Community Health For Community Nursing - 1605 Words

Community Nursing Experience Health is a dynamic, changing state of well-being, which includes physical, mental, sociological, and cultural factors of both individual members and the whole family system (Kaakinen, Coehlo, Steele, Tabacco, Hanson, 2015, p. 5). The Health and well-being of individuals and families are important in order to attain a healthy lifestyle. Community health promotion allows nurses to work with individuals, families, and groups from diverse cultures, traditions and languages to teach health-seeking behaviors (Stamler Yiu, 2012). Health promotion engulfs preventing, maintaining, strengthening and improving each person’s health; by allowing them to learn ways to take an active part in self-care through education. The purpose of this paper is to discuss community health nursing, and how it fosters nursing practice through the experience gained from analyzing two scenarios from the Aberhart Center Tuberculosis Clinic. The CARNA competencies will be appl ied to the experiences. Community Health Nursing Community health nursing is a continuum of care from health promotion and prevention to treatment, rehabilitation and palliative care (Canadian Nurses Association [CNA], 2010). Community health nursing is comprised of community health Nurse (CHN) and Public Health Nurse (PHN). CHN works on â€Å"prevention, health restoration, health maintenance or palliative care† (Stamler Yiu, 2012, p. 1). While on the other hand, PHN works on promoting, protecting,Show MoreRelatedCommunity Health Nursing1626 Words   |  7 PagesUNIVERSITY COLLEGE OF NURSING NCM 101 COMMUNITY HEALTH NURSING Health Promotion and Public Health Health †¢ A State of complete physical, mental and social well- being, not merely an absence of disease or infirmity (WHO, 1948). †¢ A State of being well and using every power the individual possesses to the fullest extent (Nightingale, 1969). †¢ Optimum Level of Functioning (OLOF) Determinants of Health (World Health Organization) †¢ The health of individuals and communities are, to a largeRead MoreCommunity Health Nursing4829 Words   |  20 Pages1. Public health systems are operating within a context of ongoing changes, which exert a number of pressures on the public health system. These changes include all of the following, except: A. Health reforms B. Existing and emerging environmental hazards C. New technologies for health care D. None of the above 2. In response to the changes of the times, the UN General Assembly adopted a vision of poverty reduction and sustainable development. This is exemplified in theRead MoreCommunity Health Nursing4819 Words   |  20 Pages1. Public health systems are operating within a context of ongoing changes, which exert a number of pressures on the public health system. These changes include all of the following, except: A. Health reforms B. Existing and emerging environmental hazards C. New technologies for health care D. None of the above 2. In response to the changes of the times, the UN General Assembly adopted a vision of poverty reduction and sustainable development. This is exemplifiedRead MoreCommunity Health Nursing Role in the Community Essay831 Words   |  4 PagesRunning head: Community Health Assignment #9 Nursing Role in Public/Community Health Lydia Knapp BSN Student of Muskingum University Abstract I will describe the role of one of the health nurses in Coshocton County for the smoking cessation study. I will describe her daily activities, funding of program, populations targeted, and how she is educating the community. Nursing Role in Public/Community Health I followed Linda Cox, R.N. for the Coshocton County Health Department for one dayRead MoreCommunity Health Nursing Reflection1262 Words   |  6 PagesCommunity Health Nursing Reflection NUR/405 August 7, 2012 Community Health Nursing Reflection According to Phyllis Meadows (2009), â€Å"Community health nurses are valued for their adaptability and willingness to provide care in many settings, including community health clinics, churches, homeless shelters, and schools,† (p. 19). Community health nurses aim to improve health outcomes and improve the infrastructure used to monitor and manage disease within the community. Healthy People 2020 hasRead MoreTransition For Community Health Nursing960 Words   |  4 PagesJournal Article Summary: Transition to Community Health Nursing The nursing profession offers an unlimited number of specialties and clinical areas for practice and employment focus. Nursing practice includes; surgery, labor and delivery, telemetry, intensive care unit, and even community nursing care. Furthermore, nurses can explore various degrees, ADN (associated in nursing diploma), baccalaureate nursing (BSN), and even nurse practitioner (NP) covering all areas of the healthcare spectrum. However;Read MoreCommunity And Public Health Nursing1852 Words   |  8 PagesPosition Paper 2 Abstract The focus of this paper is to describe community and public health nursing as it pertains to the disease, Malaria. Major concepts discussed include genomics, funding, laws and legislation, community education, and the role of the public health nurse. Final Position Paper 3 Discussion Malaria is one of the â€Å"most severe public health problems worldwide† (Impact of Malaria, 2014). According to the Centers for DiseaseRead MoreThe Community Health Nursing Practicum Essay1666 Words   |  7 PagesFor the Community Health Nursing practicum, I was placed at Terrace Health Unit within the Public Health department. At this practicum placement, I saw various clients accessing different services at Public Health. The types of services that the Public Health nurses provided are the following: immunizations for children and adults, running multiple flu clinics, testing and treatment of sexually transmitted infections, sexual health clinics, maternity liaison, and the needle exchange program. TheRead MoreSchool Nursing As A Community Health Nursing Job1770 Words   |  8 Pagesbasis, a school nurse will encounter numerous health conditions, such as diabetes and seizure disorders, that he or she must provide interventions for (Five). The purpose of this paper is to discuss school nursing as a community health nursing job, to describe my day shadowing Beth Hilleman, the school nurse at Jonesboro Grade School, and the specific details of this program. Before my day shadowing, I was able to find some information about school nursing role from the journal article, the Role ofRead MoreCommunity Health Nursing Reflection Essay1087 Words   |  5 PagesCommunity Health Nursing Reflection Maria Jelyn Engelhardt-Parales NUR/405 August 27, 2012 Amy Weaver Community Health Nursing Reflection Community health nursing practice aims to improve community health by promoting a healthier group of people, individuals, families, and residents within the community. The goal is to maintain, preserve, and promote health by providing information, education, teachings, and health care services to the population. The focus is on the collective good of

The Role Of Social Media On Women - 1001 Words

Moreover, has media taken into consideration that the influenced constructed standards affect women long term and what exactly influences how girls act, look and think about themselves? Starting from a youth age through adolescence, which is the average age of still trying to figure out their identity, and in many cases lasting until adulthood, girls compare themselves and set their mindset to look like the celebrities they watch in T.V., magazines, music videos or movies.Yet, the issue is that by watching these women in tight dresses and such exquisite beautiful face without any imperfections is eventually affecting girls for a long unspecified period of time by implying one purpose in mind: to ensure they obtain that dream appearance as†¦show more content†¦Who determines this questioning? Society does, filling their hearts and minds with either positive or negative comments. Likewise, society implies that women should act and dress feminine which causes long term damage by women constructing a habit of fear or judgment and consequently perceiving it as normal for society to stress their expectations. Media’s viewpoint is focused on physical and emotional appearance in public. In other words, acting sentimental or fragile and speaking lovely according to society invokes labels on what a true women is; beauty in women is equal to femininity. Women should not worry about their reputation based on beauty because people’s opinions are basically irrelevant to your growth and evolution as a person. For instance, European society has certain established qualities about a woman appearance; if the girl is light skin she is the key to success and love and if she is dark skin she is discriminated and outcasted from communities, resultantly, women and men start to develop a specific perspective and rank of attractiveness. In this essay I wish to emphasi ze the idea that no matter the way you look, it makes you unique and society is the ugly one. Women should realize that their inner beauty matters even more than outer beauty, yet not feeling enough comes from social media’s influence and it is nearly impossible toShow MoreRelatedEffect Of Gender And Gender Representation On Media1735 Words   |  7 PagesThe effect of gender and gender representation in media has been widely researched in various academic disciplines, including anthropology and communication studies. Similar gender role expectations are not just restricted to Western culture either. A study on gender representation in East Asian advertising by Michael Prieler is a demonstration of the influence of gendered communication. The research examines the male and female representation in the advertising of East Asian countries like HongRead MoreWomen s Media And Gender Roles1492 Words   |  6 Pages Women have been attacked in society through the media. Mass medi a are a reflection of society informed by particular power and values (Stirinati, 2006). Although the representation of women is not a copy of reality, mass media act as image and message,’ should be’ a reflection or representation of society (Hollows, 2000). This contributes to condemn gender role in the media and in real society, which leads women to be annihilated and limited in the media. In 1978, Gaye Tuchman called women’s inRead MoreGender, Gender And Gender Roles844 Words   |  4 PagesSociety has institutionalized gender roles since the beginning of time, a common one is that women are the nurturers and housekeepers, while men are the breadwinners of household. In spite of centuries, and fighting for women s rights, such as the right to vote in the late 1920s. Women still have roles to fulfill, even in a modern society that is dominated by a virtual world. Gender identification has multiplied from that of men and women, to Lesbian, Gay, Bisexual, Tran sgender and Queer (LGBTQ)Read MoreThe Impact Of Media On Women s Perceptions Of Image, Gender Roles, And Overall Self Worth Essay1352 Words   |  6 PagesMedia plays a huge role in people’s perceptions of image, gender roles, and overall self worth. The media is constantly reinforcing limiting stereotypes through television, advertisements, films, and more. These stereotypes are especially geared towards women, suggesting that they have to look and act in an overtly feminine manner in order to be accepted by society. Though there are stereotypical qualities of men illustrated in media as well, they are mostly suggesting that men are dominant andRead MoreSocial Network Media Benefits Feminism1448 Words   |  6 PagesOne specific event that proves that social network media benefits feminism was in 2014, with the hashtag #YesAllWomen. An incident happened in May 2014 where a young man, Elliot Rodger, expressed his hatred for women and he went on a shooting spree in Santa Ba rbara, California, targeting women. After this tragedy made the news, thousands of women posted on various social networks with the hashtag #YesAllWomen, in order to share the ways sexism and violence affects everyone in their daily life. ThisRead MoreGender in the Mass Media- Projecting Masculinity1397 Words   |  6 Pagesthe mass media and projection of masculinity The mass media play a significant role in a modern world, by broadcasting information  in fast pace and giving entertainment to vast audiences. They consist of press, television, radio, books and the Internet. The latter is now the most developing medium, however, TV also has a wide field of influence. By creating a certain type of message, media can manipulate people’s attitude and opinions. GENDER STEREOTYPES IN MASS MEDIA The mass media has a greatRead MoreGender Labeling And Gender Stereotypes1551 Words   |  7 Pagesview gender roles and how they want society to view them also. Stereotyping is prevalent in popular television shows, music videos, the workforce and various other advertisement billboards in the U.S. It is difficult to oppose the stereotypical behavior that is displayed in the media that supposedly mirrors the actual behaviors of the different genders due to the overflowing, constant reminder of what each gender looks like and how each should act. The article entitled, â€Å"Gendered Media: The InfluenceRead MoreWomen s Gender And Social Media Essay984 Words   |  4 Pagesyears women have fought against their stereotypes and strived for equality. Today, even though women have endlessly attempted to overcome these stereotypes, women have been misrepresented by society and social media. As seen by society, women are housewives and stay at home. In reality, women strive to achieve goals outside the stereotypical feminine boundaries. Although, women are categorized by their gender roles in society, it is wrong for women to be portrayed as these roles only. Most women doRead MoreLiterature Review : Body Image1173 Words   |  5 PagesLiterature Review: Body Image â€Å"Act 2: Extending Theory on Social Media and Body Concerns† shows the pattern and connection between social media and body image. People that are already affected by vulnerable factors, such as low self-esteem, depression, perfectionism and the thought that appearance is essential to self-worth, seek the gratifications that come from using social media. For example, if someone is feeling unattractive, but a picture they posted online is getting liked and commented onRead MoreManifestation of Latin-American Gender Roles in American Media1220 Words   |  5 PagesGender Roles in American Media Objective The objective of this study is to examine the manifestation of Latin gender roles in American Media. Towards this end, this study will examine the literature in this area of inquiry. Introduction Gender roles are reported to be generally defined as sex-based categories that specify appropriate rules of conduct for males and females in a particular culture or society. Although grounded in biological differences between males and females, gender roles are

Obesity in School Children free essay sample

Children develop within a set framework and grow according to the levels of exercise and nutrition available to them as well as their particular genetic nature. In affluent countries such as Australia this growth can be affected by the lack of exercise and the consumption of too many kilojoules. Currently there are a large percentage of children who are verging on obesity or are obese, and this is an emerging cause for worry in today’s schools. Children today are not as active as previous generations, sometimes due to a lack of opportunity such as being driven to school instead of walking. Other reasons are less time outside and more time watching television and playing computer games. There is a much larger availability of nutritionally poor fast food today than there was for previous generations which have made children more vulnerable to becoming overweight or obese. Schools and teachers can promote physical activity through many initiatives and programs. Implementing these initiatives early in a child’s learning can encourage healthy attitudes towards nutrition and exercise. â€Å"Weight problems in childhood,† 2011) There are approximately one in five children and adolescents in Australia who are overweight or obese and if this rate increases at the level it is now the prediction for 2020 is that sixty-five percent of children will be in the overweight range. (â€Å"Obesity in Children,†2011) Some of the many factors causing this upsurge in overweight children appear to be coming from the lifestyles of families. Poor nutrition and bad eating patterns are a cause of obesity and families need to develop good nutritional guidelines to prevent obesity. Physical activity in middle childhood (6-10 years) Australian children do not spend as much time in active play as previous generations and watch television and play computer games as a large part of their recreation. (â€Å"Obesity in Children,†2011) Physical activity within the age range of middle childhood (6-10 years) should take advantage of the growing ability of the children to understand and follow rules and to participate in team activities. They are able to work collaboratively to develop planning and management skills required for successful competition. Phases of development, 1998) The physical changes which occur in children during middle childhood (6-10 years) are gradual, constant increases in height and weight, advances in their gross motor skills and improved physical capabilities. (McDevitt and Ormrod, 2010. p. 161) Children at the lower end of this age range lose their baby teeth and progress towards skeletal maturity. A child’s cognitive development in middle childhood means spending less time in a pretend world and more time with real-life activities. They learn to read and write, gain understanding of rules in games and develop peer friendships. (Phases of development, 1998) During this stage of their development children also gain awareness of the differences they may have with others and will question the reasons for those differences. This social-emotional development can mean self-esteem issues may arise during this time. (McDevitt and Ormrod, 2010. p. 5) At the higher end of this age group children may engage in less exercise as they move towards adolescence. Teachers and schools need to promote healthy eating habits and regular exercise during this period of growth to strengthen the activeness enjoyed earlier in the age group and to help ingrain good habits for the next stage of the child’s growth. (Yager amp; O’Dea, 2005) Teachers should examine the community values of the children being taught to discover the most effective ways of promoting physical activity in their daily lives. The context of the child’s life will differ due to the values and structure of the environment outside of school’s boundaries. Teachers need to become aware of these differences and incorporate them into a program of teaching to promote health and fitness. (McDevitt and Ormrod, 2010) The teacher’s role in addressing and preventing obesity The teacher’s role in the prevention of obesity in children cannot be done in isolation but must come from a whole school approach starting with the youngest members of the school community and their parents. Schools should have adequate training for staff and positive programs for students in place for education about nutrition and exercise. Appropriate attitudes towards the eating and exercise programs and for those children who are vulnerable within the school environment are a necessary part of a preventative program. (Yager amp; O’Dea, 2005) Teachers who understand the significance of Bandura’s (1986) social learning theory, which states â€Å"people learn from one another† have the opportunity to be constructive role models, giving the students clear messages about body image, showing tolerance for diverse body shapes and supportive practices for struggling students. (Learning Theories Knowledgebase, 2011) Four ways a teacher can assist in addressing and/or preventing obesity Movement in the classroom There are many ways a teacher can introduce movement in to the daily programs in the classroom through games, quizzes and physical challenges. Some of these can be adapted to align with the units of study being introduced. A times table quiz can be extended by having children jump out the answer or a spelling challenge can introduce making letter shapes with their bodies. To encourage children to work with others, especially someone new, physical games can be used to promote cooperation. Some team games such as â€Å"Birds of a Feather Flock Together, Feather Fun, Follow the Leader† (Daily physical activity, 2006) are suitable to use for introduction and cooperation within the class. Physical activities and games will encourage children to develop different points of view and improve abstract thinking, as well as gaining knowledge about planning, managing and organising groups to complete challenges. Playground exercise Movement outside of the classroom is an important aspect of a child’s time at school, with children having time during recess and lunch to run and play. Schools should provide equipment and toys which encourage movement. Teachers can add to the amount of time children are active by introducing a daily program of exercise or finding time to play games in the school yard on frequent occasions during the school week. Teachers can also add to unit work by bringing in exploration of the natural environment, for example walking to a nearby creek when studying pollution in the year five unit on waterways (Queensland Studies Authority, 2011) and adding to other units in a similar way. Nutrition for children Teaching children about the value of good nutrition is a fundamental way of helping them to understand what food does to the body and where nutrients come from. Starting in the lowest grades the schools should have a program in place to show children what is good food and what is not. But in the classroom a teacher can introduce a fruit or vegetable mini snack time and introduce children to different foods. This will expand their palates and may have them asking their parents for more of the foods they are trying for the first time. By introducing these foods at school children will be more inclined to try, as they see their peers doing so. (Nutrition amp; Physical Activity. 2009) Freshly grown food Introducing new and different foods to children can be a positive step towards healthy eating habits but teaching children to grow their own fruit and vegetables will illustrate more clearly where some foods come from and convey the ability that children can produce their own food. Learning how to grow and pick fruits and vegetables and then to prepare, cook and share this fresh food is a great way to introduce them to the tastes and smells of nature and of natural foods. Children are more likely to try food they have grown themselves and working in a school garden can promote cooperation and the learning of life skills. (Growing food in schools, 2011) A program of growing fresh food can have far reaching consequences through the education of children and through them to the wider community of parents and families. By building a â€Å"positive food movement† (Growing food in schools, 2011) a teacher can impact the environment outside of the school gate and change the way children and their families think about nutrition. Children in middle childhood are growing into a sense of themselves and teachers have a responsibility to advance that growth in as many ways as they can. (Phases of development, 1998) These children also enjoy the challenges of team games and sports and teachers can encourage this activity in their daily routine. By programming activity and introducing sound nutritional ideas and healthier food choices a teacher can influence children and possibly lessen the future obesity worries for this generation.

The Philosophical Interpretations Of Net Neutrality Essay Example For Students

The Philosophical Interpretations Of Net Neutrality Essay Understanding Two Conflicting Theoretical Interpretations of Net NeutralityCyberspace is generating a new sense of urgency for protection and privacy of individuals’ personal information. Anonymity is decreasing while security is increasing in a society that is so heavily connected to the World Wide Web. Information has become the target of many large multi-million dollar companies and government institutions. It is an alarming revelation that companies and institutions have access to personal information with the sole intention to maximize financial gain or what the government feels is â€Å"security†. It is clear that privacy has become the number one commodity for end users on the Internet (Boulos, 2008). We will write a custom essay on The Philosophical Interpretations Of Net Neutrality specifically for you for only $16.38 $13.9/page Order now It goes without saying, that net neutrality is a necessity for many people; however, it poses many ethical and moral questions about privacy and autonomy. This paper will investigate these moral and ethical debates that encompass the battle for net neutrality from a deontological standpoint, as well as, a utilitarian standpoint. Since the Internet is not regulated with the same set of rules and laws found in real world, net neutrality to a Deontological theorist would be viewed as a moral and ethical dilemma. Therefore, autonomy on the Internet seems to be non-existent, and rightness and wrongness are skewed by the idea that their individual actions hold no real world consequence. Deontologists do not focus on consequence; however, the focus is on reason and the universality of an individuals actions, which Kant calls the categorical imperative (Pogge, 1998). It is the universality of ones actions, in particular the end user, that causes the moral issue, for instance, a deontologist would argue that an individual on the streets a. .ves have created a contradiction within themselves, a double edge sword that appears to only offer one beneficial part of the internet at the cost of a negative aspect of the internet. It is evident that net neutrality is a morally difficult situation and it is clear through these two theories that neither of them are perfect. Although, it seems in this case that deontology is the most morally correct and just. Privacy is a major commodity by today’s standards; consequently, the end user cannot expect privacy from the very companies that he or she steals from. Deontology stands for equality so you cannot expect to have one without the other. It is the harsh reality to the ever-changing use of the Internet and regulations at both ends of the spectrums, institutions through to the end-user, will create autonomy and reason that regulate unjust actions.

Anthrax Article Summary essays

Anthrax Article Summary essays Anthrax is a spore forming bacterium that comes from the Greek word for coal. It got the name because of the rashes and legions that look like coal dust. Most people get anthrax from infected animals. Anthrax has been around since biblical times and has been responsible for the fifth plague or cattle disease and the sixth plague, which would be known now as boils. Anthrax is found in domestic animals like deer, buffalo, elk, and wildebeest and so on, there have been incidents with anthrax in 82 countries. Not many have happened in the states, but the latest concerning animals was in North Dakota in 2000 in which 5 cows were infected. But in dirty countries anthrax is a household name, in fact, in 1945, one million sheep died in Iran. The hotspots for anthrax are South and Central America, Eastern and Southern Europe, Asia, the Middle East, Africa and the Caribbean. Most of the time, meat-eating animals are the hosts for anthrax. The endospores in anthrax are heat resistant, as well as resistant to drought, radiation, chemicals, disaffection, and time. In fact a jar of 50-year-old anthrax spores can still produce live bacteria. Anthrax is usually spread through the soil. Most amphibians, reptiles, and fish are naturally resistant to the symptoms of anthrax but they may still act as carriers, also, you can get anthrax by insects that bite you. If you are a human, which you should be, it will take approximately 8000 to 10000 spores to infect you, but its a pretty big number compared to the 10 bacteria it will take you to get the plague. Anthrax bacteria have a generation time of merely 15-20 minutes. That allows for very rapid spreading of the bacteria. If you do get anthrax you will start to see symptoms between 1 and 7 days. But most often it will happen before 48 hours have passed. Most often, anthrax is contracted through the surfaces of the head, forearms ...

Few vs. Several

Few vs. Several Few vs. Several Few vs. Several By Maeve Maddox Reader Norma H. Flaskerud wonders about few and several. She thinks a few refers to maybe 2-3 items while several refers to maybe 3-6. Her husband says a few is 4-7 items. Few is the opposite of many. It derives from words having the meaning of small and little. It is related to Latin paucus (little, few) and even puer (child/boy). Old English feawe/fea derives from a Germanic root meaning little. The number implied in the word few is more than two, Beyond that, trying to specify how many more is fruitless. I expect the New Testament writer was anticipating more than 2-7 converts when writing: Many are called, but few are chosen. In 1940 Winston Churchill was referring to the pilots of the Royal Air Force when he wrote: Never in the field of human conflict was so much owed by so many to so few. The Few became a name for this group of fliers: 2,353 British subjects and 574 volunteers from overseas. Several comes from a word meaning existing apart. Before it came to mean more than one (about 1530), it was used with the meanings separate, various, diverse, different. In legal use several preserves the meaning of separate. In the following example it is used to show that liability is enforceable separately against each party the contractual liability of each company to insured is several and not joint In keeping with its original meaning, several may be used to separate one group from another: A large crowd of soldiers gathered to protest the law. Several were women. The word several, usually an adjective or pronoun, has also been used as a verb. A farmer or community would several a large expanse of land into smaller parcels. It would seem that few and several can imply any number you want them to. By the way, in checking the Churchill quotation, I re-read the speech in which it appears. Its worth the time of any writer who is looking for models of beautifully-written English prose. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:20 Computer Terms You Should KnowHow to spell "in lieu of"Word Count and Book Length

Personal Statment Statement Example | Topics and Well Written Essays - 500 words - 1

Statment - Personal Statement Example This served as the turning point of my career path. After finishing my military services, I started working at Paldo advertisement firm with a view to learn fundamental company systems and organization. During my off-work hours, I did home trading in the stock market, and I rapidly became attracted to the stock market. This was primarily because the stock market showed me how people think, move and how the economy performs on a daily basis. The stock market has an intricate relationship with the sale of products and services, and this further appealed to me and sparked my interest (Arco 56). However, I encountered immense difficulties in chart reading exercises, which pushed me to study it in the US. My greatest strength lies in my ability to decipher information on the stock market reports, as well as think rationally in light of such information. I am also pleased with my academic achievements, as well as my professional work experiences. Between May and December 2006, I attended Samyook University in Seoul, South Korea where I studied leisure sports and physical education. This education proved worthwhile during my stint at the military. I served in the military service as an ai r force between January of 2007 and March 2009. During this time, I worked under the specialty Military Police and VIP escort security where I served dignitaries such as the Korean president, former US president George W. Bush and prime ministers from many countries. After completing my military services, I joined Paldo advertising firm where I obtained immense experience in business operations and behavior. My interest in business grew while working at Paldo advertising. In order to enhance by business understanding, I decided to travel to the US for further studies. Therefore, between March 2010 and November 2010, I studied English through the English as a

Technology in Air Pollution Reduction Research Paper

Technology in Air Pollution Reduction - Research Paper Example The paper "Technology in Air Pollution Reduction" discovers Technology in Air Pollution Reduction. Particulate matter can also be removed using an Electrostatic Air Cleaner (or Electrostatic Precipitator). An Electrostatic Air Cleaner is used in industries such as pulp mills, oil & fired utilities and oil refineries. Putantunda suggests that this air pollution control method uses the energy generated by an induced electrostatic charge, to collect particulates from any flowing gas. The filtration devices are efficient and effective in trapping particles, like dust and smoke, from a stream of gas. The mechanism of Electrostatic Precipitators (ESPs) involves: gas ionization, electric charging of the gas particles, transportation of the particles to the collection surface of the ESP neutralization of the charge of the gas particles and removal of dust particles from the collecting surface. The ESP is advantageous because it is can be modified during manufacture so that it has a near perf ect efficiency of collecting particulates. The electrostatic precipitator can also work automatically when fitted with control devices. An important consideration when determining whether to engage in technology is cost. The ESP has a very low maintenance cost demands. However, the capital required to apply this technology is substantial. This technology is only restricted to trapping particulates only. It is impossible to trap air pollutants like the sulfur oxides using ESP. Sulfur oxide (SO2) is removed.... The incoming exhaust gas is sprayed with limestone generating carbon dioxide and solid calcium sulfate (Kumar, n.d.). The lime scrubber method is also used to remove sulfur oxide where lime instead of limestone is used instead. The scrubbing liquid is usually water. The particulate collection process can be follows four steps: transportation of the particles, collision of the particles with water droplets due to surface tension and the removal of water droplets from the particles. Wet scrubber technique is useful in trapping air pollutants in the form of solids and gases. It is however expensive to maintain because it easily corrodes. Another demerit of using this technology is that, it has a waste system consisting of the scrubbing liquid laden with the pollutants. After it has been used, this liquid poses a danger of water pollution if not properly disposed. Compared to the ESP technology, the wet scrubber uses more energy in terms of electricity. This is because energy is used in the flowing scrubbing liquid that traps air pollutants. However, for the ESP, the only energy applied is for the particulates being collected. Catalytic converters The Advanced Clean Air Technologies (ACAT) unveiled an advanced catalytic converter that can reduce emissions drastically; testing parameters depict a high efficiency in reducing of particulate matter released to the atmosphere and a subsequent air pollution reduction. Catalytic converters involve unsophisticated technology for the appropriate tuning of vehicle engines to control vehicle emissions. For catalytic converters to function properly, they require platinum and palladium catalysts which are attached to a ceramic material. This technology is very effective in controlling car emission as it provides a high

Literature Review - Organisational Change Essay Example for Free

Literature Review Organisational Change Essay Team report you are to list 6 issues facing CanGo that you gleaned from the week 1 and 2 videos. They should be prioritized in order of importance. They should be numbered. The team must then come up with an actionable recommendation for each of the issues found. These should also be numbered. 1. CanGo does not have a a concise vision or mission statement that defines who they are as a company. Solution: CanGo needs to find out what market they want to be in and also figure out what market they want to be in, and where they see themselves going as a company and what values they have. . CanGo did not approach the strategic planning correctly for the online gaming. They discussed going into a new market with no prior knowledge of how the market operates. They also do not have the proper staff to begin the new business venture. Solution: I think that CanGo should do more research for the online gaming market. I also think that if they decide to go in this new direction that they should outsource some of the work and train some of the people they have on hand to help save costs. Liz needs to sit down and complete all of he steps in the strategic management process, including: SWOT analysis, mission statement, long term goals, implementation, strategic choice, evaluation, revision, and vision statement. Conducting a firm financial analysis of the overall project can prevent and reduce higher costs. Setting short-term and long-term goals will give the team a better outlook on the launch of the online gaming system. 3. Nick’s issue with organization is indicative of a bigger issue; the company does not have a structured approach to scheduling, planning, or reporting progress. Solution: CanGo lacks organization. There should be a better system for filing information, and a clear understanding of what each individual’s responsibilities within the company are. This way they would have a better understanding of which staff members are capable to complete which jobs, and those which be able able to with more training. This way tasks will not be inappropriately assigned. Set up a training session or a number of sessions as needed to bring everyone up to speed as far as what is expected for status reporting, prioritizing, scheduling tasks, and de-conflicting schedules. . Nick and the team members are not organized and they are distracting to each other when they are supposed to be working. Solution: The members should be more considerate in talking about some other topics. They can talk about side topics after work, and not during meetings. The main focus is to help out Nick on how to be successful on their new venture. Nick needs to be organized and read y to do the job. 5. Nick did not have a proper plan in place for the launch of the gaming system. He also did not step up and ask for help when he needed it. Solution: Nick should have figured at a proper plan for the launch of the online gaming system. A strategic goal plan should have been approved and put in place before Nick and the team were able to start on the project . Nick should have prioritized and been specific about the goals in the planning of the project through the use of the Gantt Chart. This would have allowed him to give a breakdown of all the issues that needed to be addresses such as hardware, software, recommendations, price comparisons, and testing. Nick not only failed to ask for help, but he did not ask any clarifying questions when the project was assigned to him. The instructions he was proved when given the project were vague and incomplete. He should have advised someone if he was incapable of doing the job in the first place, but he also should have sought more information and assistance if he was capable of doing the job. 6. During the planning meeting the manager quickly points out issues and made statements such as, â€Å"we need†, â€Å"we should†. He never gave any specific assignments, no dates or expectations. Solution: Design a structure for meetings such as this. Have the manager come into the meeting with a determined list which everyone can add to and discuss. He should also assign people to specific tasks based on their skills along with an expected completion date to make certain nothing is dropped. Establishing the projected deadline and developing an outline of the tasks to be accomplished over the course of time will help him reach his goals.

Thinking And Decision Making :: Critical Thinking Decision Making

Thinking and Decision Making Paper Introduction Thinking "is an internal mental process that uses information as input, integrates that information into previous learned material and the result may be knowledge or may be nothing". (Goodpastor et al 2007) Creative thinking, logical thinking, and persuasive thinking are three types of thinking. Each of these types of thinking affects the critical thinking process in various ways. Creative Thinking Creative thinking involves creating something new or original. It involves the skills of flexibility, originality, fluency, elaboration, brainstorming, modification, imagery, associative thinking, attribute listing, metaphorical thinking, and forced relationships. The aim of creative thinking is to stimulate curiosity and promote divergence. When an individual learns to expand their way of thinking to incorporate metaphorical ideas, they will spark the creative thinking process. Creative thinking enables us to open our imagination to new ideas. We can all think creatively. In fact, much of our thinking is in some way connected to creativity; constantly there are variations in the processes of our unfolding thoughts. Even when we appear to be thinking in a groove or thinking in circles, if we carefully reflect on the patterns of our thought, we will probably discover that they do not repeat exactly; and even when we are intentionally repeating a pattern, such as memorized lines, the lines do not always march into memory with the regularity of a metronome; often they come haltingly, in pieces, or in tidal waves of changing patterns, even though when we go to speak our thoughts, we might enunciate them smoothly. (Kirby, 2006)

Oscar Flores: A.P US History Essay

The relationship between Indians and English was very controversial. They both had plans to assert their interests but led the English to be victorious. Initially, there was a good relationship between English and Indians but it would be changed drastically. The English brought different thing with them to the new world. They brought with them diseases like plague and smallpox which Indians were not immune to. The English also brought weapons Indians wouldn’t have ever thought about of. They came very well prepared with guns and mechanical weapons while Indians had poor resources, able to only flight with arrows and bows. Being peaceful the Indians wanted no violence to erupt with the English. When the English came to the new world they wanted to dominate as much as they could. The English were trying to take over land from the Indians. They wanted to have more land so they could have more plantations for their tobacco. As time flew by, the English fully established their pres ence in the new world. It was clear that they were here to stay and their impact was still to come. Over time they were creating a new society, and they were pushing away the Indians form their lands. Although Indians may have wanted to do something there wasn’t so much they could actually do. They were being outnumbered they were dying because of diseases and the lack of resources, it would be impossible to stop the English. By the 1600’s, as Indians had moved deeper into the west, laws were being created in the new English society that helped to get better. The Virginia house of burgesses, in 1619, enacted ways to stabilize the foundation of the new world by trying to convert the Indians into Christianity. The English hoped to accomplish this by acquiring native children and hoping to educate them in Christianity. They did this more with young boys to try and brainwashing them in the religion and educate them. This may have worked to gain the English ore support from Indians. Furthermore, as much as Indians were trying to be peaceful many English would turn their back on them. Document b an Englishmen recalls a day in 1622 were Indians were trying to trade with the m in a peaceful way. This shows a technique Indians were trying use to have peace with the English. Thing always turn out bad for the Indians there was brutal wars between the Indians and English. Like the Pequot war of, 1637 which was alliances within in the colonies against alliances within Indian tribes but of course Indians lost because of the English’s military tactics. There were many other wars between these two like the Powhatan war which was three battles but the war ended in peace. As years went by, with all the Indians dying, the English were becoming a bit fond of the Indians. In 1677 a governor that wanted to protect the Indians was the center of riots and infuriated citizens (doc. E). Then the governor sought to trade with the Indians secretly which treated him much better than his own people. In conclusion, although Indians were peaceful people that did not deserve to get what they got from the English, they were taking advantage of and sabotaged. In the 1600’s continuing into the 1700’s, the English- Indian relation may have enhanced slightly, b ut majorities of the time English were cruel to the Indians. The Indians when trying to make peace they were murdered , their home would get destroyed , they would die of diseases, and they were outnumbered in power because of English’s better technology and techniques that took over Indian land. More so, the English were victorious because of technology, they were more organized, and the need they have to take over land. Also they were facing a group of people that didn’t want violence.

School Prayer

Amy Hua English 1A TTh 1:45-3:10 Professor Marvin School Prayer Annie Laurie Gaylor argues against school prayer in her article â€Å"The Case against School Prayer† (Elements of Arguments, 679). When religion is included in daily school routines, it divides students into different beliefs. Public schools are meant to be open for all people to get an education, but not to influence them into a new religion. Requiring students to practice prayer in public schools is a violation of Freedom of Religion.Public schools should not practice prayer because there is a diversity of religions in the United States and the Constitution of the First Amendment. Students in public schools get distracted from judgment of religion, but that is why there are places where schools may freely practice religion, such as private schools. Due to the diversity of religions, along with dissimilar practices, schools should continue their public structure leaving religion entirely out. Public schools educ ate the belief of God, which might (for example) be the religion of Catholicism.High schools, Middle schools, and maybe even Elementary schools that practice a certain religion might offend or hurt other religions. â€Å"When religion has invaded our public school system, it has singled out the lone Jewish student, the class Unitarian or agnostic, the children in the minority† (Gaylor 679-680). The United States has a vast variety of religions that include Buddhist, Christian, Catholic, Hinduism, Islam, etc. There are also those Atheists who do not believe in any God. Each belief practices different events that may contrast.For instance, Christians rejoice to the Lord on Christmas day as a result of the birth of Jesus Christ, whereas, Buddhists pay their respects to the dead. â€Å"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof. (First Amendment, Bill of Rights, U. S. Constitution)† The First Amendment is th e Freedom of Religion, press, and expression. Praying at schools not only excludes the students who do not believe in God, but also disrespects them by not allowing freedom of other religions.Forced into prayer does not verbally influence the student to believe in God, but it still implies that you cannot or should not practice a different religion. Most of the rules in public schools are useful: do not use profanity, attend school, and do your best at anything you set your mind to. No matter what the religion, these rules are useful to everyone and are universal to all countries because each one agrees with them. Teaching students about religion would be equivalent to converting them towards the American Republican Party or Democratic-Republican Party.For schools today, it is dishonest for teachers to promote subject during class period. Instructors cannot force what is not universal because of the different beliefs each religion practices. There will be disagreements among singula r religions because there is not only one type of prayer system. There is a place for religion in schools. Private schools were made to eliminate the government from its system, so they are independent. Although students in public schools should be allowed to have personal prayers, there are also private schools and universities that focus on certain viewpoints on religion.If required, some private schools are given permission to freely practice their own religion. For example, Messiah College and John Brown University concentrate on Bible studies as much as other electives. It is more of an option to attend private schools, like Messiah College, so the student should know what he or she is signing up for. However, public schools are for all students to learn gender education. Therefore, no assumption of religion should be taught as a part of general education.As a child, I was enrolled into private Christian school by my parents. My parents and I were aware of the education I was b eing taught by the teachers and the sharing of general education and Bible studies. In â€Å"The Case against School Prayer†, Gaylor says â€Å"People should be judged by their actions, not by what religion they believe in or how publicly or loudly they pray† (82). Not only do people get distracted from judgment, but also from their studies from far most important subjects.With religion being in the same studies as Math and Science, students are unable to concentrate in studies that will mainly shape their future. Prayer can be harmful in many ways, depending on how much the school interoperates it daily. When I attended a Christian school during Kindergarten through fifth grade, I was required to announce the Pledge of Allegiance. But when my parents decided to take me out of Christian school and enroll me into public school, the Pledge of Allegiance was still mandatory to say.My parents, who converted into Buddhism, were offended that I still had to intentionally wor ship God. Annie Gaylor and, not to mention, Jesus had the same opinion for not allowing public schools to teach religion. â€Å"†¦when thou prayest, enter into thy closet, and when thou hast shut thy door, pray to thy Father which is in secret† (Bible, Matt. 6:5-6). School prayers add conflict to education in many ways. As a result of the vast amount of religions in the United States, there are conflicts caused my disagreements of religion. Japan, where no one prays at school, had the lowest crime rate of any developed nation† (Gaylor, 683). Religion should only be taught in private schools or organizations. The First Amendment was made for Freedom of religion, press, and expression, meaning that everyone has a right to pray, but not for public schools to convert the students into believe a certain religion. I strongly agree on Gaylor’s viewpoints of school prayers because I was felt in the same situation in the past. Public schools should stay open to diffe rent religions.

What Do You Find Interesting About The Work Of Grace Nichols Essay Example

What Do You Find Interesting About The Work Of Grace Nichols Essay Example What Do You Find Interesting About The Work Of Grace Nichols Paper What Do You Find Interesting About The Work Of Grace Nichols Paper Essay Topic: Interesting Grace Nichols was born in Guyana in 1950. She lived there until 1977 when she came to live with her partner, another poet. She writes many poems and anthologies. Her poems are mainly about black people and their sense of culture. She writes about the pride they have to be themselves and not to feel embarrassed about who they are. She has also written poetry about missing her home and about what it feels like to be away. I have chosen to study four poems by Grace Nichols: these are, Beauty, The Fat Black Woman Goes Shopping, Like A Beacon and Island Man. These four poems all explore different aspects of cultural diversity. Beauty is about Nichols own views of beauty and not listening to the stereotypical ideas that are impounded into everybodys minds. Nichols doesnt mean beauty in the sense of having a perfect figure and features but beauty in the form of being proud of herself and content with whom she is. This poem is primarily about a fat black woman. Another of these poems is about a fat black woman. The title of this is The Fat Black Woman Goes Shopping. Though this poem shows that she is proud of who she is, it also shows a little touch of insecurity within herself. I can tell this through the lines and de pretty face sales gals exchanging slimming glances These lines show that she feels anger towards the girls for having the stereotypical traits of beauty that she was so against in the last poem. It shows how she wants society to change and become less bothered about size. The other two poems are about being away and missing home. Like A Beacon is about Grace Nichols missing her home and the comforts that she used to have there. This poem shows that home is an important aspect of her life. She also seems to take it as an important part of other peoples lives too as the last poem Island Man is about a man from the Caribbean who lives in London: he misses his home and dreams about being there. Even though Nichols has written this poem about others, her sub heading is for a Caribbean island man in London who still wakes up to the sound of the sea. From the sub heading, it could be imagined that she wrote this thinking about herself as well as others. By writing that sub heading, it sounds as if she relates to the island man who features in her poem. It seems as if she wrote the heading to show her readers in that position that she empathises with them. Titles of poems can sometimes say a lot about a poem. Beauty is a short simple title. If the reader had only got as far as the title, it could be presumed that it would be similar in content to the stereotypical views of beauty or about the scenery. When the poem is read fully, it is actually about a fat black woman. It would surprise the reader because the first thought in a persons head is not one of beauty. The poem The Fat Black Woman Goes Shopping, has a long but precise title. It tells you exactly what the poem is about. It is very direct and it hides nothing. To say, in the title of a poem The Fat Black Woman shows that Nichols is not ashamed to say, or to be who she is. One could presume that the poem is autobiographical because it changes from third-person text; to first-person text for the line Lord is aggravating. This indicates that she knows personally how this situation feels. For her to describe herself as a fat black woman in a poem, which is likely to be read by many people, takes a strong-minded person who isnt afraid to emphasise the fact that she is who she is. Like A Beacon is not a title which appears to give anything away. The word beacon can be associated with belisha beacons by a zebra crossing but this poem is not about these. In this poem, beacon is meant as a strong, important light. Nichols is implying that her home is the warmth and strength that she loves and is an important part of her life. Shes basically trying to say that her home is the light of her life. Island Man has a short title. It tells the reader very little (that it is about a man from an island) but the sub heading tells the reader a lot more. For an island man who lives in London and still wakes up to the sound of the sea. It explains what the poem is about and what it is trying to say, but it is very long. It is an appropriate sub heading but is too long to be a title. Island Man says what it needs to and the sub heading adds to it perfectly In most of these poems, she uses third person narrative but in one she uses first person and in another she switches between the two. In her poem Beauty, Nichols uses third person narrative. This is an effective form to use because it makes the poem general and open to all fat black women, not just Nichols herself. If it were in first person narrative, the poem may not seem beautiful it would seem quite conceited on Nichols part. In third person, the poem is left completely to the imagination of the reader. I. e. what the fat black woman looks like and how she feels when she is walking the fields or riding the waves. In first person, the reader perhaps knows what she looks like and since she is so bold to say she is beauty, the reader can get an idea what she is feeling too. The Fat Black Woman Goes Shopping also uses third person narrative throughout the poem except for one line where it moves to first person. Her use of both techniques is very effective and changes the mood of the poem largely. Though Nichols mainly uses third person it seems obvious that she is writing about her own experiences as she shifts to first person, which suggests that she agrees and somehow sympathises with the character in the poem. Like A Beacon is the only poem in which she uses first person narrative throughout. It is effective as it gives the reader the feeling of understanding her character and her inner thoughts a lot better. The poem talks about how Nichols feels and what she misses from home such as the food that her mother used to cook. If Nichols wrote the poem in third person narrative, it would not have such an impact because it would feel as if she was presuming that this was how people felt and it would not be as effective. Because this poem is about Nichols herself, it leaves the reader thinking or imagining how they would feel if they left home and what they would miss. Island Man also uses third person narrative. This is effective in this poem as it makes the poem seem as if it is a dream. It distances the reader from the person in the poem and makes the whole situation seem further away. If it had been written in first person, it would have made the reader feel closer to the person in the poem and so it would have made it feel less like a dream and more like life. Third person narrative gives you the feeling of distance, which makes the poem more enjoyable to read. Nichols uses many techniques to create the moods that she feels are appropriate for her poems. In her poem Beauty, Nichols wants to create the image of warm, calm settings. This is effective because the poem is based on beauty and warm, calm things are thought of as beautiful. The Fat Black Woman Goes Shopping wants to create an angry and miserable mood. Nichols does this by using hard alliteration and pathetic fallacy. She uses winter to create cold images and hard alliteration to create the presence of anger and annoyance. This is effective in the poem because she is aggravated at the fact that the shop is prejudiced against women with clothes sizes over 14, as they dont have any. The poem Like A Beacon is trying to set the mood of the beacon being warmth and the light of her home, the Caribbean, and where she actually is, London, the cold place and not somewhere she would like to be. She talks about the things that she misses about home: in search of plantains Saltfish/sweet potatoes. The alliteration of the s makes those two lines sound very calm and positive. Island Man is trying to create two images: One of a beautiful, tropical place and the other of a dull, grey, cold place. Nichols tries to accomplish this mood using different styles of writing. For example: to make London sound dull, Nichols uses words such as groggily which is related to waking up and still being really tired and miserable. To make the Caribbean sound tropical, Nichols uses words like emerald which is related with beautiful jewellery so it make the island sound calm and a place on a similar level with Heaven. A main theme used in Nichols poetry is Cultural Identity. Nichols is not ashamed of who she is or what her background she has. She makes it very clear that her past is very important to her through her poetry. In her poem Beauty, Nichols states that Beauty is a fat black woman. This contrasts with the western ideal of female beauty i. e. white, thin, tall, and blonde. Nichols directly challenges these stereotypes and strongly asserts black female cultural identity. It is essentially a celebration of the beauty seen in a large, black, curvaceous woman. The Fat Black Woman Goes Shopping is very similar to Beauty as it is also about a fat black woman. This poem also adds the fact of prejudice towards fat black women. This shows the divide between cultures. The poem Like A Beacon, uses a different form of cultural identity. It shows the difference between London and the Caribbean through the way Nichols describes what she misses about her home. She talks about the food that she used to eat (plantains, salt fish, sweet potatoes) which are not things that the English (white) culture is used to. Nichols poem Island Man is similar to the cultural identity in her poem Like A Beacon. It also talks about the differences between London and the Caribbean. This poem talks about the beauty and warmth of the Caribbean islands and the beaches there. It also talks about the cold and grey areas of London. It shows that the cultural identity of the island man is the opposite of a person who is from London. Nichols language techniques vary in her poetry depending on what she feels she should use to emphasise points or moods. She uses personification in both her poems Beauty and The Fat Black Woman Goes Shopping. In Beauty, she says while the sea turns back to hug her shape. Nichols uses a soft mood to make the woman seem even more beautiful. She does this by saying; that even the sea wants to hug her-though the sea has no feelings. In the poem The Fat Black Woman Goes Shopping, Nichols uses it to achieve almost the opposite affect of which it had in Beauty. She uses the lines frozen thin mannequins fixing her with grin to emphasise the fact that the woman in this poem is quite paranoid, being in this shop. She presumes that even the plastic mannequins are laughing at her, though of course, that is not possible. This shows her insecurity about her size, particularly the views of others about it. Nichols uses alliteration in three of the four poems. In The Fat Black Woman Goes Shopping, Nichols uses hard alliteration to create a flowing image (bright, billowing, breezy. ). In the poem Like A Beacon, Nichols uses this language technique when describing the food that her mother used to cook. The s in saltfish/sweet potatoes lingers as it is read and it gives the reader the sense of the lingering smells of these foods as they were being cooked and afterwards too. Island Man also uses alliteration. Here, s is also used (sun surfacing) but she uses it to be sharp and snappy as the next word is defiantly and sharp and snappy words or letters seem quite defiant. In some of her poems, Grace Nichols uses particular words to create a mood or image. In Island Man she uses hard words-such as groggily, metallic, surge and crumpled-to create a dull and gloomy image of London. She also uses soft words-for example surf, wombing and emerald-to create a bright, happy image of the Caribbean. In her poem Beauty, she uses many soft word-such as hug, cheek, breezed and drifting-to create the warm beautiful image of the woman in it. Grace Nichols uses many techniques to emphasise points and to make lines stand out. In the poem Beauty, she uses repetition. She repeats the lines Beauty s a fat black woman to emphasise what the poem is about. She uses the structure of the poem to emphasise the same point as she leaves Beauty on its own to show that it is important. In The Fat Black Woman Goes Shopping, Nichols uses rhyme, repetition and the structure to make lines stand out. Most of this poem is written in verses but to show how the character in the poem feels, she leaves the line Lord is aggravating on its own. Though that is only one line, i t seems to stand out and the reader reads that first. It makes you think a great deal about the feelings of the subject. Nichols also uses rhyme at the end of this poem. It is the only time that she does this and it is very effective: that when it comes to fashion the choice is lean nothing much beyond a size 14. It really stands out and makes the irritation of the subject much greater. If rhyme had been used throughout the poem, it would not have been so effective. Nichols use of repetition in this poem works very well. The poem is all about a long unproductive day and repetition exaggerates that. She repeats the word journeying twice and it gives a real sense of boredom and tiredness. In her poem Like A Beacon, Nichols also uses the structure to emphasise a main point. She wants to make it clear about how she feels. She has written I Need This Link on its own, in between the two verses. The poem flows very well until it gets to that line. Nichols separates it and this makes the reader stop and think about what the poet is trying to say. Island Man uses repetition. Nichols uses it to exaggerate the first word and to make the mood of the poem clearer. It works well and it accentuates the dull image that Nichols is trying to paint of London e. g. groggily groggily. These four poems by Grace Nichols are poems that I have found very interesting. They all use ideas about cultural identity and racial difference and this makes the poems very engrossing. Though I have never been in the situation of missing home (Like A Beacon and Island Man) or having to deal with prejudice against my size (The Fat Black Woman Goes Shopping), I feel, through reading the poetry that I understand and sympathise greatly with people who have to deal with these things. The poems have given me a greater understanding of the culture of Grace Nichols and I have thoroughly enjoyed reading and working on them.

Profile of Prince Henry the Navigator of Portugal

Profile of Prince Henry the Navigator of Portugal Portugal is a country that has no coast along the Mediterranean Sea, only the Atlantic Ocean, so the countrys advances in worldwide exploration centuries ago may come as no surprise. That said, it was the passion and goals of one man who truly moved Portuguese exploration forward, the man known as Prince Henry the Navigator (1394–1460). Formally, he was Henrique, duque de Viseu, senhor da Covilh. Fast Facts: Prince Henry the Navigator Known For:  He founded an institute for explorers, and people from around the world visited to learn about the latest discoveries in geography and navigation technology.Born:  1394 in Porto, PortugalParents:  King John I of Portugal, Philippa of Lancaster, of EnglandDied:  1460 in Sagres, PortugalSpouse: NoneChildren: None Although Prince Henry never sailed on any of his expeditions and rarely left Portugal, he became known as Prince Henry the Navigator because of his patronage of explorers, who increased the worlds known geographic information through the sharing of knowledge and by sending expeditions to places previously uncharted. Early Life Prince Henry was born in 1394 as the third son of King John I (King Joao I) of Portugal. At the age of 21, in 1415, Prince Henry commanded a military force that captured the Muslim outpost of Ceuta, located on the south side of the Strait of Gibraltar, on the northern tip of the African continent and bordering Morocco. It became Portugals first overseas territory. On this expedition, the prince learned about gold routes and became fascinated with Africa. The Institute at Sagres Three years later, Prince Henry founded his navigational institute at Sagres on the southwestern-most point of Portugal, Cape Saint Vincent- a place ancient geographers referred to as the western edge of the earth. The institute, best described as a 15th-century research and development facility, included libraries, an astronomical observatory, shipbuilding facilities, a chapel, and housing for staff. The institute was designed to teach navigational techniques to Portuguese sailors, to collect and disseminate geographical information about the world, to invent and improve navigational and seafaring equipment, and to sponsor expeditions. Prince Henrys school brought together some of the leading geographers, cartographers, astronomers, and mathematicians from throughout Europe to work at the institute. When people returned from voyages, they brought back with them information about currents, winds- and could improve existing maps and seafaring equipment. A new type of ship, called a caravel, was developed at Sagres. It was fast and was much more maneuverable than prior types of boats, and though they were small, they were quite functional. Two of Christopher Columbus ships, the Nina and the Pinta, were caravels (the Santa Maria was a carrack). Caravels were dispatched south along the western coast of Africa. Unfortunately, a major obstacle along the African route was Cape Bojador, southeast of the Canary Islands (located in Western Sahara). European sailors were afraid of the cape, for supposedly to its south lay monsters and insurmountable evils. It also hosted some challenging seas: tough waves, currents, shallows, and weather. Expeditions: Goals and Reasons Prince Henrys expeditionary goals were to increase navigational knowledge along the western coast of Africa and find a water route to Asia, to increase trade opportunities for Portugal, to find gold to provide the trips own funding, to spread Christianity around the world, and defeat Muslims- and perhaps even to find Prester John, a legendary wealthy priest-king thought to reside somewhere in Africa or Asia. The Mediterranean and other ancient East sea routes were controlled by the Ottoman Turks and Venetians, and the breakup of the Mongol Empire made some known land routes unsafe. Thus came the motivation to find new water routes heading East. Exploring Africa Prince Henry sent 15 expeditions to navigate south of the cape from 1424 to 1434, but each returned with its captain giving excuses and apologies for not having passed the dreaded Cape Bojador. Finally, in 1434 Prince Henry sent Captain Gil Eannes (who had previously attempted the Cape Bojador voyage) south; this time, Captain Eannes sailed to the west prior to reaching the cape and then headed eastward after passing the cape. Thus, none of his crew saw the dreadful cape, and it had been successfully passed, without catastrophe befalling the ship. This was the first European expedition to sail past this point and successfully return. Following the successful navigation south of Cape Bojador, exploration of the African coast continued. In 1441, Prince Henrys caravels reached Cape Blanc (the cape where Mauritania and Western Sahara meet). The expedition brought back some blacks as exhibits of interest to show the prince. One negotiated his and his sons release by promising several slaves upon their safe return home. And so it began. The first 10 slaves arrived in 1442. Then it was 30 in 1443. In 1444, Captain Eannes brought a boatload of 200 slaves back to Portugal. In 1446, Portuguese ships reached the mouth of the Gambia River. They were the first Europeans to sail that, too. In 1460 Prince Henry the Navigator died, but work continued at Sagres under the direction of Henrys nephew, King John II of Portugal. The institutes expeditions continued to venture south, then rounded the Cape of Good Hope, and sailed to the east and throughout Asia over the next few decades. The European Age of Discovery and Its Aftereffects The 100-year period from the mid-15th century to the mid-16th is called the European Age of Discovery or Age of Exploration, when Portugal, Spain, Great Britain, the Netherlands, and France sent out voyages to previously unknown lands and claim their resources for their country. The cheapest labor to work on plantations for crops such as sugar, tobacco, or cotton were slaves, brought on a triangular trade route, one brutal leg of which was known as the middle passage. Countries that are former colonies still suffer the aftereffects today, especially in Africa, where there is poor or inconsistent infrastructure in many areas. Some of the countries just gained their independence in the 20th century. Sources Dowling, Mike. Prince Henry the Navigator. MrDowling.com. https://www.mrdowling.com/609-henry.html.â€Å"Henry the Navigator.†Ã‚  Biography.com, AE Networks Television, 16 Mar. 2018, www.biography.com/people/henry-the-navigator.Henry the Navigator.  Encyclopedia of World Biography.  Encyclopedia.com.  https://www.encyclopedia.com/people/history/spanish-and-portuguese-history-biographies/henry-navigator.Henry the Navigator Facts. YourDictionary.com. http://biography.yourdictionary.com/henry-the-navigator.History. Sagres.net. Allgarve, Promo Sangres, and Municipia do Bispo. sagres.net/history.htm.Nowell, Charles E., and Felipe Fernandez-Armesto. â€Å"Henry the Navigator.†Ã‚  Encyclopà ¦dia Britannica, Encyclopà ¦dia Britannica, Inc., 12 Nov. 2018, www.britannica.com/biography/Henry-the-Navigator.The Portuguese Role in Exploring and Mapping the New World. Library of Congress. loc.gov/rr/hispanic/portam/role.html.Prince Henry the Navigator. PBS. https://www.pbs.org /wgbh/aia/part1/1p259.html.

Criminal Procedure Assignment Essay Example | Topics and Well Written Essays - 500 words

Criminal Procedure Assignment - Essay Example Effectively, the decision overruled the previous distinction in Chadwick-Sanders that held such a search of containers in automobiles required a warrant even if there was probable cause for the search. In U.S.A vs. Chadwick 433 U.S. 1 (1977), it was held that in the absence of exigency, searching double-locked luggage inside an automobile is not justified and violates the Fourth Amendment rights. Here, it was explained that luggage may be movable just like the automobile but is not subjected to lesser privacy expectations associated with the automobile. Therefore, the police cannot search personal effects that they confiscate during an arrest if they do not have a warrant to perform the search. In U.S.A vs. Johnson 457 U.S. 537 (1982), the defendant claimed that his written and oral confessions were the results of an unlawful arrest that could not be supported by probable cause. However, it was held that the warrantless arrest of Johnson in his home did not violate his Fourth Amendme nt rights because there was probable cause for the arrest and the confessions admitted as evidence. However, this decision was later overruled after Payton v New York 445 U.S. 573 was decided and it was ruled the respondent’s Fourth Amendment rights were violated. The similarity in the three cases is the issue of warrantless search and presenting the evidence found to the court during prosecution. However, basing on the different facts f the cases, different verdicts were made. Both U.S.A. vs. Acevedo and U.S.A. vs. Johnson held that the police did not require warrants to search the automobile and home respectively. The reasoning is that they had probable cause to believe there was evidence in the automobile and home that would link the suspects to crime. More specifically in U.S.A. vs. Acevedo, the most relevant holding was that the police could search the entire automobile and any closed containers in it.

Save Our Children by Saving Their Music - Case Study of Glynn Co Research Proposal

Save Our Children by Saving Their Music - Case Study of Glynn Co School - Research Proposal Example As I am sure most board members are aware, extensive research has been done on the effects music programs and the fine arts in general have on our children’s success; especially children in low economic households where parents toil to cater for their necessities. I wish to share some of these findings with those who do not have an insight on the essence of the Fine Arts in schools, and offer a few ideas to alleviate some of the budget burdens that may have been overlooked. At the very least let’s start a meaningful conversation. It is essential that a music department be equipped with the proper elements in public relations and music education advocacy in order to gain support from administrators, parents, and the general public. The field of education requires massive support from the community, especially in the arts. Glynn Co Schools house students, teachers, and administrators, being a microcosm of the surrounding community. These schools represent the members of t he community and often give an accurate depiction of the characteristics of the area therefore if it is not an issue important enough for our administrators to get involve why should the public. Public relations are a key area in gaining the support of the general public yet when our band directors worked so diligently to secure a spot in the Cherry Blossom parade in Washington D.C., which only a few in the ENTIRE country were invited, there was barely a mention in the papers and not a word on our radio stations (Costes 52). I wonder if our young athletes worked hard enough to make the state playoffs if that would generate some buzz? Brunswick News heralding the wonders of our coaches as it called for every business to put on their signs â€Å"GO PIRATES†. Yes Pirates, go while our young musicians, who have worked so hard, stay home because no one wants to fund the bus to carry them to perform that which has so tirelessly been taught to them. Let our chorus teacher’s s pend their own money taking students home so those children, whose parents work, can stay after school to practice but let’s not give them the means to showcase the commendable job they have accomplished with these students. How about our Theater Arts teachers? How long has it been since we gave a standing ovation at a rendition of Death of Salesmen or Little Women performed by our children? I am not suggesting that our athletic departments need to be cut or imply that they are less important, only consider and weigh how many children are affected by cuts to the fine arts program verses those that are affected by cuts to the athletics department and adjust the budget accordingly. I am not just talking about the band and chorus, because it follows that I’ve got a horse in the race, I mean all of the fine arts departments. We should all be passionate about this. Think about how many of the great thinkers were and are performers in either Theater or music. Right now there are studies being done on the ill effects football has on NFL players not to mention the law suites. There are exactly ZERO studies being done on the ill effects of band, Theater, or chorus. When looking at gaining public funding and support from our businesses, the Glynn Co Board of Education must understand and indicate to the public important talent building among students and how we must ensure the survival and the success of the fine arts pro

HUMAN GROWTH BEHAVIOUR (SOCIAL WORK) Essay Example | Topics and Well Written Essays - 3000 words

HUMAN GROWTH BEHAVIOUR (SOCIAL WORK) - Essay Example role confusion, intimacy vs. isolation, generatively vs. stagnation and ego integrity vs. despair. According to the theory, successful completion of these stages will ensure a positive personality (Erikson, 1995). J. Bowlby who is known as the father of attachment theory (Cherry, n.d) first created the attachment theory. According to Bowlby, attachment needs begin when a child is born and continues throughout his life. The infant develops his first attachment with his mother who is the first and most important caretaker. A child has natural instincts to explore the world, but if while exploring he encounters a danger; he will take refuge by coming back to his mother for security. Moreover, discipline must be the main part of a child is training otherwise it will affect his future (Barnes, 2004). Bowbly discovered that the infants who had a strong bond with their mothers, had high IQ levels, strong self-esteem and performed well at school. The infant develops a sense of security and has a positive impact later on his life. Another renowned psychologist Mary Ainsworth later extended Bowbly’s theory by stating the main styles of attachments; secure attachment, ambivalent-insecure attachment, disorganized attachment and avoid-insecure attachment (Holms, 1993). Ambivalent-insecure attachment refers to a situation when a child becomes extremely insecure when the parent leaves, this happens due to the unavailability of a parent. In Avoid attachment, the infant tries to avoid or distance the caregiver and may easily trust a complete stranger. The reason for such behavior is the result of abusive parenting styles. In disorganized style of parenting, a child may both avoid and trust a parent, thus it results in disorganized behavior in child. Hence, attachment theory is very useful in understanding a relationship not only between a mother and child but also between adult partners. Mary is 45 years old and is in relationship with a man for more

Importance of Exercise With Cystic Fibrosis

Importance of Exercise With Cystic Fibrosis Critically analyse how the physiological benefits of exercise contribute to an improvement in coping with the physical demands of everyday life in this client group and how it compares with traditional Physiotherapy Techniques (Postural Drainage and Percussion) Cystic fibrosis is an inherited disease very common among Caucasians, but rare in Asians and Negroes. It is an autosomal recessive condition, with an estimated one in twenty of a Caucasian population heterozygous for the condition. The number of live births of children having cystic fibrosis is high; between 1 in 500 and 1in 3000 (P. Howard, 1991 p.137), or 1 in 2000 (P. McGowan, 20003 p.142, G.K. Crompton, 1987 p.289). In the UK a figure of 1 in 4000 is given (W.J.M/ Kinnear et al, 1999 p.52). Kinnear et al (p. 52) also suggest a reason for the extremely high number (1 in 20) of heterozygotes in the population, that perhaps this high number is the result of some selection advantage, in this case possibly providing some protection from severe secretory diarrhoea caused by for example cholera. A mutation in a single gene (called pf) causes a defect in a plasma membrane protein called cystic fibrosis transmembrane conductance regulator (CFTC). This gene is found on chromosome 7 (W.J.M. Kinnear et al, 1991 p. 52), and it is this gene that normally controls the movement of calcium ions. With it non-functional, calcium ions cannot pass through the membrane (P.H. Raven G.B. Johnson, 2002 p.261). As with many other inherited disorders, the pf gene has pleiotropic effects, i.e. one gene has multiple effects, in this case overly sticky mucus, clogged blood vessels, salty sweat, pancreas and liver failure and many other symptoms (Raven Johnson, 2002, p.253). Sometimes the gene appears to have the correct amino acid sequence but the condition is still produced. This appears to be due to a defect in one of the chaperone proteins, proteins that enable the gene product to fold to its final form. With the chaperone protein defective this does not occur and so cystic fibrosis is still the result (P.H. Raven GB Johnson, 2002 p.44). The table below shows (a) features of cystic fibrosis, (a) and (b) some complications arising from it. FEATURES OF CYSTIC FIBROSIS Respiratory manifestations Gastrointestinal manifestations Recurrent bronchopulmonary infection Meconium ilius Bronchiectasis Rectal prolapse Diarrhoea Failure to thrive Malabsorption COMPLICATIONS OF CYSTIC FIBROSIS Respiratory complications Other complications Bronchiectasis Abdominal pain Cor pulmonale Biliary cirrhosis Haemoptysis Delayed puberty Lobar collapse Diabetes mellitus Allergic aspergillosus Gall stones Sinusitis Growth failure Nasal polyps Male infertility Wheezing Portal hypertension Pneumothorax Rectal prolapse (Definitions:cor pulmonale: disease of the heart characterised by hypertropy and dilation of the right ventricle and secondary disease of the lungs or their blood vessels. Bronhiectasis: a chronic inflammatory or degenerative condition of one or more bronchi or bronchioles marked by dilation and loss of elasticity of the walls. Anon, 2006 in Medline Plus, Medical Dictionary) Other complications can also occur, some these being given by P. McGowan (2003 p.142) as Meningitis, Metastatic abscess (e.g. in the brain, and Amyloid formation (e.g. in the kidney). At present cystic fibrosis is always a fatal condition, death occurring either from the condition itself, or from one of its many complications. However the outlook for the patient, both in terms of life span and quality of life has continued to improve over the last few decades. Where once it was largely a disease of childhood with only about 5% reaching the age of 17, a 1987 publication estimates perhaps 25% surviving to age 20 (G.K. Crompton, 1987 p. 292). By 2003 though, the mean survival had risen to 29 years (P. McGowan, 2003. p.143). There are several methods of treatment for cystic fibrosis, improvements in some of these being responsible for much of the improvement in outcome for patients seen today. These methods will be discussed, in particular the traditional physiotherapy methods of Postural Drainage and Percussion, and compared to the effect of exercise on the patient’s prognosis. But first a brief consideration of the effects of cystic fibrosis so that it is clear what the treatment is aiming to change. Cystic Fibrosis: Signs and Symptoms Cystic fibrosis is primarily a disease of the respiratory system, although various other parts of the body are also affected. It is caused by the gene mutation referred to in the introduction. There are up to 500 different mutations, but 3 main ones, which cause 90% of the cases (W.J.M. Kinnear et al, 1999, p.52). These adversely affect the exocrine glands and the mucus-secreting glands, resulting in excess mucus and difficulty in clearing it. All such glands are affected, thus its wide ranging effects on other organs apart from the lungs, e.g. the pancreas. The excess mucus production is difficult to remove, due to impaired ciliary action in the airways leading to repeat infections and bronchiectasis. The disease is normally present at birth, although initially it may be asymptomatic or confused with other respiratory conditions such as asthma. Early signs of the disease are not always of a respiratory nature however, as some new-borns present with meconium ilius, while in some young children malabsorption and failure to thrive occur (W.J.M. Kinnear et al, 1999, p.52). Respiratory complications are however, the main feature, and generally present by age ten. Thick, viscid mucus is produced which is difficult to shift, and the bronchial obstruction it causes leads to infection. This leads to further obstruction as DNA from dead bacteria increases the viscosity and so produces a cycle of infection and increasing viscosity. Coughs, occasional at first, become more frequent, eventually leading to bronchiectasis with persistant purulent sputum expectoration. There may be blood in the sputum (haemoptysis), wheezing and intestinal obstruction, and the patient may become breathless (P. Howard, 1991, p. 28). These conditions worsen, nutrition may be poor leading to stunted growth, and finger clubbing becomes common as bronchial infection takes hold, and finally, in the terminal stages there may be cyanosis and cor pulmonale As can be seen from the aforementioned, cystic fibrosis is not a straightforward disease, and often, especially in babies and young children positive diagnosis can be difficult. Symptoms may be similar to other respiratory conditions, particularly in the early stages, plus secondary conditions may occur. These include infections such as with Staphylococcal pneumonia, this initial infection allowing further infections with other bacteria, particularly where broad spectrum antibiotics have been used so removing non-pathogens and allowing colonisation by drug resistant Staphylococci. If the patient survives to 16 or 17 years of age gastrointestinal problems may continue, but then respiratory disease tends to dominate, ending with cor pulmonale and/or respiratory failure (P. Howard, 1991, p138). Because of the variety of symptoms and the difficulty sometimes of diagnosing cystic fibrosis, there is no one specific treatment, treatment being aimed at the removal of mucus secretions so aiding prevention and control of pulmonary symptoms (GK Crompton, 1987, p. 291). And this is the more effective the earlier in the disease process it is started. Thus a definite diagnosis as early as possible will lead to more effective treatment. Various tests are carried out when cystic fibrosis is suspected. This may be because of a family history of the disease, failure of the child to grow at the expected rate, gastrointestinal problems or other respiratory problems such as asthma with which it may be confused. Pre-natal diagnosis may be carried out by amniocentesis or chorion-villous sampling if parents are known to be carriers of the condition. Otherwise various tests, e.g. the Guthrie test, the Immunoreactive trypsin test or most commonly the Sweat test (in which raised levels of sodium and chloride in the sweat are taken as a clear indication of the disease and is the most accurate test for this) are carried out. However the sweat test is not always so effective in adults. Traditional Treatments: Postural Drainage and Percussion Once the condition has been diagnosed treatment should be started immediately, even if the child has only minor symptoms or is asymptomatic. Treatment(s) may be based on any or all of the following: Physiotherapy, Antibiotics, DNase (to degrade the bacterial DNA that builds up in the airways, Anti-inflammatory drugs and nutritional support. It is the physiotherapy treatment that will now be considered. The two traditional physiotherapy techniques that are used for Cystic Fibrosis patients are Postural Drainage and Percussion. As the name implies, the former technique centres around placing the patient in a particular posture to facilitate draining of excess mucus from the airways. It is used in the treatment of bronchiectasis and lung abscesses, and the patient is placed head downwards so that the trachea is down and below the affected area so allowing drainage to occur (Anon, 2006). The use of postural drainage has quite a long history, with the first reference to its use in 1901 by W. Ewart in the Lancet (L. Lannefors et al, 2004). Ewart suggested continuous drainage for hours, with the patient sleeping in the position if possible. For postural drainage their are 12 positions, one for each lung unit, and once the patient is in the appropriate one percussion is applied (L.Lannefors et al, 2004). Percussion is a technique used to assess changes in the thorax or abdomen, and is carried out by tapping the surface to deduce the underlying structure. It is â€Å"done with the middle finger of the right hand tapping on the middle finger of the left hand, which is positioned with the whole palm on the body† (Anon, 2006). This can produce four different sounds, sonorous, hypersonorous, relatively dull sound, or completely dull sound, these indicating the structure below. For example a solid mass will produce a dull sound, while a hollow, air-containing structure will produce a sonorous sound. No studies have been carried out on the effects of manual percussion, but it is thought that air trapped between the chest wall and the cupped hand produces a vibratory wave that loosens secretions attached to the airway walls. These two techniques are often used in conjunction, a problem with the postural draining being the time that the patient must lie in the appropriate position, an hour being suggested as the effective time. For babies and toddlers an hour in this position is only likely to be possible when they are asleep. For older patients compliance with the treatment may be difficult – how many children or teenagers can happily stay still in a particular position for up to an hour without boredom setting in? But what of the actual effectiveness of these techniques? They have been used for a long time now often with modifications to the original method. There is much in the literature concerning these methods but including much that is conflicting, leaving the benefit of these treatments not always clear. There are now many techniques for airway clearance including variations on the two in question, thus it is difficult to make a straight comparison between them all. SG Butler and RJ Sutherland (1998) looked at several airway clearance techniques and concluded that no one technique was shown superior to the others. But a long-term study comparing conventional postural drainage and percussion with the positive expiratory pressure (PEP) technique found PEP to be significantly better. One other study looking at several techniques concluded that there was no particular difference between them, but that all were better than no treatment (J Thomas D Brooks, 1995). More recent papers indicate a lesser use of postural drainage in its original form, for example BM Button et al, (2004), compared traditional postural drainage with a modified form and found that the latter resulted in less episodes of gastro-oesophageal reflux. Similarly a review of the physiotherapy management of hospitalised children (K Farbotko et al, 2005) revealed a significant decrease in the use of postural drainage, but an increase in the use of a modified postural drainage system, and positive expiratory pressure devices. Other methods showed no significant change in their use. Another recent study (F Dennis MJ Rosen, 2006) considered non pharmacological airway clearance therapies by reviewing many papers on the subject, and concluded that such therapies did increase airway clearance, but that their effect compared with the unassisted cough was unknown. Thus there are many studies but they are often not comparable, they assess different methods, do not always have large enough sample sizes to make statistical comparisons, and of course are using different groups of patients who may vary in many ways. For instance in age, sex, seriousness of their symptoms, or in compliance with the treatments. CM Oermann et al, (2000) found that it was the sicker patients who were more likely to be compliant, something that could skew results if not taken into account in further studies. Benefits of Exercise In recent years more emphasis has been placed on the use of exercise as a means of treating cystic fibrosis patients, and for these an improvement in aerobic capacity is particularly useful. Exercise has benefits for all, and changes in both anaerobic and aerobic systems can occur depending on the type of training undertaken. Improvements in anaerobic systems are of more use in preparing for short-lived events requiring power or speed, e.g. weight lifting or sprinting, while improvements in aerobic systems are needed for distance events. In patients whose respiratory systems are compromised as in cystic fibrosis there will often be a reduction in lung volume or distensibility, with a corresponding reduction in vital capacity, total lung capacity and also inspiratory muscle strength (M Estenne et al, 1993). For these patients aerobic exercise is likely to be useful. Aerobic respiration causes various changes in the individuals’ metabolism and in the cardiovascular and respiratory systems. Some of these are listed below, the list being compiled from Exercise Physiology, by McArdale et al, (1996) Metabolic Adaptations Mitochondria from trained skeletal muscle become larger and more numerous Increased capacity to generate ATP An increase in the trained muscles capacity to mobilise, deliver and oxidise lipids Increased carbohydrate metabolism Selective hypertrophy of fast and slow twitch muscle types depending on use Cardiovascular and Respiratory Adaptations Heart size generally increases Increase in plasma volume Heart rate decreases as a result of aerobic training The heart’s stroke volume and cardiac output increases A significant increase in quantity of oxygen extracted from the blood Aerobic training causes a large increase in total muscle blood flow during maximal exercise Blood pressure is reduced both at rest and at sub-maximal exercise Psychological benefits. A consideration of the above list indicates several changes of interest for the cystic fibrosis patient, for example the increase in oxygen extracted from the blood and an increase in the ability to oxidise lipids. And psychological changes produced by sport or any physical activity are important for both the healthy individual and the CF patient. It can reduce mild depression, aid in sleeping, and give confidence in ones physical abilities, all which will make the patient more confident in themselves and in their handling of their condition. Although exercise alone is not going to replace all other treatments, it has a definite place as one of them, especially in the earlier and milder stages of the disease. An overview of treatment for cystic fibrosis (L Lannefors et al, 2004), describes the methods used at the Lund CF Centre in Sweden, starting in the 1980’s. There the treatment is tailored to each individual, with an emphasis on physical activity and absolutely no use of postural drainage or percussion (not used there since 1983). The treatment is started as soon as the condition is diagnosed and incorporates much physical activity. This is particularly important for babies or very young children, as they need to get used to someone applying physiotherapy. Left to the age of 3 or 4 years the child may not be very amenable to what to them is a boring and pointless activity, but started sooner is more likely to accept the treatment. The activity part of the treatment is tailored for each individual with their input taken into account, and aims to keep air-ways as clear as possible using physical activity, and physical activity as therapy for adults with bronchiectasis has been described ( J Pryor, 2004). Although there appears to be little to back the approach considering the lack of rigorous clinical studies available, it does appear from accumulated clinical experience that patients benefit from it. The paper by DM Orenstein et al, (2004) considers at length strength and aerobic training in children with cystic fibrosis, with many similar points made as in L Lannefors et al, (2004) overview of CF treatments. The introduction to this paper contains a brief review of many others, often showing similarities in results but not backed up by rigorous clinical studies. This study is the first fully randomised trial, measuring fitness, pulmonary function and quality of life, and was tested on a home based exercise programme. The CF patients were chosen according to pre-set criteria and randomly allocated to treatments. Thus the results could be analysed to check for any significant changes in outcomes. Results for this study were not always as expected, particularly for the aerobic training group which showed no increase in measures of aerobic fitness over time. It did not produce any greater fitness or pulmonary function than strength training. However both groups showed significant increases in weight gain, of particular importance, as CF children are often underweight leading to increased morbidity and mortality. The trial did not always give the expected results, but as great care had been taken with the experimental design, at least the results could be properly quantified and analysed. Conclusion In conclusion, it would appear that work still needs to be done regarding appropriate experimental design, to fully understand the rationales for treatment, and to fully appreciate the effect of physical activity on aerobic capacity and disease progression. For as Orenstain et al comment: â€Å"Exercise has the ability to improve the ability of a patient with Cystic Fibrosis to cope with the physical demands of everyday life† (Chest 2004, 126:1204-1214) REFERENCES Anon (2006) Medline Plus on-line Medical Dictionary http://www2.merriam-webster.com/cgi-bin/mwmednlm accessed 29/04/06 Butler, SG, Sutherland, RJ (1998) Current airway clearance techniques. New Zealand Medical Journal vol 111:183-186 Button, BM, Heine, RG, Catto-Smith, AG, Phelan, PD Olinsky, A (2004) Archives of Disease in Childhood vol 89:435-439 Crompton,GK (1987) ‘Diagnosis and Management of Respiratory Diseases’ 2nd ed pub: Blackwll Scientific Publications Dennis, F, Rosen, MJ (2006) Monpharmacological Airway Clearance Therapies Chest. vol 129;250S-259S Estenne, M., Gevenois, PA, Kinnear, W, Soudon, P, Heilporn, A De Troyer, A. (1993) Lung volume restriction in patients with chronic respiratory muscle weakness: the role of microatelectasis. Thorax vol. 48(7):698-701 Farbotko, K, Wilson, C, Watter, P and MacDonald, J (2005) Change in physiotherapy management of children with cystic fibrosis in a large urban hospital. Physiotherapy Theory and Practice vol. 21(1)pp13-21 Howard, P (1991) ‘Respiratory Medicine in Clinical Practice’ pub: Edward Arnold Kinnear, WJM, Johnston, IDA. Hall, IP. (1999) ‘Key Topics in Respiratory Medicine’ pub: Biosis Scientific Publishers Lannefors, L, Button, BM Mcilwaine, M. (2004) Physiology in infants and young children with cystic fibrosis: current practice and future developments. Journal. of the Royal Society of Medicine vol 97 (suppl 44):8-25 McArdle, WC. Katch FI, Katch, VL. (1996) ‘Exercise Physiology: Energy, Nutrition, and Human Performance’ 4th ed. Williams Watkins, pub: McGowan, P (2003) ‘Respiratory System’ 2nd ed. Mosby, pub. McIlwaine, PM, Wong, LT, Peacock, D Davidson, AGF (1997) Journal of Pediatrics vol 131(4):570-574 Raven, PH Johnson, GB (2002) ‘Biology’ 6th ed. pub: McGraw Hill, Oermannr, CM, Swank, PR Sockrider, MM. (2000) Chest vol 118(1):92-97 Orenstein, DM, Hovell, Mulvihill, MF, Keating, KK, Hofstetter, CR, Kelsey, S, Morris, K, and Nixon, PA. (2004) Strength vs Aerobic Training in Children with Cystic Fibrosis. Chest. vol 126:pp 1204-1214 Pryor, J. (2004) Physical Therapy for Adults with Bronchiectasis. Clinical Pulmonary Medicine vol. 11(4):201-209 J R Soc Med 2004;97(suppl. 44):pp8-25 Thomas, J, Cook, DJ Brooks, D. (1995) Chest physical therapy management of patients with cystic fibrosis: a meta-analysis. American Journal of Respiratory and Critical Care Medicine. vol 151 (3 part 1):846-850