American Industrialization during the 19th century Essay

American Industrialization during the 19th century - Essay Example For female Eastern European workers the transition from the age of handicrafts to the era of machines presents a picture of greed. Most of the former sharecroppers hoped for better life in the city, but in reality wages always work toward minimum level. To assert some control over the changes they jointed into labour unions. The populism movement of Arkansas protestant farmers had a great influence on cooperatives on a national scale. In general, industrialization helped them to improve production, but on the other hand they were faced with new problems caused by industrialization. Researchers suppose that social and economic conditions of American society created an ideal platform for industrialization. The protestant ethic and a belief in free business and an influence on technological innovation and economic growth. Labor-saving devices and new technologies freed workers to enter the factories, which also drew upon immigrant labor. Aided by the spread of the transportation network, the boom period in American industrialization came in the second half of the 19th century. "In the 1890s, groups of Americans seemed to be estranged from each other as they rarely had been before. A few were enjoying the fruits of astonishing wealth, building for themselves magnificent, multimillion-dollar "summer cottages" reminiscent of glittering European palaces" (Created equal, Ch.18, 2005). The most important event was that the working American class was shaped. This process was closely connected with introduction of machinery into manufacturing caused changes in the organization of work. The economies of organized wholesale production were soon made apparent, and the tendency to increase the size of the factory and to merge the various spheres of industry under control of big corporations has continued to the present. The complexity of business operations also increased with the development of transportation and trade facilit ies. Taking into account industrial innovations it is evident that the new industry needed more labour forces to progress, and immigrants, former slaves and women became the source of labour. All industrial changes had a great influence on the American social class structure affecting the lives of people. Primarily, these changes were closely connected with the break-up of the system. "European and American efforts to colonize and explore the far reaches of the globe brought whites face to face with darker-skinned peoples, whom scholars in the new discipline of anthropology studied and classified. The "New Immigration" from eastern Europe raised concerns about conferring citizenship on non-Anglos, such as Russian Jews, Poles, and Italians" (Created equal, Ch.18, 2005). Nevertheless, not all the benefits of industrialization were advantageous for social classes. After industrial Revolution such processes as "the emancipation" of women, the rise of women' self-consciousness became apparent. That understanding of rights always draws together women of similar ambitions and tasks now began to work significant changes in the economic order. Nevertheless, "many minority women, s uch as Hispana activist Adeiina Otero Wairen, supported the suffrage movement even though white leaders kept their distance and refused to embrace the antiracist campaigns of their nonwhite sisters" (Created Equal, Ch. 19, 2005). Eastern European factory women

Critical Response on One Flew Over The Cuckoos Nest Essay Example for Free

Critical Response on One Flew Over The Cuckoos Nest Essay There have been many struggles in history between authority and those who oppose it. The most obvious and most common example is revolutions against governments. We live in a society where stability and assimilation are not just recommended, but also enforced. We have the right for civil disobedience, so long as it is non-violent and within reason. In the book, One Flew Over the Cuckoos Nest, R.P McMurphy, a brawling, gambling man enters a mental asylum in Oregon, and begins to wage war on behalf of his fellow inmates. However he finds himself at odds with Nurse Ratched, a strict, manipulative and methodical woman who runs the ward like a precision-made machine. The book follows McMurphys actions that constantly clash with the Nurse, and what she represents: authority. By the end of the book, there are many examples of struggles against the higher power, and it is in my opinion that the statement when authority and individuals come into conflict, authority always wins out is incorrect, because individuals do not have to win the physical conflict to win the battle of brains. From day one, the reader finds that McMurphy is out to cause trouble. Gambling is illegal in the ward, but McMurphy declares that he was sent to the institution to bring [the inpatients] some fun an entertainment around the gaming table(p. 16). He starts interrupting daily meetings, which the Nurse treats with much importance. And whenever he is reprimanded for something, he laughs. The laughing is the most important part of his self-defence, as it is the only legal way he can fight back against authority. It is a symbol of defiance, and a sign of McMurphys freedom. It shows that, no matter what the institution does to him, he still has his mental independence. As the reader progresses further on in the story, McMurphy makes a bet that he can get [the Nurses] goat'. When he finds he has no ward-clothes (p. 79), he runs around in a towel, threatening to drop it at times, while the distressed Nurse tries, in vain, to make him get dressed. Then, the same morning, he takes bets on his accuracy about throwing butter at the clock (p. 85). McMurphy wants to watch the World Series, and takes a vote from all the saner patients. While all of them vote to watch it, the Nurse shuts the  idea down, even when McMurphy gets the majority. When airing on television (p. 114), he stops work and proceeds to turn on the television, sit down, and watch the game. When the rest of the men decide to stop work and join him, and the Nurse turns the power off, they continue to watch, just to show that her power and authority has nothing over them. This is an example of individuals fighting against authority. They might not be successful in the real world (having to wear clothes, not being able to watch the baseball game), but inside theyre freer than theyve ever been before. Being downtrodden and strict by the Nurse forced them to become less Things begin to grow bigger and more important as the story progresses. McMurphy realizes that his release is dependent on his good behavior, and tones down his obnoxious acts. However, he still finds that Nurse Ratched is going to keep him in the hospital for as long as she wants. He tries to be subdued, and in doing so, another rebellious inmate called Cheswick, who had tried very hard to be like McMurphy, kills himself, because he thinks that McMurphy has been defeated (p. 136). Nurse Ratched sees the change in McMurphy, and to gain total control of the ward, she demands penance for the insubordination during the World Series. McMurphy smiles and nods, but destroys the glass that separates the nurses room from the ward, to show his true feelings (p. 155). He excuses himself, saying that the window was so spick an span [that he] completely forgot it was there. This shows how he is standing up to authority, and while he doesnt change anything in the real world, it shows the inmates and himself that inside they are free. Part III describes McMurphys fishing expedition. He takes the men on an excursion on a fishing boat, much against the Nurses wishes, but by tricking the doctor to come along, he succeeds. While there is not much about Nurse Ratched in that part, Chief Bromden, the narrator of the story, notices that the Combine is working on the outside too with commuters and houses and children (p. 186). He had been in the ward for about 20 years, and a lot had probably passed since he was younger. However, this glimpse into society makes them realize that they (as patients) arent as monotonous as this, and they can be more free than they are already. Within a week of the trip, Nurse Ratched is ready with her new plan. She tries to show McMurphy as a con man, stealing and wining money from all the patients. But she is shocked to discover that all the patients were happy to lose that money, as they enjoyed themselves, and werent using it for anything else anyway. After a few more instances of insurgence (McMurphy and Bromdens fight with the staff {p. 215}; continuous interruptions to ward procedures {p. 229}), the final insurrection came: McMurphys party. McMurphy organizes for two of his friends to come to the ward for a party that would also serve as his breakout. After a great night, everyone falls asleep, and in the morning, the day-staff came before anyone can wake up in time. After searching for Billy Bibbit, and finding him unashamed of his actions the previous night, the Nurse gives him a guilt trip, threatening to tell his mother, and then locking him in the wards doctors room. Billy commits suicide, and the Nurse tries to blame it on McMurphys lack of respect for authority. Realising that any chances of surviving are ruined, and that his battle with authority is now at its final stage, McMurphy sacrifices himself (and consequently his mental-independence) by attacking Nurse Ratched, exposing her as a vulnerable woman, and destroying any sense of authority and control she had left over the patients. This is the final action between two desperate factions: the authority and the autonomy. The showdown ends with McMurphy being captured, but because the other patients see the nurse as a woman, and not as the dominant Nurse, she can never have the same control over them as she had previously had. McMurphy is lobotomized, but before the ward can see him in his vegetable-like state, Chief Bromden smothers him with a pillow, and then breaks down a wall to freedom. The patients never get to see McMurphy as a vegetable, so their last memory of him alive is his attack on the Nurse. McMurphy is remembered as a symbol of resistance, and as a hero against the authority that had cowed the patients for so long. I believe that McMurphy shows the reader that while the authority may be able to make you conform, you can still remain free inside, which is more important than anything else on earth. Because it is against national  regulations to take away freedom, and as long as you have your sanity and your mental independence, nothing can beat you.

Problem of Protein Energy Malnutrition in Weaning Infants

Problem of Protein Energy Malnutrition in Weaning Infants This paper will examine the protein energy malnutrition problem amongst weaning children in Niger. By using secondary sources and by looking into precedent practices by different organizations to improve the situation, it will finally conclude with health promotion nutrition intervention plan which will include a collaboration and partnership with stakeholders who will as well have a great impact on the populations health determinants. For this project we will take the role of three nutritionists hired by Mà ©decins sans frontiers (MSF) to establish a best practice and protocol standardized health system in line with the solution of treatment. Firstly this paper will provide a background on the country and the subject of protein-energy malnutrition within different regions. Different existing intervention programs will be presented together with a personal health promotion intervention plan. This will be followed by the determinants that will mainly influence the program and its objectives. Secondly the strategies and practices of the intervention plan will be explained in depth. Thirdly, this project will present to collaboration and partnerships with different stakeholders in order to finally indicate how this programs is creating community capacity. Background context: Niger: Niger, or officially named the Republic of Niger, is located in Western Africa covering a surface of 1.270.000 km2 of which 80% consists of Sahara. Neighbouring countries are Nigeria, Benin, Burkina Faso, Mali, Algeria, Libya and Chad. Being landlocked it is one of the hottest countries of the world. Fifteen million people live in Niger of which only 5% in the capital Niamsey. The population density is only of 12.1/km2. The population is characterized by its fast growth rate (3rd rank worldwide) and has the number one highest birth rate and fertility rate of 7.2 births per woman which means that 49% of the Nigerien population is under the age of 15. Known also to be one the poorest countries in the world; Nigers economy has mainly been undercut by the drought cycles, desertification and the strong population growth (Niger, 2010). Protein-energy under nutrition: Protein -energy undernutrition (PEU), previously called protein-energy malnutrition is an energy deficit due to chronic deficiency of all macronutrients (which are proteins, fats and carbohydrates). In developed countries, PEU is common among the institutionalized elderly or among patients with decreased appetite. In underdeveloped countries protein malnutrition occurs because of the local diet with protein poor cereal products (Morley, 2007). The classification is determined by calculating weight as a percentage of expected weight per height using international standards. (Normal: 90-110%; mild PEU: 85-90%; moderate: 75-85%; severe: Pathophysiologically, the initial response to PEU is decreases metabolic rate. To supply energy, the body first breaks down adipose tissue or body fat. When these tissues are used up, the body may use protein for energy; visceral organs and muscle are broken down and decrease in weight. Loss in organ weight is the greatest in liver and intestine, intermediate in the heart and kidneys and least in the nervous system (Morley, 2007). Total starvation however can be fatal in eight to twelve weeks thus certain symptoms of PEU do not even have time to develop. Patients with protein-energy undernutrition often also have deficiencies of vitamins, essential fatty acids and micro nutrients which contribute to their dermatosis (skin disease) (Scheinfeld, 2010). Worldwide, the most common cause the malnutrition is inadequate food intake. Another very significant factor however is the ineffective weaning secondary to ignorance, poor hygiene, economic factors and cultural factors. The prognosis is even worse when PEU occurs with HIV infection (Niger, 2005). Protein-energy malnutrition in Niger: In Niger, the diet of most children is extremely monotonous, usually consisting of millet based porridge although the diet of older household members might be more diverse. This monotonous diet leads to nutrient deficiencies and consequently diseases such as Kwashiorkor and Marasmus develop. In 2005, a survey was conducted by MSF which stated that one child on five suffers from malnutrition. That year, the mortality rate of children under five exceeded the emergency threshold; 2 deaths per 10.000 children per day. Through the therapeutic feeding centres of MSF, the presence of doctors enabled to reduce the mortality rate to 6% that year. Care is also provided through 40 mobile nutritional care centres which allow children to be treated closer to home. Many are treated at home with ready-to-use therapeutic food (RUTF) and come to the once a week for a check-up (focus on Niger, 2006).The concept of RUTF will be explained further later. Due to weather conditions, an annual hunger gap exists between April and September when family food stocks run out and hundreds of thousands of children have little access to the nutrients they need for a healthy development (IAR 2007, 2008). The World Health Organization recorded in the 43rd week of 2009 recorded 2253 cases of moderate malnutrition and 2938 cases of severe malnutrition and 5 deaths caused by malnutrition. On yearly bases for the year 2009, 157.125 cases and 384 deaths were recorded between January 1st 2009 and October 25th 2009. 41% of those patients were diagnosed with severe malnutrition and 23% with moderate malnutrition (Bulletin hebdomadaire, 2009.) The table in appendix 1 shows the distribution of the different malnutrition diagnoses on patients in the different regions in 2009, the graph on the other hand shows a comparison to the previous years 2006 to 2009. A general decrease is noticeable but sudden peaks and lows are present as well which can be explained by the weather conditions. As in 2005, due to poor rains and severe locust outbreak, Niger registered a record grain deficit of more than 223.000 tons (Niger, 2005). Nutrition survey data and information in Niger are not compiled and analyzed well according the United States Agency of international development. Most nutrition surveys are conducted on ad hoc basis to meet the needs of varying agency objectives. Currently a joint survey by the Government, UNICEF and the centres for disease control has been conducted regionally. One of the goals of the program will therefore also be to encourage the constant recordkeeping of patients and updating the information. Determinants: Most important determinants program intends to influence: In general, protein-energy malnutrition amongst weaning children depends on many aspects of which only a few are biological. The main determinant is that this occurrence is brought upon children in difficult socio-economic conditions, such as those in Niger. Most of these factors are related to poverty which may in turn reason dietary imbalances mainly through the incapability to provide a nutritionally balanced diet. The following determinants are the main factors that play a role in this health issue: Education: The work status of the mother and her literacy rate are key in the cause of child malnutrition. If a mother had a good work status and a better education, this would reduce the probability of the child to having a poor nutritional status. The low incomes, the lack of cultivation knowledge are what may cause an unbalanced diet. Therefore, improving a mother and future mothers education will have a significant impact on their childrens nutrition. Climate/Topology: Access to food: source to drinking water. Nigers hot, desert-dominated topology gives birth to few fruits, vegetables and legumes, and serves as grazing ground for a limited amount of livestock. Consequentially, the few grains and cereals yielded by Nigers turf epitomize the rural diet. However, such produce provides only a miniscule percentage of the nutritional intake necessary, leading to varying levels of starvation and malnutrition. Family Size/Second Child Syndrome. In Niger, statistics show that 75% of girls married before the age of 18 and that 34% of them before 15. According to a source, it can be said thatsome as young as ten. Each woman has on average 7.6 children and statistics further show that there is a 1-in-7 risk of dying during pregnancy or birth (Niger, 2010). Measurable indicators that can verify whether a child is malnourished. Before creating a program which proposes a health promotion plan to reduce protein-energy malnutrition amongst weaning children in Niger, it is important to look at the measurable points that can determine whether this malnutrition is the case or not. According to the pharmaceutical company Merck (Morley, 2007); to determine the severity of protein-energy under nutrition it is important to look at the following points: Body mass Index. Plasma albumin. Total lymphocyte count. CD4+ count. Serum transferring. In the table below, many of these points are mentioned and it can be determined whether the child has a normal, mild under nutrition, moderate under nutrition or severe under nutrition (Morley, 2007). A diagnosis of whether a child has a under nutrition of protein-energy, may be based on the past eating habits of the child. Physical examinations, such as the ones in the table below aid in confirming this diagnosis: The table above clearly shows which values one has to take into consideration when assessing the severity of protein-energy malnutrition. Further research has shown that there are other ways to identify malnutrition in a child. This method, used by the UNICEF looks at ways to identify if a child of more than six months is acutely malnourished (Chamois, 2009). First, oedema (swelling) needs to be checked. This is checked by putting your thumb on each foot of the child for three seconds. If the print of your finger creates a shallow hole, then it can be said that the child has oedema. Secondly, the left arm circumference should be measured with a specific kind of measuring device a bit like measuring tape. This left arm circumference can identify according to a colour code, whether the child is very malnourished, moderately malnourished or not malnourished. From both of these identifications, there are different solutions that should take place depending on the result. Put oedema/left arm circumference picture. Other tests, as written in the article Protein-Energy Malnutrition: Differential Diagnoses Workup (Scheinfeld Mokashi, 2010)may also include: Detailed dietary history. Growth measurements. A complete physical examination is indicated. Height-for-age or weight-for-height measurements. Skin biopsy and hair-pull analysis. In order to narrow down our research for the program, the three main measurable factors will be: BMI. Height/weight ratio. Left arm circumference. Other existing programs: Until recently, malnutrition treatment has been restricted to facility-based approaches which are often miles away from rural communities and less than 40% of children with severe acute malnutrition (SAM) recover from hospital treatment. By the late 90s, many researchers knew that RUTFs were key to meaningful SAM recovery rates. In 2000 clinical trials were conducted for RUTFs administered at home. In this study, a remarkable 80% of the treated children reached their 100% weight for height goal after 12 weeks. Ready to Use Therapeutic Foods (RUTF) are high-calorie, fortified peanut butter-like pastes. Peanuts contain mono-unsaturated fats, which are easy to digest and are rich in zinc and protein: both good for the immune system and protein as well for muscle development (Therapeutic food, 2010). Peanuts are a good source of vitamin E and a powerful antioxidant that helps to convert food into energy. RUTF are also very high in calories which means that a child will get a lot of energy from just small amounts. This is very important because their stomachs have considerably shrunk. A study by the American Medical Association published recently on January 21st 2009, proved the effect of preventive supplementation with Ready-To Use Therapeutic food on the nutritional status, mortality and morbidity of children aged 6 to 60 months. Six villages were randomly chosen for intervention and six to no intervention. The results showed significant changes in weight-for-height z-score according to the World Health Organization Child Growth Standards over the 8 month follow-up (appendix 3) (Isanaka; Nombela; Djibo etc., 2009). Plumpynut, one of the examples of Ready-to-use therapeutic food is as effective as therapeutic milk products. The product does not require any additional water, cooking, refrigeration or other preparation and because there is no water in it, its conservation is relatively easy. The high energy, high protein, peanut based paste fortified with mile and vitamins. Typically comes in foil wrappers or small plastic tubes which are practical for children to eat them. During the severe nutrition crisis in Niger in 2005, plumpynut helped saved thousands of lives. Since 2005, the Socià ©tà © de Transformation Alimentaire (STA) factory in Niamey has been producing the lifesaving food. It is the only plumpynut factory in West Africa and the production has grown about 40 tons per month. Last year only the product was used to treat more than 120.000 severely malnourished children and 63.000 moderately malnourished children, allowing them to return to a healthy weight in three to four weeks. The micro nutritional content of a plumpynut is described in appendix 2 (Dolan, n.d.). A standard plumpynut treatment goes for four weeks at a cost of 12 Euros. Currently World Health Organization (WHO), World Food Program and UNICEF guidelines only recommend RUTF for severely malnourished children. Running the combat against malnutrition in Niger since 2001 (Focus on Niger, 2006); Mà ©decins Sans Frontià ¨res has been dispensing packets of plumpynuts in 22 centres in Niger since May 2005. The region in which Plumpynut was applied had the highest malnutrition rate in Niger. The region now has the lowest malnutrition rate in the country. An article in Field Exchange magazine (Wilkinson Isanaka, 2009), outlines the results of a study which addresses one of the ongoing debates concerning the treatment of infants >6m which supplemental milk is the most appropriate to use in their treatment? (Wilkinson Isanaka, 2009). Unfortunately, infants of less than six months are not always treated for malnutrition and cannot access to treatment programs until they reached six months of age. Statistics show however, that in countries like Congo, Myanmar and Niger, more than 20% of all admissions to treatment protocols are of infants less than 6 months of age. As it is very important to consider infants of this age, the aim of the treatment taking place in this article was to encourage the production breast feeding. The study was to compare two different milk supplements with a sample size of 146 infants. Results showed that it is vital to identify malnourished infants as early as possible when they are 6 months or less as breastfeeding can significantly cause weight gain and a healthier life for the baby. The strength of this program is that it involves infants of a certain age that does not always have access to treatment programs. An action plan has been researched and is currently still in process by an UN system called the standing committee on Nutrition (UN System Standing Commitee on Nutrition, 2006-2010). One of the goals of this action plan was to reduce the proportion of underweight young children by half from 28% in 1990 to 14% in 2015. In 2010 however, statistics show, that there are still 27% of children that are underweight. The article states that hunger and malnutrition are caused by poverty and ignorance, and that they will improve if livelihoods (economic growth and incomes) and education services improve (UN System Standing Commitee on Nutrition, 2006-2010). This action plan aims to establishing a global UN system where UN agencies, ministerial sectors and development actors to find a consensus, a common vision and language on the causes of hunger and malnutrition. This would be reached by wide communication and partnership building. The strength of this program is that a common interagency monitoring and evaluation strategy for food and nutrition programs should be achieved in a minimum of 20 countries in Africa, 20 countries in Asia and Latin America and in 10 other regions. In another article named Nutrition: A foundation for development created by a worker at the UN, defines key elements that bring success to nutrition programs (Shrimpton, 2002). A growth chart, that was developed in the 1960s in Nigeria has influenced todays key element for a successful nutrition program. This key element is the use of an information system that shows people whether their nutrition situation is getting better or worse. Many malnourished children look normal to their parents as they get compared to other children of the district or community. The strength of this program is that by showing the parents and children what they really are supposed to look like at their size and age will bring awareness to their everyday lives. Objectives: This program is in accordance with the objectives and targets put out by the UN System Standing Committee on Nutrition in 2006, but on a local (rural area villages) level, rather than regional and country levels. The importance of inter-organizational relationships is emphasized to ensure that the program is successful. Funding will be primarily from existing organizations in the conflict areas. The Niger Food Diet Pyramid, pictured below, is in coherence with a combination of Nigers readily available resources and the specially formulated food and liquid supplements aims to provide a comprehensible guide to the whole population in an attempt to better educate the general population about nutritional needs. One serving size is conveniently defined as one handful, proportional to each individuals size. Number of portions is indicated with a hand signalling the number in fingers; time of consumption is portrayed by the sun path ending with a moon. The base of the pyramid is water, to be consumed at least seven times throughout the day, as portrayed by the complete sun path, primarily because of the extremely hot and dry climate and topography of the country. The second level is made up of grains, starches and legumes, such as millet, sorghum, cowpeas, potatoes and, in the better irrigated areas, rice. These are recommended to be consumed five times a day, also throughout the day. The reason this food group is not above fruits and vegetables like it is in most western countries is that they are much more available than the latter in Niger, as a direct result to the climate and topography, as well as the poor irrigation provided by Nigers faultily placed rivers. The third tier up is made up of the vegetables found in the country: cassava a root vegetable corn, onions and cardoon a leafy green vegetable. Also included in this section are dates, the indigenous fruit to the country, but only to be found in the wetter, oasis-type regions. Recommended intake is twice a day, once during the day and again in the evening. The fourth tier is shared with sugar, peanuts and dairy (milk and butter). For the better part of the country, all of these items are hard to find, expensive and thus rarely consumed. Despite the scarcity, however, their nutritional value is essential to the human body at least once daily, and it is for this reason that, on this same tier, the food and liquid protein and calcium supplements such as Plumpy Nuts and ProSource, as well as calcium supplements like powdered milk are also pictured. The final tier is made up of meats, ultimately encompassing all available livestock, including cattle, sheep, goats, camels, donkeys, horses and poultry. The reason that no daily intake picture is present is that these animals are rare to find and are usually used for either for their milk/eggs or as a means of trade to access the other food groups. The goal is to have the pyramid posted at all mà ©decin s sans frontiers, UNICEF and WFP locations in Niger by the end of the current month. The short-term objective is to eliminate mortality of weaning infants in Niger. This program will be attempted by simultaneously training infants to breast feed and nursing poorly nourished mothers to health, for all mother-child patients that arrive at the existing MSF ambulatory and therapeutic feeding centers, in collaboration with UNICEF and WFP. On a case by case basis, this initiative should prove to be quite successful. If effectuated properly and supported by the local population, it should reduce infant mortality due to protein-energy, undernutrition-related causes significantly in its first year, and eradicate it completely by 2015. The long-term objective is to ultimately end undernutrition in Niger by targeting future mothers, primarily through education adapted to illiterate women with visual aids and hands-on workshops. This knowledge approach aims to provide a more comprehensive understanding of the human body and how to treat it. It would, in due course, allow the region to develop in a more healthy way, through a three workshop series on nutritional needs, sexual education and female empowerment to Nigers women, adapted for the 10-18 year old adolescent female population, to refocus from young adult and adult, post-malnutrition efforts, and go straight to the source. If the program is a success, family sizes should halve within 10 years, jointly reducing the number of undernutrition cases in the country. Additionally, this program thrives to initiate a womans movement that would allow a healthy development of rural communities. Strategies and activities: Only through the intake of necessary proteins and a reduction of overall malnutrition in both mother-to-be and child will the vicious cycle of poverty as it presents itself in Niger be broken (The World Bank, 1997). Despite MSFs attempts at teaching Nigers women about the importance of breast milk to an infant especially during the first 6 months of its life, allowing it to build up its immune system and avoid malnutrition all together many mothers are in such poor health that they resort to water (OneWorld, August 2009). Breast-feeding is not only fundamental for infant nutrition but also for reducing female fertility as it suppresses the responsible hormone and helps the post-birth uterus contraction, reducing future delivery complications (Figueroa, 2002). The short-term program, in line with Michael Goldens production line approach, will take place at the MSF ambulatory and therapeutic feeding centers already present in Niger and will be set up as follows (OneWorld, August 2009): Dehydrated mother and infant enter the center. Mother administered food and liquid to augment milk production. Infant sucks on tube delivering milk formula attached to mothers nipples, simultaneously teaching it to feed and stimulating milk production. When mother is restored to health and quantity/quality of milk is adequate, mother and infant leave the center and mother continues breast feeding for a recommended period of five months, her health closely monitored. Weekly check-ups and a continuous supply of necessary food and liquid are provided. Essential to the development and sustainability of the state is the eviction of malnutrition among the population, especially concerning the younger generation. This long-term program focuses on providing the necessary steps to improve pre-pregnant adolescent girls nutritional status thus allowing a future fetus to develop into a healthy human being in addition to a more concrete understanding of sex and female empowerment. It will be taught in a series of three workshops. Michael Goldens protocol, as demonstrated in his work in Ethiopia, appears to be aimed at the treatment of as many cases of malnutrition as quickly as possible. It is based on the efficiency of an industrial production line. Goldens five steps to ridding the World of Malnutrition (UNICEF, August 2003) can be described as an industrial revolution for the malnourished child. It does not focus on long-term improvement of the situation and cycles provoking such malnourishment but it does allow for immediate results. Thus, other programs and organizations can step in on a more long-term basis to provide education and actual diet balance. This is where the distinction for this long-term program needs to be made as it will serve as a second step in rural areas that are already receiving food and malnutrition aid through other domains, whether it is from the short-term program provided by this organization, or that of another. As much as education is essential to the elimination of malnutrition, food and sex are more important according to Maslows hierarchy of needs, see Figure below. The latter is situated at the bottom tier, namely Biological and Psychological Needs, whereas the former is categorized under Cognitive Needs, four tiers up. A balanced diet does not particularly concern a human being without food; he or she would rather just have food to begin with. Once they are less hungry, and have regained a bit of hope, they can be sat down and talked through the Niger-adapted food pyramid that has been constructed solely with pictures to provide a complete, visual outlook of what proper nutrition requires. Sexual education in Niger will pose as another difficult challenge, especially when the focus is on individuals in rural areas. Not only are the vast majority of women illiterate, but approximately 90% (Buckens, 2009) of the countrys population is Muslim. Hence, a visual method needs to be used to teach sexual education without offending the local population. Firstly, medical professionals, either doctors or nurses, will always be responsible for providing the classes. Studies have shown that they are among the most trusted and that their presence would allow a bit more flexibility in what can and cannot be shown. Secondly, visual aids must be clearly understood without having to provide graphic sexual images. The program needs to refrain from comparing human sex to reproduction in animals as this may also pose as an offence. Thirdly, the program will be segregated for men and women, to allow a more comfortable, gender-specific approach. No woman will be forced to participate; howeve r, they will be given the incentive to, as complimentary food and liquid nutritional supplements will be part of its foundation. Partnership development: In order to achieve or short term and long term objectives to reduce protein-energy malnutrition amongst weaning children in Niger, one has to consider the development of a partnership to maintain positive results. As nutritionists working for Mà ©decins sans Frontià ¨res, our goal with this program is to continue generating positive outcomes. Many international organizations such as UNICEF, UN agencies, World Food programme, together with MSF have been collaborating closely with the government of Niger and non-governmental partners on the ground. The existence and execution of the proposed program cannot be realized without the cooperation of different organizations and thus only excellent relationship between them can guaranty the success of the program. Therapeutic feeding centres in Niger provide nutritional and medical treatment for children between the age of six months and five years suffering from severe malnutrition. The five feeding centres in Niger are in Maradi, Dakoro, Keita, Tahoua and Aguie (MSFS response, 2005). In July 2005, international aid agencies prepared to distribute supplementary food rations at the therapeutic feeding centre in Maradi. Fearing that nobody would show up, the aid workers spread the word in the nearby villages. The modicum of mobilization led to a near riot as hundreds of women crowded in desperate to obtain food (Tectonidis, 2006). Such a scene points out to which extent the problem of malnutrition is present amongst the population. During the crisis year 2005, when nutritional emergency was caused by drought and an infestation of locust in the previous year, malnourished children began pouring into the therapeutic feeding of MSF. Until then, malnourished children were routinely hospitalized in therapeutic feeding centres but because of the substantial resources required, it has been impossible to open sufficient number of beds during emergency periods (the yearly hunger gaps)(Tectodinis, 2006). Today with the presence of ready-to-use therapeutic food such as Plumpynut, more severe cases can be accepted at the centre while the moderate cases will be send home with solid therapeutic food and will come back weekly for check-up but without having to be hospitalized. Most children treated in a stabilization unit do survive but are soon discharged to an outpatient program (Tectodinis, 2006). The TFCs will also help teach parents about proper nutrition until they gain respite from poverty (Bamford, 2008). In a study comparing therapeutic feeding centres and ambulatory care centres by the department of Health services at the University of Washington, the authors concluded the ambulatory rehabilitation to be more cost-effective (Chapko, Prual, Gamatià © etc; 1994). Mà ©decins sans frontiers. MSF is an international humanitarian aid organisation which has been setting up emergency medical aid mission to populations in danger in more than 70 countries around the word since 1971. Where health structures are insufficient, MSF collaborates with other organizations and local authorities. MSF works in rehabilitation of hospitals, dispensaries, vaccination programmes and water and sanitation projects. MSF seeks also to raise awareness of crisis situations and to address any violations of basic human rights (about MSF, 2005). In 2005, Niger represents one of the largest malnutrition-treatment programs in Mà ©decins sans frontiers history: a capacity of treating 20.000 severely nourished children per year, five therapeutic feeding centres and 25 ambulatory centres, representing a budget of around â‚ ¬10 million. UNICEF: Unicef, the united nations childrens fund, is the driving force that helps build a world where the rights of every child are realized. UNICEF, present in 190 countries, believes that nurturing and caring for children are the cornerstones of human progress and was created to overcome obstacles of poverty, violence, disease and discrimination on a childs path. Upholding the Convention on the Rights of the child and as part of the Global Movement for Children, UNICEF strives for peace and security and work to hold everyone accountable to promises made for children (who we are, 2008). UNICEF Niger is assisting most

Using Computers for Entertainment :: Expository Essays Research Papers

Using Computers for Entertainment In the past, you played board games with friends and family members, viewed fine art in an art gallery, listened to music on your stereo, watched a movie at a theater or on television, and inserted pictures into sleeves of photo albums. Today, you can have a much more fulfilling experience in each of there areas of entertainment. In addition to playing exciting, action-packed, 3-D multiplayer games, you can find hours of entertainment on the computer. For example, you can make a family tree, read a book to magazine online, listen to music on the computer, compose a video, edit pictures, or plan a vacation. These forms of entertainment are available on CD-ROM, DVD-ROM, and also on the Web. On the Web, you can view images of fine art in online museums, galleries, and centers.1[1] Some artists sell their works online. Others display them for your viewing pleasure. You have several options if you wish to listen to music while working on the computer. Insert your favorite music CD into the CD or DVD drive on your computer and listen while you work. Visit an online radio station to hear music, news, and sporting events (Peyton 25). At some of these sites, you even can watch videos of artists as they sing or play their songs. Instead of driving to the music store or video store to purchase music or movies, you can buy them on the Web. After paying for the music or movie online, you download it to your hard disk. Once on your hard disk, you listen to the music or watch the movie on the computer. Or, you can transfer it to a CD using a CD-RW and play the music on any CD p layer or the movie on a DVD player (Microsoft Word 2002 Project 2). Some people prefer to create their own music or movies. You can compose music and other sound effects using external devices such as an electric piano keyboard or synthesizer. You also can transfer or create movies by connecting a video camera to the computer.

Penn Foster Exam 028004 Essay

Paragraph 1 I understand that you are currently seeking to hire a receptionist at your ACT-1, Los Angeles location and I am highly interested. I know that the person for this position is responsible for receiving and greeting any visitors/clients, answering phone calls, taking and delivering messages and sorting and handing out mail. I am more than capable of doing all of that. Ever since I was a child, I was recognized for the effort I put into every piece of work. Growing up, I knew that I wanted to end up in a place where my hard work is appreciated. While researching your company, I instantly knew this was the place for me. I am confident, hard working and reliable. I am positive that I meet all requirements and I know, I could make a valuable contribution to your company. Paragraph 2 My boss, Mrs. George, has a position available for an assistant here at ANS Inc. and I believe this would be an excellent job opportunity for you. You are everything that Mrs. George is looking for in an assistant.You’re excellent at multi-tasking, an independent worker, extremely organized and not to forget, your great written and verbal communication skills. You won’t have to work weekends, this is a well paid position.You will no longer have to work double or have to worry about making ends meet. I really think you should apply for this position. I understand that you don’t have this type of experience but it give it some thought, cousin. The ad for this position will be put up soon on the company web site. If you are interested, give me a call so I can put in a good word for you.

America and Canada’s Universal Health Care System

America is full of social and economic problems that need to be addressed. The one problem that affects all citizens of the country is access and affordability of health care. The health care problem is unique in that every American will need health care at some point in their life, and this coupled with the fact that health care costs continue to rise further exacerbate the situation. In order to attempt a solution to America’s growing health care problem, it is essential that the country look to another country that has effectively addressed the health care problem.The only solution to America’s health care problem is to implement a universal health care system. Canada has implemented a universal health care policy whereby each citizen is afforded health care at no cost, and Canada’s efforts should serve as an example for America to emulate. Canada’s Health Care System, and Comparison to the United States The Canadian system works because of two importan t factors, which actually relate to one another.The first factor is the lowered cost of health care as compared to the United States, and the second factor is the greater accessibility of health care as compared to the United States. These two factors are inter-related because with lower costs, citizens in Canada are able to procure greater access to care. Essentially these patients have more options. In America an uninsured patient may believe that the only options they have are the cheaper clinics, and when these clinics do not accept them as patients they have no other options.The same cannot be said about Canadian patients, which makes Canada a viable model for the United States to follow. The first investigation should include the costs associated with care in Canada and the United States. Two figures in particular will be investigated. The first is the percentage of GDP that is spent on health care comparing each country respectively. Canada segments 10% of GDP on health care, while the United States relies on 14% of GDP for the procurement of health care. (Armstrong, Armstrong & Fegan, 2005, p.8) A discrepancy of the GDP between the two countries is important because while the Canadian system is close somewhat to the American system in GDP percentage, the fact that all Canadians are covered while a drastically smaller number are covered in America demonstrates how the Canadian system works. Another argument about these facts is that America has a much larger GDP than Canada, yet still cannot keep up with the health care crisis. Another important figure concerning expenditures is the cost per person.Canada spends about $2,049 per person, which is about 55% less than what is spent per person in America. (Armstrong, Armstrong & Fegan, 2005, p. 8) Many opponents of Canada’s system may look at these figures and suggest that Canada is cheaper because they have less people, but the figures take this into account and have calculated the costs per person. This allows the figures to take shape and demonstrate how Canada’s system seems to be more efficient. The next question is how Canada keeps their costs so low as compared to the United States.It has been suggested that Canadian costs for health care are low because of the use of public administration. (Armstrong, Armstrong & Fegan, 2005, p. 8) Essentially Canada relies heavily on universal health care whereby the government pays for the services and monitors the country’s health care field. Some opponents of this system will suggest that government control will only increase costs because governments such as Canada’s cannot operate within the health care field as efficiently as private enterprise. (Krasny, 1992, p. 43) This suggestion by Krasny is incorrect.The public sector in Canada handles all of the administrative tasks associated with a hospital, which lowers costs. (Armstrong, Armstrong & Fegan, 2005, p. 8) Other cost savings measures associated with Cana da’s universal health care system are the decreased overhead expenditures. Hospitals no longer have to include entire teams to conduct insurance calculations and coverage implementations as well as entire teams to keep track of billing and collection efforts. (Armstrong, Armstrong & Fegan, 2005, p. 8) This drastically decreases costs, especially when compared to the American system.The American system implements all of these overhead policies, which only strain the system further. For example, hospitals in America â€Å"must keep more extensive records in order to facilitate billing to the state and federal governments, insurance companies and patients, and in anticipation of malpractice suits. † (Armstrong, Armstrong & Fegan, 2005, p. 8) Canadian doctors who leave Canada and practice in America make about the same amount of money because the overhead was so large in America, despite their lowered pay in Canada due to universal health care.(Armstrong, Armstrong & Fegan , 2005, p. 8) All of these benefits of the Canadian system would be pointless if the care was not adequate. Canadians live longer, are ahead of America in healthiness in the world, have far less infant fatalities, and have much greater percentage of disability free life. (Armstrong, Armstrong & Fegan, 2005, p. 8) All of these health factors tend to point toward greater health care practices as compared to America, as well as greater access to health care facilities.The benefits of the Canadian system are clear, which makes the Canadian system a viable alternative to the American system. America still maintains a payment rate health care system where the patient must pay a certain amount in order to receive health care from a provider. American hospitals will not turn away a patient in need of care if it is of the utmost importance, but the hospitals will turn away a patient that is not being threatened by illness and does not have the ability to pay. (â€Å"Looking to Canada for,â €  2006, p.8) This idea is very peculiar in the grand scheme of assisting patients. On one hand the hospital is supposed to help the sick, but on the other hand a patient will receive little to no help if they do not have the ability to pay. The American government is to blame for a majority of the crisis that has resulted. Currently, many patients waiting on organ donations and transplant die because of the American legislative regulations. It is stated that â€Å"more than 6,000 American patients die each year while waiting for suitable organs, and that those waiting lists are caused by the U.S. Congress, which prohibits payments to organ providers and thereby dries up the supply of transplantable organs. † (â€Å"Looking to Canada for,† 2006, p. 8) The legislature not only makes health care unaffordable, but they also help create longer waits for patients who cannot wait any longer. The entire system in the United States has caused a health care crisis that will not alleviate until something is done. The current American climate when dealing with health care has caused major problems to result in the country.As Callahan states, Public opinion surveys show considerable discontent with American health care, the business community is increasingly distressed in trying to cope with ever- rising costs, and a long-awaited stimulus for serious reform may be at hand: middle-class alarm at a deteriorating situation for those previously well covered by insurance. The fact that a majority of personal bankruptcies in this country are occasioned by individual and family health care debts is a sobering figure.If the 46 million uninsured do not catch the congressional eye, maybe the steady increase of the uninsured and the rise in bankruptcies will. (2006, p. 28) Callahan suggests that the health care crisis in America has spread to nearly every facet of American life. The economy suffers, the savings sector suffers, the credit sector suffers, and the empl oyment sector suffers. The current aspects of the American health care system are alarming and need to be addressed or it is predicted that dire consequences could develop, which will lead to a better understanding and acceptance of universal health care. Callahan predicts:(1) movement at the state level; (2) business dismay at the cost of providing care and the consequent steady reductions of employer-provided coverage and benefits; (3) the persistently growing number of uninsured; (4) the alarming rate of health care costs well exceeding general cost of living increases (projected at 7- 8 percent a year for the foreseeable future); (5) increasing middle-class out of pocket payments even with present insurance coverage, and rising economic insecurities as they face a disintegrating scene; and (6) perhaps a change of attitude toward universal care among physicians, much as once happened with Canadian doctors. (2006, p. 28) According to Callahan’s facts and predictions, the Un ited States is in need of an extensive health care overhaul. Without proper addressing of the current situation, the average American patient will suffer through continually rising health care costs and health care coverage. The change to a universal system will not be easy because many in the medical field do not want universal health care coverage.Callahan has stated that during Canada’s attempt at socialized medicine, American members of the medical community enlisted propaganda and other forms of persuasion in an attempt to cause Canada to reject any form of universal coverage and these attempts failed. (2006, p. 28) The United States medical community understood that socialized medicine would cause a possible lowering of wages and rates as well as an increase in patients, which they did not want. If Canada’s system was implemented and succeeded, then possibly the American public would realize the benefits and would want universal coverage as well. The American med ical elite identified this possibility and have been fighting the change ever since. Accompanying this fight has been the American Medical Association (AMA), which initially established the attempts at making the Canadian system fail.Currently, the AMA has proposed a health care plan that does not even address the idea of universal coverage, and the group is a major political and public force in America with a lot of leverage to influence public policy. (2006, p. 28) The end result is a large organization that is supposedly watching out for patients, but at the same time is eliminating any type of universal health care opportunities. The American system allows groups such as the AMA to control public policy, which does not even recognize what the American public wants in health care. Callahan has stated that well over 60% of Americans would be in favor of universal health care in some form, yet the AMA ignores this need and continues to cater to the medical elite in America. (2006, p.29) If the AMA remains in control over medical public policy then nothing will ever get done to address the increasing need for American medical reform. The proper reformation of the health care system lies in universal health care, and Canada’s system is a prime example of health care effectiveness. A look into the actual facts surrounding America’s current health care position is beneficial into discovering the current state of the country. The facts about America’s system are shocking when put into perspective with other countries in the world. The World Health Organization puts America at number 37 overall in health care performance, which is in between the two countries Costa Rica and Slovenia. (Lesnik, 2004, p.1) Out of all the industrialized countries, America is lagging way behind many of the top countries in the world, and it appears that this ranking will continue to plummet if nothing is done to alleviate the health care crisis. The ranking of Ameri ca is a strange outcome for the country because America spends more than any country in health care services. According to Lesnik, In 2004, U. S. health spending rose to a whopping 15 percent of the gross domestic product, a higher percentage than any other nation, including those that provide universal coverage to all residents and those with much more modest Gross Domestic Products. (2004, p. 1) Lesnik’s figures present a dire circumstance for America. The American medical field has more expenditures than countries that already provide universal coverage, which includes Canada.If the expenditures are so high, it would make sense that America should have the best medical coverage of any nation in the world, but this is not the case. The idea as to why the United States ranked so low can be summed up with one idea and that is access to care. The numbers involved in a lack of access show further harms the stretch to the livelihood of Americans as well as the economic well bein g of the country. Illness affects every person and does not discriminate according to wealth or ability, which causes many citizens in the economic sectors of the country to lower their productivity because they do not have adequate access to care. (Lesnik, 2004, p. 1) This can cause a drop in growth in America, which will further exacerbate the situation.Fundamentally, if the economy falters then the ability of sick workers to pay for care diminishes, which increases the problem of access. Lesnik identifies the fact that tens of millions of Americans lack a doctor to call on if they are in pain or a medical facility that will accept them when they are sick. (2004, p. 1) Lesnik states, According to the U. S. Census Bureau, a staggering 45 million Americans–or 15. 6 percent of the population–permanently live without any form of health insurance. This creates serious barriers to care, which lead to unnecessary illness and death. It is increasingly clear that, for individ uals and their families, the financial burden of medical expenses is unmanageable without insurance. (2004, p. 1)It appears that the major problem affecting the US health care crisis is access to care. Access to care encompasses the ability to pay as well as suitable facilities in which to receive care. These are the main culprits in America’s health care shortcomings, and if not addressed will only become worse. One of the possible reasons that America has shied away from universal health care is the enactment of legislation in the 1960s. In 1965, the American legislature enacted the Medicare program, and many experts noted that this piece of legislation may open the door for universal health care. (Callahan, 2006, p. 29) Obviously this never happened, and America has maintained the status quo since.Another side effect of the Medicare program is that it had extreme costs to the government, which Callahan believes has caused many within government to shun any sort of grand ex penditure such as universal health care. (2006, p. 29) The battle between whether small implementation or extreme implementation of a socialized health care system is needed has been at the forefront of the health care debate. Many experts believe small increments in the government’s socialization will be beneficial, but Callahan suggests that according to Canada’s model only a grand implementation will solve the health care problem and small increments will do little to alleviate the crisis that is occurring right now. (2006, p. 29) According to Callahan, America needs a major overhaul and needs to look north to Canada for the ideal health care system.It appears that without this major change, America’s health care crisis will continue to grow to astronomical proportions. The American health care system is in a crisis and needs a change. Canada’s system appears to be better for the patient. A study into Canada’s system is essential in understandin g how the policies would affect the United States. Conclusion The success of the Canadian universal health care system demonstrates how America should switch to a universal-style system as soon as possible. The deteriorating state of the health care system in America illustrates how the American free-enterprise system does not work and does not provide adequate care, access, and lower costs.References Armstrong, P. , Armstrong, H. , & Fegan, C. (1998, June). The Best Solution: Questions and Answers on the Canadian Health Care System. Washington Monthly, 30, 8+. Callahan, D. (2006). Universal Health Care: From the States to the Nation?. The Hastings Center Report, 36(5), 28+. Krasny, J. (1992, February 17). The Wrong Health-Care Model. Is Canada's Health-Care System Really Cheaper?. National Review, 44, 43+. Lesnik, J. (2004). Community Health Centers: Health Care as It Could Be. Journal of Law and Health, 19(1), 1+. Looking to Canada for Health Care Reform. (2006, July). USA Today ( Society for the Advancement of Education), 135, 8.

Juliette Gordon Low

Juliette Gordon Low - The Founder of Girl Scouts in America Juliette Low contributed much to our world. Without her, there would be three and a half million girls that would Born Juliette Magill Kinzie Gordon on Halloween night, October 31, 1860, everyone knew she was special. The first time her uncle saw her, he said "I'm sure she'll be a daisy." After that everyone called her Daisy. She was born in the beginning of the Civil War, and she lived in Savannah, Georgia. The South. Juliette's father was in the war during most of her early childhood. He had always lived in the south, but his wifeAs a result, sheAt fourteen she went to Stuart Hall, a boarding school in Virginia, When she had a problem or felt homesick, she referred to the Bible that her mother sent her for her fifteenth birthday. At time's she would randomly point to different verses in attempt to find direction to a dilemma. She was popular in school and enjoyed art very There they learned Ballroom dance, dance manners, how to curtsey and how to sit gracefully in a ball gown. During a visit to England in 1882, Juliette met a handsome rich young man named William Low, and fell in love with him. They got engaged, but kept it a secret for many years because she was afraid it would only upset her mother further because she still grieved over Alice's death. In 1884 William's father died, leaving him millions of dollars and the family business. In 1886 she told her mother and father of her plans to marry William, and they acceptedIn 1898, Juliette left William and England to help out in the Spanish-American War. She and her mother both helped out as nurses. When Juliette wF'ent back to England, she learned money for a home in England, and some travel. Sir Robert was the founder of the Boy Scouts, and his sister Juliette then moved to London and started a troop on Thursday."On March 12, 1912, the first Girl Guide meeting was held in the United St...

Chronic inflammatory disease Essays

Chronic inflammatory disease Essays Chronic inflammatory disease Essay Chronic inflammatory disease Essay Ulcerative Colitis Fatma Otman ( 09003295 ) cellular pathology Ulcerative inflammatory bowel disease is an idiopathic chronic inflammatory disease of the rectum and the colon that follows a class of backsliding and remittal. It is an inflammatory intestine disease, which is characterized by mucosal redness with crypt abscesses, ulcers and pseudopolyp formation. The chronic redness is limited to mucosa, sometime that is extended to submucosa. Ulcerative inflammatory bowel disease is a status that starts at the rectum and ends at some point in the colon. The affected country is uninterrupted ; there is no country of normal tissues between the affected countries. It is erstwhile definite diagnosing of ulcerative or Crohn s can be established in which instance the term an indeterminate inflammatory bowel disease is used. Epidemiology Ulcerative inflammatory bowel disease affects about 1 in 1000 people in the Western universe. First battalion incidence between the age of 10-40 twelvemonth s, but may impact people of any age and 2nd extremum incidence at norm of 60 twelvemonth s ( Bimodal distribution ) . The disease affects females and males. The geographic distribution of ulcerative inflammatory bowel disease is the highest incidence in The United Status, Canada, The United Kingdom. Higher incidence is seen in northern locations compared to southern locations in Europe and the United Status. The prevalence of ulcerative inflammatory bowel disease is greater among Ashkenazi Jews and decreases increasingly in other individual of Judaic descent, non-Jewish Caucasians, Africans, Hispanics and Asians, because familial susceptibleness is a factor associated with ulcerative colitis.. Mortality The consequence of ulcerative inflammatory bowel disease on mortality is ill-defined. Some surveies confirm that, mortality of patient with ulcerative inflammatory bowel disease is merely 12 % ( Viscido et al, 2001 ) . Although, mortality from ulcerative inflammatory bowel disease is decreased during the past 50 twelvemonth s ( Sonnenbery,2007 ) . Therefore, it is thought that the disease chiefly affects quality of life non life span. Causes and hazard factors Causes of ulcerative inflammatory bowel disease is still unknown. There are many factors including: Familial factors proposing that the disease arise from combination of multiple cistrons abnormalcies, for illustration p35 cistron mutation,15 % increased hazard in 1st degree relation ( Medicine, 2010 ) . Environmental factors include the undermentioned: First, diet has been hypothesized to play function in pathogenesis of ulcerative inflammatory bowel disease, for illustration a diet with low in dietetic fiber may impact ulcerative inflammatory bowel disease incidence. Second, chest eating has been reported of protection in development of inflammatory intestine disease ( Klement et al. , 2004 ) . Auto immune disease, some beginnings list ulcerative inflammatory bowel disease as an autoimmune disease couple to malfunction of the immune system ( Odze, 2003 ) . However, surgical remotion of the big bowel frequently cures the disease, including the manifestation outside the digested system. This suggest that the cause of the disease is in colon itself and non in the immune system or some other portion of organic structure ( e Medicine, 2009 ) . Alternate theories proposing that the symptoms of the disease may be caused by toxic consequence of H sulfide in the bowel in patient with ulcerative inflammatory bowel disease. It may be caused by occlusion of in the capillaries of sub epithelial liner, and infiltration of the lamina propria with plasma cells. Appendectomy prior to age 20 for appendicitis and baccy usage both are protective against development of ulcerative inflammatory bowel disease. Psychological factors and socioeconomic factors, clinical aggravation has been found to be facilitated by life emphasis in ulcerative inflammatory bowel disease ( Novack et al. , 2006 ) Types of ulcerative inflammatory bowel disease The different types of ulcerative inflammatory bowel disease are classified harmonizing to the location and extent of redness. Ulcerative proctitis refers to inflammation that is limited to the rectum ( Rectal hemorrhage ) . Procoto-sigmoiditis involves redness of the rectum and sigmoid colon ( Rectal hemorrhage ) . Left side inflammatory bowel disease involves redness that starts at rectum and extends up the left colon ( Bloody diarrhea, venters cramp, weight loss ) . Pancolitis refers to inflammation impacting the full colon ( Bloody diarrhea, abdominal hurting, weight loss, febrility and dark perspiration ) . Fulminated inflammatory bowel disease is rare, nevertheless it is terrible signifier of pancolitis ( Dehydration, terrible abdominal hurting, bloody diarrhoea and daze. They are at hazard of developing toxic megacolon ( Marked dilation of colon couple to severe redness ) , ensuing in colon rupture ( Perforation, peritoneal inflammation, abscesses and monolithic bleeding ) . Ulcerative inflammatory bowel disease is divided into four phases harmonizing to gross pathology Acute phase is involved mucosal surface, which is wet and glowering from blood and mucous secretion, frequently is associated with petechial bleeding. Chronic phase shows assorted sized of irregular ulcers and elevated sessile ruddy nodules ( pseudopolyps ) .In this phase raise intuition of carcinoma ( 1 % of all colorectal carcinoma ) . More advanced phase is involved full intestine, shows fibrotic, narrowed and shortened. Quiescent phase shows no ulceration, but the mucous membrane shows wasting or sometimes appears grossly normal. It may be extended submucosal fat deposition. Intestinal symptoms The most common symptoms of ulcerative inflammatory bowel disease are bloody diarrhoeal and abdominal hurting. Patient besides may see anemia, weariness, weight loss, loss of appetency, rectal hemorrhage, loss of organic structure fluid and nutrition. Extra-intestinal symptoms These include the undermentioned: aphtous ulcer of oral cavity, oculus disease ( Iritis or uveitis ) , arthritis ( ancylosing spondylitis ) , erythema nodosum, deep venous thrombosis, autoimmune hemolytic anemia, clubbing and primary sclerosing cholangitis. Differentiation diagnosing Crohn s disease, morbific inflammatory bowel disease, *pseudomembranuos inflammatory bowel disease, ischaemic inflammatory bowel disease ( aged people ) , TB, colorectal glandular cancer. Everyday probe The initial diagnostic workup for ulcerative inflammatory bowel disease includes the followers. A complete blood count is done to look into anemia ( iron lack anemia ) , which is hypochromic microcytic anemia ( low MCH, low MCV, low hemoglobin ) . Elevated of white blood cells, it is more than normal scope ( 4.300-10.800 cells/cmm ) . Thrombocytosis is high thrombocytes count, it is more than normal scope ( 150-400x 10/ L ) . Erythrocyte deposit rate is elevated = ( = 18 mm/ hour ) . C-reactive protein is acute stage protein that is produced by liver during redness. It is elevated= ( = 10mg/l ) . Electrolytes analysis and nephritic map trial are done, because chronic diarrhoea may be associated with hypokalemia, hypomagnesaemia and pre nephritic failure. Liver map trials are performed to test for bile canal engagement. Stool civilization to except parasites and morbific causes. Diagnostic processs for ulcerative inflammatory bowel disease There are include the undermentioned. Endoscopy and biopsies The best trial for diagnosing of ulcerative inflammatory bowel disease remains endoscopy. Full colonoscopy is extended from anus to the cecum, besides entry into terminal ileum is attempted merely if diagnosing of ulcerative inflammatory bowel disease is ill-defined and to distinguish between ulcerative inflammatory bowel disease and Crohn s disease, because in some instances of ulcerative inflammatory bowel disease may be involve terminal ileum. Endoscopic happening in ulcerative inflammatory bowel disease include the undermentioned: loss of vascular visual aspect of the colon, erythematic or inflammation of the mucous membrane and crumbliness of the mucous membrane, superficial ulceration and pesudopolyps. Biopsies of mucous membrane are taken from different parts of colon to definitively diagnosing of ulcerative inflammatory bowel disease and differentiated from Crohn s disease. The histology happening in ulcerative inflammatory bowel disease typically involves deformation of crypt architecture, redness of crypts ( cryptitis ) , blunt crypt abscesses, bleeding and infl ammatory cells in lamina propria ( lymph cells, plasma cells ) . Acute phase shows accretion of neutrophil at base of crypts ( crypt abscesses ) . No granuloma is of import standard in differential diagnosing with Crohn s disease. Mucosal capillary are dilated. Inflammation may stay above muscularis mucous membrane or widen to submucosa. Glands are progressive destroyed, marked lessening in cytol, mucous secretion, atrophic alterations and regenerative alterations, besides manifested by atomic expansion and increased mitotic activity. Other characteristic shows, ulcer is covered by non specific granulation tissue, pseudopolyps ( mostly granulation tissues assorted with inflamed and hyperaemic mucous membrane. Flexible sigmoidoscopy is extended from anus to sigmoid colon. Abdomens X beams are speedy, inexpensive, non invasive and an ten beam of venters that is indicated in acute venters conditions such as enteric obstructor, perforation, dilation ( Toxic megacolonic ) . Trans-abdominal ultrasound is a non-invasive mode that may be helpful in the diagnosing of inflammatory intestine disease, but it can non be used to separate between ulcerative inflammatory bowel disease and Crohn s disease. It is used for naming bilious complication. CT has limited function in the diagnosing of unsophisticated ulcerative inflammatory bowel disease, nevertheless CT plays an first-class mode in the diagnosing of complication associated with disease. Barium clyster is particular type of x beam that uses Ba sulfate and air to sketch the liner of rectum and colon. The consequence can demo polyp, tumour, diverticulitis. Today, the utilizations of Ba clyster are rare due to the utilizations of endoscopy for naming. There is contraindication of utilizing Ba clyster in acute venters as complication of UC. Radio-nuclide surveies are utile in picturing disease activity and the extent of disease and in supervising the response to therapy. It is utile in instance of fulminant inflammatory bowel disease Serology trial is performed in about 20 % of instances of UC, overlapping symptoms, radiographic and histological characteristics make the differential diagnosing hard. It is of import to accurately distinguish between two diseases ulcerative inflammatory bowel disease and Crohn s disease, because the direction of patient are different and ulcerative inflammatory bowel disease is more hazard for malignance. The usage of an inflammatory intestine disease serology panel that should be included the followers, Perinuclear anticytoplasmic antibodies ( PANCA ) and Saccharyomyces cerevisiac IgA nd IgG antibodies ( ASCA ) . Because, PANCA is prevailing in ulcerative inflammatory bowel disease and ASCA is more prevailing in Crohn s disease. ASCA represent the immunologic marker corrected with Crohn s disease, because their high specificity ( 80-95 % ) . Immunohistochemistry appraisal of ki67 and p53 look assists the diagnosing and scaling of ulcerative inflammatory bowel disease related dysplasia. Strong immunoreactivity for p53 that suggested diagnosing of dysplasia, besides suggested Ki67 staining above basal two tierce of the crypt in high class dysplasia ( HGD ) . Complication There is significantly increased hazard of colorectal malignant neoplastic disease in patient with ulcerative inflammatory bowel disease after 10 twelvemonth s if engagement in the splenetic flection, nevertheless those with lone procotitis or rectosigmoid it is normally have no increased hazard. It is recommended that patient have screening by colonoscopies with random biopsies to look for dysplasia after eight twelvemonth s of disease activity. Treatment The standard intervention for ulcerative inflammatory bowel disease is depended on the extent of engagement and disease badness. The end is to bring on remittal ab initio with medicine, followed by the disposal of care medicine to forestall a backsliding of the disease. Dietary alteration: Diet rich of fibers, avoiding dairy merchandises, avoiding natural vegetates and fruit, because they cause hurt to inflamed mucous membrane of colon. Supplement intervention: Iron tabular arraies for intervention of anemia, multivitamin. Anti diarrheal drugs: Such as Immodium, a physician must closely supervise the individual taking these anti-diarrheal drugs to avoid precipitating toxic megacolon. Anti-inflammatory drugs: Such as aminosalicytates, corticoids and immunosuppressive drugs. Besides anti tumour mortification factor ( Infliximabe ) . Surgical intervention: Surgical intervention can be exigency operation and elected operation. Emergency operation is performed in instances of bleeding, blunt perforation, break up inflammatory bowel disease or toxic megacolon and elected operation is performed in instances of patient is non response to intervention and documented or strongly suspected carcinoma. There are different types of surgical attacks such as proctocolectomy with ileostomy, Ileoanal anatomises and continent ileostomy. Some probes are used for proctor of inflammatory intestine disease Concentration of tumour mortification factor alpha in stool is used as a marker of intestine redness in both ulcerative inflammatory bowel disease and Crohn s disease. Measurement degree of neutrophli binding by Ig and titers of antineutrophli Ig in serum from patient with ulcerative inflammatory bowel disease and patient with ulcerative inflammatory bowel disease station colectomy by utilizing a fixed neutrophil enzyme linked immunosorbent check. Measurement of azotic oxide in ulcerative inflammatory bowel disease patient during colonoscopy, gas was aspirated from different parts of the colon and instantly analyzed by a chemiluminescence technique.

Big Bad Caravans Involvement in Forged Advertisement Free Sample

You are Required to Identify Legal Issues, Relevant legal Authority and Describe how you Intend to use this Legal Authority in relation to the Research Hypothetical Questions. George and Mildred, a married retired couple, had been planning to travel in and around Australia in a huge caravan. They had saved a huge amount to do so as they wanted to travel after they retire from their respective jobs. They made their respective research on the internet regarding the caravan, in order to get the best possible result, as their own caravan. After conducting all their respective researches, the couple approached Frank Snood, who works for Big Bad Caravans, as the sales executive. After making all the research and other respective aspects, the couple decided that they need a 20feet long caravan, with all the modern day perks, such as TV, toilet, shower and a pop out BBQ.   After respecting all their requirements, Frank r mended them to buy "victory 2000" which met all their requirements and was within their respective Pallas weight. Frank had told them that the total payload was 300kg as stated by the manufacturer of the caravan. It was mentioned that the total extra weight, which they can carry is as per this weight scale. Other than this, there was an advertisement which stated that the caravan is available at a discount of $20,000. This tempted the couple and they bought the caravan as soon as they saw the advertisement. Not only this, they had even bought an extended warranty for an amount of $1,000, which stated that all the major repairs and other aspects of the caravan will be maintained by the pany for the next 5 years.   A contract was signed between both the parties and the couple did not read the contract as they thought all the information was provided by Frank.   But this was not the case. Later they get to know that the payload weight of the pany includes all the availabilities in the caravan already. And they were just left with 5kgs for their clothes. After about 11 months of the caravan, or precisely, after travelling for 11 months, the tires had blown and the vehicle was about to crash severely. The insurance pany had refused to pass the claim as it was significantly due to excess payload. And when the couple approached the pany to avail the feature of extended warranty, they were told that damage caused by mishandling or improper use is not covered. Not only this, they even realized that the pany had just forged the actual rate of $100,000, to show the discounted prices of $80,000, to attract the customers.  (Monash University, 2015) The Contract Act, 1984, section 23 states for a fact that any person or persons, who states an information to another person or persons, to ambiguously effect its own interest, or leads to situation of letting a person buy or do things after giving any misinformation is considered to be against the law and breach of contract.  (Government, 2015) Section 27A also states for a fact that, if most of the information as known by any of the party is not disclosed to the concerned parties or misrepresented in the form, where their own interest is being satisfied should be considered as an illegal aspect for the government to take strict action against the party. (ACU, 2012) Section 69 of the Contract Act, also states for a fact that the parties involved in these aspects should be notifying clearly about the life insured of the person or any modity. These are the three most important sections of the Contract Act, which are applied in this case of the couple, George and Mildred and the Frank and the Big Bad Caravan[1]. monwealth Consolidated Acts, 2016) In the current scenario, George and Mildred can file a suit against Frank and the Big Bad Caravans as they have misled him with the product big time. Not only this, they showed them a fake price of the product and a forged discounted rate. This is one of the major reasons for the pany to be in the court under the section 27A. As per the court of law , section 69 also states for a fact that any sort of misreprestantion will not be spared. For example, in the current scenario, the warranty for which the couple has paid $1,000 was not entertained effectively. Not only this were they not even informed regarding the fact that many of the claims regarding the tyre bursting aspect is not being acknowledged only. For this reason, the pany can then be taken to the court leading them to have a beneficial aspect as it will help the couple in attaining some amount of the claim.  (ACL, 2012) Other than this they can even take the whole scenario to the court under the above mentioned sections as it would ultimately lead them to make sure that they get the claim for the amount of money that they are suppose to get. And also for the forged advertisement and aspects which are being adopted by the pany to succumb the customers and the normal people.  (Miller, 2014) In order to conclude, it should be said that in the current case, Big Bad Caravans will be convicted by the court as they are being involved in forged advertisement, of their respective products. This will ultimately get the whole case in front of the court and Frank would be convicted then. It is, according to this scenario, George and Mildred will be able to have their claim from the pany and the insurance people too. Their total amount of insurance is being avoided as well, because of which, it is very much necessary for them to make sure that the whole scenario is exposed under the law . The advertisement, which showed the discounted price of the product, is one of the reasons for the pany to be under the radar, and George, being the plaintiff, should bring this under the court of law. According to the sections of the Contract Act, Frank and Big Bad pany would be convicted under the law and appropriate action would be conducted by the court. (J, 2012) (Australian Government, 201 6) ACL. (2012). Overview of Australian contract law. Retrieved March 28, 2017, from www.australiancontractlaw : https://www.australiancontractlaw /law.html ACU. (2012). Contract Law. Retrieved March 28, 2017, from libguides.acu.edu.au: https://libguides.acu.edu.au/c.php?g=234001&p=1553409 Australian Government. (2016). Insurance Contracts Act 1984. Retrieved March 28, 2017, from www.legislation.gov.au: https://www.legislation.gov.au/Details/C2016C00820 Commonwealth Consolidated Acts. (2016). INSURANCE CONTRACTS ACT 1984. Retrieved March 28, 2017, from www.austlii.edu.au: https://www.austlii.edu.au/au/legis/cth/consol_act/ica1984220/ Government. (2015). Australian Contract and Consumer Law. Retrieved March 28, 2017, from https://www.australiancontractlaw /: https://www.australiancontractlaw / J, C. (2012). Contract Law in Australia, 6th Edition (Paperback). Retrieved March 28, 2017, from store.lexisnexis .au: https://store.lexisnexis .au/product?product=contract-law-in-australia-6th-edition-paperback&meta_F_and=9780409330199 Miller, J. (2014). Doing Business in Australia: Contract law. Retrieved March 28, 2017, from www.claytonutz : https://www.claytonutz /knowledge/2014/june/doing-business-in-australia-contract-law Monash University. (2015). mercial law: Contract law. Retrieved March 28, 2017, from guides.lib.monash.edu: https://guides.lib.monash.edu mercial-law/contract-law Similar case has happened in the Masters Vs Cameron 91 CLR353 End your doubt 'should I pay someone to do my dissertation by availing dissertation writing services from

Discussion board Assignment Example | Topics and Well Written Essays - 750 words - 1

Discussion board - Assignment Example Women should be allowed to exercise equal rights and societal privileges as men in all spheres of life. They should also be enlightened to use their numbers to end gender discrimination. Title IX is a federal law in the United States of America that prohibits gender or sex discrimination in education and learning institutions. The law lies under the umbrella of the Educational Amendments Act of 1972. According to this law, no person in the US should be excluded from active participation, denied the benefits or discriminated on the basis of sex in any educational program or activity receiving federal assistance. The law forbids denial of university services such as financial assistance, admissions, counseling and academic advice plus housing among others to individuals on the basis of sex. According to Simon (2005), the department of education has been mandated by law to oversee the implementation and enforcement of this provision. The court handles complaints from the students who suffer discrimination and offers disciplinary actions against the offending institution. The department is also in a position to conduct assessments of compliance in an educational institu tion with the aim of enforcing the law even when no complaint has been raised. Although the establishment was well intended, some intended consequences arose. First, there was a shift of discrimination and inequality from the favor of men as was before to disfavor of the men. Secondly, the amount of funds being used to expand the women’s collegiate sports is far more than that being used on men. This is not right and does not amount to equality. Thirdly, the provision that athletes per gender in an institution be proportional to the students per gender does not take into account the aspect of free participation and revenue generation. Therefore, the unintended consequence is that the law discriminates against men as it tries to reduce

How Usability Improves Mobile Commerce Essay Example | Topics and Well Written Essays - 2000 words

How Usability Improves Mobile Commerce - Essay Example An assessment of various effects that come with interaction with mobile devices and a thorough examination on the form factors, user tasks and the general purpose of these applications on the usability easily benefits the interface design in wireless applications. There are various definitions of mobile commerce which are meant to explore the probable benefits of wireless technology across the globe. Mobile commerce is deemed to be the use of the wireless technology, in particular, the handled mobile gadgets alongside the mobile internet in order to facilitate the search of information, transactions and the user tasks in communications, businesses and intra enterprise (Bang, Lee, Han, Hwang & Ahn, 2013). Not only transactions are supported by mobile commerce applications, but also services such as interaction and value added. Thus, the wireless technology is promising to enhance business relationships and revolutionize electronic commerce in its full adoption in various business ente rprises due to the forecasted solutions mobile gadgets can offer. Usability is currently receiving an increasing attention for mobile commerce since the acquisition and retention of customers for the online retail sites has a high cost. In this context, usability focuses on the features of the sites that enhance satisfactory online shopping. The study of usability on wireless or rather mobile applications is centered on the design constraints which are imposed by a limitation of bandwidth alongside the small display of handled gadgets. Thus, the direct access methods are more effective in the retrieval of tasks with smaller screen displays. In the environment of mobiles, the users have sufficient time alongside the cognitive resources which facilitates performing of tasks. One of the greatest design issues that are linked to the wireless application of mobile commerce is the suitability of the user tasks.

The destruction of all Nuculear Weapons Research Paper

The destruction of all Nuculear Weapons - Research Paper Example Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..4 7. Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..10 References Abstract The paper is a discussion paper based on the adverse effect of the nuclear weapons. It discusses about the several hazards the development and the usage the nuclear weapons have. The paper supports the argument in favor of the destruction or renouncement of the nuclear weapon, which is a means of mass destruction. Reaction Statement Should human beings attempt to urge the power game forward by deploying nuclear weapons or should he take steps towards renouncing nuclear weapons for the sustainability of mankind? Explanation of the reaction stat ement The reason of choosing this statement is not only concerned about the mass destruction that the nuclear weapon creates but also about the obsessive desire of few countries to gain military superiority and supremacy. 66 years ago, at the dawn of August 6, 1945 the entire city of Hiroshima was shaken with a destructive nuclear bomb attack from US. It was soon followed by another nuclear bomb attack on August 9, 1945 at the city of Nagasaki in Japan. The whole world witnessed how in a span of time the cities with its population of 100,000 to 200,000 individuals went into the clutch of death, devastation and destruction. (Dahat, 2009, p. 1) The most important question that arises now is that whether the entire human species can simply stand and witness the destruction of his fellow being or will he act to destroy the human killing weapons and let humanity flourish. (Makhoul, n. d, p. 82) Defining the issues addressed Nuclear weapons are the most dangerous weapons of mass destructi on, which threatens the life of all the living beings living on the planet. The paper discusses the several grounds on which it deem essential for the elimination of the nuclear weapons. After the wreck the nuclear attack had created in 1945, the nations of the world should understand that the destruction created by nuclear attack of any kind havocs demolition. The paper discussed the several adverse effects of the deploying of nuclear weapons. It has harmful effects on environment and the living beings. It is also against the self and other imposed limitations and ethics of war. Position on the reaction question In the discussion paper the stand taken is in the favor of the destruction of the nuclear weapon and thus states that human being should take a firm step against the usage of nuclear weapons in any form. It criticizes the development and usage of the nuclear weapon under any circumstances. Doing something wrong is regarded as sin, likewise just standing and watching someone doing wrong is a sin as well. The paper focuses on the fact that despite of the presence of Non Proliferation Treaty (NTP), the world is under the threat of destruction of the humanity. The NTP rather than minimizing the threats aggravates it and to some extent favors the Nuclear Weapon States (NWS) state against the non Nuclear Weapons States (NNWS). Analysis It has been known that today the nuclear warheads of the World, Russia and US have ten times more arsenals than what it had during bombing the cities of Hiroshima and Nagasaki. It is known that nuclear weapons have not been used after the 1945 attack on Japan but there have been several instances

Appraise the Lean Canvas as a model for start-up businesses. Provide Assignment

Appraise the Lean Canvas as a model for start-up businesses. Provide judgments and interpretations for each element of the model - Assignment Example Here the idea is not to make a perfect business plan, because a perfect plan is a myth. Most of the companies’ make an initial business plan which changes as one grows. Perfection is not the goal. The idea is to prepare a business plan and start a business with the available resources at hand. In this study we will take a start-up of a manufacturing company like a car manufacturing company named Drizzler which will cater to Indian market. Drizzler will import most of its part from outside India and assemble in India. Discussion Customer Segment Possible Customer List of this start-up is anyone who wants to buy a car to use it. But being a start-up business will cater to middle income level families. In India the middle Income population is rising and their income level is also rising (Osterwalder and Pigneur, 2013, p. 123). India being a developing country, its GDP is growing at a healthy rate as compared to the western developed economies. Hence the needs of the middle income families are also rising day by day. They demand products which were previously used by Upper level people. Drizzler will cater to such customers (Ramaswamy and Namakumari, 2009, p. 234). Value Proposition For a middle income family those who want to buy a car, they are driven mainly by desire to own a car. Drizzler will create a value for the segment by manufacturing car which will not be priced too high and having features which will meet the expectation of regular people. Hence if it can satisfy the need for safety, and the esteem needs, then it will cater to the need of average household (Nielsen and Lund, 2012, p. 52). The most important customer segment is the middle income households who wants a bike but can afford a car. It should cater to such families who want to drive car and have a feeling to owning a car and make it their first family car. This car will give them durability and safety which they seek (Kaplan, 2012, p. 42). It is another factor considered important to m iddle income families. Hence they should give a mileage of about 20-25 km/litre. The seating capacity should be for 5 persons with maximum speed of 200 km/hour. Channels The car will be sold through independent sales channel all over India. Such sales channel includes retail dealers present throughout India. Nowadays in India there has been a trend of increasing sales of car in the Tier 2 and Tier 3 cities. It indicates that they must have their presence of distribution channel in those cities. They will sell their products through retail dealers. They must use the advertisement which shows the value proposition it will deliver to the customers (Dent, 2011, p. 141). Through mediums like TV, newspaper, auto magazines and shows on car, it will help them drive their value proposition to the clients. They must also maintain a website which will clearly state the features and the local dealer present. Customer relationships The key to any business is the ability to know what the customer s want. Drizzler will maintain a strong and fast customer relationship programs. Drizzler will run a customer loyalty program. Drizzler will use a magnetic card for anyone who buys the product. When a customer buys a car, he gets points. When the magnetic card is swiped, then the representatives of

Africana studies final assignment Essay Example | Topics and Well Written Essays - 500 words

Africana studies final assignment - Essay Example Thereafter, the European powers struggled to create a sphere of influence for themselves in Africa. These European powers used various methods to acquire these colonies of which were falsehood to the Africans. They included signing of treaties between African and Europeans, which were vague and were to the advantages of Europeans. They used of force, which used military occupation, for example, Ashanti by British, use missionaries and collaboration. Economic, social and political reasons led acquisition of Africa (Shreuder 90). First, Africa came under colonization for economic reasons as an option for abolition of slave trade. Europe had to have an alternative trade commodity from Africa. Africa was rich in minerals, fertile lands for agriculture and cheap labor. Agrarian revolution and industrialization of the mid-19th century caused European power to rethink about Africa. They needed to increase sources of raw materials for their growing industries. Africa was a rich source of raw materials including iron ore, copper, palm oil, rubber and cotton. Furthermore, these European powers wanted extended markets for their manufactured goods. As consequence, they needed to expand their market in Africa. In addition to this, they wanted to have a share in African trade in gold, ivory and slaves. Some of the European powers established settlements and started cash crop farming and livestock keeping, for example, the Dutch settled in Kenyan highlands. Other than the coast, they began to establish trade contacts wit h long distance traders from the interior where they exchanged items of trade. For these reasons, each European power wanted to secure or safeguard their commercial motivations by exercising political control the over sources of raw material and markets (Okoth 44). Europeans invaded Africa for humanitarian reasons. Other than spreading Christianity, missionaries came to Africa to establish schools as means to civilize Africans and to provide health or medical