Eco Friendly Structures

Major elements of green building design which are: Sustainable Site Design Key Principles: Minimize urban sprawl and needless destruction of valuable land, habitat and green space, which results from inefficient low-density development. Encourage higher density urban development, urban re-development and urban renewal, and brownfield development as a mearns to preserve valuable green space. Preserve key environmental assets through careful examination of each site.Engage in a design and construction process that minimizes site disturbance and which values, preserves and actually restores or regenerates valuable habitat, green space and associated eco-systems that are vital to sustaining life. Water Quality and Conservation Key Principles: Preserve the existing natural water cycle and design site and building improvements such that they closely emulate the site’s natural â€Å"pre-development† hydrological systems. Emphasis should be placed on retention of storm water an d on-site infiltration and ground water recharge using methods that closely emulate natural systems.Minimize the unnecessary and inefficient use of potable water on the site while maximizing the recycling and reuse of water, including harvested rainwater, storm water, and gray water. Energy and Environment Key Principles: Minimize adverse impacts on the environment (air, water, land, natural resources) through optimized building siting, optimized building design, material selection, and aggressive use of energy conservation measures. Resulting building performance should exceed minimum International Energy Code (IEC) compliance level by 30 to 40% or more. Maximize the use of renewable energy and other low impact energy sources.Indoor Environmental Quality Key Principles: Provide a healthy, comfortable and productive indoor environment for building occupants and visitors. Provide a building design, which affords the best possible conditions in terms of indoor air quality, ventilation , thermal comfort, access to natural ventilation and daylighting, and effective control of the acoustical environment. Materials and Resources Key Principles: Minimize the use of non-renewable construction materials and other resources such as energy and water through efficient engineering, design, planning and construction and effective recycling of construction debris.Maximize the use of recycled content materials, modern resource efficient engineered materials, and resource efficient composite type structural systems wherever possible. Maximize the use of re-usable, renewable, sustainably managed, bio-based materials. Remember that human creativity and our abundant labor force is perhaps our most valuable renewable resource. The best solution is not necessarily the one that requires the least amount of physical work.

Police Patrol Essay

Section 1 – Introduction Indeed, the safety and prosperity of local communities is dependent upon, in large part, a prevention of criminal activity.   It is in safe communities that businesses grow and prosper, people bring their families to live, and others like to visit.   With this in mind, the classic way to ensure that communities are free of crime is through the use of police patrol.   It is the police presence that has typically kept crime in check (Sklansky).   However, the financial cost of police patrol often makes such protection quite difficult to put into action.   In this research, the cost of police patrol will be examined through the discussion of the following article: Farrell, Graham, Erin Lane, Ken Clark, and Andromachi Tseloni. â€Å"What Does the World Spend on Policing? [*].† International Journal of Comparative Sociology (2001): 59. Conversely, alternative methods of crime prevention, aside from the use of the conventional police patrol will be examined through the discussion of this article: Rubin, Herbert J. â€Å"Economic Partnering with the Poor: Why Local Governments Should Work with Community-Based Development Organizations to Promote Economic Development.† International Journal of Public Administration 23.9 (2000): 1679. Additional sources will be cited where necessary to ultimately make the point that while police patrol is important, it is costly, and there are other methods/resources that can be tapped into to complement the effectiveness of police patrols without exceeding budgets or overextending the ability of small police forces to accomplish what they need to accomplish. Section 2 — The Main Points of the Two Articles Farrell, Graham, Erin Lane, Ken Clark, and Andromachi Tseloni. â€Å"What Does the World Spend on Policing? [*].† International Journal of Comparative Sociology (2001): 59. The main point of this article are that internationally, in small and large nations alike, the total amount of money spent on policing and crime prevention totals in the hundreds of billions of dollars, and with that, the question of whether or not that money is well spent.   Additionally, the article discusses the role of civilians in the process of preventing crime, which reduces the burden on the conventional police patrol. Rubin, Herbert J. â€Å"Economic Partnering with the Poor: Why Local Governments Should Work with Community-Based Development Organizations to Promote Economic Development.† International Journal of Public Administration 23.9 (2000): 1679. In close relation to the first article, this article makes the point that among other governmental organizations, local police agencies should work with community-based, civilian organizations to achieve the goal of fighting crime, which is one of the main reasons for the existence of police patrols themselves. Section 3 – Comparison and Contrast of the Two Articles The two articles chosen for this research do in fact possess similarities and differences which, ironically, all contribute to making the point that police patrols are effective and necessary, but would not be effective, and indeed cannot be effective, if they are overburdened by too much work for too few officers, or if the police organizations are unduly restrained by a lack of economic resources. First, the Farrell article weighs the cost of police patrol against the results that are obtained for the money that is spent.   Far from saying that police patrols are ineffective, the article says that overburdened police patrols are ineffective, and therefore, in lieu of money that does not exist, police patrols should be aided by community/civilian resources whenever possible. Following on the heels of the first article, the Rubin article makes the very important point that local police agencies, if faced with a lack of funds, should work more closely with community organizations in order to achieve effective crime prevention and apprehension of criminal offenders after the fact. In a roundabout way, both articles do in fact make the same point; if police patrols are to be effective in the future as they have been in the past, they will need some help.   The answer is not to overextend patrols or to cut them due to underfunding, but rather to collaborate more closely with the community for the mutual benefit of both.   The modern police force faces challenges that those of the past did not; increasing need for diversity in police forces, additional personnel because of the increases in crime, and population increases make the scope of the traditional police patrol much more complicated and expensive than ever before (Sklansky).   Also significant is the huge cost of the processing of criminal cases in courts of law due to the increasing complexity of criminal law (Frodsham) Section 4 – Conclusion Based on the analysis of these articles and accompanying additional resources, the conclusion has been reached that police patrols are very effective, if and only if they are either properly funded or if they are assisted by civilians and community organizations in the absence of adequate funding.   Therefore, in conclusion, police patrols should be continued, and should be supported by communities if they are to continue to properly function.

Book Report on Little Princes

Book Report on Little Princes Essay How far would you push your boundaries to follow the insecure passion of altruistic salvation without the dire ability of foreseeing its outcome? One man is audacious enough to fulfill his self-assigned responsibility of family reunion in one of the most remote part of Nepal- Humla – without the apprehension of the imminent complications. Conor who desperately craved for a ‘radical change’ by traveling around the globe and volunteering in a war-torn nation (initially for impressing his colleagues and family); is yet to encounter life’s greatest trial which would later transform him beyond his expectations. ‘Little Princes’ is a compiled memoir of a ‘University of Virginia’; graduate, Conor Grennan ,which entails heart-rending story of those deprived but extremely resilient children; deceitfully contrasting to the title that provides a euphoric outlook. After Conor left East/West Institute where he worked as Deputy Director for Governance program; he ventured to volunteer at ‘Little Princes Children Home’ when Maoist insurgency in the country reached its pinnacle. At the beginning mope and reluctant, Conor constantly questions and fears his competency to cope with the children and circumstances in the country chosen for volunteering. But when Conor is revealed with the unavoidable truth about none of the children being at Little Princes being orphan; the stint volunteering becomes a part of grand-committed journey, never before attempted in the land of mystical mountains. Those children had been cruelly lacerated from their family by child-traffickers demanding hefty cash for their safety at the time of civil war; but later abandoned amidst the chaos of the Kathmandu Valley! Conor without any information of the family members or the relatives of the children ( as they were trafficked at an age when one doesn’t call their relatives with their names); has to tackle the compulsion to rely on faint hope and fate for the accomplishment of his commitment. But back in the capital while Conor risks his life in the breathtaking cliffs and numbing chilliness of Humla, his intimates Farid, Viva and his mentor Anna are operating Next Generation Nepal (NGN) the organization founded by Conor assisting the benevolent cause of combating child trafficking. As the memoir develops, it unfolds the root cause of the trafficking woes i.e. ‘Political Patronizing’ as a prominent theme; which influenced many like Golkka conduct trafficking during civil war. Conor who has managed various projects on Peace and reconciliation in Balkan explicitly criticizes the recruitment ‘One child per family ‘policy in Maoist stronghold places in Nepal. ‘If a five-year-old boy went missing in the United States, it would be front-page news for days. Entire towns would hold vigils. Millions of dollars would be spent†¦In Kathmandu, seven children vanished into thin air and nobody even missed them.’  Not only did the passionate cruise introduced Conor to his future wife but, Liz, who shared congruent ideology of selflessness; but also appeasing little teachers(the children) who rewarded him with the ability of compromising. Conor is spell-bounded by the children who effortlessly contrived happiness from ‘Drinking Jelly’ they ate, co-operatively handling ‘children home’ chores or be it curiously piling upon one another to ensure their faces in the tiny camera screen. All along Conor’s unpredictable journey the children had silently and secretly taught him the lessons of endurance and optimism. Conor, who eventually becomes immune to the monastery bells and habituated to swinging on metal bar of the overcrowded buses. As he mentions in the essay ‘How Taking notes and Living without indoor Plumbing would change my life’ (- published in Amazon): ‘the more time I spent in Nepal, the more normal these â€Å"strange† things became’ which is undoubtedly a tireless struggle of encompassing the love towards the children and their society. READ: Oedipus rex Essay Paper‘Little Princes’ is a solemn story of bridging over the tragic separation of children and their families so profoundly and wittily narrated. With a fair and reader friendly brevity, Conor leaves no stone unturned by vividly illustrating even the minute details; like the flashing of ‘I Love You’ each second in the watch borrowed from a friend by Santosh (a child from Little Princes) or the obscure plucking of blanket repairers with stringed harp around the shoulder, which gives a poetic justice to his life-changing experience in Nepal. Personally, it is a book capable of encapsulating and inspiring every reader to sort out the innate ability of absorbing evenness out of the odds. All in all the audacious adventure, riveting romance and devoted dedication yoked together makes ‘Little Princes’ a quintessential paradigm of how ‘real life can be stranger than fiction’; and guarantees your reading worthwhile till the end.  I have already made a difference in the lives of trafficked children as portion of my purchase is a contribution to Next Generation Nepal (NGN) working for the same altruistic cause; so when are you getting yours!

Blockbuster Organizational Failure Research Paper

Blockbuster Organizational Failure - Research Paper Example At the same time, it also created numerous challenges in the market place regarding competitiveness, innovativeness as well as sustainability, which has greatly influenced company sustainability in many sectors. Focused on a similar notion, this paper will entail critical analyzes regarding the failure of Blockbuster LLC, which was formerly recognized as Blockbuster Inc. Overview of Blockbuster Organization Blockbuster is a global retail chain, which offers a vivid array of video games, home movie and rental services for DVDs and VCDs at reasonable price to its discriminating global customers. Besides, the organization is also dedicated to provide its customers with adequate product choices and unique purchasing experiences. Currently, Blockbuster is operating with more than 2,500 retail stores spread worldwide. Being an American MNC, the company owns its maximum number of retail stores in the US, apart from Europe, Asia and Australia. The primary objectives of the company over the y ears have been to provide a world class entertainment experience to the consumers with a vivid assortment of movie and game genres, serving to around 90 million people all around the world (Blockbuster, 2013). Irrespective of its success since its establishment, with the increasing pressure of competition in the global platform, the company had to witness a decline in its revenue structure. It was in the year 2010 that the organization filed for bankruptcy and was consequently acquired by Dish Network (Almeida, 2011). Analysis of the Organizational Failure Factors In order to analyze the reasons behind the failure of Blockbuster, the following subject areas will be taken into consideration, which shall be helpful to obtain an in-depth understanding of the role played by various external and internal business environment factors to secure the sustainability of a company in the long-run. Competitive Advantage According to Michael E. Porter (2008) competitive advantage is a strategy of gaining benefit over competitors by offering customers high value through reasonable price, good product quality, product variety, innovativeness as along with other value added services (Porter, 2008). In the current phenomenon, competitive advantages are not only necessary to assist a company in obtaining larger market share, greater profit and brand value, but it is also necessary to assure long-term leadership position of the company, in the modern era. However, when studying the incident of Blockbuster’s failure, it can be observed that the most significant aspect of competitive advantage is to guarantee the sustenance of a company, apart from the aforementioned benefits. It is in this context that apparently, due to its business model limitations, Blockbuster was in a competitively disadvantageous position. The industry context can be accounted as responsible in this regard, to a large extent. The current market structure of the entertainment industry tends to be highl y volatile, where both the suppliers and the customers possess high degree of bargaining power, majorly due to the availability of close substitutes. Additionally, with frequent occurrences of forward and backward acquisition and mergers, Blockbuster also had to witness the threat of new entrants. Hence, given the limitations of the business model followed by the organization in terms of ill fit with external environmental changes, rigidness to adapt innovative ideas and cost as well as time intensive characteristic, the organization failed to preserve its

Linear programming applied to Aggregate Production Planning Research Paper

Linear programming applied to Aggregate Production Planning - Research Paper Example The research paper "Linear programming applied to Aggregate Production Planning" analyzes the employing of linear programming for the aggregate production planning that aims to minimize the overall cost associated with the aspect of planning. Aggregate planning problems for flat screen monitor can be resolved and production optimized by using linear programming to reduce costs. Linear programming can also be used in finding an optimal solution to problems for the purpose of minimizing total costs by affecting variables such as the workforce and the demand planning, as well as the minimization of the inventory balance and holding cost. This can be attained through the minimization of the inventory investment, the variations of the production rate and the changes in the level of the workforce. In order to optimally allocate the scarce resources, the mathematical procedure called mathematical programming or constrained optimization or simply optimization can be used. Linear programming can be defined as the most special and famous form of constrained optimization, which has been found to be applicable, in practice, in almost all the aspects of contemporary business strategies. The most typical elements of the linear programming problem analysis comprise of the issues related to aggregate production planning and transportation. Though, the mathematical programming is totally different from the compute programming however the computer program can help in the estimation of the optimal solution of the linear programming model.... 2. Linear Programming Model Formulation In order to optimally allocate the scarce resources, the mathematical procedure called mathematical programming or constrained optimization or simply optimization can be used. Linear programming (LP) can be defined as the most special and famous form of constrained optimization, which has been found to be applicable, in practice, in almost all the aspects of contemporary business strategies that range from advertising to production planning. The most typical elements of the linear programming problem analysis comprise of the issues related to aggregate production planning and transportation. It is important to note here that the mathematical programming is totally different from compute programming however the computer program can help in the estimation of the optimal solution of the linear programming model in the mathematical programming. The computer programming refers to the development of the instructions for executing certain task or work ing out some calculations whereas the mathematical programming refers to organizing and planning of a task to achieve. Hence, knowing one of the above mentioned forms of programming does not directly relate to the other form quiet as much however the aptitude in one signifies the potential for the other. Mostly, there are two fundamental and important classes of objects for an optimization problem. The first class of objects is confined or limited resources that include the production capacity of the plant, land, size of the sales force, etc.; these examples have been given in relation to aggregate production planning. The second class of objects refers to the activities or tasks that include produce

Transportation & Distribution Management Essay Example | Topics and Well Written Essays - 1500 words - 1

Transportation & Distribution Management - Essay Example Transportation plays an important role in manipulating logistic. The vision of FedEx supply chain services is to become the world leader in global integrated logistics management, supply chain solutions and time-definite delivery (FedEx, 2014a). In the international market, FedEx faces competition from DHL, UPS, foreign postal authorities like Deutsche post and TNT N.V, freight forwarders, passenger airlines and all-cargo airlines. There are three important aspects of transportation management: Carrier selection, documentation and shipper carrier relationship. Carrier selection process includes the activities of identifying and procuring the best modes, the best carrier for each mode and best rates (Younkin, 2006). Companies tend to have a carrier mix like combination of aircrafts and road vehicles to order to have smooth operations, speed delivery at a low cost. Fed EX has a great air-and-ground network which facilitates the quick delivery of time sensitive shipments that deliver the shipment in one to two days with guaranteed delivery time. Its transports approximately 4 million packages and 11 million pounds of freight daily. For smooth functioning and fast delivery across the globe FedEx has mix of air and delivery fleet which consists of 650 aircrafts and 48000 motorized vehicles. FedEx has collaborated with more than 375 airports worldwide for the landing of its aircrafts without any difficulty. In October 2013, FedEx added first new Boeing 767-300 freighter in its air fleet. This is a major step in company’s strategic aircraft fleet modernization program as it is a more efficient and lower emission aircraft. 767 replaced MD 10 aircraft and is 30 percent more fuel efficient and incur 20 percent less unit operating cost (FedEx, 2014a). FedEx also provided a customized carrier to transport the skeleton of Wankel T-Rex dinosaur. In that customized lorry temperature was kept at 22C and each crate of bone was surrounded by

Gender division of labor Essay Example | Topics and Well Written Essays - 750 words

Gender division of labor - Essay Example This has in many occasions led to family breakdowns. This is because men consider themselves more important than women hence looking down on them and giving them no chance at all in decision making (Cohen, 2004). Their suggestions and thoughts are suppressed hence being subjected to oppression. Therefore, this causes a lot of tension in societies between men and women where women think that they have been denied access to their rights. Since women engage more in unpaid roles at home, it gives them a lesser bargaining power against their male counterparts who earn hence in most cases providing for the family needs. Quite often, the idea of gender based division of labor causes chaos, more so in the civilized world where women are in pursuit for gender equality. Women consider themselves just as much effective as men, and that they should be allowed do the rest of the chores. This desire has been accelerated by education; education has now been advocated for all. Modern technology also makes it a lot easier for women to do work that was considered complicated for them. According to Cohen (2004), this has been a bold step towards economic developments in most societies. To him, a shared responsibility is effective for a society to develop. He views an economically empowered woman as a tool to development in that they can generate enough income to keep their families going, making it a shared responsibility between wives and husbands. However, most men view this as a woman’s tool to fight them hence always disregarding the idea, and as a result, it leads to disagreements among the involved parties. Also, there is yet another point of contemplation; property ownership. Property ownership is an idea that has spark different views in different societies. In most cultures, owning of property is a man’s thing. In his view, Cohen (2004), social cultural beliefs belittle the fact that women can in any circumstances own property. Women are considered weak and with no sufficient knowledge to manage property. It is often an abomination for them to acquire or inherit property, especially so, land. According to Kergoat & Othmer (2005), extremely few women have had the privilege to own property in comparison to their men counterparts. Commonly, many families have their family possessions registered in the husbands’ names, which are in return given full powers to make any decisions concerning the property. Low percentages of married couples have joint properties (Kergoat & Othmer, 2005). Therefore, women feel left out and oppressed. They often desire to be treated equally with the men, to be considered able to handle what men can handle. This causes unrest in the society because women feel suppressed and deprived of access to their rights. On the hand, men view them as less influential in decision making and threats to the powers set upon them. However, Kergoat puts in his view that women and men should have equal opportunities to prop erty ownership. Most constitutions and power changes are now empowering women to own property. A property right in regard to women is fast coming up, being viewed as a great boost to societal economic upgrade. Women are now finding their way up in the ladder to equality. However, this is being viewed as an abuse to men and cultural beliefs hence it is not being easily

Compare and Contrast Essay Example | Topics and Well Written Essays - 250 words

Compare and Contrast - Essay Example Children in a stable home environment are more likely to perform well academically than students in an unstable home environment. Homes classified as stable generally have both parents living with the child. There is generally a support system in place and the child is reassured that he matters. Within the stable home, the family dines together maybe not for every meal but with some amount of consistency. Time is set aside for checking homework and parent-teacher meetings are attended regularly. This kind of environment cultivates confidence by reassuring the child that the parents do care and want what is best for him. This stability makes it easier for the child to face challenges when they arise and therefore makes him more focused on school. â€Å"When adolescents perceive their families as self sufficient, having freedom to make their own decisions then academic performances increases.† (Mohanraj and Latha 22) This in turn ensures better grades. Unlike the child in the st able home, the child in an unstable home environment on the other hand is faced with an environment characterized by tension and discomfort. In some cases a parent may be absent and the child is often left on his own. Data suggests that children in single parent households (especially where this was not the case before) may have a hard time coping and functioning (Berk 346).

Paper on Drug Courts Essay Example | Topics and Well Written Essays - 750 words

Paper on Drug Courts - Essay Example However, effectiveness of this decision in fighting the growing crime rates left much to be desired. Prison overcrowding and abnormal growth of expenditures needed to enforce the new legislation were the most noticeable outcomes of the attempts to fight drug crimes within the framework of existing criminal system (USDJ, 1995). Drug courts were taken up as an alternative to resolve the problem of growing drug-related crime rates and decrease the expenditures to acceptable level. Although opinions on what constitutes a drug court may vary, the most typical definition of drug courts describes them as: "Courts specifically designated to administer cases referred for judicially supervised drug treatment and rehabilitation within a jurisdiction or court-enforced drug treatment program." (Inciardi, 1996: 25). The history of drug courts goes back to 1989 when the first drug court was established in the Dade County (Miami, FL). Since those days, drug courts have established a substantial presence in the criminal court system of the U.S. While the criminal court systems is concerned with law enforcement based primarily upon penalties, drug courts represent the coordinated efforts of several institutions. The prosecution, defense bar, law enforcement, judiciary, probation, mental health, social and nursing institutions join together in the drug court to fight the cycle of drug-related crime and substance abuse. High effectiveness of drug courts in fighting this segment of crimes is due to a specific approach that differs from the one implemented by criminal courts. The U.S. drug courts do not stick to the same model. Some of them simply facilitate and foster the process of shuffling offenders through the traditional criminal justice system; others pay more attention to rehabilitation, treatment and long-term monitoring of individuals. The key elements that define efficiency of a drug court are partnership and intensive cooperation of multiple agencies and institutions, early actions to prevent re-offending, education, close monitoring of the offenders, consistent and on-going judicial involvement and effective assessment/evaluation procedures in place (DCSC, 1997). Drug courts featuring all of these components are the most effective and vice versa. Philosophy of the drug court system implies that appropriate treatment and education is more effective tool to fight drug-related crimes than penalties and punishment. Therefore, offenders whose cases are brought to the drug court undergo an intensive course of substance abuse and psychological treatment. Frequent drug testing and probation supervision coupled with close judicial monitoring carried out by a judge with deep knowledge of drug-related issues reinforces the treatment results. Besides, some drug courts utilize additional techniques - such as family counseling or job skill training - to make this reinforcement even more effective (Fox and Huddleston, 2003). Drug court is the best instrument within the criminal justice system to shorten the period between arrest of the offender and beginning of his treatment and ensure the appropriate structure to evaluate whether the treatment long enough to achieve the targeted outcomes or no. Effectiveness of dr

Lindt chocolate goes to South Korea Essay Example | Topics and Well Written Essays - 2750 words - 1

Lindt chocolate goes to South Korea - Essay Example hat direct the flow of a company’s goods and services to consumers and users of more than one nation for a profit†(Ghauri, and Cateora, 2005, p.8). Domestic market is almost saturated for many companies. Therefore, internationalization of business is inevitable for such companies. Hollensen (2008) pointed out that â€Å"international expansion helps a company to; explore new and potentially more profitable markets, increase competitiveness, and facilitates access to new product ideas, manufacturing innovations and latest technology† (p.5). In short, it is almost impossible for major companies to limit their activities in one country alone and stay competitive. International marketing and cross cultural businesses are getting popularity because of the above awareness. Established in 1845, in Switzerland, and operating in more than 100 countries, Lindt & Sprà ¼ngli is believed to be the leader in the chocolate manufacturing industry. â€Å"During more than 160 years of Lindt & Sprà ¼nglis existence, it has become known as one of the most innovative and creative companies making premium chocolate, with six production sites in Europe, two in the USA and distribution and sales companies on four continents† (The Lindt & Sprà ¼ngli Group, n.d.). The market of premium quality Chocolates is growing as time goes on. People of all cultures, including children and adults, are interested in tasting chocolates. As a result of that, Lindt has huge possibilities in overseas markets. Because of the huge brand value and reputation, Lindt can enter any market without an introduction. South Korea is a country which is developing rapidly at present along with India and China. Lindt has already established business units in China. However, they do not have business units in South Korea, India and Pakistan. This paper analyses the business opportunities for Lindt in South Korea. South Korea is the leader in global electronics and shipbuilding industries. Samsung, LG Hyundai and Daewoo

Middle East Essay Example for Free

Middle East Essay The central difference between Sunni Muslims and Shia Muslims is the manner in which they have chosen to recognize leadership in Islam following the death of the prophet Muhammad. Etymologically, Sunni people are those who â€Å"follow the traditions of the Prophet,† whilst the Shia are those who follow the â€Å"Household of the Prophet,† and these are apt descriptors of the manner in which they differ. Sunni Muslims chose to recognize the authority of Muhammad’s companions, who declared that the role of leadership was to be accorded to one deemed capable, establishing a Caliphate under Muhammad’s confidante, Abu Bakr. Shia Muslims on the other hand, chose not to recognize the authority of the Caliphate, and instead devoted themselves to a line of Imams they believe to be appointed through divine right. Shia Muslims are essentially the minority, with Sunni Muslim comprising 85% of the world’s Islamic population. Generally speaking, Amin maintains that despite these political differences, their core beliefs are fundamentally the same. The fundamental analogy he provides is the contrast between Protestantism and the Roman Catholic Orthodoxy. The Shia Imam is essentially a nigh-infallible figure accorded Pope-like reverence, while the Sunni choose a more individualistic and secular form of respect, eschewing formal clergy in favor of scholarship and independence much like Protestantism. Other than that, they agree on many critical aspects of Islam: the Five Pillars, and neither group denies the other’s right to identifying as Muslim. As Athar observes, many Muslims do not actually actively distinguish themselves nominally. However, Athar also argues that the political ramifications of their differences have led to an unfair stigmatization of the Shia Muslims within Western media, if it chooses at all to inform non-Muslims of these differences. One notable misconception is the notion that Shia do not pay ‘zakat’ or poor-due when in fact, they do. They simply choose not to make this contribution through the Sunni government, which they believe to be corrupt. Works Cited Amin, Hussein Abdulwaheed. â€Å"The Origins of the Sunni/Shia split in Islam. † Islam For Today. 17 August 2007. Retrieved August 29, 2008 from: http://www. islamfortoday. com/shia. htm Athar, Shahid. â€Å"Shia Sunni Unity: Shia Sunni Differences, Shia Sunni Conflict. † Islam Online. 5 June 2007. Retrieved August 29, 2008 from: http://www. ezsoftech. com/Akram/shiasunniunity. asp

Recent developments in health and social care policy Essay Example for Free

Recent developments in health and social care policy Essay This essay will evaluate recent developments within Health and Social care policy. It will focus on the development of charges within the NHS, the ideology behind it and its impact on women, different ethnicities and those living in poverty. It will then go on to analyse the differences in formation and adaption of this policy from devolved governments in Wales and Scotland. Before the start of the ‘welfare state’ in 1948, the majority of Health and Social care services were subsidised by benevolent donations to voluntary hospitals, or through service users paying for their own care. This is due to the ideology of the time being that of the government not being responsible for the nation and that people were to stand on their own two feet and support themselves. However, following the massive devastation to the country, both physically and mentally, following WWII, the government’s ideology changed. The labour government in power at the time felt that the nation’s welfare was their responsibility and so the ‘welfare state’ was born. Everyone was entitled to free NHS health care and there was no criteria or eligibility attached. In 1952 the first charges had been introduced in an effort to fund the rapid growth of costs incurred by the NHS, people now had to pay for prescriptions, dentures and spectacles. This move was due to the government’s ideology slowly changing to one of paying for yourself if you can afford to do so, and eligibility and criteria was attached to certain services. If you did not meet the requirements you had to pay. During the 1980s, under the Conservative governance of Margaret Thatcher, the ideology had gone full circle and was back to that of non-dependence of the ‘Welfare State’ and the responsibility of the nation lay with the individual, not the government. It was a time of taking away universalism with a residual attitude. As a result of this shift in attitude present charges were increased and new charges were introduced as a means to reduce public spending (Thornes, 2000:97). Eligibility, criteria and targeting meant that only those most vulnerable were able to access Health and Social care services for free. In 2013 the present ideology is similar to that of 1952. The Conservative, Liberal Democrat coalition government maintain the ideology of taking away universalism and standing on your own two feet. They feel that in having charges for NHS services the stigma attached to welfare will be reduced and individuals will feel that they deserve the service they are accessing (Thorne, 2000:97). The government also feel that it will prevent the abuse of free services by discouraging people from using Health and social care services which they are not in need of. This is evident with the proposal for those that visit AE to be charged ? 10 as a means to prevent unnecessary use of the service. AE specialist believe that 30% 40% of visits are unnecessary and that in having a ? 10 charge upon arrival, which is fully refunded should the condition warrant AE attention, will significantly reduce the amount of people taking up vital resources (Campbel, 2014). This charge is set to reduce unnecessary visits and waiting times to those who are in actual need of emergency care, however experts feel that they will ‘penalise poorer patients’. Dr Helen Stokes-Lampard, a spokeswoman for the Royal College of GPs has said that Charging patients for the use of emergency departments would put us on the slippery slope towards the Americanisation of healthcare, where only those who can afford to get it get the care and attention they need, (Campbel, 2014). Dr Mark Porter, chairman of the BMA, said: The majority of GPs and hospital doctors are committed to an NHS that delivers care on the basis of need and not the ability to pay. In this survey, two thirds of GPs state they are against [charges] for using AE services †¦ it runs the risk of deterring vulnerable patients who genuinely need help from seeking treatment at a time when many people, from all backgrounds, are struggling financially. (Campbel, 2014). This shows that the government is not promoting equality and that services will only be available to those that can afford them. Another charge which is proving to be detrimental is that of the 2011 charge for care during pregnancy and childbirth to migrant women. This policy has had a negative impact on both those giving and receiving care. Migrant women are not attending appointments or are running away from hospitals as a result of being unable to pay thousands of pounds for treatment, this puts both mother and baby at risk of complications which are not detected in early pregnancy, which is evident in a newspaper article from December 2013 highlighting the negative impact of the policy in which midwives are warning us that the fees are endangering migrant women (Taylor, 2013). Susan Bewley, a professor of complex obstetrics at Kings College London agrees that charging migrant  women for NHS antenatal care is putting pregnant women in danger (Taylor, 2013). The policy is written in very complicated language which means that eligibility and criteria is very hard for migrant women and professionals to understand and is resulting in some pregnant women being declined treatment and care due to misinterpretation. This goes against the core values of midwifery. In an article in the Nursing Times, David Foster wrote about the 6 Cs of Health and Social care and how they are essential for the NHS to deliver fair, consistent care to those who require it ( Foster, 2012:12). In declining care to migrant women, midwives are not only ignoring the core values of midwifery, they are putting lives at risk and failing to fulfil basic Human rights and are not promoting equality. In March 2011 the department of health published the NHS constitution, which sets out the core principles of the NHS. One principle which is in contradiction to the charges placed on pregnant women is that â€Å"We have a responsibility to maximise the benefits we obtain from NHS resources, ensuring they are distributed fairly to those most in need. Nobody should be discriminated or disadvantaged and everyone should be treated with equal respect and importance† (NHS choices, 2013). Care, compassion, courage, communication, commitment and competency are values which should be predominant within midwifery, however in adhering to the 2011 policy midwives are failing to maintain the 6Cs. Communication is a big issue as the policy is open to misinterpretation and so compassion and care are also lacking within the sector as midwives are refusing care to women (Taylor, 2013). The commitment to provide the best possible care to all pregnant women is being compromised as some midwives have been quoted as feeling like ‘Immigration officers’ and so their roles are under question (Taylor, 2013). In another article in the Nursing Times by Maria Flynn, she explains that organisational culture, policy and politics can exert a damaging influence on caring values (Flynn, 2013:12) which supports the negative impact the charges are having within the midwifery profession. After the Francis report was published, following the incidents within the Mid Staffordshire hospital, it was found that nurses and midwives felt frustrated at not being able to fulfil their role correctly as a result of the restrictions put in place by policies and that the compassion deficit is more likely to be down to political ideology driving health policies then shortcomings in caring values . After extensive research I have been unable  to find any positive impacts on both service users and providers with regard to the implementation of charges within the NHS. According to an article from the BBC news Scotland the department of health claim that charges were introduced to ‘plug gaps in funding’ and that the fees raised around ? 450 million a year, which is the salaries of 18,000 nurses or 3,500 hospital consultants (BBC news Scotland, 2011). However it is apparent that the fees are not being spent on employing more staff as Laura Donnelly, health correspondent for the Telegraph reports. There is currently a shortage of 20,000 nurses within the NHS and an investigation into 14 hospitals with unusually high death rates highlights the common factor as inadequate staffing levels (Donnelly, 2014). On 1 April 2011 prescription charges were abolished in Scotland. BBC news Scotland reports that â€Å"The Scottish Greens said it believed there should be equal access to the NHS and that meant free access to everyone at the point of use, including free prescription. (BBC news Scotland, 2011). Daniel Martin, of the Mail online, described it as â€Å"the latest example of ‘medical apartheid’, where the devolved nations enjoy better health services despite paying far less tax per head† (martin, 2011). The ideology of the devolved Scottish government is one of universalism and in helping the majority of the population of Scotland who are living in deprived conditions. The English government still fund Scotland using the Barnett formula: (Martin, 2011). Policies are developed in Scotland by the Scottish parliament, which is made up of 129 public servants who are politically impartial, and the Scottish government. The Scottish parliament debate matters of importance (which are devolved), such as health care, then vote on legislation holding the Scottish government to account. The Scottish government decide how the country is run and implement laws passed by parliament. This is very different to the English way of developing policies as that involves all parties agreeing to what is proposed and is a fair way of ensuring the policy is fit for purpose. With the abolishment of  prescription charges the Scottish parliament looked at the savings it would make to families living in poverty and the health benefits to those who could not afford to pay for drugs (Explanatory notes, 2005). However it did not recognise the cost it would have on the health of people suffering with cancer. Due to drug companies charging large amounts for certain cancer drugs, as a result of eradicating prescription charges, the SNHS cannot afford to purchase these drugs and so cancer sufferers are having to either go without or move to England, where the drugs are available. Maureen fleming, 63, faces the dilemma of raising the ? 10,000 needed for a 3 month supply of the cancer drug she needs or to move to England. Scottish labour leader Johan Lamont said the Scottish NHSs ? 7. 2 million bill for paracetamol prescriptions would pay for 200 patients to get cetuximab for a year. She said: In the First Ministers Scotland, if you have a headache your prescription is free. If you have cancer, your prescription can cost ? 3000 a month. (Gardham, 2013). In conclusion it is evident when looking at fees in the English and Scottish NHS that there are positives and negatives to both countries. England may have a lot of criteria and eligibility in order for prescriptions to be free to those who need it, however in having fees in place the NHS in England is able to purchase expensive drugs which are not available to people living in Scotland where prescriptions are free to all. It is apparent that there should be some compromise between both policies in order for those in genuine need to access the care they require.

Paul Samuelson: An Intellectual Biography

Paul Samuelson: An Intellectual Biography Abstract Paul Samuelson was one of the greatest economists from the 20thcentury. The man has created many aspects of contemporary economics. Therefore, we can discuss basically anything from economic growth, welfare economics, stabilization policies, international trade, or anyone of the other issues that many have caught your eye (Nordhaus, 2005). The following paper shows the one of the greatest contribution that Paul Samuelson offered to the world of economics. Paul Samuelson- An Intellectual Biography Introduction Paul Samuelson is well known as Americas first Nobel Prize winner in economics (Henderson, 2008). He is also most recognized as the first economist to increase the height of mathematical analysis in the business (Nordhaus, 2005). He also has created many aspects of contemporary economics that we can discuss basically anything from economic growth, welfare economics, stabilization policies, international trade, or anyone of the other issues that many have caught your eye (Nordhaus, 2005). Early Life Paul Samuelson was born in Gary, Indiana, in 1915. His first degree was a Bachelor of Arts from Chicago University in 1935 (Paul A. Samuelson Biographical). His second degree was a Master of Arts in 1936. His third degree was a Doctor of Philosophy in 1941 from Harvard University (Paul A. Samuelson Biographical). From the period of 1937-1940 Samuelson was a Social Science Research Council pre-doctoral fellow. He was also a Society of Fellows member at Harvard University from 1937-1940. From 1958-1959 he was also a Ford Foundation Research Fellow (Paul A. Samuelson Biographical). In 1961 Samuelson received honorary Doctor of Laws degrees from both Chicago University and Oberlin College (Paul A. Samuelson Biographical). He also received two more honorary Doctor of Laws degrees from Indiana University and East Anglia University in 1966 (Paul A. Samuelson Biographical). Public Good Theory In The Pure Theory of Public Expenditure by Paul Samuelson he discussed his theory about private good versus public good and how there is no real way to calculate how much we can ever have of public goods (Samuelson). With that said we will discuss what Global Public Goods are, how we manage these goods, and whether future technology with affect these goods (Nordhaus, 2005). Global Public Goods can be described based off what a public good is, which is defined based of two main points. The first is that a public good is non-rivalry of consumption which basically states that each persons utilization of a good leads to no reduction from someone elses use of the same good (Éloit, 2012). The other one is that a public good is non-excludability of use which basically states that the good cannot be saved for one individual; it has to be accessible to everyone (Éloit, 2012). The largest global public good would be water. That is just the most widely accessibly pure global public good. Now in regards to the different levels of pure private and public goods and impure private and public goods they overlap quite frequently and therefore there are very few true and pure public goods (Nordhaus, 2005). We can then say that global public goods are not that different from other public goods. They are just the only ones where the effects spill around the world a nd for a significant period of time. Now that we know what global public goods are how do and can we manage them? To begin we have to understand that there is no instrument by which global citizens can use to make the collective decisions in regards to the issues that come from these types of goods (Nordhaus, 2005). The way we try to manage these goods is through individual governments, but there are times when that is not particularly possible. This is known as the Westphalian dilemma (Nordhaus, 2005). Lastly, we will need to know how future technology with affect these goods. A forgotten aspect in regards to global public goods is the type of technology used to produce these goods (Nordhaus, 2005). It is with that said that depending on the type of technology used to make the public goods varies and thus decides the rules and place that can make the public goods the most effectively based on said technology (Nordhaus, 2005). Contemporary Example Now there are many economic issues that are hurting the world from housing problems, to the internet, trade, and taxes all impact the world these days the largest problem is actually with America (Barfield, 2014). We have many of these problems occurring in our community down our streets. A very large issue we are facing would be the current tax reforms that the politicians keep discussing. So over that last few decades many other countries all over the globe have reduced their corporate tax rates, which has left America with the largest rate in the world (Barfield, 2014). This issue from an economic point of view severely lowers the amount of investments that occur in the United States, with that said we can see that productivity is being strangled and wages have been significantly lowered. Currently, all political avenues that have been taken have failed to do anything to resolve this problem and the ideas being considered would not even put a dent in the current tax load for inves tments within the United States (Barfield, 2014). With that said one aspect I think Paul Samuelson would be inclined to discuss would be to fully eliminate corporate tax as a whole and only tax corporate income at the stockholders level (Barfield, 2014). Another aspect I think Samuelson would be inclined to discuss would be to allow investment expenses to be instantly deducted rather than written off over many years (Barfield, 2014). I feel that the reason he would agree to either of these responses is because each one allows for much more economic growth. I also feel that based off his theory on public goods that he would rather have growth in this way because it benefits many instead of just the private goods of the corporate tax payers. Now the main reason I say that is because either of the aspects would help abridge the tax system, they would also promote investments, and they would increase the wages over the county. Published Theories Now besides Samuelsons theories on public goods he also published many other articles. His first was A Note on the Measurements of Utility which was how he coined the term revealed preference (Henderson, 2008). This essentially was a test to see if the consumer showed their preferences by their choices thus revealed preferences (Henderson, 2008).Foundations of Economic Analysis went and revolutionized mathematics in regards to economics and essentially depicts how all economic actions are understandable by either maximizing or minimizing the subject to a specific constraint (Henderson, 2008). Samuelson has also brought essential insight into finance theory, consumer theory, capital theory, welfare economics, macroeconomics, dynamics and general equilibrium, and international trade (Henderson, 2008). Now for Samuelson finance theory allowed him to express his ability to show that commodity futures prices were meant to change randomly (Henderson, 2008). He also did some major ground bl azing work in capital theory; however his donations to this aspect are too vast to explain in laymans terms. Samuelson also proved in mathematics that there are circumstances when differentials would be calculated to zero (Henderson, 2008). The factor price equalization theorem is what Samuelson used to prove this situation. Samuelsons theories in macroeconomics tried to combine the accelerator theory of investment with the Keynesian income determination model to prove the recurring parts of business cycles (Henderson, 2008). He also came up with other theories and he even wrote many other articles and textbooks. These are just a handful of his published theories. Conclusion In this discussion you have learned that Paul Samuelson is a very well known economist. During his life he taught and learned about many different theories that have helped evolve economics today. One of his most significant theories would be about public goods. Today it depicts the differences between pure and impure goods in regards to whether they are public or private. We can also see based off this theory how Samuelson may approach the current issue of the Tax reform in America. The main reason that global public goods relate to Americas tax reform is that by creating the wages and investment possibilities it allows for more trade which allows for more goods to be made available to more people at no additional cost. Therefore, I conclude that Paul Samuelson is one of the greatest economists due to what he has left for future economic generations to come. References Barfield, C., Eisenach, J., Jensen, M., Makin, J., Mathur, A., Oliner, S., et al. (2014, January 23). American Enterprise Institute. Five challenges facing the American economy in 2014. Retrieved June 5, 2014, from http://www.aei.org/article/economics/five-challenges-facing-the-american-economy-in-2014/ Éloit, M. (2012, January 1). The global public good concept: a means of promoting good veterinary governance. . Retrieved June 7, 2014, from http://www.oie.int/doc/ged/D12207.PDF Henderson, D. (2008). Paul Anthony Samuelson. In The Concise Encyclopedia of Economics (). Indianapolis, Indiana: Liberty Fund, Inc. Nordhaus, W. Paul Samuelson and Global Public Goods. . Retrieved June 5, 2014, from http://www.econ.yale.edu/~nordhaus/homepage/PASandGPG.pdf Paul A. Samuelson Biographical. (n.d.). Paul A. Samuelson Biographical. Retrieved June 7, 2014, from http://www.nobelprize.org/nobel_prizes/economic-sciences/laureates/1970/samuelson-bio.html Samuelson, P. The Pure Theory of Public Expenditure. The Review of Economics and Statistics, Vol. 36, 387-389. Retrieved June 5, 2014, from http://www.ses.unam.mx/docencia/2007II/Lecturas/Mod3_Samuelson.pdf

Immanuel Kant Essays -- essays research papers

Kant is a deontological philosopher; that is, in examining morality he says that the ends must not be looked at, only the means. Kant began by carefully drawing a pair of crucial distinctions among the judgments we do actually make. The first distinction separates a priori from a posteriori judgments by reference to the origin of our knowledge of them. A priori judgments are statements for which there is no appeal to experience in order to dertermine what is true and false. A posteriori judgments, on the other hand, are statements in which experience determines how we discover the truth or falsity of the statement. Thus, this distinction also marks the difference traditionally noted in logic between necessary and contingent truths. But Kant also made a less familiar distinction between analytic and synthetic judgments, according to the information conveyed as their content. Analytic judgments are those whose predicates are entirely contained in their subjects; since they add nothing to our concept of the subject, such judgments are purely explicative and can be deduced from the principle of non-contradiction. Synthetic judgments, on the other hand, are those whose predicates are altogether distinct from their subjects, to which they must be shown to relate because of some real connection external to the concepts themselves. Hence, synthetic judgments are genuinely informative but require justification by reference to some outside principle. In the opening pages of Kant’s Gro...

Alzheimers Disease :: Alzheimers Disease Essays

Alzheimer's Disease Introduction to Alzheimer's Alzheimer's disease is a progressive degenerative disease of the brain. It is first described by the German neuropathologist Alois Alzheimer (1864-1915) in 1905. This disease worsens with advancing age, although there is no evidence that it is cause by the aging process.   Ã‚  Ã‚  Ã‚  Ã‚  The average life expectancy of a person with the disease is between five and ten years, but some patients today can live up to 15 years due to improvements in care and medical treatments. The cause of Alzheimer's has not been discovered yet and it cannot be possible to confirm a person has Alzheimer's until their autopsy following death. How does Alzheimer's develop What causes Alzheimer's? Well no one know exactly the development of this debilitating disease. But recent advances has produced several clues as to how it is born. Initially when we study the brain of a Alzheimer's victim, we focus on two specific areas. One is the cortex of the frontal and cerebral lobes1. The second is the hippocampus (meaning seahorses in Greek which it resembles2) which is located below the cerebral cortex and responsible for short-term memory. If we study samples of these two section, we would find three irregularities which are not found in normal brain matter. These three are called neurofibrillary tangles, neuritic plagues and granulovacuolar degeneration3.   Ã‚  Ã‚  Ã‚  Ã‚  A nerve cell has numerous axons and dendrites coming out of it. A neurofibrillary tangle is when the neuron changes. A number of dendrites are missing and the nucleus is filled with protein filaments resembling steel wool. Although all elderly people has a few of these helix shaped bundles in their brain for they are normal indicators of aging, Alzheimer's patients has more than usual. Their presence usually in the frontal and temporal lobes is a indication of AD.   Ã‚  Ã‚  Ã‚  Ã‚  Senile neuritic plagues are small round objects. They are masses of amyloid protein material composed of residue left over from healthy nerve endings that were broken off and decayed. Their presence near the cell further indicates something gone wrong. Neuritic plaques is the best evidence for diagnostics to make the determination of AD.   Ã‚  Ã‚  Ã‚  Ã‚  A third sign of neuron deterioration is granulovacuolar degeneration. This is when fluid-filled vacuoles are seen crowding inside the nerve cell, specifically in the triangular shaped cells of the hippocampus. This condition can only be observed in carefully sliced, stain and analyzed brain tissue.   Ã‚  Ã‚  Ã‚  Ã‚  The cell having lost all it's dendrites and nucleus soon disintegrates entirely, vanishing into the body's waste disposal system. With the depletion of enough nerve material the brain actually shrinks, sometimes by as much as ten percent5. The more cells the AD sufferer loses, the more mental functions he

Theme of Power in Harold Pinters The Homecoming :: Harold Pinter Homecoming Essays

The Theme of Power in The Homecoming Author: Sarah Marchant In Harold Pinter's "The Homecoming" one of the important themes is power. Many of the characters try to exert power. Many of the characters try to exert power over others through various means such as sexuality and intelligence. The use of violence within the household is believed by the men to be the most important tool of power. However, when Ruth, the only woman in the play, enters, she appears to defeat the men's power, but not with violence. Her sexuality and apparent intelligence become part of the way in which she takes control of the house. Power itself is the ability to take control and exert authority over others. Violence is a physical form of this. It usually takes the form of a display of force and this could be an unjust or even unlawful action. There could be a use of violent language or an element of threatened violence. However, the degree of power this holds is determined by the reaction of those threatened, or whether or not anything comes of the threat. Teddy introduces his wife, Ruth, into his childhood home that is a scene of tense threats and reports of violence - both sexual and physical. As soon as the play begins there is conflict between Lenny and his father, Max. Having been insulted by Lenny, Max threatens him with his stick, saying "Don't you talk to me like that. I'm warning you". However, nothing comes of this threat. The only element of power that can be inferred comes from the way in which Lenny makes no response. Perhaps he has previous experience of Max's anger, or it could be that both parties know that there is no point in pursuing the matter. The power that is expected to come with a threat is non-existent in this household as the threats are well-worn and always empty. Max demands that Teddy and Ruth leave his house, yet by the end of the play, he is sobbing and yearning for attention from Ruth. The insults and derogatory terms used within the family are not so much an element of power as a way of life. As there is no real mother figure within the household, the men have lapsed into a way of life in which they can show no affection to each other. Instead they insult each other in ways usually reserved for women: "bitch" and "slag".

Technology Impact on Family Time

The impact of technology on family time Nowadays technology is a part of our real life because most people have the same need that is the convenience. Although technology can provide and serve many functions and applications that support the human need but it also has an impact to our real life as well. The impact of Technology to our real life is time on family. Three technologies that have impact to family are computer, Mobile Phone, and Tablet. The static of tablet sales in U. S. on year 2011 from NPD Group they said â€Å"U. S. Tablet Sales excluding Apple Exceed 1. Million Units in First Months of 2011†,1 this is in one country, that mean tablet is a new technology which every people attend. Tablet is a device that suitable for individual person because it easy to take and easy for do a business, but if you use it in your family. You will concentrate only your tablet not attends to member in your family. The effect of this situation will decrease time and relationship on family. Therefore, if you are in the family you must use that device to make your family enjoy together or don’t use its.However, most of family still attend to tablet by doesn’t think about impacted on family time and relationship. On the other hand technology still has another device that can makes family time increasingly. Causes of computer applications are positive affected on family time. From past to present, there are many types of computer such as â€Å"Super Computer†, â€Å"Computer PC†, and â€Å"Computer Notebook†. Computer has an evolution of itself as you can see a new generation of computer has smaller size than the old computer. Even though new computer has smaller size, but functions and applications of it’s not small like size.It can do and serve many things by using functions and applications such as do transaction online, Facebook, E-mail, learning, or playing game. Due to this example, the article of Washington State Un iversity, Vancouver examines the perceived effect of computers on family time and relationships. The result said (89% perceived that the computer impacted their family relationships, 45% mostly positive impact; 24% mixed impact and 20% mostly negative impact). 2 From this article, Computer has positive impact more than negative impact.That means applications of computer not effect on family time and relationship. Communication by using mobile phone was cause on family time. The main function of mobile phone is used for communicate between 2 people. Because of mobile phone used for communicate and also support many functions like computer to make communicate easily. Things that new generation mobile phone can do more than old generation mobile phone is communicated by typing and video calling. This function is appropriate very much for communicate, so in part of family.Mobile phone was caused to makes family more talking, even though they can’t see or meet together in the hous e. To sum up, technology was caused on family time very much, because it has an advantage and disadvantage inside itself. it has an evolution all the time in term of components or applications. Therefore every family should learn and select the advantage of each technology such as use computer and tablet for learning more than playing game, or use mobile phone for participate and communicate in family more than chat to friend.If your family can do like the example your family will gain more time and reduce impact on family. ————————————————————————————————————————————– Reference 1 U. S. Tablet Sales excluding Apple Exceed 1. 2 Million Units in First Months of 2011: <http s://www. npd. com/wps/portal/npd/us/news/pressreleases/pr_111122b> 2Jane D. Lanigan, Washington State University, Vancouver <http://familyscienceassociation. org/archived%20journal%20articles/FSR_vol14_2008/2Jane_Lanigan. pdf>

Environment on Darfur After the Conflict Essay

The world has experienced a lot of conflicts for quite a long time throughout history. All the time there is a conflict, the damages caused is mostly documented in terms of how many casualties have been reported, and the impact it has caused on the economy. It is however rare to hear people talking on the effects these conflicts can have on the natural environment or which steps have been taken to protect the natural environment from such conflicts. The natural environment for a long time has been a silent victim of the conflicts that occurs either locally or internationally leaving the repercussions to be felt for quite some time. In many cases, the impact the war and other conflicts have been having on the environment has been generally very devastating. There are many pollutants that are released in the environment during the war which can end up affecting the natural resources. On the other hand, there are other natural resources that are depleted during the conflict leaving the environment at a worse position. A major problem is that most of the current conflicts are witnessed in the developing countries which do not have the economic capacity to deal with the environmental problems hence causing a major setback. Africa has had quite long cases of civil wars some which started during the colonial period and still taking place to now. These countries have been mostly been fighting over the borders which were drawn by the colonial powers for their on interests. Most of the wars taking place in Africa are as a cause of fighting for natural resources such as fertile farming land or water. Due to the long history of these civil wars in Africa, it is difficult to know exactly what these conflicts have caused to the environment. However, looking at the rate of the loss of biodiversity in the affected regions, it can be easy to realize how serious the situation has left the damage to the environment. Darfur Conflict and the Impact It Has Caused on the Environment Southern Sudan has witnessed along civil war that has caused many nations through the United Nations body and the African unity to try and broker peace in the region and bring things to the normal situation. The conflict that is being witnessed in the region right now is considered as a war between the different ethnic and tribal lines (IRIN, para 2). The sides that are mostly conflicting are the government’s military and the Janjaweed group. There are other rebel groups that have also made the situation to be worse. The major cause of the war in Sudan has been attributed to fighting for water between the Baggara nomads who moved to the south, a region mostly occupied by the farming communities to search for water. This conflict has led to many casualties being reported throughout. Despite putting in place a government of national unity, and increasing the presence of the African Union Peace keepers, the situation has not improved in any way (Borger, para 2). There have been many reasons given as a source to the Darfur conflict, though the major reasons have been cited to be the increasing population which the current natural resources can not hold, hence making these people to fight for the scarce resources. On the other hand, there have been claims that the conflict is as a result of the Arab dominants intention to wipe out the black Africans. This has even made the United States to refer to this as a form of genocide in the area. Whichever the cause of the war, it has caused so many untold damages. The focus on this conflict has always been the number of people who have died in the region, or the number of those displaced. It is important that people’s life and welfare is put first. This is what has been the major concern of many bodies, organizations and other nations. However, like many other conflicts, little concern has put on what effect this conflict is causing to the environment (AP, para 6). As earlier argued, the war in Sudan was triggered by the environmental problems which led to the communities to fight over scarce resources. It is however a worrying trend that the continued conflict is further endangering the environment that is supposed to support the whole population. The environment has been made worse by this conflict and made the land to become uninhabitable. This means that the tension between the conflicting communities gets to be more intense when it occurs that the natural resources are not going to support all of them as expected (Beyrer, & Pizer pp 67). Environmental degradation in Darfur has been on the rise due to the continued conflict. It means that the conflict that started as a result of the environmental problems is being escalated by destroying the environment further. The issues in Sudan over the environment indicate how complex the environmental matters can be in the causing breach to peace. This region has witnessed the decreased cases of traditional methods of environmental management systems, and in some places being disregarded completely. The conflict over resources in Darfur was at a local level but expanded to national level where political and economic marginalization was heightened. Ethnic differences have contributed to making the matters worse to the situation. Therefore, despite having the political and economic factors leading to the problems in Darfur, the major issue surrounds natural resources (de Montesquiou, para 8). The Sudanese Arabs moved to the south to look for pasture for their animals due to the prolonged drought that was experienced in their regions. This led to them conflicting with the black farmers whose land the Arabs were grazing on. The grazing of the animals on the farming land worsened the situation as there was increased soil erosion which made land to be poor for farming. When the black farmers realized that the Khartoum government was indifferent in solving the matter, they rebelled against them. By rebelling, the people started to fight destroying many manmade and natural resources that were on the way (Borger, para 7). When the nomads inhabited the farming areas, they started to cut down the trees. To the farmers, the cut trees were very important as they provided shade for their crops and holding together the soil to avoid erosion. Due to the conflict of interest, these important natural resources were destroyed as they were caught in between the fighting. With no trees cover, the problem of lack of rainfall becomes even heightened, which is a big trouble to both the farmers and the nomads since they cannot be able to get rain that is important for the crops and animals respectively. Due to the bare land caused by the cutting of the trees, it has become harder for the farmers at the refugee camps to go back to their homes as they can not carry out any meaningful activities to such bare lands. With this kind of the situation, it becomes difficult to control human suffering without further harm to the environment (HPN, para 3) Many people have been killed in the conflict while millions of others have been living in the camps after being left homeless. At the camps, the refugees need to be given their basic needs. Water is a very important commodity that no human beings can do without. In fact as argued throughout, the conflict has been surrounding fighting for water resources. Therefore, while at the camps, the refugees have to be provided with water. This has led to the humanitarian organizations to dig boreholes to help the refugees get water. Considering that the land in Darfur is largely dominated by hard rocks, it means that the rains that fall in the short season mostly wash away, hence, the boreholes depends on the underground reserves. Considering the rate at which the reserves are being used, it is tough to imagine the consequences that await the Darfur people when the reserves will finally be depleted. The situation might lead to the refugees being moved to another region that can support them. There are already some areas that have reported the drying up of the boreholes. Apart from water, the refugees also need other resources for their daily work. There have been many trees that have been cut by the refugees near the camps to provide them with firewood. The trees are also cut and used to construct and reinforce the makeshift houses of the refugees. This implies that trees are being used at a higher rate than they are being replaced. There are some refugees who are involved in some economic activities. The common economic activity that the refugees are involved with is making mud bricks. The refugees are involved with this activity mostly because it does not need skilled labor, and the materials are readily available. A lot of water is usually used in the making of the bricks. A lot of water is used considering the dryness on most of the camp soils. Furthermore, since the refugees want to make a lot of money, they try to make as many bricks as possible. The more work they do, the many materials are required. The areas that the soil for making the bricks is dug usually leaves many holes indicating the rate at which the soil is being depleted. The formation of a layer of soil takes many years, however, the refugees depletes many layers in a very short time. It is very bad to notice that the fertile soils that can be used for agricultural production is actually used for the making bricks. These soils can not be replenished in the short run as it is being depleted. In the areas that the refugees remove the soils to make the bricks, they leave the tree roots exposed which contributes to the wilting of the trees (Homer-Dixon, pp 19). Therefore, this still adds the woes the refuges already have. Furthermore, since to make the bricks requires a lot of water, it means that the refugees have to compete on how to use the water for the domestic work and the production of the bricks. In the end, the action contributes to the hastened depletion of the water resources. The bricks cannot be complete if they have not been burnt in the kiln. The kiln requires using a lot of firewood. This means several trees have to be felled to be used in the kiln. One kiln can take as many as 35 trees for the bricks to be ready. This shows the impact this single activity can have on the important natural resources. There have been increased sand dunes in the areas that had once been covered by trees just a few years ago. This is all because of the refugees activities in trying to earn a living. Most of the dams in Sudan are drying and having a lot of sedimentation as a result of deforestation. Many dams have lost their holding capacity due to these reasons (HPN, para 8). Once the war comes to an end as is presupposed, the refugees will have to go back to their homes to start a new life. They will first need to rebuild their damaged homes, which will basically require that they cut more trees to build these homes. Considering the already cut trees in their former homes, there are therefore no trees left behind to cater for their needs. This implies the building materials will have to be sourced somewhere else, which automatically will be increasing the base of the damage to other regions. Having realized the impact the conflict is leading to the refugees affecting the environment, especially on trees, several organizations like the US aid have helped the refugees to design the cooking stoves that uses a completely reduced amount of fuel as a way of the saving the environment. This stoves though taken as a move to save the environment, it has a big impact on the social and cultural life (de Montesquiou, para 11). Since the conflict is between two ethnic groups with two distinct lifestyles, each group undertakes an activity that they think will destroy the other. For instance, the nomads usually graze their animals on the farmers’ crops. This leaves the farmers with nothing as their crops are destroyed by the animals. On the other hand, the farmers on their side burn the grazing lands for the nomads. This is even a worse action to take as it does not only affect the nomads in terms of lacking food, but it affects the farmers themselves in that the burning of the ground destroys the important living organisms that are found in the soil which helps in improving the soil fertility. This means that the soil is left unproductive which will affect both the nomads and the farmers in the long run. Furthermore, the nomads are used to grazing their animals and moving from one region to another after the feeds in that area have reduced. However, due to the conflict, the migration routes for the nomads were blocked by the farmers. This made it impossible for the nomads to move from one region to another with their animals, hence meaning overgrazing in one region. The overgrazed areas will generally have very poor production as there will be increased soil erosion (Homer-Dixon, pp 29). In general, humanitarian issues are usually given much priority over the environment as a short term solution to any crisis. Therefore, whatever actions that are taken by the involved bodies do not give much or even any consideration to the environment. For instance, when the refugee camps are set up, it is aimed at providing security and a better life to the refugees. No consideration is put on what activities the refugees are going to carry out that might affect the environment whether in the long or short run. This is being evidenced by the number of boreholes drying up in various refugee camps (HPN, para 16). There are hundreds of thousands of the Darfur refugees who have been granted asylum in Chad. The Chadian locals are thus forced to compete for the natural resources in their territory with the refugees. Putting in mind the activities the refugees are engaged with, and the major aims of the organization that are associated with the taking care of the refugees which are just humanitarian care, the refugees can have a very big impact on the environment of the host country. The refugees in the camps hopes for someday to go back home. This implies they cannot have long term projects that will help in the development and taking care of the region that has granted them asylum. This might make them to be at loggerheads with the host country and thus be denied the asylum (Gouroukoun, para 7). Furthermore, as the refugees enter the Chadian soil, it is not guaranteed that they have their safety. The Janjaweed have been following the refugees in their camps attacking them. This has also posed danger to the Chadian nationals making them to move closer to where there is security in their country. In essence, the Chadian people are not even free in their own land because of hosting the refugees. As the Chadian moves to the place they feel is more secure, they also cause congestion and constraint to the resources that are supposed to host them. There are many other effects that the conflict has caused to the environment. As the conflict rages on, both sides are heavily armed. The weapons used to attack one group leave a lot of damages to the environment. For instance, there have been many crops, homesteads and the grazing grounds for each group that have been burnt by the opposing group. The oils and chemicals used to burn these properties, and the residue of the burnt products find their ways into the water bodies contaminating them. This on the other hand affects the lives in the water bodies. Furthermore, as the crisis continues, weapons used like bombs have continued to pollute the environment and their effect left in the environment for along time affecting the quality of life. It is very difficult to find crops growing in a region that has experienced a battle field. This is because of the effect that the weapons and chemicals used in the process have on the environment. It is common to find that the areas that had been bombed can not sustain any agricultural activity. It thus means that as the communities fight over the scarce natural resources and keep on destroying them during the fight, it only helps in escalating the problem they are already facing (Homer-Dixon, pp 41). The Janjaweed and the other militias in the Darfur conflict are always in the hideout. Most of the hideouts are in the forests. This implies that they have to depend so much on the forests for their own needs. For instance, they have to cut down the trees to use for fuel, hunt wild animals for food, and all these activities upsets the natural environment settings. There are many regions that used to be occupied by trees and wild animals like the elephants and the antelopes but when looked at now are bare because of the activities that have been taking place in the regions. Conclusion The Darfur crisis has actually been said to have started for over three decades ago. However, it only escalated in 2003 when the current crisis became out of control. The major cause of the war has been attributed to lack of enough natural resources. The problem is that because the fights were due to the protection and the need to acquire more natural resources, it is ironical that the same resources are being destroyed. In essence, this seems to increase the problems already faced. This has created the vicious cycle of the war in the Darfur region. Therefore, unless the concerned bodies look for a way of dealing with the problem of these natural resources, it is not possible to stop this war despite the many peace agreements that might be signed by the leaders of the region. Work Cited AP. Darfur conflict worsens environment, 2007. Retrieved on October 29, 2008 from http://platform. blogs. com/passionofthepresent/2007/06/darfur-conflict. html. Beyrer, Chris & Pizer, Hank. Public Health and Human Rights: Evidence-based Approaches; ISBN 0801886465, JHU Press, 2007. Borger, Julian. Darfur conflict heralds era of wars triggered by climate change, UN report warns, 2007. Retrieved on October 29, 2008 from http://www. guardian. co. uk/environment/2007/jun/23/sudan. climatechange. de Montesquiou, Alfred. Darfur violence leaves environmental scars, 2007. Retrieved on October 29, 2008 from http://www. msnbc. msn. com/id/19357602/. IRIN. SUDAN: Climate change – only one cause among many for Darfur conflict, 2007. Retrieved on October 29, 2008 from http://www. globalsecurity. org/military/library/news/2007/06/mil-070628-irin03. htm. Gouroukoun. Chadians Increasingly Feel Impact of Darfur Conflict, 2006. Retrieved on October 29, 2008 from http://www. voanews. com/english/archive/2006-04/2006-04-21-voa44. cfm. Homer-Dixon, F. Thomas. Environment, Scarcity, and Violence; ISBN 0691089795, Princeton University Press, 2001. HPN. Environmental degradation and conflict in Darfur: implications for peace and recovery, 2008. Retrieved on October 29, 2008 from http://www. alertnet. org/thenews/newsdesk/HPN/10adb58d76337a4eb2b436c319bf427e. htm.

Food and Beverage Industry Essay

Around the time of A. D 850 legend has it that a lone shepherd and his flock happened upon a strange new plant that was growing upon the slopes of lonely hillside. Before the shepherd could intervene some of his herd had started to chomp away at this newly discovered delicacy. After about a quarter of an hour the shepherd began to notice that the entire flock were acting in an extremely lively manner. They appeared to be not only very alert but even hyperactive. Now the shepherd being slightly weary and more than a little tired decided that he also should sample the berries and see what, if any effect they would have on him. He secretly hoped that the dramatic effect that he had observed the berries to have on his greedy flock of sheep would also be his experience. Just as had happened with his herd, he too started to feel the benefits and in a matter of minutes he also [pardon the pun] was ? extremely full of beans?. A few hours passed and along came a wandering monk. The herder proceeded to tell him of the plants amazing qualities but he was immediately scolded for his outlandish ways and foolhardy behaviour. After he had finished telling the shepherd just what a sinner he had been the monk went on his way but not before he had hidden a little something in his bottom of his backpack. When the monk reached his monastery his fellow holy men also decided to try this new and enchanting beverage. Soon the endless hours of prayer no longer seemed so wearisome, in fact they became easy to endure with the help of this exciting new drink. Coffee, had now well and truly arrived and the news began to spread! Its widespread consumption first commenced in the wilds of the Ethiopian outlands before then moving on to the heart of Arabia . Here it was to be held as a holy delicacy but was eventually to be unlawfully exported by a trader by the name of Baba Budan. In no time at all word of its qualities began to spread and coffee was to evolve into one of the most valued drinks ever known to the human civilisation. Its hard to believe that each year we consume a staggering four billion cups and there are many among us who would not contemplate starting their day without it. Although coffee is usually thought of as a sleep suppressant there are many who think that it also has many health benefits. It is said that folk who suffer from the complaint of asthma and drink coffee have an average of at least 25% less symptoms due to a substance in the coffee named theophylline. This is known to be a bronchodilator which helps those who suffer with the disease to breathe a little more easily. Drinking coffee on a daily basis is also thought to help lower your chances of developing colon cancer. This is also by a figure in the region of about twenty five percent. Aside from the benefits that have been mentioned above, it has to be said that simply enjoying coffee as a beverage is a delight that will never be easily surpassed. The unbelievable thing is that most people have no idea of the different tastes and delights that this monarch of all drinks has to offer. One of the fastest growing trends of the past few years has to be the rising popularity of obtaining coffee via the internet. Never before has it been so easy to sample such a huge variety of blends, tastes and aromas, and all at the click of a mouse. I order coffee frequently through the internet and I always make a point to record the country, blend and from whom I purchased. Well now that you know the tale of the mystical beans I hope that if in the future you are considering visiting your local coffee shop you recall the story of the lowly shepherd and think about just what you might be drinking were he not to have wandered onto that bleak and lonely hillside. Why not take advantage of the internet and try the many different varieties and blends available. Not only will you impress your tastebuds, your friends will be grateful as well. Reference: http://www. streetdirectory. com/etoday/food-and-beverage-history-coepeu. html.

Spastic Hemiplegic Cerebral Palsy Children Health And Social Care Essay

AbstractionBackground: Cerebral paralysis ( CP ) affects motor and postural development and causes centripetal upsets and larning disablement. Shock moving ridges are defined as a sequence of sonic pulsations mostly used in the intervention of diseases affecting bone and sinew every bit good as muscular contractures. Radial daze moving ridge therapy ( RSWT ) produces lower extremum force per unit area, longer rise clip and low energy with energy flux denseness as compared with extracorporeal daze wave therapy. Purpose: The purpose of our survey was to measure the effectivity of RSWT on spasticity and motor map in hemiplegic intellectual paralysis kids.Methods:IntroductionCerebral paralysis ( CP ) consequences from an abuse to the underdeveloped cardinal nervous system ( CNS ) [ 1 ] that cause terrible physical disablement in childhood with non-progressive syndromes that affect position and motor public presentation [ 2 ] . The most common damage is hemiplegia in which born babes had a individual hemisphere hurt in most instances [ 3 ] . The major job of CP is spasticity which is defined as a velocity-dependent opposition of musculus to stretch [ 4 ] . Spasticity may take to musculoskeletal jeopardies such as contractures, hurting, and subluxation. The riddance of spasticity licenses many intellectual paralysis kids to utilize what selective motor control they possess more efficaciously and functionally. [ 5 ] Most CP instances with spasticity are managed by a utilizing of a combination of modes throughout childhood. The usage of a combination of physical therapy modes can increase the benefits of spasticity control [ 6-7 ] . Various curative modes and attacks are used to pull off spasticity, including unwritten medicines, injection therapy, orthopaedic surgery, neurosurgery and rehabilitation therapy [ 1 ] . One of the recent modes which used in the physical therapy field is shock moving ridge therapy. The daze moving ridge was foremost applied in 1980 to patients with kidney rocks [ 11 ] . It was applied in either extracorporeal or radial daze moving ridge therapy. Extracorporeal daze moving ridge therapy ( ESWT ) is a sequence of sonic pulsations with by high extremum force per unit area ( 100 MPa ) , fast force per unit area rise ( & lt ; 10 N ) and short continuance ( 10 I?s ) . [ 7 ] While radial daze moving ridge therapy ( RSWT ) is a pneumatically generated low to medium-energy daze moving ridge that is produced by acceleration of a missile inside the intervention handpiece and transmitted radially from the tip of the applier to the mark zone [ 8 ] . The force per unit area and the energy denseness lessening by the 3rd power of the incursion deepness in the tissue. RSWT produced lower extremum force per unit area, longer rise clip and low energy with energy flux denseness ( EFD ) less than 0.1 mJ/mm2 ) as compared with ESWT [ 9-10 ] . Many surveies have demonstrated ESWT in the intervention of bone diseases like pseudoarthrosis [ 11 ] and calcified tendonitis of the shoulder [ 10,12 ] and in soft tissue diseases like epicondylitis, [ 13 ] plantar fasciitis, [ 14 ] and sinew hurts, particularly in jocks. [ 15 ] ESWT was effectual in cut downing the hypertonus in patients with shot in comparing with placebo. Long last clinical consequence of ESWT suggested its possible usage for patients with muscular hypertonus [ 7 ] . Amelio and Manganotti, [ 7 ] showed that ESWT can alter the postural attitude and organic structure stableness of kids with CP by a lessening in hypertonus in the plantar flexor musculuss of the treated limb with an addition in the base of support at that side. [ 7 ] In order to mensurate the alteration in spasticity degree objectively, a broad assortment of electrophysiological physiological reaction surveies have been performed to measure spasticity and research neural circuits within the spinal cord. The H -reflex trial can be utile for the nonsubjective step of motor neuron hyper-excitability. Besides, the ratio of the maximal amplitude of the H- physiological reaction to maximum M- amplitude ( H/M ratio ) is an nonsubjective step of motor neuron hyper-excitability. In instance of spasticity, the H -reflex depression is significantly lower in spastic patients [ 16-17 ] . Increased H/M ratio means increasing the irritability degree while the reduced H/M ratio means diminishing the irritability degree [ 18 ] . Increased H/M ratio has been reported in the spastic stage of unilateral paralysis and it is considered the preferable index for measuring the motor nerve cell pool irritability of the spastic side in hemiplegic patients. [ 19 ] The decre ase of amplitude of these measurings demonstrates decrease of spasticity in those patients. [ 20 ] A survey conducted to measure the effects of using ESWT on spasticity by utilizing by analyzing F moving ridge and H-reflex of the gastrocnemius in hemiplegic shot patients. The determination showed that there were no important effects of ESWT on the conductivity speed, distal latency and amplitude of tibial nervus conductivity, minimum latency of tibial nervus F moving ridge, latency, or H/M ratio of H-reflex in either the healthy or stroke group. However, the modified Ashworth graduated table ( MAS ) of plantar flexor was significantly reduced after using ESWT in the shot group. [ 21 ] Besides, Yoo et al. , [ 22 ] reported that there was no consequence of ESWT ‘s on lower limb spasticity in shot patients, and its mechanism is still unknown. [ 22 ] Sohn, et Al. , [ 30 ] inquired that farther surveies is needed for measuring the decreased degree of spasticity by ESWT on functional abilities such as ambulation or activities of day-to-day populating with stressing that farther surveies refering the most effectual degree of strength, figure of ESWT interventions, and continuance of curative consequence, demand to be conducted in a larger figure of patients. [ 23 ] Although RSWT has been successfully used since the late ninetiess for the direction of assorted orthopaedic upsets, really small clinical survey – for the available literature – has yet been performed in the intervention of spasticity in intellectual paralysis kids. The purpose of our survey was to measure the effectivity of RSWT on spasticity and motor map in hemiplegic intellectual paralysis kids.MaterialsSubjects56 kids ( 32 male childs and 24 misss ) were take parting in this survey. Their age runing from ( 6-8 ) old ages with a mean ( 7 A ± 1.2 ) were indiscriminately selected and participated in this survey. Patients were referred to Physical Therapy and Rehabilitation section of El-Noor Hospital, Makkah, Saudi Arabia and selected harmonizing to the inclusion and exclusion standards.The inclusion standardsThe inclusion standards were as follows: The participated kids had a confirmed diagnosing of hemiplegic intellectual paralysis in the prenatal, perinatal, or p ostpartum period confirmed by magnetic resonance images obtained from medical records or personal doctors. The grade of spasticity in involved lower appendage harmonizing to modified Ashworth graduated table ranged between classs 1, 1+ and 2 [ 24 ] . The degrees of gross motor map runing between degrees I through III harmonizing to Gross Motor Function Classification System ( GMFCS ) [ 25 ] . Persons with GMFCS degree I ambulate independently without restrictions, but may hold restrictions in more advanced gross motor accomplishments ; individuals with degree II ambulate independently but have restrictions walking out-of-doorss and in the community ; and individuals with degree III ambulate with an assistive device. Children were cognitively competent and able to understand and follow instructions. There were no serious medical complications harmonizing to the medical study signed by their doctor. During the survey, kids were non having other intercessions to better involved lower appendage map.The exclusion standardsThe exclusion standards included kids who had ocular job that would forestall them from executing the intercession, , uncontrolled ictuss, had no recent history of spasticity-altering specially for tendoachilis and c alf musculuss in the affected limb.They were at least one twelvemonth station orthopedic or neurological surgery, 6 months post botulinus toxin type A ( Botox ) injections, and had no history of spasticity medicine within 3 months prior to proving. Children were besides excluded if there were fixed contractures or stiffness in the affected lower appendage that would restrict activity battle.Treatment groupsThe participated kids divided into two groups. The first group ( 35 participants ) received traditional neurodevelopmental physical therapy rehabilitation plan in add-on to RSWT. The other control group ( 21 participants ) received the same plan but with placebo daze wave therapy. The traditional plan consists of beef uping exercisings, stretching exercisings, postural reactions facilitation exercisings, automatic inhibiting forms except for Achilless sinews of affected limb, pace preparation. The plan last for an hr, three times / hebdomad for 6 hebdomads. A individual blinded randomised clinical test was used as the patients did non cognize in which group was assigned and which intervention would be taken. Randomization was performed merely by inquiring the one of the parents to take a piece of one of two documents in which A, B missive was written. ( A ) considered as a RSWT group, while ( B ) considered as a traditional exercising group. All parents were given a full account of the intervention protocol and a written informed consent signifier to subscribe their understanding for engagement in the survey and publication of the consequences. The survey was approved by the Ethics Review Committee of the module of applied medical scientific discipline, Um Al Qura University and parents signed a consent signifier authorising the kid ‘s engagement.Appraisal of GMFM:The GMFM is a standard mention tool designed to mensurate alteration in gross motor map over clip in kids with motor damage, and has been validated for sensitiveness to alter in kids with CP. The judges ( physical healers ) who performed all the appraisals throughout the survey did non take portion in the intercession plan. They besides had non been informed about which group was belonged ( blind assessors ) . The GMFM was used to measure alterations in gross motor accomplishment and mobility. [ 26 ] Merely the points from the walk/run/jump dimension were administered. Both the GMFM-88 and GMFM-66 tonss were used to take advantage of the improved grading with the GMFM-66 [ 27 ] .H/M ratio rating:Before get downing the measuring, the kid was prepared for entering by cleaning the sites of stimulating and entering electrodes by rubbing the tegument utilizing intoxicant. The process was repeated until the tegument becomes somewhat ruddy to guarantee removing of the degenerated cells and take downing the tegument opposition. Precautions were taken to avoid skin annoyance particularly at the exciting site. Then the kid was placed in prone place comfortab ly on the scrutiny tabular array. The pess were placed over the border of the tabular array or supported with a pillow placed under the mortise joint, so that the mortise joints were placed in a impersonal relaxed place. The caput of the kid was kept in mid place to avoid the evocation of any crude physiological reaction, which may change the distribution of tone over the kid ‘s organic structure during entering. The recording was conducted from the soleus musculus where the active ( negative ) electrode was placed along the mid-dorsal line of the lower leg, 2 centimeter below the point of separation of the gasterocnemius and secured by adhesive plaster. The other indifferent ( positive ) electrode was placed distal to the active electrode in a consecutive line over the tendoachillis and secured by adhesive plaster. The Earth electrode was placed between the stimulating and entering electrodes [ 28 ] . The stimulating electrode was placed over the tibial nervus merely median t o the center of the articulatio genus fold in the popliteal pit. The stimulus continuance was 0.1msec. , which makes it more selective for exciting the sensory nerve La nervus fibres and evokes a stable H-reflex. Stimulation was at the rate of one time every 3 seconds to avoid barricading response and let full recording of the automatic response. After puting up the kid decently on the tabular array and adequately suiting the different electrodes in the antecedently described places, bifocal nervus stimulation was conducted by utilizing EMG stimulator.Shock wave therapyA RSWT device ( shock maestro 500 ) consisting of a control unit, a 15 millimeter handpiece and a medical air compressor ( 40 dubnium, 8 saloon, 50l/min ) was used. The compressor generates a pneumatic energy ( Positive end product force per unit area: 18.5 Mpa, Frequency scope: 1 to 21 Hz, Max. energy denseness: 0.38 mJ/mmA? ) that is used to speed up a missile inside the handpiece. The RSWT was administered utilizin g a V-ACTOR manus piece ( applicator diameter 15 millimeter ) . Each kid in the intervention session received 1,500 urges per session ( 500 urges with a force per unit area of 0.5 saloon and a frequence of 15 Hz and 1,000 urges with a force per unit area of 1.0 saloon and a frequence of 20 Hz ) , an EFD of 0.10 mJ/mm2, and a fixed impulse clip of 2 msecs. The intervention country was prepared with a matching gel ( ultrasound gel ) to minimise the loss of shock-wave energy at the interface between applier tip and tegument. The force per unit area pulsations were focused on the hypertonic musculuss of the lower limb: shootings were used to handle each gastrocnemius musculuss and soleus musculuss chiefly in the center of the belly. Because low energy is used, the therapy is painless and does non necessitate the usage of anaesthesia, analgetic drugs or utilizing an ultrasound arrow usher during application. A placebo intervention was applied with the indistinguishable instrumentality. The same high-intensity sound was utilized in all patients.Outcome stepEvaluation of alterations in gross motor accomplishment utilizing the GMFM and the spasticity alterations by determined by measuring H/M ratio and entering the sum of take downing in this per centum between pre and station intervention scenes were the mensurating result.Statistical analysisA descriptive statistical computation of the mean and standard divergence was performed. Clinical and electrophysiological values for each patient were analyzed by Wilc oxon signed-rank and Mann Whitney trial. The degree of significance was set at 0.05 for all trials.Consequences60 intellectual paralysis kids with spastic unilateral paralysiss were take parting in the survey. A figure of 5 kids were excluded from the engagement because they did non finish the intervention agenda. Merely 32 male childs and 24 misss with spastic unilateral paralysiss were included in this survey. There was a non-significant difference in the mean of kid ‘s age between intervention groups where the average age in Shock wave group was ( 7 A ± 0.85 ) and ( 7 A ± 0.65 ) in traditional group.GMFM:Evaluation of the pretest value of the daze moving ridge group and traditional group by Mann-Whitney trial revealed a no important difference between the pretest values where the P value was 0.0821 and the average rank of the pretest was 25.17 for daze moving ridge and 35.02 for traditional. Wilcoxon matched pairs trial demonstrated a important consequence in the ESWT group where P & lt ; 0.0001 with a important betterments in GMFM as compared consequence of post-test to pre-test value. Besides, there was a important addition in the post-test values in traditional group P & lt ; 0.0001 as compared to pre-test values. In order to compare between the consequence of the post-test consequence between the two intervention groups, Wilcoxon signed rank trial was applied and revealed that there was a important difference between the two intervention groups where the average rank of the ESWT group was 35.02 and traditional group was 15.7 and the P & lt ; 0.0001.H/M ratio:Mann-Whitney trial compared the pretest value of the alterations in the H/M ratio between the ESWT group and traditional group and revealed a no important difference between the pretest values where the P value was 0.227 and the average rank of the pretest was 30.53 for daze wave 25.12 for traditional as shown in tabular array ( 1-2 ) . Wilcoxon matched pairs trial demonstrated a important consequence in the ESWT and traditional groups where P & lt ; 0.0001 with a important lessening in the H/M ratio as compared consequence of post-test to pre-test value. Besides, there was a important lessening in the post-test values in traditional group P & lt ; 0.0001 as compared to pre-test values. Wilcoxon signed rank trial was applied and revealed no important difference between the two intervention groups where the average rank of the ESWT group was 27.63 and traditional group was 29.95 and the p=0.605.DiscussionThe consequence of this survey showed important decrease in GMFM and H/M ratio station intervention as compared with pretreatment in the two survey groups. The H-reflex trial as Akbayrak et al. , [ 28 ] explained can be utile for the nonsubjective step of motor neuron hyperex-citability Although assorted techniques for this survey have been introduced, the ratio of the maximal amplitude of H-reflex to maximum M-amplitude ( H/M ratio ) is most practical because of the easier technique. H/M ratios tend to be increased in patients with CNS lesions and upper motor nerve cell marks, and enlisting curves are altered in a mode consistent with increased irritability of the cardinal motor nerve cell pool. Conversely, H reflexes during cataplexy are depressed. H-reflex surveies in patients with CNS disfunction have been helpful for understanding the pathophysiology of these upsets [ 29 ] . Many Potential benefits could deduce from RSWT, compared with ESWT, because it is less painful consequence and therefore can be administered without anaesthesia, thereby cut downing the hazards of intervention for patients. Furthermore, due to the radial emanation of RSWT, the calcification, one time located radiographically, is certainly included inside the moving ridge extension country. Contrarily, when the daze moving ridge is focused, as occurs in the ESWT, refocusing of the applier is sporadically necessary to be certain that the moving ridges hit the calcification [ 30 ] . Furthermore, no ultrasound usher is needed to execute curative applications of RSWT [ 8 ] . Possible repressive effects of daze moving ridges on hypertonic musculuss and sinews might be attributed to the consequence of mechanical stimulations of daze moving ridges on the musculus fibres following to the sinew that can non be excluded as suggested by ( Leone and Kukulka. [ 31 ] Besides uninterrupted or intermittent tendon force per unit area produced by daze moving ridge could diminish the spinal irritability without durable clinical or neurophysiological effects. Another possible mechanism was the mechanical vibratory stimulation, which reduces irritability of motor nerve cells and induces the alteration of F moving ridge. [ 31 ] Despite transitory and short enduring repressive continuance of mechanical vibratory stimulation on musculus, the clinical consequences of this survey continued for hebdomads and assisted in suppression of monosynaptic irritability of tendoachillis as revealed by take downing of the H/M ratio in the survey group.This happening proposing a different mechanism of action need farther probe and account. Geldard [ 32 ] in his work found that Pressure technique has been therapeutically effectual to change motor response and when force per unit area is continuously applied, there is a diminution in sensitiveness. Tuttle and Mc Clearly [ 33 ] added that mechanical force per unit area ( force ) , provided continuously is repressive, possibly because of force per unit area version. It is hypothesized that this deep force per unit area activates pacinian atoms, which are quickly altered receptor ; nevertheless, the version may change with the strength of stimulation and with the country of the organic structure being stimulated. This force per unit area seemed most effectual on sinewy interpolations [ 33 ] . Pacinian Corpuscles as Quillin [ 34 ] explained are located deep in The corium of the tegument: in entrails, mesenteries, and ligaments and near blood vass. They are most plentiful in the colloidal suspensions of the pess, where they seem to exercise some influence on position, place, and ambulation. The pacinian atoms adapt rapidly and they are activated by deep force per unit area and speedy stretch of tissues. [ 34 ] Umphred et al. , [ 35 ] reported that Because of the rapid version, a kept up stimulation will efficaciously do suppression by forestalling farther stimulations from come ining the system. The technique of deep force per unit area is applied to hypersensitive countries to normalise skin responses. Besides, they recommended that changeless force per unit area applied over the sinews of the wrist flexors may stifle flexor hypertonicity every bit good as elongate the tight facia over the sinewy interpolation. The force per unit area is applied across the sinew with increasing force per unit area until musculuss relax [ 35 ] . Pierson [ 36 ] recommended that the kept up force per unit area is effectual in cut downing spasticity if it is applied to the sinew than the musculus belly. It is thought to move as a counter thorn that overwhelms centripetal ability to intercede other types of stimulation. H-reflex testing has shown that the motor nerve cell is inhibited in the sinew being pressed [ 36 ] . In their work about the consequence of soleus musculus force per unit area on alpha motor neuron automatic irritability in topics with spinal cord hurt ( SCI ) Robichaud and Agostinucci [ 37 ] found that Circumferential force per unit area applied to the lower leg decreased soleus musculus alpha motor neuron automatic irritability in topics with SCI. [ 37 ] The consequences of survey tested the effectivity of intermittent tendon force per unit area on the depression of alpha motor neuron irritability. Kukulkaet al. , [ 38 ] showed that the application of intermittent force per unit area to a sinew produced a statistically important lessening in the amplitude of the H physiological reaction, bespeaking a depression in alpha motor neuron irritability. This depression was sustained over a 30-second period of intermittent force per unit area application. These findings support those reported earlier by KuKulka et al. , [ 38 ] in which sustained tendon force per unit area was found to bring forth a transeunt suppression of motor neuron irritability. Intermittent tendon force per unit area, hence, may be utile for patients who require a sustained decrease in musculus activity, and sustained tendon force per unit area may turn out most utile for transeunt decreases in musculus tone. [ 38 ] Sing to the repressive consequence of quiver, Maisden [ 39 ] in their surveies showed that Because its ability to diminish allergic tactile receptors through supraspinal ordinance, local quiver is considered an inhibitory technique. Vibration besides stimulates cuteaneous receptors, specifically the pacinian atoms, and therefore can besides be classified an extroceptive modes. Vibrators function with frequence below 75 Hz is thought to hold an repressive consequence on normal musculus. [ 39 ] Umphred et al. , [ 35 ] concluded that low-frequency quiver used alternately with force per unit area can be extremely effectual. It should be remembered that these combined inputs use different neurophysiological mechanisms [ 35 ] . Vibration is an effectual manner to stamp down the H-reflex as stated by Delwaide. , [ 40 ] and Braddom & A ; Johnson. [ 41 ] Somerville and Ashby [ 42 ] added that Using a vibrating stimulation to the Achilles sinew in the limb under probe consequences in depression of the H-reflex that may outlive the continuance of the quiver by several hundred msecs. The mechanism of H-reflex suppression as explained by Taylor et al. , [ 43 ] is unknown but may affect presynaptic suppression through primary spindle sensory nerve fire or neurotransmitter depletion. The consequences of this survey agreed with the determination of the work done by Manganotti and Amelio [ 44 ] who used 1,500 shootings of daze moving ridge to handle flexor musculuss of the forearm and 800 shootings for each interosseus musculus of the manus with 0.030 mJ/mm2 strength. They reported that ESWT on the flexor hypertonic musculuss of the forearm and the interosseus musculuss of the manus was effectual for the betterment of upper limb spasticity in shot patients for more than12 hebdomads. Besides the determination of Yoo et Al. [ 22 ] proved important decrease of spasticity on the cubitus flexor and carpus pronator for 1 to 4 hebdomads after 1,000 shootings of ESWT with 0.069 mJ/mm2 strength. In their survey aimed for measuring the spasticity and electrophysiologic effects of using extracorporeal daze wave therapy ( ESWT ) to the gastrocnemius by analyzing F moving ridge and H-reflex. Sohn et al. , [ 23 ] concluded that after using ESWT on the gastrocnemius in shot patients, the spasticity of the mortise joint plantarflexor was significantly improved, with no alterations of F wave or H-reflex parametric quantities. They recommended that farther surveies are needed to measure the mechanisms of the antispastic consequence of ESWT. The important betterment in the development of walking accomplishment in the participant kids in the survey group might be due to the application of traditional neurodevelopmental intercession technique in add-on to the long permanent decrease of spasticity produced by daze moving ridge therapy and its function in take downing calf musculus spasticity.This inhibitory consequence on tendoachillis hypertonus assist the kids in the survey group to develop their motor map and walking abilities which was positively reflected on the gross motor map step mark in the walk-to portion following station intervention period The transition of Achilles tendon hypertonicity and its influence on bettering motor functional and walking abilities for hypertonic CP kids is attendant with the position of Natarajan and Ribbans [ 45 ] who strongly affirmed on that â€Å" Achilles sinew is involved in a assortment of padiatric conditions † .So its shortening or failing is a characteristic of many neurological conditions impacting the cardinal or peripheral nervous system such as intellectual paralysis. And Achilles tendon spasticity, failing or contractures in these conditions lead to detaining of walking and pace abnormalcies.DecisionA individual active RSWT significantly cut down spasticity and better map compared with placebo in kids with intellectual paralysis.Practical applicationsRSWT are effectual tools that could be used individually or in combination with neurodevelopmental technique in intervention of kids with spastic unilateral paralysis.RecognitionsThe writers would wish to show their grasp to a ll patints participated in this survey with all content and cooperation and particular thanks to our co-workers at the Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm AL-Qura University, Saudi Arabia.Conflict of involvementThere are no fiscal and personal relationships with other people or organisations that could unsuitably act upon this work.FundingThis research received no specific grant from any support bureau in the populace, commercial, or non-profit-making sectors.