1- Studying Abroad, a Culture Shock. 2- Experience Of Traveling . 3- Essay

1- Studying Abroad, a Culture Shock. 2- Experience Of Traveling . 3- The Harmful of Air Pollution in Red Traffic Lights - Essay Example In his journal (article?), Dr. Kumar is trying to emphasize the importance of studying air pollution as a risk to human beings at the global level and convince the readers about the significance of this health risk at red traffic lights in particular. I think Dr. Prashant uses a good technique writing his paper, which includes pathos, logos, ethos, tons, purpose, and minds audience. And I am going to explain how he does that and where. Dr. Kumar first underlines huge impact of pollution for human health by stating that the World Health Organization has linked air pollution to â€Å"seven million premature deaths every year.† This technique consequently suggests that the paper and the science article are formal and professionally written to engage the readers’ attention. People around the world are not that curious to read about air pollution, however the fact of seven million premature deaths every year will make people want to know how to avoid that, as it made me. The author particularly uses the World Health Organization’s statement as a background information and support to emphasize the importance of his study on the air pollution. Also since Prashant Kumar is a Doctor from the University of Surrey, he got his master`s degree in Environmental Engineering and Management, which gave him more credibility or Ethos in readers’ eyes and made his arguments seem more valid to the audience. The reader is basically any person in our society who is concerned about their health but this article can relate more to the people who are more sensitive to air pollution like senior citizens, pregnant women and children. Pregnant women as an audience will be even more interested as Dr. Kumar emphasizes â€Å"seven million premature deaths every year.† In this way, the author may have been engaged in the emotions of the readers as well, so it can be said that there

Attachment and Parenting Styles Essay Example for Free

Attachment and Parenting Styles Essay Everyone has had some type of caregiver some point in his or her life. The only difference is the type of method used for parenting. â€Å"Parenting styles have been grouped into four different styles: indulgent, authoritarian, authoritative, and uninvolved† (Darling Eric, 1999. para. 3). With each kind of parenting style, there are pros and cons that help or disrupt a child’s well-being. Parents should make sure the type of parenting style they expose their child to will be positive and not negatively affect the child. A negative impact could hinder a child’s current behavior and future behavior. Parenting Styles The authoritarian approach provides children with a set of rules that must be followed without questioning. There is a â€Å"do as I say not as I do† attitude. The authoritarian parenting style is the stricter style. According to the textbook, â€Å"The authoritarian child-rearing style is low in acceptance and involvement, high in coercive control, and low in autonomy granting† (Berk, 2010, pg. 279). Parents who use this method set strict limits and show little or no love appearing to be cold. If a child resists the parent, the parent will result into a forceful punishment. It is not uncommon for a parent with this approach to shame, blame, punish, and tease his or her child. The most common reason for parents using this method is that they do not want their children to become failures. The uninvolved approach rejects and neglects a child. According to the textbook, â€Å"the uninvolved child-rearing style combines low acceptance and involvement with little control and general indifference to issues of autonomy† (Berk, 2010, pg. 280). A parent will usually make few to no demands from the child. It is not uncommon for a parent to be overcome with his or her life that he or she express’s little or no interest in the child causing neglecting. A child who is around this type of atmosphere may have several problems that include antisocial behavior and developing a low self-esteem. It is possible for a parent to focus on his or her own problems that they do not realize how separate he or she is with the child and the lack of emotional support given. Types of Attachments A child who may have a parent whose parenting style is authoritarian may have a resistant attachment. â€Å"Resistant attachment affects about 10 percent of infants† (Machteld, 2011, para. 7). With resistant attachment a child is likely to be clingy, angry, and distressed. A child may cry for longer periods and cannot feel comfort as easily as other children. An uninvolved parent may have a child who expresses avoidant attachment. â€Å"This attachment affects about 15 percent of infants† (Machteld, 2011, para. 9). During this attachment a child may show a lack of interest when the parent is around. He or she will not be distraught when the parent leaves. They are not going to be clingy and will treat strangers the same as they do his or her parents. The reasons for choosing these attachments are because they go hand-in-hand with the type of parenting styles chosen. If a child has a parent with the authoritarian style of parenting he or she is likely to go through the resistant attachment. A child who has a parent uninvolved is likely to go through the avoidant attachment. Each type of parenting style will have a different type of attachment. Culture Impact and Examples Different cultures vary in the way they raise children and what is thought to be the right or wrong way. Culture can play a role in the impact of raising a child. What may be satisfactory in one culture may be wrong in another. The textbook provides several examples of culture impact and attachment patterns. â€Å"German infants show considerably more avoidant attachment than American babies do. But German parents value independence and encourage their infants to be non-clingy† (Berk, 2010. pg. 199). In one culture independence is encouraged and a child with avoidant attachment is not seen as a negative impact. In another culture a parent may believe this attachment is neglectful and not want his or her child to express this type of attachment. â€Å"Infants in Africa showed no avoidant attachment to their mothers. Even when grandmothers are the primary caregivers† (Berk, 2010. pg. 199). It is common for a Japanese baby to show resistant attachment. This is not because of any insecurity, but because a Japanese mother will normally not leave her child in anyone else’s care. Japanese parents see this as normal. Conclusion Each parent must figure out which type of parenting style works best for him or her. The type of parenting style not only affects the parent but also the child. As a responsible parent it is his or her job to make sure that the obstacles of everyday life does not hinder him or her from being a good parent. With the authoritarian style or uninvolved style a child will be shown and acquire his or her morals. It is not right to neglect or over discipline a child. A parent can be strict and loving at the same time. A child needs to have both discipline and love to be well-rounded. Too much discipline can force a child to have problems just as neglecting a child will also. There has to be a middle where the parent can realize when enough is enough. References Berk, L. E. (2010). Development through the lifespan. (5th ed., pp. 119-215). Boston, MA: Allyn Bacon. Darling, N., ERIC Clearinghouse on Elementary and Early Childhood Education, C. L. (1999). Parenting Style and Its Correlates. ERIC Digest. Machteld, Hoeve (2011). Maternal and paternal parenting styles: Unique and combined links to adolescent and early adult delinquency. Journal of Adolescence, 34813-827. doi: 10.1016/j.adolescence.2011.02.004

Hiv Infected Black African Community Health And Social Care Essay

Hiv Infected Black African Community Health And Social Care Essay Today the epidemic HIV/AIDS has become a universal issue demanding attention of all public sectors. The HIV infection has developed as a major public health importance in the whole world with its increasing prevalence rate. The human immunodeficiency virus (HIV) is a retrovirus which affects the immune system of the body and destroys all its functions where an acquired immunodeficiency syndrome (AIDS) is the most advance phase of HIV infection (World health organisation, 2010). Globally around 60 million people are affected since the start of this epidemic HIV and till now around 20 million people are died due to infection of this virus (UNAIDS, 2005). In the year 2007, it was estimated that around 33.2 million people were living with HIV in the world (UNAIDS, 2007). Similarly in United Kingdom, the prevalence of HIV infected people was 77,400 in 2007 (Health Protection Agency, 2008). The London city continues to be the UKs HIV/AIDS hot spot with leading numbers of HIV cases as compa red to UK. In London, the population of Black Africans are most rapidly increasing in terms of HIV infection and forming the second largest group of HIV/AIDS service users (Erwin and peters, 1999). This essay will try to investigate and analyse the causes of increasing prevalence of HIV infection in Black African people in London Borough of Lewisham. The essay will briefly examine the epidemiology of HIV infection in Lewisham particularly with focusing on Black African ethnicity. This essay will also focus on socio economic determinants of HIV prevalence in Black African community in London borough of Lewisham. With the help of this research the factors influencing HIV/AIDS in Black African population in Lewisham would be studied. This will be an attempt to analyse the strategies and interventions of the issue regarding global, national and mainly the local perspectives. It focuses on black African communities because they are disproportionately affected by HIV infection compared to other minority ethnic groups. The HIV infection is mainly transmitted through unprotected sexual intercourse which can be anal or vaginal. It may also be transmitted through the transfusion of HIV contaminated blood to the healthy individual. Sharing needles has become a most common reason for the spread of this epidemic. It may also be transmitted through the mother having HIV to her child. Breast feeding is also one of the factors which can help to spread the HIV (World Health Organisation, 2010). Still in many areas like developing countries, people are unknown to HIV/AIDS. The illiteracy and poverty are the main causative factors for the spread of epidemic HIV in the world. Being an epidemic, migration is the most common cause for increasing the prevalence of HIV. Sex workers also play a leading role in the spread of HIV because the infection is sexually transmitted. London city has the maximum proportion of population from minority ethnic groups migrated from all over the world. Among these different ethnic groups, Black Africans are one of the fastest growing immigrants in London. East London is one of the poorest areas in London city with having lowest expectation of life, highest unemployment rate and poor housing with low level of education (Elford et al, 2006). In England, late diagnosis of HIV remains a major problem among black Africans. In 2007, about 42 per cent of black Africans diagnosed with HIV were diagnosed late. The evidence shows that late diagnosis of HIV increases more risk of early mortality. The research also conclude some reasons for late diagnosis of HIV in Black African community such as, fear of testing positive for HIV, some of them have a misconception that testing positive would lead to deportation, fear of breaking up the social relationships after testing positive, unknown of testing centres due to lack of information, having fear that life or business pattern will change because of testing positive. Most of Black Africans felt that they had no reason to think they had HIV. Due to HIV related stigma and discrimination Black Africans as compared to White community are the least likely to disclose their HIV status to their partners, family members, employers or friends. Cultural and religious diversity among African c ommunity are the main causes of increase in prevalence of HIV. The evidence indicates that long time stay in England also has an impact on the sexual health of black Africans. Many black African migrates are facing insecure residency status problem. This causes unemployment and mental problems to the community and due to this they are forced into sexual risks, such as prostitution which increases high risk to HIV infection (Race Equality Foundation, 2009). Language barrier is one of the main causes for the increase in prevalence of HIV in Black people. Ineffective communication between people and health care professional causes poor service of the health care. Spirituality is also an important factor in the health and well-being of older Black African people and must also be considered when deciding on methods of engagement (Race Equality Foundation, 2010). In England, It has proved that there are more same-sex relationships than reported among black Africans (Race Equality Foundation, 2009). There is growing evidence to show that African men who have sex with men (MSM) living in the UK are deeply affected by HIV. The article from Audrey Prost, related to sexually transmitted diseases (STIs) highlights the fact that homosexually active men from Black African communities in UK are disproportionately vulnerable to STIs compared to white people community. According to a study conducted by Hickson and his colleagues in 2001, a higher proportion of black African MSM (18%) was living with HIV compared with white MSM with 10% (Aidsportal, 2007). African gay/bisexual men, regardless of their HIV status, are considered hard to reach and reluctant to talk. Various reports indicate that homophobia, both at large and within the black African community may be preventing African men from engaging with HIV prevention initiatives and even discussing their sexual identity with anyone. The racism and homophobia are being very offensive part in Black gay community because Black people have always excluded, harassed, imprisoned and killed often solely because they have black skin where Gay men are also harassed, beaten and killed because they are gay. This explains how difficult it can be being black and gay. In UK, there are some evidences of research studies which are related to Black Caribbean MSM and their problems regarding social lives but there is no evidence of equivalent research which has been has been carried out with African men in UK. Therefore more research is needed urgently for understanding the sexual lifestyles of Afric an MSM, their problems regarding social lives and the best ways to reach them with HIV prevention policies and interventions (Aidsportal, 2007). Commission for Equality and Human Rights (CEHR) presents a real opportunity to address the multiple forms of discrimination faced by Black/African gay men, including racism, homophobia, sexism etc. In London the well established determinants of health care costs for people living with HIV/AIDS such as disease stage and transmission category, socio-economic factors like employment and the support of a living-in partner drastically reduced community services expenses (Kupek et al, 1999). The social responses of fear, stigma, denial and discrimination have accompanied the epidemic HIV/AIDS where the discrimination has increased enormously with maximum anxiety and prejudice against the community who are commonly affected with HIV/AIDS (UNAIDS, 2000). The HIV/AIDS can be treated by some modern therapies but it cannot be cured. The highly active antiretroviral therapy (HAART) is a therapy which uniformly slower down the rate of disease development towards AIDS or the death. In London it is consistently showed that, the Black African people living with HIV are more likely to present with advanced stage of disease, and are therefore less likely to access and get advantage from this therapy. Because of this consequence there is a high mortality rate related to AIDS among the White community but in Black African community it has not yet seen remarkably (Boyd et al, 2005). The main reason for this occurrence is an unawareness of the highly active antiretroviral therapy (HAART) among the Black African community. The information and knowledge regarding demographic characteristics and the stage of HIV in various communities can give important insights like which community should be targeted to provide more intensive educational campaigns t o develop the uptake of HIV testing. The World Health Organisation, UNAIDS and AVERT are the globally leading health organisations which work together and with the government for the prevention of HIV/AIDS. These organisations regularly keep an updates of the prevalence of epidemic HIV/AIDS globally, on national level as well as on the local level. Though these organisations are trying to provide maximum services for HIV infected people, it is proved that, globally only less than one individual in five who are at risk of HIV had access to basic prevention services for HIV (UNAIDS, 2005). As mentioned earlier, the prevalence of HIV is much in African regions. The governments of African countries should act decisively against the increase of HIV infections in the country. In South Africa the government has approved the long-awaited provision of free antiretroviral drugs in public hospitals. The South Africa is the only country in Africa whose government is still obtuse, dilatory and negligent about rolling out treatment ( AVERT, 2010). To fight against an epidemic HIV worldwide, the World Health Organisation and other national and international health organisations celebrates World AIDS Day every year on first December. The theme was established by World Health Organisation in 1988. Worldwide it provides national AIDS programs, faith organisations, community organisations, and individuals with an opportunity to raise awareness and focus attention on the global AIDS epidemic (U.S. Department of Health and Human Services, 2010). In England, the HIV related framework of services has been developed for African communities. This framework is developed to fulfil the vision of NHS plan and meet the standards and goals set out in the National Strategy. This service framework helps NHS staff offering HIV prevention and sexual health promotion advice to African communities. The Department of Health has proposed an ASTOR framework to deal with the diverse black community with different needs. It is a standardised planning tool which can be very helpful to deal with the Black African HIV infected patients. The benefits of ASTORs are for both service commissioners and providers (Department of Health, 2005). To reduce the prevalence of HIV infection in Black African community, the government of England have planned some strategies such as, Reducing the number of people living with undiagnosed HIV with maximum access to testing HIV, improving the health of people living with HIV by providing an antiretroviral therapy to them, preventing the onward transmission of HIV by addressing knowledge and awareness to the infected people (Elam et al, 2006). The African HIV Policy Network (AHPN) is a national umbrella organisation which deals with providing the information of national policies on HIV and sexual health that have implicated for African communities (African HIV Policy Network, 2008). In England the National African HIV prevention Programme (NAHIP) also works effectively delivering prevention interventions for African people living in England. In 1997, the department of health set up a first group of national projects targeted for African community to reduce the prevalence of HIV infection in England. In 2008 the Department of Health instigated a review of the two national HIV Prevention programmes, NAHIP and CHAPS which highlighted the strengths and weaknesses of both programmes and discussed the challenges regarding increasing prevalence in black Africans. In mid 2009, the RBE Consultancy was commissioned to consult with stakeholders in order to develop the NAHIP Strategic Plan 2010 2012. There is a provision of African A IDS Helpline which will become an intervention within NIHIP and the African community. The structure of the plan of NIHIP for 2010-2012 mainly include, the Implementation of the African HIV Prevention Handbook, Putting the Knowledge, The Will and The Power into Practice, relationships with evaluation and development. The aim of AHPN plan is taking into account the needs of African communities and more specifically incorporates Africans living with HIV into local delivery plans where the NIHIP aims to maintain the flow of the previous structure, provide a link for Sub-Contracted Agencies in case of grievances, reduce the length of time between HIV infection and diagnosis, reduce the number of condom failure events by increasing correct use of condoms, increase post-exposure prophylaxis in people who are sexually exposed to HIV (NAHIP, 2010). The Department of Health (2005) planned some interventions to decrease the prevalence of HIV in African communities such as, One to one counselling. Telephone help lines. Provision of sperm washing services. Clinical services to prevent mother-to-child transmission. To maximise the contact with the target group Department of Health made some settings which include, religious groups of African community or churches, African restaurants and embassies etc (Department of Health, 2005). The most prominent initiatives of NIHIP are the Do It Right Africans Making Healthy Choices campaign providing information on sexual health, condoms, and where to access help to the targeted group. The Beyond Condoms campaign of NIHIP promotes debate among African communities about a wide range of issues regarding sexual health and building a safer sex culture. To avoid the language and religious barriers the campaign literature is available in five different languages with targeting different religious groups (AVERT, 2010). The London Borough of Lewisham has large number of black African community with infected by HIV. Each year the NHS of Lewisham treats over 1,200 people for HIV infection. In this borough, around 57% of people are infected through heterosexual sex and 35% are infected through sex between men. The NHS Lewisham is trying to fight against increase in HIV prevalence by implementing different strategies. In 2009, the NHS set a theme for World AIDS Day entitled Universal Access and Human Rights. In the whole borough, the HIV testing is currently available through all GPs on request and four rapid-access HIV testing clinics around the borough. With implementing a new theme for HIV the NHS is piloting a new approach to HIV testing (NHS Lewisham, 2009). To avoid different barriers against HIV treatment the NHS has set 5 spoke providers on the weekly and monthly basis in which Metro is for weekly gay men group and FAWA provides French speaking African monthly group. This can help African commun ity who are infected with HIV (NHS Lewisham, 2009). In London Borough of Lewisham, the service providers for the black African people living with HIV are commissioned through the South London HIV Partnership (SLHP). The HIV services for black African communities commissioned by SLHP are as follows: African Culture Promotion: Prevention work with African communities. SHAKA: Prevention work with Caribbian and African communities. NPL: Prevention work with African communities. LSL African Health Forum: Prevention work with African communities. THT GMFA: Care and support services for gay men. Terrence Higgins Trust: Counselling (NHS Lewisham, 2009). Although Lewisham carries maximum number of HIV patients with black African ethnicity, still there are no specific strategies or policies targeting only for black Africans HIV patients in London Borough of Lewisham. According to the research carried out, the black Africans continue to present with more advanced HIV disease than whites or black Caribbeans. This community is still lacking for the early diagnosis as compared to other ethnic groups. The future strategies should be designed to promote the uptake of HIV testing among black Africans. The future strategies should address the multiple barriers to testing, including misperception of risk, stigma and discrimination and ready access to testing. This study suggests that although being on a high risk group for HIV infection the black Africans generally do not suspect their status. This community delay their uptake for HIV clinic care and test and statutory, voluntary support services. But still after diagnosis they are similar to their white counterparts. The black African community lack informal support networks. This study highlights a desperate need for health promotion work for the black African communities in London Borough of Lewisham, to increase awareness of the benefits of testing HIV and simultaneously to reduce the stigma and discrimination related to HIV/AIDS. These are some barriers which have been illustrated in this study related to HIV testing. The attitudes and practices of NHS and other health care providers, perceptions of patients living with HIV, and official, managerial and economical factors would be very important aspects for the effectiveness of HIV testing and counselling for black African community but yet there is lack of structured information regarding these barriers. The overall barriers described are associated with low-risk perception, access to the health services, reluctance to address HIV, fear and worries and scarcity of economical and properly trained human resources. To conclude the overall study some suggestions would be helpful for the future strategies of health care services. The strategy or the policy should be made which can help strengthen work between the voluntary and statutory sector since the black African community would find it easier to approach their community organisations. The statutory sector should also approach the community directly by reaching them and to hear their personal views. Every newly established structure of the policy should be placed in each sector which will enable the people to attend easily. Considering the examples of the black African gay people, where it is perhaps easier for them to deal with HIV as they have, no baggage of family, these people are generally from the indigenous community therefore there is no immigration status problem, these people are stigmatised but also influential and empowered. If a HIV patient is admitted in hospital, try monitoring him and when he is about to discharged the hospita l ask him to contribute some thoughts once back in the community. Proactive engagement with the black African community would effect in unequal access to services and care with raising the confidence in their own voluntary organisation that the information about their status is held in confidence and will not be breached. A health care service should have culturally competent staff and involves families in the communication process which can be effective and successful. It is also a responsibility of all members of the society. The society should act well with the minority groups living with HIV. They should not be stigmatised by the general people. Being a good human everyone should avoid racism with minority communities like black Africans and the gay people. Remember, the Black African community who have HIV/AIDS are not the problem but the society is. REFERANCES: African HIV Policy Network. (2008) BHIVA/BASHH/BIS HIV TESTING GUIDELINES CONSULTATION Response from the African HIV Policy Network (AHPN). [Online] Available from: http://www.ahpn.org/downloads/policies/Consultation_on_BHIVA_testing_guidelines_V3_0.pdf [Accessed 5th May 2010]. African HIV Policy Network. (2006) HIV and Immigration. [Online] Available from: http://www.ahpn.org/downloads/newsletters/AHPNNewsletter0406.pdf [Accessed 15th May 2010]. Aidsportal. (2007) African HIV Policy network. [Online] Available from: http://www.aidsportal.org/repos/AHPNNewsletterMSMJuly07.pdf [Accessed 25th April 2010]. AVERT. (2010) HIV and AIDS in the UK. [Online] Available from: http://www.avert.org/aids-uk.htm [Accessed 21st May 2010]. AVERT. (2010) History of AIDS: 2003-2006. [Online] Available from: http://www.avert.org/aids-history03-06.htm [Accessed 17th May 2010]. Bevan, K. (2008) HIV in South East London 1995 2006. [Online] Available from: http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1212477969757 [Accessed 12th May 2010]. Boyd, A., Murad, S., Oshea, S., Ruiter, A., Watson, C., Easterbrook, P. (2005) Ethnic differences in stage of presentation of adults newly diagnosed with HIV-1 infection in south London. [Online] Available from: http://www3.interscience.wiley.com/cgi-bin/fulltext/118714709/PDFSTART [Accessed 26th April 2010]. Department of Health. (2005) HIV and AIDS in African Communities A Framework for Better Prevention and Care January. [Online] Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4099052.pdf [Accessed 13th May 2010]. Elam, G., De Souza, L., Ward, H. (2006) HIV and AIDS in the United Kingdom African communities: guidelines produced for prevention and care. [Online] Available from: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=2886 [Accessed 2nd May 2010]. Elford, J., Anderson, J., Bukutu, C., Ibrahim, F. (2006) HIV in East London: ethnicity, gender and risk. Design and methods. [Online] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1524742/ [Accessed 14th May 2010]. Erwin, J., Peters, B. (1999) Treatment issues for HIV+ Africans in London. [Online] Available from: http://0-www.sciencedirect.com.emu.londonmet.ac.uk/science?_ob=MImg_imagekey=B6VBF-3X70SDJ-6-1_cdi=5925_user=983321_pii=S0277953699002208_orig=search_coverDate=12%2F31%2F1999_sk=999509988view=cwchp=dGLbVzb-zSkzSmd5=b3e0e9a3f108a1a7e8675b1ed11c7ef9ie=/sdarticle.pdf [Accessed 14th May 2010]. Health Protection Agency. (2008) HIV in the United Kingdom: 2008 Report. [Online] Available from: http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1227515298354 [Accessed 9th May 2010]. Kupek, E., Dooley, M., Whitaker, L., Petrou, S., Renton, A. (1999) Demographic and socio-economic determinants of community and hospital services costs for people with HIV/AIDS in London. [Online] Available from: http://0-www.sciencedirect.com.emu.londonmet.ac.uk/science?_ob=MImg_imagekey=B6VBF-3WR495S-C-1_cdi=5925_user=983321_pii=S027795369800447X_orig=search_coverDate=05%2F31%2F1999_sk=999519989view=cwchp=dGLzVtb-zSkzSmd5=8f397198cfd5d487e813fcadbf073668ie=/sdarticle.pdf [Accessed 7th May 2010]. Latif, S. (2010) Effective methods of engaging black and minority ethnic communities within health care settings. [Online] Available from: http://www.better-health.org.uk/files/health/health-brief18.pdf [Accessed 3rd May 2010]. National African HIV Prevention Programme. (2010) National African HIV Prevention Programme (NAHIP) Strategic Plan April 2010 to March 2012. [Online] Available from: http://www.nahip.org.uk/downloads/494.pdf [Accessed 28th April 2010]. NHS Lewisham. (2009) HIV Supportive Care in Lewisham. [Online] Available from: http://www.lewisham.gov.uk/NR/rdonlyres/4072F68D-B71C-48EB-8749-CCFBC0B0DB7E/0/cc7f47f87214442b9213e01b0b2a297104HIVCommissioningandsupportprovision.PDF [Accessed 25th May 2010]. NHS Lewisham. (2009) MEDIA RELEASE WORLD AIDS DAY: 1ST DECEMBER 2009. [Online] Available from: http://www.lewishampct.nhs.uk/documents/2244.pdf [Accessed 5th May 2010]. NHS Lewisham. (2009) HIV Supportive Care in Lewisham Report for Healthier Communities Select Committee NHS Lewisham. (2010) HIV Supportive Care in Lewisham. [Online] Available from: http://www.lewisham.gov.uk/NR/rdonlyres/9FE5FD58-9FDD-40F6-8C40-4ECECFBE23D4/0/0f66c646e95c4283b3b14078e7d0214608HIVHealthierCommunitiesSelectCommittee.PDF [Accessed 4th May 2010]. UNAIDS. (2000) HIV and AIDS-related stigmatization, discrimination and denial: forms, contexts and determinants. [Online] Available from: http://whqlibdoc.who.int/unaids/2000/UNAIDS_00.16E.pdf [Accessed 1st May 2010]. UNAIDS. (2005) Intensifying HIV prevention. [Online] Available from: http://data.unaids.org/publications/irc-pub06/jc1165-intensif_hiv-newstyle_en.pdf [Accessed 23rd April 2010]. UNAIDS. (2007) AIDS epidemic update. [Online] Available from: http://data.unaids.org/pub/epislides/2007/2007_epiupdate_en.pdf [Accessed 5th May 2010]. U.S Department of Health and Human Services. (2010) World AIDS Day. [Online] Available from: http://www.hhs.gov/aidsawarenessdays/days/world/ [Accessed 22nd May 2010]. World Health Organisation. (2010) HIV/AIDS. [Online] Available from: http://www.who.int/topics/hiv_aids/en/ [Accessed 15th May 2010].

Computers in the Classroom :: Technology Education Learning Essays

Computers in the Classroom Education has recently become a major media topic, drawing daily headlines in newspapers across the country. One issue on this topic is the recent rush to increase technology in the schools. This frequently is referred to as educational technology. Educational technology is defined as " the theory and practice of design, development, utilization, management and evaluation of process and resources for learning" (Ely 2000). The thought of incorporating technology into the classroom is an idea occurring only thorough the 20th century. This concept evolved during and immediately following WWII, when technology began to increase and became available for individual use. The originators of increased technology in the classroom focused on the use of audiovisual media, such as TV and video clips. Today when we say educational technology we most frequently refer to the use of computers in the classroom or similar electronic devices. There are many positive aspects of having computers present in the classroom and used as a tool throughout the learning process, especially in math and science. This is a relatively new idea, considering computer use has increased dramatically over the past 10 years. Few deny that students do not require computer access in school, however some individuals feel this ultimately will negatively affect schools and students. I however am not one of those individuals. I feel computer technology can positively affect many areas of education. In this paper I will cover the areas of computer impact on constructivism, possible assessment processes of the future, and technology use with at-risk students. With increasing standards across the country, many students are falling behind their peers. These students are considered "at-risk" for academic failure. In the past, these students were educated through tracking at a lower level, by narrowing specific circulla, rigid instructional procedure, and pullout programs. However, recent studies show that by "not challenging at-risk students or encouraging them to use complex thinking skills schools underestimate the students’ capabilities (Means 1997). Consequently not providing them with the best education possible. Many students that are at-risk have difficulty with subject matter because it is irrelevant, uninteresting, or too abstract for them to absorb, ultimately the students do not try in school and eventually fail out. Well it sounds like an easy solution then; make the lessons relevant to the student’s life.

Analysis of the poem Essay

The poem Originally by Carol Ann Duffy talks about the issue of culture identity. The poem talks about change, memories, and anxiety which occurs when moving. This is conveyed through the experiences of a young girl in the poem who is reluctant to leave what she knows behind. This is made apparent through the theme of memory and the continual change of setting. The title Originally sets the tone for the poem as there change needs to occur for there to be an ‘original’. This choice of diction allows for an expectation for what the journey will be about, while the ambiguity of the poem is written in such a way that personal experiences can be projected upon the protagonist. The aspect of the poem through tone however creates a bias towards negative emotions and experiences due to the despondent tone throughout the first two stanzas. This atmosphere of loss is aided through the use of negative emotive diction such as ‘bawling’ and ‘resigned’. By showing that the protagonist’s brothers are crying, Duffy illustrates how hard this is for them as crying is usually only brought on by major or sad events and loss, ‘resigned’ is used to show how she has accepted her fate, but it doesn’t mean she likes it. This association of emotions with the diction allows for empathy to occur towards the protagonist and her unsure feelings about her emigration. The theme of cultural identity is used in the poem in order to instil a sense of not belonging. This feeling of unease and unhappiness is introduced through the use of ‘bawling’ as this change from the place where they are comfortable and belong to the new one is both painful and confusing for them. The use of italics however, in the repetition of ‘Home’ as well as the capitalisation of it, emphasises it’s importance to them and their desire to return to it. The use of a blind toy by Duffy can be used as a metaphor towards the protagonists new life, where, although the toy is blind, it still has eyes. The foreshadowing could be that when the protagonist moves she will be blinded by everything which is new so that she doesn’t become overwhelmed by it. She will continue to be blind to the beauty of her new home so long as she is yearning for her old one. However, once she is ready her ‘sight’ will return and she will start to forget her cultural identity. At the time, the girl doesn’t want this however, so she is clinging onto a toy to maintain her memories of home. Additionally, a toy is associated with childhood, so the clinging onto it may represent how she doesn’t want to grow up and leave her comforts behind. By saying in the second stanza that ‘all childhood is emigration’, Duffy allows for immediate relation to the protagonists situation. This is due to the journey of growing up to adulthood which is a worldwide experience, as well as referring to physical emigration of moving from one place to another. Improtantly however, the emigration of childhood is all made without the acceptance of the person moving, they cannot stop growing older, and parents make the ultimate decisions. This unease and the inability to understand the need to move is reinforced by the location of her new home where ‘no one you know stays. ‘ This introduces the tone of isolation which is reinforced by having the wrong accent, and ‘shouting words you don’t understand’ which immediately marks a person as being from a different area, even though the move could have been within the same country of city, the accent and slang changes. The introduction of ‘big boys’ shows that she is intimidated by people from the area who are older and bigger as she doesn’t know how they will react, this is reinforced by the alliteration present through the repetition of the hard ‘d’, continuing the feeling of intimidation which the protagonist encounters. A continuation of the alliteration in sibilance, ‘seeing your brother swallow a slug, feel only a skelf of shame,’ provides an insight that the protagonist is slightly proud of her brothers for adapting so well to the environment, which is then applied to herself in a continuation of sibilance in combination with a simile in that she ‘remembers (her) tongue shedding it’s skin like a snake, my voice in the classroom sounding just like the rest. ‘ This shows that she is also now adapting to her environment, reinforced by the fact that a shed skin is natural for a snake, and this adaptation is normal, although slightly unwanted. The last stanza’s change in tone shows how the protagonist has changed with age. This allows for a time skip to take place into a time when she is more mature and able to reflect upon the journey easily, although with some regret. This is expressed through rhetorical questions beginning with the use of ‘Do I only think,’ in line 20, which builds up an atmosphere of longing and wistfulness. There is also a tone of uncertainty in there, as she doesn’t know if she had remained in the place if the feelings of belonging would have remained, which is why she only questions and doesn’t outright believe that staying would have been the best option for her. The rhyming of the words ‘first space’ and ‘right place’ reinforces the doubt she feels about her cultural identity. The continued doubt of the protagonist’s cultural identity which occurs in lines 23 and 24, illustrates how she will continue to try and find the answers throughout her life as she will never be truly certain of who she is, creating a sense of not belonging. Although emigration is a hard thing to experience, Duffy illustrates that trying to maintain a cultural identity through such a process may cause problems later. The continued rejection of the new culture illustrates how much of an outsider it makes the protagonist feel later in life, which could have been avoided if it had been readily embraced. The place which she originates from will always have a draw, however, the acceptance of a new culture viewed as a new part of a personal culture, would be much easier to accept than a replacement to the old one.

Happiness and the Good Life Essay

What is the relation between living a good life and being happy? To many, the good life is a financially prosperous life, and happiness lies in the possession of wealth. Worldly success is what counts, and anyone who is not ‘successful’ in the usual sense is counted a ‘failure.’ Others strive for a life based on honor and public recognition. A good life is made up of hobnobbing with the right people in the right settings, and happiness is a matter of gaining respect. Along with these, there are lives that show by their living a desire for glory or power that inspires great efforts. Others, who are not drawn to wealth, power or glory because of the difficulties involved in attaining them, may choose the pursuit of pleasure. A good and happy life is one in which pleasures outweigh the pains overall. Many questions have been asked about the good life and happiness. People constantly answer those questions with their lives, and we see many different ideas of the good life and happiness playing out in the strivings of human beings to live well and be happy. The ancient Greeks wished their friends to ‘do well’ and ‘fare well’ in this life. These two, they thought, held the keys to human felicity. Doing well concerns ourselves, our own actions and feelings. We have some control over these aspects of our lives. So when we wish someone to ‘do well’ in life, we express the hope that the person will be moral and fair in his or her dealings with others. Beyond securing basic physical survival, someone who does well in life can sleep with a clear conscience, whether blessed with material success or not. From many a philosophical point of view, the good life has an intrinsically moral core that involves compassion for the suffering of others and acting justly in the world. ‘Faring well’ concerns events and occurrences over which we do not have so much control. â€Å"Faring well† means succeeding in life, coming into a prosperous condition, with all the benefits that come with money and social acceptance. Someone who is faring well in life has had a bit of good luck. It is possible to do everything right in order to succeed, but still fail to do so. For example, you can study hard for your degree, get your professional qualifications, work diligently, become competent, but still not succeed. The cards may not fall your way. As Sartre says, â€Å"You are free to try, but not to succeed.† This seems right to me, and so I will come down with Aristotle against Plato on this point, that doing well is not all that is involved in attaining happiness in life. Plato’s Socrates famously says that the good person cannot be harmed, that virtue is knowledge, and that happiness consists entirely of doing well and being just. Aristotle argues that a degree of luck plays into our happiness. He insists that most of our happiness is in our own hands, but that it can be affected by outside circumstances. So while being happy is mostly a matter of ‘doing well’ (and ‘thinking well’), great misfortunes can damage our happiness. It may be that such a person, by ‘doing well,’ will attain a degree of dignity in suffering, but he will not be happy; or, as Aristotle has it, ‘blessed.’ In light of this result, I hazard an intuitive philosophical account of the relation between the good life and happiness. Living a good life is a necessary but not a sufficient condition for happiness. In other words, it is possible to live a good life without being happy, but not happy without living a good life. This a ‘philosophical’ account of the relation because many philosophers have a particular idea of happiness and the good life that is not shared by everyone, with their emphasis on clarity of thought and sound reasoning. In addition, though philosophers recommend the philosophical life as both the happiest and the best, they are not in a position to legislate for everyone what happiness must be. Nevertheless, the traditional philosophical view is not without support. All we have to do is look at the results of many lives that strive for wealth, power, fame, glory or pleasure. So many disasters befall those who pursue a good life with no moral core, or reflective turn of mind, that it makes some sense, as philosophers argue, to pursue the wisdom to recognize the good life, and, within that life, such happiness human beings can attain.

Battles of the Civil War essays

Battles of the Civil War essays John Brown once said, Now, if it is deemed necessary that I should forfeit my life for the furtherance of the ends of justice, and mingle my blood further with the blood of my children and with the blood of millions in this slave country whose tights are disregarded by wicked, cruel, and unjust enactments, - I submit; so let it be done! He believed that the only way to rid slavery from the United States was through bloodshed. He was right in saying this because on April 12, 1861, the American Civil War began. It was the most destructive war ever fought in the Western Hemisphere. In terms of human life it was also one of the most costly wars. There were many different reasons for the Civil War, slavery being the predominant reason. The immediate reason for the Civil War was the fight between the north and south over Fort Sumter. Lincoln had given South Carolina the choice of either permitting the fort to hold out or open fire with its shore batteries. In reply, the southerners commenced fire. The attack on Fort Sumter and its capture angered many northerners and began a patriotic fight to save the union. One of the first major battles of the Civil War was the Battle of Bull Run. Federal troops, amounting to 30,000 marched from Washington, D.C., to attack the Confederate forces positioned near Bull Run Creek at Manassas Junction, Virginia. The Union forces were close to victory until Confederate reinforcements sent Union troops into a retreat back to Washington. This battle boosted moral of the South and lowered the Norths. The Norths hope for a short war was shattered. The Battle of Antietam illustrates how bloody the Civil War actually was. Lee led his army across the Potomac into enemy territory. He hoped that a major Confederate victory in the North would convince Britain to support the Confederacy. McClellan, commander of the Union army had intercepted Lees plan and the in...

Likable and Dependable

Likable and Dependable Are these two tools part of your branding? Arent sure? Then theyre probably not. But why are these two traits so important when youre selling your words and not a public performance? Jane Friedman and Porter Anderson recently established a newsletter on the publishing industry titled THE HOT SHEET (http://hotsheetpub.com/). I was a Beta reader as they worked out the kinks. Its intensely smart, as would be expected from these two industry brains, but in a recent issue they addressed this issue of what readers expect in an author: The scientific finding from Nielsen: Authors, in general, are among the publics fave people in the entertainment world. Only TV and film actors score more highly with fans, which means that authors are rolling in ahead of sports figures and musical artists. Whats more, fans of authors like their authors more than fans of other types of people like their icons - even athletes are not as highly thought of Most of the authors I know fall into one of two categories: 1) They write a lot and promote when they have a new release or an upcoming event; or 2) They promote one book a lot and are slow in putting out new releases. That makes both inconsistent and less reliable, and according to that Nielsen report cited in THE HOT SHEET, makes those writers give the appearance of being less successful, influential, and dependable. So what does that mean for you . . . the burgeoning, struggling writer? It means you write and market each and every day. You appear to always be on the move, always producing, always available to the reader. Its hard, but doing otherwise these days when the competition is steep and the books cheap, will leave you in a lot of writers dust where readers wont be able to find you.

Alzheimer\s Disease Essays - Cognitive Disorders, Free Essays

Alzheimer?s Disease Alzheimer?s disease is named after Dr. Alois Alzheimer who discovered the disease in 1906 after studying the brain tissue of an elderly woman who died of an unusual mental illness. It is a serious disease which causes mental deterioration and eventually death. Alzheimer?s disease is ?a progressive degenerating process of neural tissue? (Black). The symptoms of this disease can be slowed with certain treatments, but cannot yet be prevented or cured. Although not an infectious disease, Alzheimer?s is still very prominent in the world. Forty-five percent of people who are eighty-five and older have Alzheimer?s disease (Alzheimer?s). Also, the number of cases of Alzheimer?s is rapidly increasing. The National Institutes of Health (NIH) states that, ?experts suggest that as many as 5.1 million Americans may have Alzheimer?s disease? and that there are ?200,000 individuals under age 65 who have younger-onset Alzheimer?s? (NIH). Alzheimer?s is also the sixth leading cause of death in the United States. While other diseases? mortality rates are declining, Alzheimer?s mortality rate has gone up by sixty-six percent in the past eight years alone (Alzheimer?s). According to the NIH, scientists do not yet understand what causes Alzheimer?s. However, they do believe that Alzheimer?s develops due to a complicated series of events in the brain. The cause of Alzheimer?s is thought to be a mix of factors having to do with genetics, environment, and lifestyle. It is interesting to note that recent studies have shown that African Americans are actually at a higher risk of getting Alzheimer?s than other races. This may be due to the fact that African Americans have a higher rate of vascular disease, which is one of the risk factors of Alzheimer?s (African). Women also are more susceptible to this disease. As the NIH states, ?Because people differ in their genetic make-up and lifestyle, the importance of any one of these factors in increasing or decreasing the risk of developing Alzheimer?s may differ from person to person? (NIH). This makes finding a cure for Alzheimer?s all the more difficult because so many factors can affect it. Alzheimer?s is categorized in four different levels of severity: Early, Mild, Moderate, and Severe. During the Early Alzheimer?s stage, the patient has a decline in certain aspects of cognition such as word-finding, vision/spatial issues, and impaired reasoning or judgment. Some other symptoms may include: depression, social withdrawal, mood swings, distrust in others, irritability, aggressiveness, changes in sleeping habits, wandering, loss of inhibitions, and delusions, such as believing something has been stolen (NIH). Later, in the Mild Alzheimer?s stage, memory loss and other cognitive abilities worsen. A person with Alzheimer?s may have problems such as getting lost, trouble handling money and paying bills, repeating questions, taking longer to complete normal daily tasks, poor judgment, and mood and personality changes. As it progresses even further into Moderate Alzheimer?s, damage occurs to parts of the brain that control language, reasoning, sensory processing, and consciou s thought. Memory loss and confusion will worsen even more, and the patient will have trouble recognizing familiar people (NIH). The NIH says that, ?[The patient] may be unable to learn new things, carry out tasks that involve multiple steps (such as getting dressed), or cope with new situations. They may have hallucinations, delusions, and paranoia, and may behave impulsively? (NIH). By the time the patient reaches the final stage, Severe Alzheimer?s, the brain tissue will have shrunk significantly. According to the NIH, ?People with severe Alzheimer?s cannot communicate and are completely dependent upon others for their care. Near the end, the person may be in bed most or all of the time as the body shuts down? (NIH). Alzheimer?s vastly affects the daily life of a patient and his or her family. A person with Alzheimer?s will be very limited in the things that most people consider normal, daily tasks. As stated above, they will have trouble communicating with other people, and memory loss will take away most of or all reliability from them. They will also lose the ability to drive safely, as they will be more likely to get lost, will have a harder time turning, or may drift out of their lane more often (Driving). Their family and friends will also be greatly affected

Operations Management 3-6 Essay Example | Topics and Well Written Essays - 2750 words

Operations Management 3-6 - Essay Example Accessibility to customers is the key factor in improving gasoline sales. A tertiary hospital is also a preferred business for this location. The residential areas are near to it, there is no replacement market for this specialized service and healthcare services is a specific need of residents. The following factors of location B: close to major highways, on the major truck route of large transportation companies, not close to any residential neighborhoods and large open area where new development can occur is best suited for a garment processing company and a coffee processing plant. The location of the operations of a garment vital to the efficiency and profitability of company operations. Choice of location determines the productivity of capital investments. Manufacturing facilities have unique locations and there are transport costs to distribution and consumption, hence, production location affects the costs of distribution and consumption. Accessibility of manufacturing facilities of garment processing and coffee processing plant is important as transport costs represent a significant proportion of the costs of production and distribution. Without cost minimization, there will be no profit maximization. Location has a serious impact on a company’s revenues. 2. â€Å"Aggregate planning in manufacturing is easier to accomplish than aggregate planning in services.† For example, aggregate planning for a textile processing plant is easier to implement than for a business process outsourcing company. A textile company is basically a labor intensive business. This means that the company uses large amounts of labor per unit output, and that wages form the largest single cost (50-70 percent of total costs) faced by employers. The cost of labor is therefore the most important locational determinant in the textile industry. The textile industry has been

Cost Accounting and the objectives Essay Example | Topics and Well Written Essays - 500 words

Cost Accounting and the objectives - Essay Example Relevant revenues/costs show future costs/revenues that will change by the decision taken while irrelevant costs/revenues are not affected by the decision. Inclusion of both quantitative and qualitative data ensures that an informed decision is made. This is because it ensures that all factors are taken into consideration. Short run pricing decisions has a less than one year time horizon while long-run pricing decisions have a year or longer time horizon. Example of short-run pricing decision is pricing a one-time only special order or adjusting output volume and product mix. A long run pricing decision includes pricing of a product in a major market where there is some leeway in price setting. Target pricing refers to an estimated price for a good or a service that prospective buyers will be willing to pay. The balanced scorecard is a strategic planning as well as management technique used by organizations in aligning the performance of an organization to its objectives and vision. It has four perspectives namely, financial perspective, customer perspective, learning and growth perspective and business process perspective. Financial perspective learning and growth perspective measures employee retention, knowledge management and employee satisfaction. Business process perspective measures costs and quality of business processes. Customer perspective requires that customers be satisfied, retained to increase the company market share. Financial perspective advocates timely and accurate financial data. A cost pool refers to a grouping of individual expenses or costs, regularly by division or a service center. It is from such cost pool that allocation of costs is made. For instance, the maintenance department cost is accumulated in a cost pool before allocated to the departments that use its services. Cost pools are normally utilized for the production

Euro-Mediterranean Partnership Essay Example | Topics and Well Written Essays - 1500 words

Euro-Mediterranean Partnership - Essay Example 3. The rapprochement between peoples through a social, cultural and human partnership aimed at encouraging understanding between cultures and exchanges between civil societies (Social, Cultural and Human Chapter)." http://europa.eu.int/comm/external_relations/euromed/index.htm It is an ambitious initiative with bilateral and regional dimensions and multilateral dimension supports, in the increasingly globalised world. Under MEDA programme, they are creating partnerships in all aspects like regional integration, socio-economic balance and financial and technical assistance. Despite these, in 2005 convention, it is noted MEDA was "created at the initiative of the European Parliament in 1996, the program grants aids to no-profit associations, Universities, Research Centres and public Bodies in order to realize projects aimed at promoting democracy, freedom of expression and association, and safeguarding specific groups, such as women, young people and minorities. The granted funds for this kind of projects can total a maximum of 80%" http://www.euromedi.org/inglese/home/partenariato/partenariato.asp). Despite these, in 2005 convention, it is noted that MEDA had very slow advancement. ... in the partnership are peace, security, stability, good governance and democracy, sustainable economic development and reform, education and socio-cultural exchanges, justice, migration and social integration, human rights and democratisation, political and security cooperation, information and communication technology, trade, financial cooperation, dialogues between two or more cultures, and the visibility of the process. It has announced that heredity sites would be maintained and safeguarded, 'Creating a future that care for the past'. "Its aim was to conserve and inventory manuscripts held in small libraries dotted throughout North Africa and the Near East, thus preserving the books and the wisdom they contain," Euro Mediterranean Partnership (2002, p.14). Main topics that would be investigated in the Research are as follows: 1. Illegal immigration into prosperous countries, an annoying issue that has to be controlled and guided in a proper way. Most of the European countries are facing problems due to illegal immigration and are trying to find ways and means of curbing them, while legal immigration would be encouraged. EU is facing extensive confusion as a result of illegal immigration. Research would probe into this matter and would try to present a clearer picture. 2. Security and Terrorism are the two issues that have been haunting every country today, and more so, the Western powers. After the fanatic Muslim movement lifted its ugly head in certain regions, curbing it has become the priority issue to all affected countries. Research would investigate these issues with other connected problems like fanaticism in European countries, growth of terrorist activities, help from Middle East countries in controlling training camps for potential terrorists and

The Parable of the Watchful Servants Term Paper

The Parable of the Watchful Servants - Term Paper Example (c) Do you detect any particular structural pattern? (example: parallelism with other books of the Bible or is you passage a stand-alone passage etc.) (d) Has your passage come through the editorial process? What changes have been made? Explain why possible changes have been made?   (e) What are the theologically important words in your passage? Do these words evoke any other parts of the Bible? Are these words used in a new way by the author of this passage? What does the word or words mean?   (f) What does this passage say about a relationship with God?   What questions might this passage have addressed in the community for which it was originally addressed?   Context The passage which proceeded from the Parable of the Watchful Servant pertains to the Parable of Rich Fool. This verse in Luke 12: 13-21 forewarned believers not to covetous to mundane and material abundance because God is not interested about how much wealth was reaped from this world but how much spiritual we alth one was able to nurture. Didn’t it was clearly pronounced when he asked â€Å"what profit a man if he earns the whole world but loses his own soul (Mark 8:36)?† The parable of the Watchful Servant was also connected to the succeeding paragraph which explicated the need for those enriched to care for those who are deprived as enshrined in Luke 12: 22-29. The verses ask the rich to not just enjoy once abundance in life by eating, party-making and merrying but rather by engaging in a more meaningful act of sharing such abundance to those who are hungry, deprived and impoverished. Such mundane richness is neither the measure of man’s person nor of Christian’s value. Man should transcend the richness reaped from for mundane causes and must rather prepare his soul with values to please God because He will not be fascinated to recognize the possessions generated from the earth which always corrupt the person and his spirit. The biblical text called on the f ollowers to treasure those that could permeate him to enjoy the Kingdom in heaven. Thus, the passage encourages those who earned more to give alms and to share because life is more than the flesh and more than just meat. It’s therefore primordial to â€Å"seek first the Kingdom of God because all things shall be added unto you (Luke 12:31).† The Parable of the Watchful Servant is followed by the verses on The Unfaithful Servant (Luke 12:41-48) and I quote: Then Peter said unto him, Lord, speakest thou this parable unto us, or even to all?  And the Lord said,  who then is that faithful and wise steward, whom his lord shall make ruler over his household, to give them their portion of meat in due season?  43  Blessed is that servant, whom his lord when he cometh shall find so doing.  Of a truth I say unto you, that he will make him ruler over all that he hath.  But and if that servant say in his heart, My lord delayeth his coming; and shall begin to beat the m enservants and maidens, and to eat and drink, and to be drunken;  The lord of that servant will come in a day when he looketh not for him, and at an hour when he is not aware, and will cut  him in sunder, and will appoint him his portion with the unbelievers.  And that servant, which knew his lord's will, and prepared not himself, neither did according to his will, shall be beaten with many stripes.  But he that knew not, and did commit things worthy of stripes, shall be beaten with few stripes. For unto whomsoever much is given, of him shall be much required: and to whom men have committed much, of him they will ask the more (Luke 12:41-48).  Ã‚  

Public Service Announcement Assignment Example | Topics and Well Written Essays - 1000 words

Public Service Announcement - Assignment Example For breast cancer survivors, the PSA will be designed for them to cope with life after the treatment. 4. Define strategy. In order to meet the objective, the planning of the PSA will start by a market research which will take note of the appropriate medium, presentation, and layout that can efficiently attract the attention of the specific audience. The PSA will also be designed so that it will be understandable by everyone regardless of educational attainment, age, and background. The language will also be modified in order to take into account the difference on ethnicity and race in a single locality. 5. Define content. The program will be about the challenges faced by women who are currently undergoing and have undergone treatment. The PSA will contain input from medical practitioners specializing in the field as well as breast cancer survivors who have successfully overcome post-treatment changes. 6. Define appropriate medium. Recognizing the need to discuss lengthy topic with the interest of a relatively few audience, the PSA's best medium will be a CD-ROM which can be given to the husband of women undergoing treatment and survivors who had completed their therapy. In this way, the PSA becomes more targeted and can reach the intended audience. The format will be in the form of feature story news which includes audio and visual and facilitated by a host. 7. Create the concept. The PSA will be shown as a feature story which will start with the showing of the organizer's logo and its sponsors. The next scene will be an introduction given by the host. The next will be a series of interviews showing what to expect during treatment. The main speakers will be practitioners in the field of cancer treatments. The stories of patients who survive breast cancer will be shown next together with the struggle they have undergone. Lastly, the PSA will wrap-up with the host emphasizing main points and giving words of encouragement to the audience. PSA for children 1. Define the communication problem. This public service announcement is to give a general view of cancer, its causes, and how it can be prevented. 2. Define the target audience. The target audience will be children aged six to 13 years old. 3. Define objective. Since this PSA is targeted to a young audience, the general objective is to acquaint children of what breast cancer is, what causes it, and what they can do to prevent it. With this education about breast cancer at a young age, it is expected that children will exert effort in fighting and preventing its occurrence. 4. Define strategy. The knowledge that children are fond of cartoon characters, the content of the PSA will be delivered using their favorite cartoon friends. The PSA will also utilize language which can be easily understood and most appropriate for the audience. 5. Define content. The program will talk about the basics of breast cancer, what is it, its causes, and preventive methods. The presentation will be colorful and entertaining in order to catch the attention of children. As stated above,

Euro-Mediterranean Partnership Essay Example | Topics and Well Written Essays - 1500 words

Euro-Mediterranean Partnership - Essay Example 3. The rapprochement between peoples through a social, cultural and human partnership aimed at encouraging understanding between cultures and exchanges between civil societies (Social, Cultural and Human Chapter)." http://europa.eu.int/comm/external_relations/euromed/index.htm It is an ambitious initiative with bilateral and regional dimensions and multilateral dimension supports, in the increasingly globalised world. Under MEDA programme, they are creating partnerships in all aspects like regional integration, socio-economic balance and financial and technical assistance. Despite these, in 2005 convention, it is noted MEDA was "created at the initiative of the European Parliament in 1996, the program grants aids to no-profit associations, Universities, Research Centres and public Bodies in order to realize projects aimed at promoting democracy, freedom of expression and association, and safeguarding specific groups, such as women, young people and minorities. The granted funds for this kind of projects can total a maximum of 80%" http://www.euromedi.org/inglese/home/partenariato/partenariato.asp). Despite these, in 2005 convention, it is noted that MEDA had very slow advancement. ... in the partnership are peace, security, stability, good governance and democracy, sustainable economic development and reform, education and socio-cultural exchanges, justice, migration and social integration, human rights and democratisation, political and security cooperation, information and communication technology, trade, financial cooperation, dialogues between two or more cultures, and the visibility of the process. It has announced that heredity sites would be maintained and safeguarded, 'Creating a future that care for the past'. "Its aim was to conserve and inventory manuscripts held in small libraries dotted throughout North Africa and the Near East, thus preserving the books and the wisdom they contain," Euro Mediterranean Partnership (2002, p.14). Main topics that would be investigated in the Research are as follows: 1. Illegal immigration into prosperous countries, an annoying issue that has to be controlled and guided in a proper way. Most of the European countries are facing problems due to illegal immigration and are trying to find ways and means of curbing them, while legal immigration would be encouraged. EU is facing extensive confusion as a result of illegal immigration. Research would probe into this matter and would try to present a clearer picture. 2. Security and Terrorism are the two issues that have been haunting every country today, and more so, the Western powers. After the fanatic Muslim movement lifted its ugly head in certain regions, curbing it has become the priority issue to all affected countries. Research would investigate these issues with other connected problems like fanaticism in European countries, growth of terrorist activities, help from Middle East countries in controlling training camps for potential terrorists and

Public Service Announcement Assignment Example | Topics and Well Written Essays - 1000 words

Public Service Announcement - Assignment Example For breast cancer survivors, the PSA will be designed for them to cope with life after the treatment. 4. Define strategy. In order to meet the objective, the planning of the PSA will start by a market research which will take note of the appropriate medium, presentation, and layout that can efficiently attract the attention of the specific audience. The PSA will also be designed so that it will be understandable by everyone regardless of educational attainment, age, and background. The language will also be modified in order to take into account the difference on ethnicity and race in a single locality. 5. Define content. The program will be about the challenges faced by women who are currently undergoing and have undergone treatment. The PSA will contain input from medical practitioners specializing in the field as well as breast cancer survivors who have successfully overcome post-treatment changes. 6. Define appropriate medium. Recognizing the need to discuss lengthy topic with the interest of a relatively few audience, the PSA's best medium will be a CD-ROM which can be given to the husband of women undergoing treatment and survivors who had completed their therapy. In this way, the PSA becomes more targeted and can reach the intended audience. The format will be in the form of feature story news which includes audio and visual and facilitated by a host. 7. Create the concept. The PSA will be shown as a feature story which will start with the showing of the organizer's logo and its sponsors. The next scene will be an introduction given by the host. The next will be a series of interviews showing what to expect during treatment. The main speakers will be practitioners in the field of cancer treatments. The stories of patients who survive breast cancer will be shown next together with the struggle they have undergone. Lastly, the PSA will wrap-up with the host emphasizing main points and giving words of encouragement to the audience. PSA for children 1. Define the communication problem. This public service announcement is to give a general view of cancer, its causes, and how it can be prevented. 2. Define the target audience. The target audience will be children aged six to 13 years old. 3. Define objective. Since this PSA is targeted to a young audience, the general objective is to acquaint children of what breast cancer is, what causes it, and what they can do to prevent it. With this education about breast cancer at a young age, it is expected that children will exert effort in fighting and preventing its occurrence. 4. Define strategy. The knowledge that children are fond of cartoon characters, the content of the PSA will be delivered using their favorite cartoon friends. The PSA will also utilize language which can be easily understood and most appropriate for the audience. 5. Define content. The program will talk about the basics of breast cancer, what is it, its causes, and preventive methods. The presentation will be colorful and entertaining in order to catch the attention of children. As stated above,

Contract and Chou Essay Example for Free

Contract and Chou Essay The case scenario under review by our team includes a contract law situation involving a board game company and a game inventor. Big Time Toymaker (BTT) is a board game company which develops, manufactures, and distributes board games, and Chou is the name of the inventor of a new strategy game. In this scenario, what began with a payment made from BTT to Chou for exclusive negotiating rights for 90 days, ended in a change in management at BTT, leading to their company no longer having interest in distributing Chou’s game. Several questions will be asked about the validity of the terms agreed upon by the parties involved, including at what point did the parties have a contract, and what role does the statute of frauds play in this contract? Our objective is to analyze the case scenario, including the previously stated questions, and provide the answers to those and other questions pertaining to the scenario and contract law. Question 1 At what point, if ever, did the parties have a contract? There was mutual agreement between Chou and BTT via verbal agreement, and a subsequent email verifying that an agreement had been tentatively reached. According to the terms of distribution between Chou and BTT a contract was only valid if formalized in writing. An argument may be made that three days prior to the 90 day time limit a mutual agreement was reached and valid via an E-contract law. There was mutual assent between both Chou and BTT. The argument for the other side will state there was never a formalized written contract from either Chou or BTT, only an email with a subject heading stating Strat Deal. Is the email a valid contract? Question 2 What facts may weigh in favor of or against Chou in terms of parties’ objective intent to contract? Facts show that BTT sent an email with a subject heading of Strat Deal with information stating that Chou and BTT have reached an agreement. The writing states that after months of no response from BTT and with no management in place the company no longer wishes to distribute Chou’s intellectual property. Chou was in compliance with BTT at all times regarding issues pertaining to Strat. Chou will allege that there was a contract between himself and BTT that was of mutual assent and under E-contract law the emails were valid. Question 3 Does the fact that the parties were communicating by email have any impact on your analysis in questions 1-2 above? According to CA Civil Code 1624, b 3, a, online contracts are endorsable even if writing is required by the statute of frauds. Communication of contracts is valid under E-contract law. There is no impact on analysis made of above stated questions because of online communication. Question 4 What role does the statute of frauds play in this contract? A key factor in any contract is acceptance, and in this case a verbal agreement had been reached three days before the exclusive negotiation right was expired. Chou then said he was going to draw up the contract. Big Time Toymaker (BTT) then sent Chou an email outlining all of the things that they had agreed upon that would be included in the contract. Seeing the email, Chou then assumed that this was the contract to be enforced and did not respond to BTT. Even though Chou received the email, he did not respond to it, thereby giving Chou the defense that silence is never acceptance. However, in E-contact law dictated by CA Civil Code 1624, b, 3, a, it says that online contracts are endorsable even if writing is required by the statute of frauds. In addition, the â€Å"Click On† or â€Å"Click Wrap† agreement clause states that these agreements are enforceable since the opportunity to read and acknowledge was given. The statutes of frauds do play a part in this contract due to the Uniform Commercial Code requiring that the statute of frauds applies to any contract for the sale of goods for $500 or more. However, the exact amount of â€Å"Strat† units that Big Time Toymaker (BTT) will sell or at what cost of each unit is unclear to the reader, it was described in detail in the email BTT sent to Chou. Question 5 Could BTT avoid this contract under the doctrine of mistake? Explain. The new management at BTT cannot avoid this contract under the doctrine of mistake because a mistake was not made by both Chou and the old management team. The mistake by Chou was accepting the email outline of the contract terms as an actual contract agreed to by both parties. Scienter applies to Chou in this case by accepting a seemingly legitimate contract. Would either party have any other defenses that would allow the contract to be avoided? The change of management brought about individuals bound to the same company as the old management team was, therefore, scienter applies to the new management team in privity. The draft sent from Chou and received by BTT is a negotiable instrument. BTT thereby becomes a holder in due course. The inaction of BTT after the draft was sent is in violation of the UCC requirement that all offers are to be open for a reasonable period of 90 days. Chou was under the impression that a contract had been made before that 90 days had expired. Chou has real defense as well as personal defense due to breach of contract and fraud. Question 6 Assuming, arguendo, that this e-mail does constitute an agreement, what consideration supports this agreement? By law, statute of frauds would support this agreement. Due to the terms, there cannot be a lawsuit that can be upheld on particular contracts or arrangements, except if it is written and signed by the authorized party or representative. Under the statute, certain kinds of contracts have to be in writing in order to be enforceable in a court of law (Contracts: Statute of Frauds, 2013). The writing also has to be signed by the person who is held responsible for the contract or by that persons agent. To evade the justification of the Statute of Frauds, one would need to make sure the contracts are in text and signed by the other party; so, if the opposing party does not hold his or her end of the agreement, one would gain from that particular party. Question Assuming BTT and Chou have a contract, and BTT has breached the contract by not distributing the game, discuss what remedies might or might not apply. It is obvious BTT’s manager did not think clearly about protecting BTT from liability. He carelessly wrote the emails, and his careless actions put BTT at risk. This led Chou to believe that this e-mail was meant to replace the earlier notion that he should draft a contract. Although the word contract was not ever used in the e-mail, it said that all of the terms had been agreed upon. The compensation would be awarded to Chou by the court in a civil action due to the wrongful conduct, being the breach from the other party, BTT. If the contract is breached by BTT, Chou will be granted equitable relief by the court, which comes in the form of specific performance, injunctive relief, or reformation. Monetary damages could also be in effect, in which they can be compensatory, resulting from a loss due to nonperformance. Also, consequential, which are indirect but to be expected from non-completion. Restitution would also take place that would be equivalent to total the party has been unfairly supplemented by the non-breaching party, and liquidated, which damages are a preset value rendering from the agreement. The compensatory damages for recovery Chou suffered by the non-breaching party would be the damages that would be awarded to the party in the same situation he would have been in if the other party had executed as agreed upon (Melvin, 2011). After review of the case scenario involving Big Time Toymaker and Chou the game inventor, we have concluded that not only was there a contract agreement between the parties, but that according to E-contract law, Chou may be bound by the terms included in the original email sent from BTT. In addition, the doctrine of mistake cannot be used in this situation because of scienter toward Chou and the old and new management of BTT. Several questions were asked of our team in accordance with contract law and the scenario provided by the textbook. This completes our analysis of the scenario and answers to the questions we were presented.

Pathology And Laboratory Medicine Organisation Health And Social Care Essay

Pathology And Laboratory Medicine Organisation Health And Social Care Essay My aims of this section will be achieved through independent research, reading and reviewing articles, books, newspapers and accredited websites which will be demonstrated throughout this process of reflection. State the activities that you have carried out to help you to achieve your learning goal? To build a basic understanding in pathology and laboratory medicine organisation several activities were carried out to reflect the learning goals. Initially, through the attendance of lectures, the basic understanding of the five major disciplines such as microbiology, histopathology, cytopathology, clinical chemistry, Haematology and transfusion science was developed which enabled me to appreciate the various roles in pathological science. In supplementation to the notes taken, a variety of books related to the learning objectives of each lecture, were analysed in order to build upon the knowledge gained. This was done through the use of taking notes after actively processing information absorbed. Subsequently, detailed research was undertaken to gain up to date information on the quality standards laid by accredited governing bodies such as IBMS and HPC. To demonstrate, focused learning took place that reflect individual learning goals by looking at relevant journal articles, webs ites, government reports and newspaper articles. Furthermore, peer group discussion helped in expanding knowledge beyond the scope of the module content by discussing the financial factors which influenced the delivery of pathological and laboratory medicine. To conclude, a continual process of reflection will take place to appreciate setbacks, changes and developments in the learning process. How have these activities helped you with your learning? Activities undertaken have had a varied impact on my learning and development of the subject matter. Attending lectures and listening has enabled me to actively process the information by writing down notes. Notes have enabled me to have a basic understanding of the subject matter for example, one of my learning goals was to understand the different disciplines involved in pathological and laboratory medicine. Subsequently, learning objectives were used as a basis for further research in literature. For example, one of my learning objectives was current and future settings for the delivery of pathology and laboratory medicine organisation. The relevant chapters within and beyond the recommended reading lists was read and further notes were taken to supplement my notes thus, further developing my understanding. Moreover, a more complex understanding of certain aspects with in the subject matter was achieved through the activity of reading and analysing current journals and government reports for instance, the Carter Report on National Health Service (NHS) pathology services. Furthermore, examining peered reviewed websites, which were easy to access, gave me valid and up to date information on the quality standards lay down by different governing bodies such as the Health Professional Council (HPC). This enabled me to gain a more focused understanding of the subject content as required. Another activity which aided my learning was taking part in peer group discussion in tutorials. This provided me with knowledge beyond the subject content. For instance, financial impacts on the role a biomedical scientist undertakes. Finally, rigorous reflection has supported my learning by allowing me to change and adapt my learning goals and developed my thought processes. Describe your progress with this topic during the previous three weeks Development within each week was made in accordance to the learning goals I set myself in that week. I created a logical sequence in order to meet aims set within each week, as demonstrated below: Week 1: Learning goals: 1, 5 and 7 To achieve my first learning goal, I attended week 1 lecture on What is pathology and laboratory medicine. This lecture and written notes gave me the understanding of the five major disciplines and sub-specialities and the professional roles associated such as doctors and clinical scientists. Moreover, the relevant books were read to gain a more detailed understanding, these were biomedical science practice: experimental and professional skills and articles such as general pathology helped in consolidating and extending my understanding of the subject. Subsequently, learning goal five was accomplished through lecture 1 and, again, written notes which were highlighted and condensed gave me a broader understanding into quality standards laid down by different governing bodies such as CPA and MHRA and how stringent guidelines, which are followed by pathological laboratories, enable quality and accurate service to be provided. In addition, books and articles such as biomedical science practice: experimental and professional skills chapter 19 were read. Moreover, specialist website such as www.CPA.org.uk and www.mhra.gov.uk/index.htm was looked at to gain an idea of the specific guidelines that need to be followed by laboratories. Finally, learning goal seven was achieved through lecture 1 and written notes gave me and understanding of the current and future settings for the delivery of the pathological medicine and how the current hospital based lab may become a factory warehouse to maximise space and meet the demands of the workload. To supplement this goal, articles such as the Carter Report was read to further focus my learning on how changes such as Hub and Spoke working could increase effectiveness of the delivery of pathological medicine. Week 2: Learning goals: 2 and 3 The second learning goal was achieved through attendance of the second lecture on pathology and laboratory medicine organisation. This lecture and written notes, again, enabled me to gain the understanding of the services provided by pathology and how it is split into core and specialists services. Furthermore, e-books such as An introduction to biomedical science in professional and clinical practice and from NHS specialised services website, information on specialist services was looked at to supplement my learning. Lastly, learning goal three was accomplished by the end of week 3 through the combination of lecture two and notes taken from e-books and articles such as Pre-analytical Variables in the Chemistry Laboratory helped to further enhance and focus my learning; presenting to me different prospective on the same matter thus, allowing me to reach my own conclusion Week 3: Learning goals: 4, 6 and 8 To attain learning goal four, lecture three in pathology and laboratory medicine allowed me to gain an understanding of the different professional bodies within pathology and their purpose. Notes and further reading in the relevant materials allowed me to actively process the information presented to me and develop my knowledge. To help supplement by progression towards achieving this learning goal, I looked at specialist websites created by the governing bodies in pathology medicine, such as www.cpa.org.uk to enable me to gain a specialist insight for instance, the role the professional bodies play in the successful delivery of BSc (Hons) in Biomedical science degree. Moreover, lecture three also allowed me to achieve learning goal six which was to understand the overall contribution of pathology medicine on healthcare. It demonstrated to me how the work undertaken by pathology laboratory is vital to the success and treatment of many diseases such as Tuberculosis (TB). Also, further research in to books like Biomedical sciences: essential laboratory medicine allowed me to gain appreciation of the broad spectrum of work carried out by biomedical scientist and their influence on healthcare. Finally, goal eight was also, achieved in lecture three as it gave me an brief insight into the role of private health care, NHSBT and pharmaceutical companies on pathology medicine. Furthermore, notes and further reading in newspapers such as the Guardian allowed me to understand that Private Finance Initiatives (PFI) is a way of creating Public Private Partnerships (PPPs) to alleviate the financial constraints on the NHS as it cannot afford to do all the tests that is required of them however, in return for their funding, the repayments on the debt owed, is more than what was put in. Describe any setbacks that you have encountered in trying to achieve your learning goal. I believe the word setback can be seen as a positive step in achieving my goals in academia because they are not setbacks but, steps I should avoid when trying to achieve other goals. Setbacks came in many different forms when accomplishing goals in this section. To begin with first setback that I encountered was that my goals didnt reflect the objectives of the lectures. This meant that it was harder to come into the lecture prepared with a brief understanding as I had prepared for different learning goals which were in accordance with my plan. To overcome this I will try to create a plan that can adapt to change and try not to let this have too much of an impact or have an effect on performance within the lecture. Furthermore, another setback was that different array of resources were available in trying to achieve each learning goals. For example, for my first learning goal a wide array of resources was available such as books to articles to newspapers whereas, for some goals not all the types of resources were available. To overcome this I will try to allow more time for researching a particular goal and then while I am gathering information on the topic, I wi ll research again to look at more focused learning sources such as articles. Moreover, on some occasions, when I did locate the necessary articles the abstract was only available. This gave a brief insight, it would have been easier to draw valid conclusions and understand the subject content proposed, if the whole information was available. This was only a slight setback as to overcome this just meant refining my research so that I could locate the complete articles. Another setback was that we did not have a tutorial after the first lecture in pathology and laboratory medicine organisation this meant this impeded my ability to test whether the information that was taught in the lecture was understood and tutorial were also used to provide me with any further detail. However, this was no fault of mine but I just felt a tutorial after the first lecture would have been beneficial in testing the understanding of the lecture. Simply, for this setback I will continue to attend all futur e tutorials. Lastly, another setback was to try and complete the necessary section in time with the interim deadlines that I set myself, to effectively complete the learning log to a decent standard. This was because I did not anticipate the duration of which some the sections of the learning log will take. For example the section where it stated explain what you have learnt took longer than expected due to the further reading that I did. To overcome this I will set myself more realistic interim deadlines which are more reflective of ability to achieve them. Explain what you have learnt Gain an understanding of the different disciplines involved in pathology, for example, microbiology and histopathology, and the professional careers associated. As defined by Bezabeh et al. (2004) [online]), pathology is the scientific study of disease. It is derived from the Latin words patho meaning disease and logy meaning study. Therefore, pathology is the study of disease using scientific methods for example a haematologists will examine blood content by taking a blood test. There are five major disciplines and sub-specialities under pathology: Microbiology and Virology Histopathology Cytopathology and immunology Clinical Chemistry Haematology and Blood Transfusion Microbiology It is the study of pathogens that penetrate the bodys defences and cause disease. A microbiologist will understand the mode of function of a variety of different fungi, bacteria and parasites; they will identify the correct pathogen that has infected the host and recommend the correct antibiotic treatment to eliminate the disease. Many pathogenic diseases identified by microbiologists include tuberculosis, tetanus and meningitis. Virology This is the study of viruses and their mode of action in terms of penetration and infectious ability. Viral diseases that are commonly identified are human immunodeficiency virus (HIV), chickenpox and German measles. Virologists also have major roles in the production and efficiency of vaccines. Histopathology This is the study of tissue structure and components which can relate to the establishment of disease. Common samples are from living individuals during surgery or deceased individuals in a post mortem. Sample size ranges from small samples such as biopsies to whole organs to identify the ailment afflicting the individual (Glencross, 2011). Moreover, histologists will look at abnormal features or functions of tissue to establish which disease is infecting the individual. Many types of tumours such as benign or malignant ones which lead to cancerous diseases such skin cancers are identified due to their appearance on the skin. Cytopathology This is the study of cells not tissues and abnormal features or components in cellular material will allow cytologists to identify the infecting disease. The samples are from a wide variety of sources such as cervical smears or natural shedding in the mouth when a swab is taken (Glencross, 2011). This is then studied under a microscope. Clinical cytopathologists, medical staff and biomedical scientists work closely together to interpret the results from a patient and administer the correct diagnosis to the affected individual. Immunology It is the study of the immune system and its role in inhibiting infectious diseases such as tumours, parasitic infestations and allergies. Their samples come from a wide array of sources such as blood samples and urine samples. Variety of tests which are carried out by immunologists on samples can be either automated or manual (Glencross, 2011). A disease of the immune system is acquired immunodeficiency syndrome (AIDS) which is the result of a HIV infection. AIDS disables the immune system thus, allowing infected individual to become more prone to diseases and without a defence mechanism the individual dies. Clinical chemistry Tests on blood or other biological materials such as urine are carried out to understand and diagnose diseases such as diabetes which renders a person unable to absorb sugar properly which can lead to dangerously high blood-sugar levels in the blood plasma which leads to a Hyperosmolar Hyperglycaemic State (HHS) which is life threatening (Diabetes UK, 2012) [online]). Toxicology studies on the liver and kidney are also carried out and tests can be done to monitor the development of disease. Haematology This is the study of the physiology of blood samples taken by nurses. Samples are required by medical staff such as doctors to identify diseases such as anaemia or leukaemia. Haematological tests will identify in the blood sample, the amount erythrocytes or haemoglobin is present so that medical staffs and biomedical scientists can determine if the patient is anaemic so that treatment can start immediately. Transfusion science Transfusion science involves the sorting, identification and administration of blood and blood products to individuals that require it. For example, anaemic patients, patients suffering from blood loss or individuals involved in a road traffic accident. The primary source of blood is from blood donors who can donate their blood which is then stored and prepared for re-administration to individuals that require it (Glencross, 2011). Blood is regarded as a product so, it is highly regulated by the MHRA which makes sure that hospitals and other organisation follow EU directives which were transferred into UK law through the Blood Safety and Quality Regulations 2005 in UK Blood transfusion and tissue transplantation service (UKBTS), 2012) [online]. There are many professional careers that are in pathology. They are: Doctors Clinical Scientists Biomedical Scientists Assistant Practitioners Cytoscreeners Medical Laboratory Assistants Anatomical Pathology Technicians Administration and Clerical staff There are many routes to each of the professions for example, to become a biomedical scientist, who can specialise in any of the five departments of pathology after further training, a Bachelors of Science (BSc) degree in biomedical science must be obtained and state registration on the Health and Care Professional Council (HCPC) register is also required to be able to practice as a biomedical scientists in the National Health Service (NHS) or other organisations. To understand the organisation within pathology and laboratory medicine including the variety of specialist services provided. There are services in pathology and laboratory medicine that can be classified under: traditional, core and specialist services. The five major departments within pathology are categorised under these three services. As stated by Beastall (2008) the NHS laboratories have always provided twenty-four hour services in clinical biochemistry, haematology and blood transfusion. However, services in microbiology and histopathology have been provided by core laboratories may that be not always on a daily basis. The above services cover the five major departments which should be provided to everyone and at most if not every NHS hospital. Specialist services as defined by (NHS specialised services, 2012) [online] is a service that has a planning population of one million which means that it will not be available to everyone or by every hospital, typically, it is provided by less than 50 hospitals. Such services relate to rare disorders or conditions such as mutations in lymphomas and leukaemia s which require specialist equipment in pathology laboratories for diagnosis and treatment. There are a variety of services of specialist services that have developed for example Ophthalmic Pathology Services which diagnoses and provides advice on eye conditions. Services include diagnosis for malignant and non-malignant conditions for a variety of specimens including eyelid, conjunctiva and cornea. Moreover, a more recent development of specialised services in histopathology and haematological oncology services is molecular pathology which looks at genetic analysis for the diagnosis and prognosis of tumours in breast cancers, lymphomas and leukaemias. A demonstration of good practice is the Fluorescent in-situ hybridization (FISH) testing human epidermal growth factor receptor 2 protein (HER2) in breast cancer to select patients suitable for Herceptin  ®. Herceptin  ® is the first monoclonal antibody which binds onto the HER2 receptor blocking human growth factor from binding thus preventing the chance of uncontrolled replications which lead to tumours. To determine whether patients require Herceptin  ® patients are tested using immunohistocompatibility (IHC) test which detects HER2 proteins through staining tumour cell membranes (Breastcancer.org, 2012) [online]. Many other specialist services are provided by the pathology laboratory medicine departments in the NHS to treat complex disorders that your average NHS hospital cannot deal with such as Bone Marrows, Colourimetric in Situ Hybridisation (CISH) and Polymerase Chain Reaction (PCR) tests. To understand the process that takes place when the samples arrive in pathological lab to when it leaves There are three stages in the processing of samples from when it arrives to when it leaves, these are: Pre-analytical Analytical Post-analytical Pre-analytical It is a phase in the process which deals with the request for a sample to be taken to when it is ready for the analytical phase in a laboratory. In this phase nearly 32 75% of errors occurs which delays and makes the job of a biomedical scientist harder (Magee (2005) [online]). There are many types of errors than can occur, these are: Patient Identification: this is important as you need to take the sample from the correct patient. If it is done incorrectly then this can contribute to laboratory error Patient Preparation: this is again very important because if one needs to take a blood sample to test glucose level, the patient has to fast prior to the sample collection so that when the sample is taken it will not give an inaccurate reading Proper Tube Mixing: once the blood sample has been taken correctly then good mixing needs to occur to distribute the clotting factors in the tube evenly so that the sample does not clot in anyway Correct Specimen Volume: this s essential as each specified volume on the tube has the correct additive and if too much is added to a tube which is above the specified, it will distort the blood-additive ratio thus contributing to a lab error (Magee (2005) [online]) There are many other errors that could occur, above is a synoptic view of the wide variety of errors that could occur. Analytical phase This phase is when the specimen that has been taken, for example, a blood sample is tested in an auto analyser or other analytical machines to get a full blood count of red blood cells, white blood cells and platelets. This is done electronically and there is a very low error rate. The possibility of error only occurs with human intervention during reading and recording result or when the specimen is put into the machine. An error could also occur if the machine is faulty and that its fault is not picked up in time. Post-analytical phase This phase involves the time form when it has been fully analysed to when it arrives back at the organisation from where it came from. This phase also can have a lot of errors in it which again reduces the accuracy of results. There are many errors that could occur, for example: If an analyst is under pressure to produce test results required urgently, he or she may be tempted to present the results which look credible but has been achieved through the breach of Westgards rules which is identified through internal quality control (Pitt and Cunningham, 2009, pp. 111) [online]). This error or factor may highlight someone as ill when they are not, which is very serious. Post analytic data entry error: this is dangerous as it can highlight someone as ill when they are not Oral miscommunication of results Error in reporting to downstream printer and fax Provider fails to retrieve test result: this causes further delays and the sample has to be searched and retrieved Failure to communicate critical value Provider misinterprets lab result: this and the above error again could harm the patient as they could be given drugs that they do not require There are many other errors that could occur in this phase and these errors are a direct result of human error. To make the system more efficient the pre and post-analytical phase should become more automated to reduce the risk of human error however, this action may reduce the number of jobs available to medical laboratory assistants which again is another factor to consider when trying making pathology medicine more efficient. To find out about the different professional bodies within pathology and their purpose There are four main professional bodies that governs pathology, they are: Institute for Biomedical Science (IBMS) Health and Care Professions Council (HCPC) Clinical Pathology Accreditation (CPA) The IBMS is a professional body for biomedical science in the United Kingdom. It was founded in 1912 and has 16000 active members. The body aims to promote and develop biomedical science and its members. It has three primary roles in biomedical science: General This involves setting standards of practices for biomedical scientists to protect patients. Also, the institute represents the interests of biomedical science to the universities, media and government. Furthermore, they promote public awareness and advises government departments on all matters relating to biomedical science Educational The institute accredits university degrees and assess qualifications for registration with the HCPC. Also, they assess the competence for biomedical scientists to practice and they award Chartered Scientists status. Scientific They update members through meeting and professional events and organise continual professional development schemes. Furthermore, they publish scientific research and professional development documents. They help part fund critical research in the development of medicine. Also, they can be assessors for senior job interviews The role of the IBMS is not explicitly narrowed down to the above as they also, work closely with the institute of HCPC to help develop and accredit competent biomedical scientists. The HCPC is a UK-wide regulatory body which is responsible for setting and maintaining standards of proficiency, professional training, performance and conduct of healthcare professionals. The purpose of imposing regulations is to protect the patient, the professionals and to prosecute anyone who breaks their rules and regulations. Moreover, the HCPC publishes a wide variety of documents to help registered scientists to understand exactly what is required of them when practicing. Also, in the documents on the HCPC website, there are several rules on how to act in the best interest of your patient and how to keep high standards of personal conduct. For example, one of the rules is that you should be aware that conduct outside your programme may affect whether or not you are allowed to complete your programme or register with us (HCPC (2012) [online]). This means that the conduct of a biomedical scientist regulated in and out of the work place and any wrongdoing of a biomedical scientists will be referred to the HCPC for conduct unfitting for a professional outside of work and although this does not mean they will be struck of the register, there is still a possibility of this happening (Ricketts, 2012). Moreover, to continue to remain on this register, it is obligatory to sign a personal declaration every two ye ars, confirming that he or she meets their standards of proficiency and competence to practice. Also, evidence for Continual Professional Development (CPD) is required to prove the validity of the personal declaration document (Glencross, 2011). The CPA originated in 1992, from a collaboration of four institutes: the Royal College of Pathologists, the Association of Clinical Pathologists, the Institute of Biomedical Science, and the Association for Clinical Biochemistry. CPA primarily accredited medical laboratories but now they have extended their accreditation to External Quality Assessment (EQA) schemes. The CPA is a non-profiting distributing institute that act in the best interest of the public (CPA (2012) [online]). Moreover, the CPA evaluates and declares the capability of the medical laboratories and External Quality Assessments (EQA) schemes in the UK and overseas. This will give the public the confidence that there specimens, are sent to laboratories that adhere to the strictest regulations and will be treated properly. Although this registration for laboratories is voluntary, if they do enrol it will demonstrate that they have been assessed against the accepted standards and will ensure that there is the highest standards in the NHS laboratories (CPA (2012) [online]). There are many other governing bodies such as the Medicines and Healthcare products Regulatory Agency (MHRA) which regulate the blood products in a pathological laboratory. This is essential in pathology as peoples lives are at stake and the results are needed to be accurate as it can determine whether a patient is critically or not. This gives the public confidence that the tests are carried to the highest accuracy and that the laboratory abides by the strictest rules to provide highly quality outcomes. To learn about the quality standards laid down by different governing bodies which all biomedical scientists and pathological laboratories are obliged to follow. The environment of healthcare is very controlled, with internal and external quality control checks to ensure that the highest standards are maintained at all times. To assess this conformation, there are formal standards to comply with also there are clinical and non-clinical checks by independent assessors of the laboratory from the CPA, if the laboratory is registered with them. This will ensure a high standard is maintained in every individual associated with the laboratory. There are many governing bodies, United Kingdom Accreditation Service (UKAS), CPA, Human Tissue Authority (HTA) and MHRA, which assess clinical laboratories against a wide variety of standards. This is done through professional quality inspectors and peer assessors from within the profession. The CPA which is a part of UKAS works to accredit medical laboratories to standards laid down in ISO 15189, Medical laboratories Particular requirements for quality and competence which incorporates ISO 9001 which are adhered to by the CPA. In these international standards, they cover eight major areas: Organisation and quality management system (A standards) Personnel (B standards) Premises and environment (C standards) Equipment, information systems, and materials (D standards) Pre-Examination process (E standards) Examination process (F standards) Post examination process (G standards) Evaluation and quality assurance (H standards) CPA assessment will take place every four years by three assessors, two from UKAS and one peer assessors which are normally clinical experts in specific fields such as immunology (Glencross, 2011). All of this is done to ensure that patient specimen examinations are done accurately, to a high standard and conform to high health safety standards to give the patient the highest confidence that the tests will be carried out properly and the results will be accurate. The Medicines and Healthcare Products Regulatory Agency (MHRA) regulates medicines, medical devices and equipment used in healthcare and investigates harmful incidents. Also, they regulate blood and blood products to ensure that when administered to patients that the blood sample has been treated, stored and administered in accordance with the rules set down by the Blood Safety and Quality Regulations (BSQR) (MHRA (2008) [online]). MHRA inspection takes place when a laboratory fills in an online compliance report to the MHRA, they will then assess the report in accordance to the BSQR and then if any further action is required, MHRA will send an inspector who will check the traceability, quality and storage of blood to ensure the laboratory is complying to the MHRA standards, this will normally take about a day to complete (Glencross, 2011) Also, MHRA publish standards on medicine and medicinal devices to ensure that any medical product has been stringently regulated to ensure highest patient safety. They regulate a variety of thing such as new biological compound or chemical compounds, new forms of existing medicines and r