). There are different theories that seek to explain the ways through which internationalisation may occur. ... Dunning’s Theory in the Internationalisation of Huawei According to Dunning’s OLI model, foreign subsidiaries usually demonstrate higher productivity rates than their local counterparts due to the existence of ownership competitive advantages (Dunning 2006). Dunning’s eclectic (OLI) model stipulates that there are three critical elements that are evident in any firm that invests in a foreign branch or subsidiary. The three factors are location advantages, ownership advantages, and internalisation advantages (Dunning 2009). Ownership advantages have to do with the existing conditions that accompany of foreign direct investment (Contractor 2007). For example, to be successful in foreign investment, a firm has to have comparative advantages over other foreign corporations before it determines that a branch will be set up in a foreign nation. Location advantages have to do with the extent to which foreign business-related conditions are favourable to the company in q uestion (Sethi, Guisinger, Phelan, and Berg 2003). Internalisation factors, on the other hand, have to do with how well the multinational corporation can internalise ownership advantages in order to prevent the escalation of transaction costs which are naturally incurred in the course of international production. The Huawei Technological Corporation is a firm that was launched long after other telecommunications corporations had already been launched in the Western nations (Dunning 2009). Huawei therefore focused more on meeting particular objectives in order to realise its internationalisation. Huawei has traditionally used low cost as a technique to enter markets in both developing and developed nations. Huawei also invests in developed nations mainly to realise the adoption of new technologies.

Thought and Reflection Grading Criteria Essay Example for Free

Thought and Reflection Grading Criteria Essay The assignment will be graded according to the following criteria: 1) Clarity: The intent of the writer is clear. 2) Logic: The answer makes sense. 3) Answers question: The questions are addressed fully. 4) Mechanics: Answers contain proper punctuation and grammar. How do individuals acquire and develop language? How do you personally communicate your thoughts and how did you learn to do that? Individuals acquire and develop language through our brain function. Oral and auditory helps communicate verbal signals whether it be grunting and crying from a baby when their hungry. The auditory part of this allows us to speak and listen. We also develop language through physical and verbal using facial expressions, eye contact along with various other forms to communicate through language. I communicate my thoughts through speaking, facial gestures and listening. I learned this mostly from home environment, school, media, and peers. Based on your own experiences, what are some symbols (e.g., letters of the alphabet) people use to communicate? Based on my own experience I have learned that lol meaning â€Å"laughing out loud†. I learned this from my god-daughter just over the summer. OMG is short term for† Oh MY Gosh†. This is a term I learned on Facebook. I learned bff means â€Å"best friends forever† all the new reality shows use this to let the media know friendship status among Hollywood stars. The different terms and meanings really show me how media and communication has changed along with technology. Explain how you think these symbols are related to critical thinking? These symbols are related to critical thinking in a lot of ways because you have to think before using. Example: Timing- when using the symbols above you cannot use them anywhere any time. When being interviewed and the question asked is how did you find our company? The information came from your best  friend you cannot answers my bff. If responding to your previous professor in an email you would not use any of the mentioned abbreviations to answer further questions. When using these terms you have to consider when, how, tone of using.

Sin and Suffering Essay -- essays research papers

Sin and Suffering Is there a reason for sin and suffering? It is obvious the two are directly related in the Bible. In the Old Testament we see Saul/Paul feeling the wrath of God when he killed innocent people, as a king. Adam and Eve were expelled from the garden of Eden when they took fruit from a tree which God told them not to do. Today though, the relationship between sin and suffering is not so clear. We see poor, starving people in Africa. They suffer terribly, but there is no evidence that they haved sinned to the extent of being starved to death. Sin and suffering have been interpreted in different ways by different aspects of Christianity. Conservative Christians believe the Adam and Eve story to be literal history, and suffering is a direct consequence of their breaking of the covenant that Adam had with God. The Old Testament gives us an overall understanding of sin. Some beliefs include turning away from God and putting yourself before him. Not fufilling God's will or goals or rebellion or disobedience towards God. A classic view of sin is highlighted in Jeremiah (17.9) : 'Sin is that which sets up in place of God. It is an inner attitude of going against what is right, with it's basis in the heart.'; Is sin free will? Or is it something we are born with; something we have inherited from Adam? The Westminister Larger Catectism summarises the Biblical teaching of sin itself. It takes Paul's argument : 'The wages of sin is death'; in Romans.(6.23) Like this ve...

Electoral Systems Essay

Critically evaluate the argument that electoral systems can produce effective (decisive) government, or representative government, but not both. New Zealand’s current electoral system is MMP or Mixed Member Proportional; this is the system which will be used to evaluate the question. A comparison of MMP and FPP or the First Past the Post system will also be included, since it is being debated as to which is better for New Zealand. MMP is an appropriately representative government which also creates a rather effective government at the same time. On the other hand FPP causes a seemingly effective government but is far less representative. Some electoral systems can create effective and representative government while others may not. This will be shown by; firstly detailing how these systems of governance compare under effectiveness and representativeness, followed by an explanation as to why electoral systems can be both effective and representative and why they cannot. For a government to be classified effective it must sufficiently achieve its objectives as a governing body. It also must create a strong impression on the community (dictionary. om, 2011). MMP tends to have a less efficient form of law making than FPP. Under MMP the major parties must form coalition governments with the smaller parties to form a fifty per cent majority over the house. These coalitions may cause a time delay in passing legislation, as the major supporter of the bill tries to convince their support parties to agree with the legislation. MMP may take time to make decision but this doesn’t mean that the government is less decisive although; Many people argue that proportional forms of government lead to a less decisive and durable government. Their argument is based on the fact that the decisions must gain the support of coalition parties which cause a lower quantity of bills passing. However it is not the quantity of laws which cause an effective government it is the quality. MMP due to its more timely approach to law making allows time for scrutiny within a bill meaning any flaws which lie dormant in a bill may be fixed before the legislation is passed. A contrast to this is FPP with its single party majority which works very efficiently to pass laws rapidly. This is because there is no need for a compromise with its support parties since none are required. The effect of this rapid law making ability gives the community a view of effectiveness however the validity of the laws has been compromised. The laws passed may be riddled with flaws which really show the government is un-effective as the laws have no real impression on the community. Effective government is based around three criteria government durability, decisional efficacy and responsiveness (Boston, Church & Bale, 2003). From these three different terms of effective government we can see how different opinions on the idea of effective government can differ. For a government to be classified representative it must consist of many individuals who represent a variety of different constituencies (dictionary. com, 2011). Also there must be some form of diversity among the constituencies such as race or gender differentiation. (Royal Commission, 1986) MMP is a highly representative form of governance as it uses a two votes system; this allows minor party representatives to gain a seat in the house if they gain a majority vote among their constituents. The fact an MP has to win their constituency causes a close link to the electorate as they will more likely than not represent the major view of the region. This single MP vote allows the house to represent the community from a broader aspect while still having the majority party in power with the 2nd vote, the party vote. This causes a greater diversity among the house. When MMP was adopted â€Å"Maori representation increased from 5-7% to 16%† and â€Å"the number of women of women doubled to 34%† (Haddon, 2011). This increasing diversity has continued as the royal commission predicted. New Zealand’s house of parliament has become more representative and diverse as shown by the 39 women, 21 Maori, 4 Pacific Islanders, and 2 Asian MPs out of the 121 in the house (Elections Commission, 2006). Also under MMP campaign promises of minor parties tend to not get placed on the new government agenda. The minor parties must rely on negotiation with party leaders in order to get their main policies on the agenda or must wait for the bill to be drawn from the ballot box in parliament, which may never come. This causes a slight decrease in the diversification of the legislation passed. This lack of diversification can decrease the representativeness of the majority. However this does not decrease the overall representativeness of the government. The diversity of MMP is contrasted by FPPs system where there are only electorate votes so people tend to vote solely for the major parties that are likely to get into parliament. The winning party in a FPP election will get a proportionally larger share of the seats that its share of the votes this has the opposite effect for minority parties whom gain a lesser proportion of the seats that their votes. This lack of proportionality is a major flaw in representation as there is very little diversity among the house. Electoral systems can be both effective and representative, â€Å"The best voting system for any country will not be one which meets any of the criteria completely but will be one which provides the most satisfactory overall balance between them† (Royal Commission, 1986). Although systems cannot be highly representative and highly effective they still can be both. MMP shows this, it may not be highly efficient at creating effective legislation but it creates quality legislation which is effective governing. Also MMP shows its representativeness by having a largely diverse house of representatives but due to the need for coalitions loses some of the broader views of the minor parties. â€Å"A proliferation of minor parties actually increases stability and effectiveness† (â€Å"NRT on MMP threshold,† 2011). This shows how a representative government actually helps to form an effective government. The increase in the number of coalition majorities available will help to reduce the ability for any party to have strong bargaining power over another. This was shown in our most recent parliamentary election by ACT and the Maori party not having a large bargaining power with National as they both had possible coalitions with National. They were acting as a check on the other so neither gained an arbitrary power over Nationals decision. This allowed for national to make what they saw as the best decision. This shows that MMP is representative as well as being effective even if it is not top in each discipline. Many critics of MMP have agreed that MMP does lead to a government reflecting the views of New Zealander’s and supporters of MMP conceded to agreeing that it leads to a more unstable government which can infer that it may be not highly effective (Palmer & Palmer, 2004). While FPP contrasts MMP it shows the opposite idea. It shows that there is a tension between effective and representative government. This tension causes a highly representative government to have a very low effectiveness and vice versa. The tension has large effect on how the government operates and this can put a strain on which system will be best. FPP shows how a system cannot be both effective and representative whereas MMP seems to have the balance between being both an effective form of governance while still being rather highly representative. My research has shown that MMP is both an effective form of government and a representative form of government. However it is neither the most representative nor the most effective. The research has identified that an electoral system can be both as I have explained above. This is not to say all electoral systems are. There are always going to be strengths and weaknesses to an electoral system and a compromise between effective and representative will always be required, FPP for example is much more effective than it is representative. The tension between these two disciplines will always have an effect on how the system operates and which system is best suited to the situation. FPP is clearly a system which cannot be both while MMP is the perfect example of a system of governance which is both representative and effective.

Teaching of an aspect of mathematics and english education essay

Appraisal for larning ( AfL ) has become slightly of a cant and has been an involvement in instruction for over 20 old ages. Harmonizing to Braodfoot and Black ( 1994 ) appraisal sits at the nucleus of acquisition and serves as a communicative device between the universe of instruction and that of wider society. Since the Education Reform Act ( 1988 ) and coinciding debut of the National Curriculum ( NC ) , the Government has put important accent on appraisal. The NC in England and Wales was created to standardize acquisition, so that the quality of end product in schools could be measured ( Murray, 2003 ) . Therefore the impression of appraisal in order to mensurate criterions was cardinal to its development. In this essay I will critically analyze the beginnings and intent of AfL and so travel on to research how I, as a trainee instructor, implement AfL into my ain instruction. There are a figure of AfL devices that can be used within the schoolroom, from larning aims, ego and peer appraisal, formative usage of summational trials and feedback. Given the restraints with word count I will measure one specific country of AfL that I used during a sequence of three literacy lessons based around Instructions ; oppugning. Subsequent to the debut of the NC, the Task Group for Assessment and Testing ( TGAT ) was developed in order to construct on the NC, planing a system of national testing and instructor appraisal ( DES/WO,1988 ) . The undertaking group study distinguished between summational and formative appraisal: â€Å" Formative, so that the positive accomplishments of a student may be recognised and discussed and the appropriate following stairss may be planned. Summative, for the recording of the overall accomplishment of a student in a systematic manner † ( DES/WO 1988: parity. 23 ) The TGAT argued that formative appraisal was rule in raising criterions ( DES/WO, 1988 ) . However, as Black ( 2000 ) notes, their statement was considered ‘weak ‘ and was mostly ignored in pattern. The usage of summational appraisal prevailed due to the demand for schools to show high criterions of instruction ( Black, 2000 ) . Wiliam ( 2001 ) adds that as a consequence, appraisal became divorced from larning and the immense part that appraisal could do to acquisition was mostly lost. Under the new Labour Government the NC was revised and the Qualifications and Curriculum Authority ( QCA ) determined that students would be assessed and a study would be written at the terminal of each Key Stage. Although there is still a demand for summational appraisal, the comprehensiveness of survey offered by the NC suggests that formative appraisal has an increasing function in back uping acquisition ( NC 2008 ) . More late formative appraisal has been labelled as ‘Assessment f or Learning ‘ ( AfL ) . It was non until Black and Wiliam ( 1998 ) published conclusive grounds that AfL significantly improved students larning that there was a considerable push for execution in schools and hence became an indispensable constituent of schoolroom work ( Black and Wiliam, 1998 ) . As Black et al province few enterprises in instruction have had such a strong organic structure of grounds to back up a claim to raise criterions ( 2004: 9 ) . In its simplest signifier, AfL is described as: â€Å" The procedure of seeking and construing grounds for usage by scholars and their instructors to make up one's mind where the scholars are in their acquisition, where they need to travel and how best to acquire at that place † . ( Assessment Reform Group, 2002 ) The Qualifications and Curriculum Authority ( QCA ) enhance this thought of construing grounds by presenting the impression that AfL enables students to be responsible for their ain acquisition. They add that students will better most if they understand the purpose of their acquisition, where they are in relation to this purpose and how they can accomplish the purpose ( or shut the spread in their cognition ) ( QCA, 2008 ) . Therefore one could reason that AfL encourages independent larning which increases self efficiency beliefs and the capableness to execute ( Pintrich and De Groot, 1990 ) . This relationship is supported by Deci and Ryan ‘s ( 1985 ) Self-government Theory ( SDT ) which purports that if a individual ‘s demand for liberty is satisfied so the motive to better will be intrinsic instead than extrinsic ( Vansteenkiste et al, 2006 ; Deci and Ryan, 2002 ) . Furthermore this correlates with the societal constructivist theory of acquisition and the humanistic do ctrine of larning. Inspired by such theoreticians as Abraham Maslow ( 1954 ) and Carl Rogers ( 1951 ) AfL encourages pupils to hold the ‘freedom to larn ‘ , understand and be cognizant of one ‘s strengths and failings with an built-in belief to win. Maslow ( 1954 ) and Rogers ( 1951 ) argue that intrinsic motive is a more healthy signifier. Reinboth and Duada ( 2004 ) agree, saying that intrinsic motive and desire is associated with increased ego regard, enjoyment, continuity ( Deci and Ryan, 1985 ) and more effectual acquisition ( Gottfried, 1990 ) . The supposed benefits of AfL run throughout instruction, with deductions that kids from a primary age benefit from holding self awareness around their ain acquisition through to those in higher instruction, at College and University. Indeed the Dearing Report ( 1997 ) provinces: â€Å" The universe of work is in continual alteration: persons will progressively necessitate to develop new capablenesss and to pull off their ain development and acquisition throughout life † . ( Dearing, 1997: 12 ) However as Swaffield ( 2008 ) notes assessment is multifaceted and complicated, it comes in a assortment of pretenses, takes many signifiers and fulfils many intents ( 2008: 11 ) . It would look that through the procedure of AfL there is an outlook that scholar ‘s become more confident, independent and independent ( Taras, 2002 ) and therefore the duty for the pupils ‘ acquisition is shared ( Black et al, 2004 ) . Whilst it may look an wholly positive intercession and one that lends itself to a ego reflective, dynamic and empowered larning experience I do question how genuinely realistic AfL is in the schoolroom? Indeed AfL may be desirable, but as Webb and Jones ( 2009 ) inquiry how easy is it for instructors to accomplish? Successful execution of AfL certainly depends on the acquisition attack and instructors ‘ cognition, accomplishments and schemes that they use to transport out complex pedagogical procedures ( 2009: 167 ) . Furthermore is our instruction system is set up for an environment to the full centred on the demands of the person? As Taras ( 2002 ) provinces, do our current patterns maintain gait with our ideals of pupil centred acquisition? ( 2002: 508 ) . Taras raises a valid statement. Is it possible to to the full encompass AfL when our instruction system is designed to fix kids for summational testing at the terminal of each stage of schooling? Given that our instruction system is based upon summational trial scores one could reason that there are assorted messages ; empower scholars so that they understand the roots of their acquisition and take duty for this acquisition yet guarantee that all scholars pass trials on a national degree. On the one manus by promoting AfL it would look that we are accepting and so encompassing the fact that all scholars are different ; larn in different ways and at different velocities. Yet on the other manus, we continue to prove all scholars on a mainstream, national degree and systematically generate degrees and numerical marks for every student. Black and William ( 1998 ) promote the formative usage of summational testing, so instead than seeing proving as a agency of mensurating, ‘it can be used to supply an indicant of students ‘ strengths and development demands, particularly at of import phases of their academic calling ‘ ( Smith, 2010: 4 ) . However one might hold with Taras ( 2002 ) ; our current patterns within instruction certainly do non suit with the ideals upon which AfL are based. Hargreaves ( 2008 ) concurs ; saying that the Government has put in topographic point a ‘debased version of the Black and Wiliam theoretical account of AfL ‘ due to our constricting theoretical account of instruction ( 2008: 1 ) . Although the execution of AfL may be criticised the intent and possible acquisition results are widely accepted. Feedback is important to successful acquisition ( Swaffield, 2008 ; Black and Wiliam, 1998 ) and is arguably one of the most effectual signifiers of educational intercession ( Hattie, 2007 ; Wiliam, 2007 ) . Oral feedback, through inquiring, is less developed than written feedback but can be a powerful manner of giving instant formative feedback to pupils. Furthermore oppugning can work both ways and besides provide instant feedback from the pupil to the instructor. Effective inquiring goes beyond inquiring simple ‘open ‘ inquiries ( as opposed to closed ‘yes ‘ or ‘no ‘ inquiries ) and can be a hard tool to seamlessly implement into the schoolroom. However despite any troubles the DfES ( 2007 ) province a overplus of grounds as to why oppugning offers the chance for a extremely effectual schoolroom where AfL is obviously active. The most outstanding ground cited is that of oppugning holding the ability to enable students to gain what they know and, more significantly, what they partially know and guide them to farther develop their apprehension ( 2007: 2 ) . Black et Al ( 2004 ) agree, adding that oppugning can go portion of the synergistic atmospher of the schoolroom and can supply an priceless chance to widen pupils ‘ thought through immediate feedback on their work ( 2004:12 ) . Crowe and Stanford ( 2010 ) further add that the effectual usage of oppugning creates a ‘dynamic and synergistic duologue ‘ and so utilizing higher degree oppugning and believing ‘predicates the use of information and thoughts which, in bend, provide an chance to develop new thoughts and apprehensions ‘ ( 2010: 36 ) . Mentioning to the lesson sequence overview at appendix 1 ( page 2 ) it is apparent that I intended to utilize oppugning as an imperative appraisal tool as I felt that it would give me an instan t overview and apprehension of the kids ‘s acquisition and how they may be able to come on farther. In add-on I decided to do usage of the single whiteboards ( see appendix 2a and 2b ) when utilizing oppugning as this would let me to measure the category as a whole, instead than merely an single kid that answers a directed inquiry. The usage of oppugning is perceived to hold many advantages. As the Northern Eastern Education and Library Board ( NEELB ) ( 2008 ) and Trinkle ( 2009 ) note set uping the correct schoolroom clime is important to effectual inquiring. Black et Al ( 2004 ) concur ; adding that in order for oppugning to be an effectual AfL device the instructor needs to accommodate a ‘risk taking civilization ‘ and a ‘community of question ‘ ( 2004: 11 ) . Through my ain pattern I strived to make this inclusive community, guaranting that I included all kids and made them experience valued and comfy to portion their ain ideas and thoughts. I was happy for kids to give a ‘wrong ‘ reply and by researching why the reply may non be right, as opposed to merely stating ‘no ‘ , I felt that this contributed to a supportive and encouraging schoolroom environment. Rae and Nelson ( 2010 ) agree, emphasizing the importance of making a collaborative acquisition environm ent otherwise the fright of acquiring a inquiry incorrect and looking like a failure in forepart of their equals will deter scholars from seting their manus up or replying a inquiry if selected. As shown on my programs in appendix 2a, 2b and 2c I pre-empted inquiries that I felt would be relevant to the kids and would foreground whether or non the kids had listened, understood and interpreted the information given about instructions. I thought approximately unfastened inquiries yet was really cognizant of the age of my category and was hence witting non to inquire inquiries that may confound them. Looking at the inquiries I had planned at appendix 2a, Rogers and Abell ( 2008 ) would knock me for non incorporating multi degree oppugning. On the most basic degree inquiries such as ‘what are instructions? ‘ , ‘how are they used? ‘ and ‘what happens if the instructions are non in the right order ‘ are all unfastened inquiries and do so necessitate the scholar to believe about an reply which goes beyond merely ‘yes or ‘no ‘ . However they are all comprehension inquiries. Whilst comprehensive inquiries demonstrate that the kids show apprehension of information callback and can set this information in their ain words ( Crowe and Stanford, 2010 ) on a more holistic degree I have non utilised the different types and degrees of inquiries ( cognition, comprehension. application, analysis, rating, and synthesis ) to back up my systematic development of oppugning schemes ( Hill and Flynn, 2008 ) . As Anderson and Krathwohl ( 2000 ) province I have fallen in to a common trap ; teacher ‘s frequently do non gain the types or qualities of inquiries that they use. To better upon this in the hereafter, Costa ( 2000 ) suggests that developing a broad scope of oppugning schemes that include a diverseness of inquiry types will heighten the acquisition environment and let for distinction within the learning procedure. There are a figure of ways in which this may be achieved. Clarke ( 2005 ) proposes utilizing Edward De Bono ‘s Six Thinking Hats, with each chapeau being linked to a different thought scheme and therefore a different manner of oppugning. For illustration White Hat believing involves informations and information presented neutrally, so inquiries would include ‘what information is losing? ‘ Black Hat believing involves being defensive and cautious, so inquiries would include ‘why would this non work? ‘ I could besides hold thought about Blooms Taxonomy ( 1956 ) to develop a broader scope of oppugning types. The foundation work of Bloom ‘s taxonomy divides educational aims into three separate spheres, cognitive, affectional and psycho-motor and hence encourages a focal point towards a more holistic position of instruction. Using Bloom as a stimulation would promote one to believe about the different spheres and how to integrate these into the types of oppugning used. As Black et Al ( 2004 ) recognise, utilizing a assortment of inquiry types allows scholars to go more active participants and come to gain that acquisition may depend less on their capacity to descry the right reply and more on their preparedness to show and discourse their ain apprehension ( 2004: 13 ) . Upon farther contemplation of my ain usage of oppugning I noticed that I tended to inquire a inquiry and so merely wait for a few seconds before either inquiring another kid or, on occasion, replying the inquiry myself if that kid had non responded. Rowe and Hill ( 1996 ) note that this is a common happening in the usage of inquiring, and in fact their survey on oppugning concluded that on norm instructor ‘s waited less than a 2nd before they intervened. Black et Al ( 2004 ) argue that the effect of such short ‘wait clip ‘ is that the lone inquiries that ‘work ‘ are those that can be answered rapidly, without idea ; that is, inquiries naming for memorised facts. As a consequence the duologue is at a superficial degree ( 2004: 11 ) . Harmonizing to the NEELB ( 2008 ) there are a figure of schemes that I could set in topographic point which would supply scholars with critical thought clip and therefore they would be better placed to react. Immediately, one scheme would be to increase the wait clip ( Black et al, 2003 ; Taras, 2009 ; Crowe and Stanford, 2010 ) . Swaffield ( 2008 ) explains that this would let scholars the critical clip they need to reply the inquiry, would ensue in fewer ‘I do n't cognize ‘ , would bring forth more thoughtful and originative replies and would profit all scholars, no affair their ability. Black et Al ( 2004 ) note that many instructors find it difficult to make this, for it requires them to interrupt their established wonts. However once they change, the outlooks of their pupils are challenged ( 2004: 11 ) . Other schemes, supported by Trincani and Crozier ( 2007 ) and the NEELB ( 2008 ) , include affecting the whole category instead than merely one person, walking around the room whilst inquiring inquiries ( this takes the force per unit area off an person ) , utilizing a ‘no hands up ‘ attack ( this would promote all scholars to remain engaged for longer ) and eventually utili zing the ‘think, brace, portion ‘ scheme to affect the whole category and give those scholars who are somewhat shyer the chance to take part. As Taras ( 2009 ) states incorporating these schemes create a displacement in the inquiring model. Learning moves from a behavioristic theory where factual callback was prioritised, to a societal constructivist position taken from cognitive psychological science, where a complex model of factors within a given context permits scholars to research their ain apprehension ( 2009: 64 ) . Atkins et Al ( 1993 ) agree, observing that this would besides look to match to ‘deep ‘ larning as opposed to ‘surface ‘ acquisition ( 1993: 50 ) . To reason AfL plays a polar function in the schoolroom, and so literature emphasises the importance of AfL as a procedure to increase students ‘ duty for their ain acquisition ( DfES 2007 ) . This essay has critically explored the intent of AfL, foregrounding the disagreements between the Government push for AfL to be used throughout instruction yet within a system which still relies to a great extent on summational testing. I have analysed my ain usage of one component of AfL ; oppugning, and can reason that it is a powerful device that has several benefits for the instructor. Questioning has the ability to arouse kids ‘s ‘ understanding, make an environment that encourages hazard pickings, contributes to classroom interaction and promotes larning and enthusiasm. However in order to to the full accomplish these benefits one must carefully see and reflect upon the nature of inquiries used and actively program to implement the usage of multi flat inquiries as portion of their lesson planning ( Anderson & A ; Krathwohl, 2000 ; Hill & A ; Flynn, 2008 ) . As I progress as a instructor I will now take more clip to see the usage of oppugning so that I guarantee that I am maximizing its full potency.

DREDD SCOTT essays

DREDD SCOTT essays America in 1857 was a nation on the brink. Relationship between the North and South had been strained for decades and was only getting worse. All tension had to do with the issues of slavery. In 1848 the U.S. had acquired new lands in the Mexican cession, and the debate was on. The question was whether or not the South should be allowed to spread slavery into the new states. This debate turned violent many times. The South threatened to secede from the Union if a candidate from the Republican party, who was antislavery, won. Amidst all of the tension would emerge a slave named Dredd Scott. Dredd Scott was a slave to Dr. John Emerson in St.Louis, Missouri a slave state. Scott spent most of his time in Illinois, a free state, because his owner Dr. Emerson was an Army doctor and he stayed in Fort Armstrong in Illinois. Living in a free state had constituted freedom for previous slaves so Scott felt that he too deserved his freedom and he brought his first case to court on April 6, 1846, at this time he had moved back to Missouri and was the property of Dr. Emersons wife. Scott filed a declaration on April 6, 1846,which stated that Mrs. Emerson had beat, bruised and ill treated him before imprisoning him for twelve hours. He declared that he was to be free on the basis that he had lived of Fort Armstrong and Fort Snelling which were both located in free states. Scott felt that he had a strong case as the Supreme Court of Missouri had freed slaves previous to him who had also traveled with their masters to free states. Scott lost the first case and brought the case up again in 1850 to the Supreme Court of Missouri, the same court which had freed slaves previous on the same terms. The difference now was that two of the three justices serving on the court were pro-slavery whereas in cases prior to Scott vs. Emerson the Justices had a more apathetic view of slavery and saw it as a...

Definition of Appendix in a Book or Written Work

Definition of Appendix in a Book or Written Work An appendix is a collection of supplementary materials, usually appearing at the end of a report, academic paper,  proposal  (such as a bid or a grant), or book. The word appendix comes from the Latin appendere, meaning hang upon. An appendix typically includes data and supporting documents used by a writer to develop the written work. Though such information should be of potential use to the reader (not  treated as an opportunity for padding), it would disrupt the flow of the argument if  it were included in the main body of the text. Examples of Supporting Materials Not every report, proposal, or  book needs an  appendix. However, including one allows you to point to  additional information that is relevant  but would be out of place in the main body of the text. It can  give the reader more depth to the topic, supply resources for further reading or contact lists, or provide documentation to make your case for your grant or bid proposal. Appendix information may include tables, figures, charts, letters, memos,  detailed technical specs, maps, drawings, diagrams, photos, or other materials. In the case of research papers, supporting materials may include surveys, questionnaires, or schematics and the like that were  used to produce the results included in the paper. Because of its supplementary nature, it is important that material in an appendix not be left to speak for itself, according to Eamon Fulcher in A Guide to Coursework in Psychology. This means that you must not put vital information only in an appendix without any indication in the main text that it is there, Fulcher says. An appendix is an ideal place to include information and other data that are simply too long or detailed to incorporate into the main body text. If these materials were used in the works development, readers may want to reference them to double-check or locate additional information. Including the materials in an appendix is often the most organized way to make them available. Should You Include an Appendix? Whether you include an appendix depends on your topic and what will benefit the reader. If you answer yes to one or more of these questions, create an appendix. Will supplemental materials aid the readers understanding of your topic? Will they provide resources for further reading or exploration? Will they supply additional depth to the data presented in your report, article, book, or proposal? Will the materials provide additional backup for your thesis or message? Do you have items  that would be unwieldy to present in a footnote? The appendix material should be streamlined, relevant to your topic or thesis, and useful to the reader- but its not a place to put all of your research materials. The citations in the references, bibliography, works cited, or endnotes will take care of citing your sources. An appendix is a place for items that help the readers understanding of your work and research and the topic at hand.  If the material is not important enough to refer to in your text, then dont include it in an appendix. Appendix vs. Addendum An addendum is new  material added to a book or other written work after its first edition has been produced. It may be updated research or additional sources that came to light or further explanation about the book from the author, for example. In a contract, an addendum can change the terms of the contract, such as canceling sections or updating terms or pricing in sections without the whole contract becoming null and void and needing everyone to sign it anew. The parties to the contract just need to sign the addendum with the noted changes. Formatting an Appendix The way in which you format your appendix depends on the style guide you have chosen to follow for your work. In general, each item referred to in your text (table, figure, chart, or other information) should be included as its own appendix- though if there are many data sets under one grouping, keep them together in their appendix and label each piece appropriately. If you have more than one appendix, label the appendices Appendix A, Appendix B, etc. so that you can easily cite them in the body of the  report, and start each on a separate page. Put them in the order that you refer to them in the paper, for ease of use for the reader, and dont forget to note them in the table of contents, if your work has one. Research papers, including academic and medical studies, usually follow APA style guidelines for the formatting of appendices. They can also follow the Chicago Manual of Style. For each of these styles, format the appendix as follows: APA: Center the title, and use upper and lowercase letters. The text of the appendix should be flush left, and you should indent your paragraphs. Chicago: The Chicago style manual also allows for numbered appendices (1, 2, 3, not just A, B, C). As far as location, they appear before any endnotes sections so that any information in the appendices that needs a note can refer to the notes section. If there are many tables in the appendices, though, it might be best to keep the notes with the tables.

Digital and Visual Literacy Article Example | Topics and Well Written Essays - 1750 words

Digital and Visual Literacy - Article Example The secondary purpose is to indicate the lack of usage of the same to support the teaching part in the education system with digital literacy. The question that the authors are addressing is that what is it that defines literacy correctly in today's scenario, in a world where children are highly technology savvy. The question also addressed by the authors very precisely and lucidly is that what is the tool or manner which helps us have an ability to recognize whatever we witness, and infer correctly from what we experience. Yes the answer is digital as well as visual literacy. Unlike earlier times when overhead projector, handmade slides and chalk boards were used, these days, new media literacy technical skills are used in education like real time audio video interface, use of internet links for direct access, power point presentations, streaming videos etc. The authors have assumed their description of usage of digital tools in educational information to promote visual and digital literacy. This can be very well questioned as today educational institutions have are far more advanced than the view presented in the article. The reasoning of the authors supports the digital as well as visual literacy and its usage in today's competitive world and the reasoning is well supported by proofs which make a stronger case for better implications. 7. b. If we fail to take this line of reasoning seriously, the implications are: 30 If the authors' reasoning is not taken seriously, people would still

Accounting and Finance Assignment Essay Example | Topics and Well Written Essays - 2500 words

Accounting and Finance Assignment - Essay Example For instance; in â€Å"the general theory of finances† there are two definitions of finance and accounts: 1. Finances of the socialistic state represent economical (cash) relations, with the help of which, in the way of planned distribution of the incomes and savings the funds of money sources of the state and socialistic manufactures are formed for guaranteeing the growth of the production, rising the material and cultural level of the people and for satisfying other general society requests†. 2. â€Å"Finances characterise the formation of centralized ad decentralized money sources, economical relations relatively with the distribution and usage, which serve for fulfilment of the state functions and obligations and also provision of the conditions of the widened further production†. This definition is brought without showing the environment of its action. We share partly such explanation of finances and think expedient to make some specification. The system of creation and usage of necessary funds of cash resources for guarantying socialistic widened further production represent exactly the finances of the socialistic society. And the totality of economical relations arisen between state, manufactures and organisations, branches, regions and separate citizen according to the movement of cash funds make financial relations†. Just to more simplify the term â€Å"Accounts†, Accounts are simply established to provide a record of individual business transactions as they apply to a certain area or item. Your personal checking account is established in order to provide a record of individual personal financial transactions you create when you write a check. All of the accounts are listed in a general ledger. Today, the actual ledger book has long since been replaced by accounting software that creates a general ledger on the computer. The concept however has not been altered. The general ledger is the central location for maintaining all your accounts.

The Importance of Parking Lots, and Why Parking is Already So Much Essay

The Importance of Parking Lots, and Why Parking is Already So Much More - Essay Example They take up a significant amount of space and a prevalent wherever a person travels, at least in developed countries. However, in his argument, Ben-Joseph does not take into account the necessity of parking spaces, or the cost of the changes that he argues for. Before a suggestion like his is implemented, our society needs to become less dependent on cars and learn to use the parking spaces that we do have more efficiently. It is true that there are more parking spaces than cars, and Ben-Joseph’s figure of three times as many is probably very accurate. However, does this actually suggest that there are too many? The difficulty that is associated with finding parking at a popular venue suggests otherwise. For example, a parking space study in Bristol, Virginia found that the city needed more parking spaces in its downtown area. Furthermore, the study recommended that a parking building be created that had up to 240 spaces (McGee 2012). The stress and difficulty in finding a pa rking space in some cities is so bad that smartphone applications have been developed to help motorists find a space effectively (Gonzales 2011). These two examples suggest that the current number of parking spaces that are available is not enough in some places, rather than there being an excessive amount, as Ben-Joseph suggests. Another aspect of parking that Ben-Joseph does not take into account is the difference between parking spaces and parking lots. He suggests that there are approximately 800 million parking spaces in the United States, and extrapolates this to mean that parking spaces cover 4,360 square miles. This is not completely true. One only has to look at city streets to see that a large number of parking spaces are not part of parking lots, but are on the side of the road. Often, these are the most important parking spaces to people trying to get somewhere specific. While these spaces do take up the same amount of physical area as a parking space within a lot, remov ing these would not result in more available space. The impression that Ben-Joseph gives of parking lots sprawling across the country, blotting the landscape and taking up substantial amounts of space may be true. However, the level at which this occurs is not as dire as he suggests. As a potential solution to the ‘problem’ of parking lots, Ben-Joseph argues that parking lots themselves need to be transformed. He considers that there needs to be a greater focus on appearance, public uses and the environment. However, there are two problems with this proposed solution. The first is the associated cost. The way that parking lots are created is largely due to the relatively low cost. In terms of both time and money, it is much cheaper to create a flat, paved lot with the required lines, markers and other components, than it would be to create one that is more aesthetically pleasing. Even the simplest approach of landscaping the area would cost. The second problem is that r evamping car lots in this way would also decrease the number of parking spaces that they provide. This is a significant problem, as parking spaces are an important component of our society, and many people rely on them in order to store their car while they work. An alternative solution to the perspective that Ben-Joseph proposes a two-pronged approach, where the use of parking spaces is optimized and transportation via cars is decreased. The smartphone application for determining

Case Report: Topiramate Induced Myopia

Case Report: Topiramate Induced Myopia G.Srinivasagopalan Gopalsamy, Murali Mohan Mohan, Sudhakar Sankar Tamilnadu, India Abstract Topiramate (sulfamate-substituted monosaccharide) is a broad spectrum newer anti-convulsant. It is also used in prophylaxis of migraine, cluster headache, bipolar affective disorder, post traumatic stress disorder, post herpetic neuralgia , relapse prevention in alcohol dependence syndrome, add on treatment for antipsychotic induced weight gain. Acute Myopia and angle closure glaucoma are some of the rare side effects of topiramate. This case highlights the development of myopia in a middle aged patient with alcohol dependence syndrome while he was on topiramate therapy. Keywords: Topiramate, alcohol dependence syndrome, angle closure glaucoma, myopia. INTRODUCTION Topiramate is a sulfamate substituted monosaccharide, a broad spectrum anticonvulsant acting on voltage dependent sodium channels, enhancement of gamma amino butyric acid (GABA), decrease in glutamate and inhibition of carbonic anhydrase. We (the psychiatrists) use topiramate to treat migraine, cluster headache, bipolar affective disorder, post traumatic stress disorder, post herpetic neuralgia , relapse prevention in alcohol dependence syndrome, add on treatment for antipsychotic induced weight gain1. Some of the rare side effects of topiramate are acute myopia and angle closure glaucoma. We report a case of topiramate induced transient myopia in a patient who had been started on topiramate for relapse prevention in alcohol dependence syndrome. CASE REPORT A 35 year old married male, lower middle socio economic status from rural background, working in a private company presented to the outpatient services of our department of psychiatry with 10 years history of alcohol use amounting to dependence and two weeks history of blurred vision and headache. Patient was diagnosed as a case of alcohol dependence syndrome – uncomplicated withdrawal state (F10.30) as per International Classification of Diseases (ICD) ‑10 criteria. He was admitted for detoxification and on eliciting history; it was found that he had been commenced on oral topiramate 50 mg/day 3 weeks previously by a private psychiatrist for his alcohol use. The patient had no history of hypertension, diabetes or glaucoma, he had never worn glasses and there was no history of injury to eyes or head and no history of withdrawal seizures. He was referred to department of ophthalmology for blurred vision. Ophthalmic opinion on the day of admission suggested refractive err ors bilaterally with left eye myopia of -2.5 diopters and right eye myopia of -3.5 diopters with shallow anterior chamber and normal pupils and lens on slit lamp examination and normal intra ocular pressure on tonometry. After this ophthalmologic report, topiramate was stopped immediately by us thinking that it could have induced myopia. Other routine investigations were normal and detoxification with oral lorazepam and thiamine supplementation continued along with motivation enhancement sessions by psychologist. Patient reported gradual clinical improvement in his vision. Repeat ophthalmologic consultation on the 7th day of admission showed significant improvement in visual acuity and refraction with left eye myopia of 0.75 diopters and right eye myopia of 0.75 diopters .Because of our early intervention, angle closure glaucoma was averted in our case. DISCUSSION The most frequently reported side effects for Topiramote are dizziness, mental slowing, somnolence, ataxia, impaired concentration and confusion2. Most of these are transient and observed during the initial weeks of therapy and can be reduced by slow titration of the dose. Anorexia and mild weight loss has been observed during the therapy. Metabolic acidosis, and nephrolithiasis are the other reported side effects. WHO Causality Assessment3 suggests abnormal vision, acute secondary angle closure glaucoma, acute myopia and suprachoroidal effusions are complications of Topiramate therapy. This case highlights and aims to raise awareness that topiramate can cause acute myopia and angle closure glaucoma. Both are reversible with immediate discontinuation of the drug4. Various authors have also reported these serious complications due to topiramate[4][5][6]. The mechanism for topiramate induced angle closure glaucoma is by ciliochoroidal effusion with forward displacement of the lens â₠¬â€œ iris diaphragm and anterior chamber shallowing, resulting in acute myopia and angle closure glaucoma4]. Topiramate’s weak carbonic anhydrase inhibitor activity and prostaglandin mediated effects have also been postulated as possible mechanisms7. Acute myopia up to -9.0 diopters can occur in a matter of hours after starting topiramate, but might take weeks to fully resolve. Whenever a case of myopia with angle closure glaucoma and a shallow anterior chamber is encountered, ciliochoroidal effusion syndrome induced by drugs should be considered in the differential diagnosis. Drug induced myopia has also been associated with promethazine, spironolactone, tetracycline, corticosteroids etc.5. Pupils should not be dilated to prevent further angle closure and possible rise in pressure. Paediatric and developmentally delayed patients who have been started on topiramate should be closely monitored during the first 2 weeks of treatment. It is important for the clinician to educate the patients about this serious adverse effect while prescribing topiramate and advise them to report immediately in the event of visual disturbance. REFERENCES 1V. Shivakumar, N. Jayaram, N. P. Rao, and G. Venkatasubramanian, Successful Use of Add on Topiramate for Antipsychotic Induced Weight Gain, Indian J Psychol Med, 34 (2012), 85-6. 2Y. Mikaeloff, A. de Saint-Martin, J. Mancini, S. Peudenier, J. M. Pedespan, L. Vallee, J. Motte, M. Bourgeois, A. Arzimanoglou, O. Dulac, and C. Chiron, Topiramate: Efficacy and Tolerability in Children According to Epilepsy Syndromes, Epilepsy Res, 53 (2003), 225-32. 3S. A. Zaki, Adverse Drug Reaction and Causality Assessment Scales, Lung India, 28 (2011), 152-3. 4J. E. Craig, T. J. Ong, D. L. Louis, and J. M. Wells, Mechanism of Topiramate-Induced Acute-Onset Myopia and Angle Closure Glaucoma, Am J Ophthalmol, 137 (2004), 193-5. 5T. C. Chen, C. W. Chao, and J. A. Sorkin, Topiramate Induced Myopic Shift and Angle Closure Glaucoma, Br J Ophthalmol, 87 (2003), 648-9. 6H. A. Sen, H. S. OHalloran, and W. B. Lee, Case Reports and Small Case Series: Topiramate-Induced Acute Myopia and Retinal Striae, Arch Ophthalmol, 119 (2001), 775-7. 7C. M. Desai, S. J. Ramchandani, S. G. Bhopale, and S. S. Ramchandani, Acute Myopia and Angle Closure Caused by Topiramate, a Drug Used for Prophylaxis of Migraine, Indian J Ophthalmol, 54 (2006), 195-7.

The Psychology of The Gambler Essay -- Fyodor Dostoyevsky The Gambler

The Psychology of The Gambler    In Fyodor Dostoyevsky's The Gambler, we are presented with a novel whose protagonist is what we would call today a problem gambler.   The gambling mania of the story's hero, Alexei Ivanovitch, is a mirror of Dostoyevsky's own gambling compulsion.   The heroine, Polina Alexandrovna, represents a woman Dostoyevsky had as a real lover.   Polina is the stepdaughter of the General, who Alexei works for as a servant.   The General shows paranoia over gambling from the outset of the story.   He censures Alexei with respect to his care of the children, "I suppose you would like to take them to the Casino to play roulette?   Well, excuse my speaking so plainly, but I know how addicted you are to gambling.   Though I am not your mentor, nor wish to be, at least I have a right to require that you shall not actually compromise me" (Dostoyevsky 1-2).   The theme of gambling and its psychological impact on the characters pervades The Gambler.   Because of his own gambling addicti on and his intimate knowledge of the class-conscious casino society of his era, Dostoyevsky does an excellent job of showing the psychology that compels the problem gambler. BODY Using diary entries as his literary vehicle, Dostoyevsky takes us inside the minds of his characters in a way that makes us voyeurs because of his realistic portrayal and honest disclosure of human emotion and sentiments.   The story revolves around Roulettenberg, a German spa town where the rich gamble.   We get the inner life of Alexei as it is portrayed in his diaries.   He is poor but educated, and he is very aware of his class in society.   He is conflicted, however, because he both covets and ridicules the lifestyle of the aristocracy with all its pretensi... ...ostoyevsky 70).   Thus, Dostoyevsky does an excellent job at showing how individual consciousness and the environment in which it develops both lead to problem gambling. WORKS   CITED Anonymous.   Easy come, easy go...Maybe.   The Wager.   Vol. 5, No. 43, Harvard Medical School, Nov 1, 2000: 1-3. Dostoyevsky, F.   The Gambler, (1866).   Trans. By C. J. Hogarth.   Project Gutenberg.   Jun 30, 2000: 1-101. McKay, C.   The Gambler, (Review).   eGambling.   Available: http://www.camh.net/egambling/issue6/review, 1-5. Note:   All numbers, symbols, letters, etc. found within parenthesis are actual page numbers from the hard copy of the source.   Numbers following are the electronic page numbers from that source as it prints from the World Wide Web (WWW)   If there are no page numbers in parenthesis then only electronic page numbers are available at the Internet site.

Mechanics Of Cricoids Pressure Health And Social Care Essay

Cricoids force per unit area is used to temporarily obstruct the upper terminal of the gorge. Cricoids force per unit area was described by Sellick in 1961 as a method to cut down the hazard of aspiration during exigency anesthetic initiation and has become the standard attention during rapid sequence initiation. Before the everyday usage of cricoids force per unit area, maternal decease from inspiration of tummy contents was the taking cause of decease from anesthesia in England and Wales[ 2 ]. After Sellick ‘s article, cricoids force per unit area was incorporated into overall attack to minimising the hazard of aspiration. Evidence that cricoids force per unit area is effectual came a decennary subsequently from four corpses ‘ surveies and from instance studies of regurgitation seen on release of cricoids force per unit area after tracheal cannulation. Cricoids force per unit area should be performed during resuscitation when endotracheal cannulation is delayed or non possible, peculiarly when patients are manually ventilated via bag and mask. Cricoids force per unit area should be performed during initiation of anesthesia for both exigency surgery ( full tummy ) and for elected surgery when lower oesophageal sphincter is likely to be unqualified, ( e.g. last half of gestation or gastro oesophageal reflux disease possible ) , and in patients with delayed gastric voidance ( e.g. diabetic autonomic neuropathy ) .[ 3 ]Mechanicss of Cricoids PressureThe cricoids gristle is the lone upper airway cartilaginous construction that is a complete ring. The lower part of the cricoids gristle is where the gorge begins. In executing cricoids force per unit area, one must use backwards force per unit area on gristle that will compact the gorge to its implicit in vertebral organic structure ( normally C5 ) . Theoretically, this will obstruct the o esophageal lms, forestalling the transition of regurgitated stomachic contents into throat and subsequent aspiration into the pneumonic tree[ 4 ]. Based on several surveies, 44 N ( 9.81 N = 1kg = 2.2lbs ) has become accepted as the gilded criterion for the bar of regurgitation in grownups[ 5 ]while the force per unit area suggested to be applied in kids is between 22.4 and 25.1 N[ 6 ].ApplicationSellick1 described the patient place for the application of cricoid gristle force per unit area as supine with the caput somewhat down and with the caput and cervix to the full extended as if positioned for tonsillectomy. The anterior convexness of the cervical spinal column in this place may help oesophageal occlusion but can do laryngoscopy hard[ 7 ]. One-hand Method The standard cricoids force per unit area as described by Sellick was carried out as a individual handed technique with anterior force per unit area being applied maintaining the index finger on the gristle with pollex and in-between finger on either side of the gristle at that place by forestalling sidelong motion of the cricoids1. The disadvantage of this technique is that the drawn-out cervix will be given to fall in the arch and leas to flexure of the caput on the cervix. The position of glottis is therefore reduced and lingua blocks the throat[ 8 ]. Another individual handed method has been described by Cowling where the thenar of the manus was placed on the breastbone and cricoids force per unit area was applied by index and in-between finger[ 9 ].These alterations still did non win in forestalling deformation of the laryngoscopy position, hence a two-handed cricoids force per unit area was proposed and was described by different writers. Two-hands / Bimanual Method Baxter suggested that the two handed technique would increase the efficaciousness of esophageal occlusion[ 10 ]. The cricoids force per unit area is performed as with the unassisted technique except the helper ‘s other manus provides antagonistic force per unit area beneath the cervical vertebrae thereby back uping the neck8 in the absence of a pillow. The purpose is to increase the support of the drawn-out arch of vertebral column so as to acquire an optimal laryngoscopic position every bit good as maintain effectual cricoids force per unit area. But there were grounds stating that the glottis position may besides be interfered therefore taking to technique alteration. Williamson placed the left manus behind the patient ‘s caput[ 11 ]while Wraight hold the patient ‘s caput in extension[ 12 ].Brimacombe5 et al suggested the usage of a contra-cricoid-cuboid assistance to ease extension of the cervix.The Cricoid YokeTo assist clinicians use the equal sum of force per unit area on the cricoids gristle and to maintain the helper ‘s custodies off from the laryngoscopic field, Lawes et Al[ 13 ]has developed the cricoids yoke. This device was applied to the cricoid gristle via a moulded sponge shock absorber, and gently depressed against the patient without custodies, to increase the incidence of decently applied cricoids force per unit area. The yoke when used by persons with no anaesthetically experience produced consequences that were equal to consequences seen when experient operators applied manual cricoids force per unit area. The use besides will avoid inordinate forces or compaction of the incorrect anatomical site. Lawes13 besides indicated no laryngeal deformation, even in bad patients when the cricoids yoke is in usage. But, the handiness and cost among other factors were the grounds why the cricoid yoke did non derive popularity and manual cricoids force per unit area has become the pillar of pattern[ 14 ].Contraindications3There ar e several contraindications to the usage of cricoids force per unit area including injury to anterior cervix which may interfere with specifying the landmarks. Unstable cervical spinal column hurt could increase hazards of neck motion but can be performed if a bi-manual technique has been practiced. Using cricoids force per unit area might non be suited with patient actively purging as it will increase the hazard of oesophageal rupture. Harmonizing to The International Liaison Committee on Resuscitation ( ILCOR ) guidelines, the cricoid force per unit area is merely to be applied every bit shortly as an excess ( 3rd ) savior arrives where if merely one or two saviors are present, airway and take a breathing are higher precedences. Cricoids force per unit area sometimes could do hard cannulation as it may curtail laryngoscopic position, particularly likely if applied falsely.THE DILEMMAComplicationsThe inauspicious effects range from minor effects like sickness, purging, minimum haem odynamic changes to severe complications like esophageal rupture, complete air passage obstructor and break of the cricoid cartilage14. Based on Risk Benefit Analysis by Ellis et al4, there were grounds saying the complications still could happen despite using the force per unit area, but there are no definite grounds on why this is happening ( either due to improper applications of the techniques, or the techniques itself ) . Failed to forestall Aspiration 11-14 % of anesthesiologist[ 15 ]and 11 % of operating section helpers and anesthetic nurses[ 16 ]had witnessed regurgitation with cricoids force per unit area applied Medico-legal claim in United States reported that aspiration occurred in 67 instances despite the application of cricoids force per unit area in 17 of these[ 17 ] Anatomically Displaced 49 % of the CT scan reappraisal retrospectively indicated sidelong supplanting of the gorge[ 18 ] 53 % of the MRI scans review prospectively showed sidelong supplanting of the gorge[ 19 ] Effectss on Mask Ventilation Based on 10 published articles, cricoids force per unit area did cut down tidal volumes, addition extremum inspiratory force per unit area or prevented airing There are besides 2 instance studies depicting complete air passage obstructor with cricoids force per unit area.[ 20 ]21 Effectss on Insertion and Function of LMA Brimacombe concluded that cricoids force per unit area reduces successful interpolation ( from 94 % to 67 % ) and besides impedes tracheal cannulation through LMA ( from 76 % to 40 % ) 5 In patient with can non cannulate and can non air out state of affairss, release cricoids force per unit area is recommended Ruptured gorges Ralph and Wareham reported a instance of oesophageal rupture in 81 years-old adult female who began purging against the force of cricoids force per unit area applied before the patient lost consciousness[ 22 ]. Vanner and Pryle observed oesophageal rupture in 3 corpses ( 30 % )[ 23 ] Cricoids Cartilage Fracture 3 reported instances with 1 instance led to fatal airway obstructor while the other 2 instances caused supplanting of cricoids gristle with known old hurt[ 24 ],[ 25 ],[ 26 ] Cervical Spine Movement 2 surveies reported a important motion of the spinal column[ 27 ],[ 28 ]Confusions, Knowledge, Attitude of CliniciansIn a national postal study on the pattern of RSI, of 220 respondents ( staff anesthesiologists 60 % , occupants 40 % ) , wholly reported to utilize cricoids force per unit area during rapid sequence initiation[ 29 ]. It shows the cosmopolitan credence of the cricoids force per unit area use, but in really variable manner of making it. Confusions The Pressure ( N ) The standard force per unit area to be applied on the cricoids gristle is still a large argument. With the less usage of the cricoids yoke, the manual cricoids force per unit area application brings a broad assortment to clinicians in finding how much force per unit area to set on. The initial force of 44 N was recommended by Wraight et al12. Vanner so came with preciseness of 20 N to be applied before patient loss consciousness and full force ( 40 N ) at the oncoming of anesthesia[ 30 ]. But in 1999, Vanner and Asai recommend 10 N for the awake patient and increasing to 30 N one time the patient is unconscious[ 31 ]. The Technique Cricoids force per unit area should non be confused with optimum external laryngeal use ( OELM ) or rearward upward right force per unit area ( BURP ) on the thyroid gristle which is used to better visual image of the vocal cords when intubating3. Cognition Several survey-based surveies have examined the cognition of clinicians towards the applications of the cricoids force per unit area, theoretically and practically. These surveies has come to conclusion demoing that the bulk doctors, nurses and other forces related to rapid sequence initiation are unable to use cricoids force per unit area right. For illustration, a survey by Koziol et Al showed that merely 5 % of 102 perioperative nurses could indentify the right sum of force to use while the other 78.5 % and 16.5 % were underestimated and overestimated, severally[ 32 ]. Attitude Despite giving preparation to the clinicians, a followed-up survey showed that clinicians are unable to retain the improved accomplishments after 3 months post developing[ 33 ].DecisionThe individual publication by Sellick changed anaesthetic direction worldwide. In many parts of the Earth, cricoid force per unit area is considered compulsory portion of a rapid sequence initiation particularly in high hazard of regurgitation patient. But the current evidence-based medical specialties do non supply a convincing support sing the widespread usage of cricoids force per unit area to forestall aspiration. On the other manus, there is besides no strong grounds to propose that cricoids force per unit area causes injury. More randomized controlled tests should be conducted to look at the necessity of cricoids force per unit area contraption. Meanwhile, confusions, cognition and attitudes of clinicians should be address clearly to supply a decently applied cricoids force per unit area to ease cannulation with rapid sequence initiation while waiting the definite reply towards cricoids force per unit area quandary.