Nursing research Paper Example | Topics and Well Written Essays - 500 words

Nursing - Research Paper Example The p value is less than 0.001 which indicates that the data obtained are statistically significant. This, therefore, means that one should decrease their caloric intake; to maintain a low BMI because a high BMI puts one at a risk of getting lifestyle diseases such as high blood pressure and type 2-diabetes. 2) There is a very strong link between BMI and HDL cholesterol because according to the results, the correlation coefficient is very close to -1.00 (0.794). The relationship is however negative meaning as the BMI of an individual increases, the level of HDL cholesterol decreases. The p value is also less than 0.001 meaning that the results are statistically significant. Since it is healthy to have high HDL cholesterol levels, one should, therefore, aim at reducing their BMI to acceptable levels. 3) The relationship between the caloric intake and age of the respondents is not strong as indicated by the correlation coefficient (0.129) which is neither close to 1.00 nor - 1.00. The corresponding p value (0.588) also supports the results since it is far much greater than 0.001 indicating that the degree of significance is very low. 4) Using correlations as a statistical test has got several shortcomings. The correlation does not mean a cause-and-effect link between variables and so cannot be used for certain research questions which seek to determine that kind of relationship (Munro, 2005). For instance, it does not show if an increased caloric intake leads to a high BMI or high BMI causes one to take fewer calories. It also quantifies only the strength of the linear relationship and does not provide other details concerning the relationship between the variables. Correlations are also bivariate meaning they only compare two variables from two data sets at a time which may increase chances of making errors since this rarely occurs in reality (Trochim, 2006). This makes it unsuitable for researchers looking for interconnected relationships

Psychopathic behavior Essay Example for Free

Psychopathic behavior Essay Mike Tyson, or Iron Mike, the world’s youngest heavy weight boxing champion, has been involved in several problems with the law. A brief look at his life will show that it is possible that he is suffering from antisocial personality disorder or psychopathy. Mike was born in Brooklyn, New York on June 30, 1966. He came from a broken family as his left them when he was two years old. At his younger years, before 12 years old, he became a member a street gang and was involved in numerous bouts with the law. At the age 12 he was arrested for armed robbery and was sent a correctional center for juveniles in New York. At the age of 16 his mother died, and having no parent, he lived with his boxing trainer D’ Amato, became his legal guardian. There were rumors that he sexually abused a 12 year old girl. At age 20, in 1986, he came the world’s youngest WBC heavyweight champion. At age 21, he became the WBA heavy weight champion, and earned $20 million. Later he was married to actress Robin Givens, but they subsequently divorced. In 1992, he was convicted of rape and he spent 3 years in prison. In an official match, he bit off a chink of Evander Holyfield’s ear, which caused him to be banished from boxing for quite some time. In 1999, he was again sent to prison for assault. In a 2002 press conference, he attacked Lennox Lewis and bit his leg. In 2005, he was in debt for $34 million, despite earning hundreds of millions throughout his career. In 2006, he was again apprehended for driving while under the influence of alcohol. Based on these, it can be believed that Mike Tyson is possibly suffering from antisocial personality disorder. The key symptoms of antisocial personality disorder are; repeated lawbreaking, which can be seen from his repeated arrests; deceitfulness or lying; impulsivity, irritableness and aggressiveness, which can be seen from his assault and attack charges; reckless disregard for own safety and that of others, which can be seen when he was driving without a license; irresponsibility as seen unreliable employment history or not meeting financial obligations, which can be seen is being in debt for millions of dollars; lack of remorse; conduct disorder, which can be seen as he was already a member of a gang conduct disorder before 15 yrs of age. Lacks of affection, severe parental rejection, and lack of discipline from parents, are considered to be the primary causes of psychopathic behavior. In Mike’s case, he came from a broken family. He had no father since he was 2 years old. He had no mother since he was 16 years old. One might assume that mike never that the affection from his parents. When his father left their family, Mike might have taken it as being rejected. Their family set-up provided no or little room for discipline. Experts have found that it is futile to try to alter the nature of psychopaths (Davidson et al, 2004). A reason for this is that psychopaths just play along with therapists, indicating the manipulative character of psychopaths. It is also believed that it is unlikely that psychopaths would want to be in therapy. Recent studies however show that there can benefits from psychosocial treatment for younger patients with the said disorder (Davidson et al, 2004). Because of these, I believe treatment for Mike would be futile. Considering that he is already 42 years old, and that research have shown that treatment for psychopaths are often unsuccessful, and that psychosocial treatment would only benefit younger patients, it would be safe to assume that he will derive minimal, or no benefit at all from treatment. However since, he is already 42 years old, it can also be said that it would not be needed since psychopaths often settle down in middle age and after. In this stage in his life, antisocial behavior is believed to be less evident (Davidson et al, 2004). Reference Davidson, G. C. , Neale, J. M. , Kring, A. M. ( 2004) Abnormal Psychology. USA. John Wiley Sons, Inc.

eBay and Cable TV :: essays research papers

Cable Tv has long been considering ways in which they could create an interactive experience for viewers. Most plans fell to the wayside and were not taken seriously due to lack of interest, as well as, a surge in more profitable sectors including digital cable, high-speed Internet, and telephony. Any interest that was given to Interactive Television (ITV) centered around shopping. Analysts such as Gary Arlen, president of Arlen Communicaitons, note that the rise of e-commerce has made consumers more comfortable with buying things from a screen. Despite the reluctance of consumers to adapt, and due to the change in consumer spending habits, cable TV operaters have a renewed interest in ITV and are trying to work out a way that viewers can use a remote control to make purchases as instantly as they change channels. Time Warner Cable has teamed with eBay to smooth the transition and for a test group of 50,000 participants in the Austin, Texas area, ITV became a reality last Thursday. Those researched were already renting boxes from the cable service and subscribed to its digital video recorder service before being introduced to the new concept. This "trial" effort is being offered at no charge and marks the first deal for the Plano, TX-based Biap System's eBay on TV service. Users of the service can access their eBay accounts, submit new bids on watched items, and track existing bids with a remote control, but no search of eBay is currently offered unfortunately. Though using eBay to revitalize the ITV concept is a smart move, eBay is not the first ITV channel. Always on the cutting edge of consumer technology, Sharper Image launched its ITV offer in February on satellite TV programming provider Dish Network.

Impact of Terrorism on Pakistan Economy

The Effects of Terrorism & Tourism on the Economy of Pakistan Pakistan is one of the poorest countries on the planet, ranking 171st in the world on the GDP per capita measure, according to the CIA's World Factbook. Terrorism is a big detriment to Pakistan's development, including its tourism industry. Terror attacks are common in the country, and even Pakistan's former Prime Minister Benazir Bhutto was killed as a result of a suicide attack in 2007. 1. The Effect on Tourism oTourism is underdeveloped in Pakistan.Most of the people who visit the country are people of Pakistani descent who make up the Pakistani diaspora in the U. S. and other countries. Accordingly, the effect of tourism on the economy of Pakistan is negligible. That said, if the security situation improves, Pakistan could become a fairly popular tourist destination thanks to its unique culture and geography (Pakistan boasts a beautiful mountain terrain of the Himalayas, among other attractions). Terrorism Hinders Comm erce oAccording to a presentation of the Lahore School of Economics, terrorism has a negative impact on the national economy of Pakistan.The threat of terrorism not only diverts resources to security spending, driving up costs for businesses, but also creates instability about business prospects in the country. Businesses find it difficult to obtain bank loans and get into long-term contractual obligations. o Insecurity Hampers Investment oInsecurity that results from terrorism hampers the Foreign Direct Investment that goes into Pakistan. Investors fret that terrorism may lead to Islamic extremists taking power, destabilizing social and economic structures in the country.

My Wrist Watch Essay

My watch means a lot to me, and is one of my most cherished possessions which I’ve ever had. It came about on a beautiful day I decided to escort â€Å"shade† my girlfriend to the Mall for some window shopping. That same day was my birthday. I had never celebrated my birthday, and I still didn’t see any reason to do so that day. We checked as many things as we could in most stores, although we had no money to purchase one single thing. We walked into this particular jewelry store which Shade had always talked about in the past. I really had no love for jewelries, so for me, going or not going to that jewelry store, really made no difference at all. Along the line, we ended up at this jewelry store Shade had been talking about. Inside the jewelry store I felt so bored, and gazed into the thin air, like I really had something I took serious notice of; but in reality I was looking through the jewelry and its shelves. At this point I really felt like a soggy cow, forced to the river. Just about ten minutes in this store, my eyes caught sight of this object on the jewelry shelf. About five feet away, it looked so attractive and seemed as pretty as a Mona Lisa painting. Something really made this object outstanding compared to other objects on the shelf. Moving closer, and about a foot away from the jewelry shelf, I could conclude that this glittering object was a watch. From where I stood I could conclude that this watch was manufactured from solid yellow gold bars of about eighteen karat gold and stainless steel. it had about a 40mm case and about a 20mm bracelet. It had this unique feature of having an independent setting for the hour hand, and further featured the date function at the 3 o’clock hour of the face. It also had a crown laid at the 12 o’clock hour, which at that juncture, made me connect with the reality that I was standing in the presence of a brand of an almighty Rolex watch.  Within a split second, one of the sales ladies walked up to me and offered me assistance, but what could she offer me, except for name and the price of the watch, which I immediately asked her for. She let me know the name of the watch was a Rolex Thunderbird, and it would cost me about $800 to purchase it. At that point $800 registered in my brain as two times my monthly rent. All the same the watch still looked to me like it worth more than that amount. Standing close to the door was Shade; she looked like she had been standing there for close to twenty five minutes. I immediately met up with her, and I thought I heard her say she was surprised and thought that I never loved watches. I know I never really loved watches, but there was really something different and special about this watch that could not add up. Shade dropped me of at my apartment and hurriedly left, which was unlike shade that would always like to spend some time with me before leaving. Well for me, that was not a problem, because at the moment, the only immediate problem I had was where on earth I could get $800 to purchase the Rolex watch I saw back there at the jewelry store. As much as I could remember, I never expected Shade to came back to my apartment that night, as I was about to go to bed. But as she came back, this time she came with a birthday gift. Since I knew shade, she had never given me a birthday gift, nor had she ever remembered my birthday. Well on unwrapping the gift, and then opening the black box, there laid a Rolex Thunderbird wrist watch, which was exactly the same wrist watch, I saw at the store much earlier in the day. Nobody had given me a birthday gift in the past 20 years. This was the greatest gift of my life, and which till this day, remains an important piece of my life.

Motherdaughter Conflicts essays

Motherdaughter Conflicts essays My mothers expression was what devastated me: a quiet, blank look that said she lost everything. (p. 143, The Joy Luck Club) In the novel, The Joy Luck Club, by Amy Tan, the characters Suyuan and Jing-Mei (June) have a tumultuous mother-daughter relationship: one that ultimately is composed of conflict and commitment for one another. Their opposing ideas and beliefs is the product of their life experiences, which are drastically different. This and their lack of communication are responsible for many of the problems they face in their relationship. Only when June learns of her mothers past, her life experiences and the ways in which she was raised, can these conflicts be resolved. Amy Tan reveals several themes through her novel, in which she intends for her audiences to understand and learn. Some themes include such topics as lifes choices, and understanding our family and ourselves. Mother-daughter relationships are perhaps the most painful but the most rewarding relationship women share. And though a simple comment such as Youre becoming more like your mother every day. might offend or strike terror in the female heart, she is still considered to be the rock on which we stand, and a steady hand that guides us through life. To understand the mother-daughter connection (healthy or destructive) it is wise to delve deeper and explore why we are first- natural enemies, secondly- why she (our mother) is determinably unpleasable, and last, how to redefine the mother-daughter relationship, so that both can learn and accept the other as she presently is by appreciating the others good qualities and accepting the bad. What is it about the mother-daughter attachment that yields natural enemies and demands so much power? No other human being is as similar to her daughter than the daughters mother. They are mirrored from head to toe. And almost replicated down to their gene...

High Noon essays

High Noon essays How are Close ups used in High Noon? Close ups are used in the film to show and create tension, to show the importance of objects and the feelings of, and to detail the characters. For example, the chair that miller was convicted in is frequently shown throughout the film. By shooting a close up of the chair it shows importance in the story of the film. Close ups of characters in the film were of the characters head. This showed expressions quite easily to the viewer. The close ups in High Noon were used to show the expressions of the characters. This was seen in the film right at the start when Millers men were riding into town and close ups were used to show the town folks fear and shock towards the three men. Close ups were also used when a montage of shots (Juxtaposition of images showing a dynamic relationship between shots) were shown across the screen as the clock counted down to Noon. These shots emphasized the importance of the object or character in the film. Objects such as the clock, the railway station, th e chair that Miller was originally convicted in were shown inn this montage and so were all the characters thats were present in the film and had an influence on Kane. An example of an extreme close up was used in this montage as well. It was when a shot of Millers three men was put on the screen. This showed them all, waiting in anticipation, for Millers noon train to arrive. What techniques are used in High Noon to show the dilemma that Will Kane faces? The Director, Fred Zinnemann, uses a series of props and prompts in the film to show the dilemma that Will Kane, the main character, faces during the film. Zinnermann uses music throughout the film to create a sense of tension for the viewer. The lyrics to the song relate to what actually happens in the movie, and when a viewer listens to them, he or she may think that Will Kane may be i...

Business Studies Coursework

Business Studies Coursework Business Studies Coursework Business Studies Coursework Business studies coursework writing should start with the effective introduction presenting the reader to the topic, lead to well-developed and logically presented main points, and end with the relevant conclusion. Business studies coursework writing is not easy because in addition to following the academic standards of coursework writing, you must relate your writing to the real life examples. Sometimes, business studies coursework is to be presented in the form of the case study. Sometimes, you have a specific case to read and then provide answers to the questions on the case. Sometimes, you are required to conduct the research on the particular business issue and present your business studies coursework in the form of the report. There are many possible formats to follow, but the rules for successful business studies coursework writing are the same. If you need professional help with writing your business studies coursework, you may rely on our custom writing service and get a cus tom written coursework! Step 1: Choose the Business Studies Coursework Topic Do not think that having a general topic is enough to write a good coursework. The truth is that good business studies coursework are focused and narrow enough to exhibit your deep understanding of the issue. For example, if your teacher asks you write a business studies coursework about ethics at workplace, you should not try to cover all possible aspects of the topic. It would be much more effective to choose one aspect of workplace ethics (discrimination against female workers and the reaction of management to it, for example) to develop your writing. Of course, you need to ask your teacher about the specifics beforehand. It can be the case that you must cover the general topic of business ethics. Step 2: Include Evidence in your Business Studies Coursework It is of primary importance to support the ideas made in business studies coursework with factual reliable information. Rely on statistics, official reports, governmental publications, Harvard business case studies, etc. Here is the example of data to include in your coursework: It is estimated by Otto T. Mallery that government outlays in America have grown to about $900,000,000 a year, of which one-third or $300,000,000 might be set aside annually in accumulating a reserve for increased expenditures during periods of partial business collapse. The periods for reserve he concludes, are on the average about four years thus supplying a possible total of $1,200,000,000 public reserve fund to plump into the deepening trough of cyclical depression. Of this very tidy sum Mr. Mallery thinks two-thirds or $800,000,000 would normally be expended in wages. This, added to the non-reserve-year pay-roll of $600,000,000 offers a possible expenditure during one year when the effects of industrial depression become ominous-of $1,400,000,000 for direct employment. This would be of enormous benefit in avoiding acute distress. Step 3: Proofread your Business Studies Coursework This step appears to be evident but yet it is often ignored by the students. It is normal to make mistakes and mistype the words. However, it is unacceptable to submit business studies coursework without proofreading: It takes a lot of time and efforts to write a good business studies coursework while many students are not able to afford their time to coursework writing as there many other tasks to accomplish. We offer you an effective and working solution: custom coursework writing help! Our coursework writers are qualified to help you with writing and they will definitely follow all requirements. We deliver only custom coursework written from scratch and 100% original! If you need help with religious coursework writing or looking for paper editing help, our writers are always online to assist you with all types of assignments! Interesting posts: Political Science Thesis Parts of a Thesis Master Thesis Get Dissertation Help Dissertation Subjects

Argument essay Example | Topics and Well Written Essays - 750 words

Argument - Essay Example Unpopular when first proposed and passed in 2010, the ACA has steadily gained acceptance since the Supreme Court ruling on the constitutionality of the law last June. The disagreement is between two opposing ideologies. One that believes health care should be a commodity much like any other, you buy as much as you can afford and if you cannot afford it then do without. The other thinks all citizens are entitled to the bare essentials of life including food, shelter, clothing and healthcare. Before the ACA passed and was a still a bill trying to survive in Congress, legislators and the American public were locked in a contentious national debate that further divided a nation already deeply separated by a conflicting concept regarding the country’s ideological direction. One side was frightened that â€Å"creeping socialism† was undermining the â€Å"American ideal.† They did not want European style governance claiming that the transformation would change the found ations of the country into something unrecognizable to them. The anti healthcare faction went as far as to use groundless scare tactics such as saying Obamacare death panels would come for grandma after she became too unhealthy to justify paying for continuing care. This and other statements just as untruthful and outrageous were not found on a radical, unknown blog posts but were spoken on the Senate steps by elected representatives in front of cameras and microphones. The battle was tough even by Washington D.C. standards but was won and subsequently preserved by the Supreme Court and the November 6 election. Despite the rumors of death panels killing dear old Grandma, the AARP and AMA along with nearly every person or organization involved with health care delivery supported the ACA and for good reason. The law already forbids health insurance companies from dropping coverage if a policy holder becomes ill and discriminating on the basis of pre-existing conditions and age. It all ows easier access for everyone, lets children age 26and under to stay on their parent’s plan, assists with long-term care and strengthens Medicare. The law also addresses preventative care. Already, insurance companies must pay for preventative services such as diabetes screenings, mammograms and immunizations at no cost to the patient and without adding to their insurance premium. By 2014, when it is fully implemented, annual and lifetime coverage limits will be a thing of the past. This means benefits will not end when they are most needed, during a serious and costly stay in the hospital. Small businesses and middle income families will receive tax credits which will guarantee all can afford healthcare (â€Å"Fact Sheet,† 2012). Opponents to health care reform seem to favor the components of the ACA but not the law as a whole. They fear the level of care will decline providing compelling evidence to back up their claim. â€Å"Fewer than 700,000 physicians would be available to treat a patient population growing in size, aging in years, shunning medical education and receiving ‘free’ health care or insurance coverage from the government in increasing numbers.† (â€Å"Doctor Shortage,†

Some people read these stories as literature. Some people read these Essay

Some people read these stories as literature. Some people read these stories as Jewish literature. Whats the difference - Essay Example In her book, Elisa Albert makes it clear that she is an aspiring writer writing on Jewish themes, which is how she described herself after being asked by agents (179). This instantly creates a picture of a Jewish-themed literature being read by the reader. Her later references to women attending shiva, which is a Jewish period of mourning, establishes her essentially Jewish subject matter of her books. Even Roth makes several references to Jewish concepts and terms which conjure up an image of a perceived Jewish novel (139). In the chapter, The Conversion of the Jews, the Jewish and the Christian contradictions in the status of Jesus is highlighted when Ozzie points out that Jesus was not God (Roth, 140). So, at several points in the two books, the readers are reminded of the Jewish essence in the themes. Albert particularly points out her identity as an aspiring writer that too, essentially a Jewish writer writing on Jewish American novels centering her attention at women. This demonstrates the inseparable nature of her Jewish literary identity with her writing career. The references to Judaism are plenty and it is evident that Albert considers her style of writing as essentially Jewish. However, apart from the Jewish theme, Roth does not talk about his writings as a Jewish author although his work reflects a marked tinge of Judaism. Albert talks about her debut novel to Roth highlighting its great ideas. Albert can be observed to be speaking with great enthusiasm about her debut novel which supposedly has great ideas but which ironically is still finding a home. It is amusing to see how Albert’s â€Å"great† novel has yet to be published (179). Also, her concept of â€Å"Great American Jewish Novel† ironically presents a satirical account of women in the light of Jewish traditional contexts. Although Albert would openly embrace the fact that she is a Jewish literature

Netflix Research Paper Example | Topics and Well Written Essays - 500 words

Netflix - Research Paper Example programming distributors, direct broadcast satellite providers and telecommunication providers; (3) entertainment video retailers; and (4) DVD rental outlets and kiosk services (â€Å"Netflix, Inc. Form 10-K,† 2012). According to Aaker (2007) market analysis can be viewed at through seven dimensions: market size, market growth rate, market profitability, industry cost structure, distribution channels, market trends and key success factors. According to Datamonitor (2012) the global movies and entertainment market generated total revenues of $109.4 billion in 2009 which represented a 0.2% growth rate from 2005-2009. This industry spans multiple sectors and is highly dynamic. The major growth driver for this industry is the rapid evolution of platforms and delivery methods epitomized by smartphones, tablets and the social Web. Analyzing an organization’s value chain makes it easier to identify where value is added and/or where the organization could develop a cost advantage. Online businesses such as Netflix benefit from the Internet’s ability to lower the costs in much of their value chain especially in inbound and outbound logistics, operations and distribution channel. However, in order to develop competitive advantage online companies must invest, innovate and grow competencies in technology, infrastructure and service. Also, these companies have to operate on low-cost models given the market’s expectation for lower products prices. Plunkett Research (2012) identified increased consumer demand for more control over what they read, listen to or watch as the premier factor that will drive changes in this market in the near future. According to them, issues of control will be manifested through portability, pricing and delayed viewing or listening. Portability refers to the ability to view and share content across multiple platforms such as iPads, Android smartphones, digital TV and desktop operating systems. Pricing for content is important given

Women and institutions Essay Example | Topics and Well Written Essays - 500 words

Women and institutions - Essay Example Most of the societies practice division of labor by sex and age. Traditional western models depict men as economic providers, since their role was dynamic while women were domestic consumers and their role was static (Bosen, 319, 1984). Anthropologist and other social scientist have discovered that men are only partial economic providers. The contribution of men towards women and children vary in different cultures and depends in variations of women work. Women make significant economic decisions not only for children but also for men and the society (Wardlow, 153). Therefore, the important issue in analyzing economic system of any society is by considering the division of labor, and ways the fruits and labor are shared. The early model of hunting society presented man as the chief provider and decision maker in the society. The early model of foragers as the blue print of sexual division of labor has been widely criticized (Merlan, 262, 1991). It was assumed that foragers depended on meat as their only food and men did all the hunting as women stayed in camps with children waiting for men to bring them food. Anthropologist challenged this model when they started analyzing the contribution of women in foragers’ society. After extensive research, there are four changes in the model. Meat was not the staple food in forages society compared to the total food intake (Stivens, 331, 1970). When meat was less important in the meal than plant food, men still went out to hunt while women provided food for their groups through their contributions. Even in the male hunting and women, gathering model contributes sexual separation in food contribution especially between animal and vegetable food. Division of labor between sexes is flexible and changing in individuals and cooperative efforts (Stivens, 330, 1970). There are some difficulties in separating horticultural and agricultural societies. The major difference is the

Counter Insergency in Afghanistan Essay Example | Topics and Well Written Essays - 1250 words

Counter Insergency in Afghanistan - Essay Example (Jeffery 1995) Till 1989, the Soviet Union had been fighting against these Mujahideen but could not win. They had to pull out from rugged terrain of Afghanistan. This resulted in the disintegration of Soviet Union in to several independent Republics. The left over triumphant Mujahideen divided between themselves under Persian speaking northern alliance and Pushto speaking Taliban (Rizwan 2005). Since the later group was dominant in numbers and support from the other surrounding Islamic countries captured almost allover Afghanistan in 1994. They continued in gaining grounds and strengthening their power on the basis of fundamentalist version of Islam (William Maley; 1998) and disregarded the allowance of Human Rights to all the other nations of the World. After 09/11, 2001 when the trade center in New York came under attack and caused destruction of thousands of lives in USA. The allegation went directly to Taliban and Usama Bin Laden allegedly hiding in Afghanistan. Now the Taliban had to go. USA along with NATO forces attacked Afghanistan and dislodged Taliban Government. Contrary to Soviet occupation Taliban could not resist the US pressure arms and ammunition for a longer time. Since 2002 the conventional US coalition forces installed Hamid Karazai's Government with a view to build national consensus of political process and start the reconstruction work on war footings. The American strategy changed from destruction of enemy by force and aimed at large scale reconstruction efforts to ally the local population for elimination of Taliban as a potential danger for peace and security in the region. Taliban had in fact proved to be the political arm of Al-Qaida covertly operative in USA. The reconstruction efforts under Hamid Karazai Government have proved to be a success at a larger scale. On the political front, American and NATO forces have been able to secure larger portion of local populace at least in Urban and Sub-Urban Areas. The local commanders have been lured into the political and reconstruction process. They have been instrumental in containing Talibization of the areas under the control. They have been actively participating in Jirgaaz (Political Congregation of Elders). The International community has been able to pledge significant funding for Afghan Economy. At London Conference of International Donors in 2006 US$ 10.5 Billion have bee n pledged for the five-year plan of security governance rule of law and human rights. At this point of time Afghan Government has been portraying a much bigger and better picture of economy and good chances of foreign direct investment. Since 2001 around 15 billion US$ have been spent on the reconstruction efforts of Afghanistan. There are numerous UN agencies and International NGOs like Action Aid UK, Oxfam UK, ICRC UK who have been pro-actively working for the betterment of Afghan Nationals. All these efforts have effectively demoralized and contained the spread of Taliban in Afghanistan. This was not the case while Soviet's had

Women and institutions Essay Example | Topics and Well Written Essays - 500 words

Women and institutions - Essay Example Most of the societies practice division of labor by sex and age. Traditional western models depict men as economic providers, since their role was dynamic while women were domestic consumers and their role was static (Bosen, 319, 1984). Anthropologist and other social scientist have discovered that men are only partial economic providers. The contribution of men towards women and children vary in different cultures and depends in variations of women work. Women make significant economic decisions not only for children but also for men and the society (Wardlow, 153). Therefore, the important issue in analyzing economic system of any society is by considering the division of labor, and ways the fruits and labor are shared. The early model of hunting society presented man as the chief provider and decision maker in the society. The early model of foragers as the blue print of sexual division of labor has been widely criticized (Merlan, 262, 1991). It was assumed that foragers depended on meat as their only food and men did all the hunting as women stayed in camps with children waiting for men to bring them food. Anthropologist challenged this model when they started analyzing the contribution of women in foragers’ society. After extensive research, there are four changes in the model. Meat was not the staple food in forages society compared to the total food intake (Stivens, 331, 1970). When meat was less important in the meal than plant food, men still went out to hunt while women provided food for their groups through their contributions. Even in the male hunting and women, gathering model contributes sexual separation in food contribution especially between animal and vegetable food. Division of labor between sexes is flexible and changing in individuals and cooperative efforts (Stivens, 330, 1970). There are some difficulties in separating horticultural and agricultural societies. The major difference is the

Analyzing two critiques of one piece of art Essay

Analyzing two critiques of one piece of art - Essay Example Here, the main focus of the author’s argument is on the sensuality principle and especially that of the female persona in influencing selling strategies and in attracting, influencing and sustaining interactions at public gatherings1. In the second article on Manets Bar at the Folies-Bergà ¨rese is titled â€Å"Manets Un bar aux Folies-Bergere as an Allegory of Nostalgia.†As the title suggests the interpretation and critic on the same piece of painting is centered on the nostalgic memories it evokes. The author seems to be keen to part from the prevailing analysis of the painting which â€Å"canonized† it based –ironically and heavily-on its unrealistic visual contradictions and ambiguities as opposed to the more obvious clarity of its content2. The author therefore attempts to embrace the complete scene of the Folies-Bergà ¨rese as set of multiple views and states of mind. The focus and therefore the purpose is to resolve the most controversial and ambiguous elements of the painting therein provide a narrative evaluation that previous art critics, scholars and enthusiasts alike have failed to. He achieves this by first beginning with a critique of evaluations by other authors on Manet’s Bar at the Folies-Bergà ¨rese(such as those of Hans Jantzen) and thereby examining the source and direction of the painter’s inspiration in the development of the piece. The author prevails in asserting that the value of making such grandeur pieces was not just for sale at exhibitions but in form of the industrial goods displayed in them similar to the advertising of departmental stores and commercial enterprises through them. The former, identifies the author, diminishes the perception of art within the public domain to a level similar to that of shelved domestic goods3. This close association between commercial entities and large-certainly influential-artwork of the time is replicated in other stores and as such

Cognitive Behavioral Theory Essay Example for Free

Cognitive Behavioral Theory Essay Cognitive behavioral therapy (CBT) is a short-term, problem-centered therapy that is used to address psychopathology within the individual (Beck, 1995). This model of therapy is used to address issues of depression, anxiety, eating disorders, relational problems, and drug abuse, and can be utilized when working with individuals, as well as within group and family modalities. The core aspects of this therapy include collaboration and participation by the client, a strong alliance between therapist and client, and an initial focus on current problems and functioning (Beck, 1995). The theory of CBT emphasizes the relationship between the individual’s thoughts feelings and behaviors, which is seen as being the underlying cause of psychopathology in individuals. Therefore, this theory asserts that the identification, evaluation, and modification of one’s negative thoughts will lead to an improvement in one’s mood and behaviors (Beck, 1995). It is important to understand the concepts and theory from which CBT is based in order for it to be efficiently implemented in therapeutic work with individuals, groups, or families. While CBT is used to treat psychological disorders, this theory can be examined by looking at the thoughts, feelings, and behaviors of individual’s with an absence of psychopathology. Beck (1979) and Beck (1995) present the cognitive model in order to explain the theory of CBT. The cognitive model demonstrates that the emotions that an individual experiences and the behaviors that they exhibit are a result of their perception of a situation or event (Beck, 1995). When in any given situation, an individual’s immediate thought response is their automatic thought (Beck, 1995). These thoughts are an immediate evaluation of the situation, which in turn directly influence the feeling that a person has about the situation. Automatic thoughts are experienced by everyone and occur in the individual’s mind prior to reasoning. These thoughts occur swiftly and often times the individual may be unaware that they have occurred, being more observant of the emotion that they are feeling in the moment (Beck, 1995). Once an automatic thought occurs within the individual, it triggers a feeling, which in turn triggers the individual’s response, such as a behavior and/or physiological response. For example, after a young child begins to pick up his blocks to be put away, his mother rubs him on the back and gives him praise for his actions. His automatic thought may be, â€Å"I am good when I put away blocks,† triggering a feeling of confidence, an increased level of physical energy, and the behavior of putting away the remaining blocks. Automatic thoughts can be neutral, positive, or negative. We all have our own automatic thoughts as we move through our day-to-day lives and interact with others. In regards to individuals with psychological disorders, the cognitive model looks at how negative thoughts influence the individual’s feelings and behaviors (Beck, 1995). From a CBT lens, it is the negative automatic thoughts that an individual has that perpetuate symptoms of psychological disorders, the occurrence of negative mood, uncomfortable physiological responses, and maladaptive or inappropriate behaviors (Beck, 1995). While we all have moments of experiencing negative automatic thoughts, for those with psychological disorders, and more pervasive difficulties in living, negative thoughts are often experienced in situations that are neutral, producing negative feelings that lead to maladaptive behaviors or responses that would not typically be expected from the neutral situation (Beck, 1995). Aaron Beck presents theory of the cognitive model of how depression is rooted and perpetuated in individuals as a result of the interaction between negative automatic thoughts, feelings, and behavioral response. In this discussion, depression is conceptualized in terms of the cognitive triad, which describes three components of negative thinking of the depressed individual: the individual’s negative view of self, their negative view of the others and the world, and their negative view of the future (Beck, Rush, Shaw, Emery, 1979). The cognitive triad is maintained via the remaining components of Beck’s cognitive model of depression, the individual’s schemas, or core beliefs, and the utilization of faulty thinking, or cognitive errors (Beck, Rush, Shaw, Emery, 1979). Cognitive theory asserts that our automatic thoughts are rooted in our core belief system or cognitive schemas. Core beliefs begin to be developed early in life and are based on experiences that the individual has throughout their life. Because these beliefs are so grounded in how the individual views their life, others, and the world, and begin to be cultivated so early in development, they become a fundamental aspect of the individual, who considers them to be absolute truths (Beck, 1995). Core beliefs are deeply rooted in an individual, so much so that the individual may be unaware of the belief and how it influences their thoughts about themselves and the world. Each belief can have varying levels of presence within an individual’s day to day life, with some core beliefs remaining predominately dormant and only being activated in certain situations, while others may be frequently present in an individual’s thoughts (Beck, 1995). It is the individual’s cognitive schemas that allows for the categorization and evaluation of different experiences or situations (Beck, Rush, Shaw, and Emery, 1979). The core belief system maintains the way an individual experiences and thinks about a given situation (Beck, Rush, Shaw, Emery, 1979). While everyone conceptualizes a given situation in their own way, each individual typically conceptualizes similar situations in a similar way based on their own core beliefs (Beck, Rush, Shaw, and Emery, 1979). Within a set of similar situations, the individual’s core beliefs trigger automatic thoughts, which in turn trigger the individual’s emotional and behavioral response. Over time, the individual’s responses to similar situations become more consistent, thereby causing the development of a routine response to these types of situations. As this consistently occurs, the schema connected to particular type of event is further developed and the individual’s assertion that the belief holds absolute truth is strengthened (Beck, Rush, Shaw, Emery, 1979). Beck’s theory underlying CBT focuses on the idea that symptoms of depression, as well as those of other psychological disorders, are developed and maintained through to the individual’s negative core beliefs and triggered negative thoughts. In addition to the individual’s negative schemas, Beck’s theory states that the cognitive triad of negative cognitions of self, others, and future is further perpetuated through patterns of faulty thinking (Beck, Rush, Shaw, Emery, 1979). There are a variety of faulty thinking mechanisms that are used by individual’s to support their automatic thoughts and core beliefs, even in light of contradictory evidence (Beck, Rush, Shaw, Emery, 1979). This type of thinking can be characterized as labeling, over generalizing, personalization, emotional reasoning, magnification or minimization, and all-or-nothing or impetrative thinking (Beck, 1995). These cognitive errors are often extreme and unrealistic ways in which the individual assesses and draws conclusions regarding their problems, which is then used to further support their negative belief system and automatic thoughts. CBT theory declares that the individual can learn to identify their automatic thoughts, thereby creating an avenue for changing the emotions, behaviors, and psychological responses to various situations. When utilizing CBT with a client, it is necessary for the therapist to conceptualize the individual’s presenting problems from the perspective of the cognitive model (Beck, 1995). This can be done through the work of gathering information regarding the individual’s current problems, diagnosis, and how the problems have been developed and maintained. As this information is collected, the CBT therapist begins to assess and identify the inaccurate and unhelpful thoughts connected to the problems, and the behaviors that are exhibited as a result of this thinking (Beck, 1995). As this is done, the therapist can then begin to guide the individual to identify, examine, and correct or modify the negative automatic thoughts, underlying core beliefs, and faulty thinking mechanisms that have sustained the presenting problems (Beck, 1995).

Things Fall Apart Masculinity English Literature Essay

Things Fall Apart Masculinity English Literature Essay Our lives are influenced by our peers and there believes. For instances, Ibo tribes in Africa believe in male masculinity and dominance, such that all individuals are conditioned from a young age to understand the concept of male superiority. Anyone who strays away from this believe is shunned by the community or considered weak. In Chinua Achebes Things Fall Apart the main character Okonkwos life is based upon the believe of male masculinity and hard work. He prides himself on his masculinity and does not accept failure or weakness of any kind including any from his family members. An example of an individual that Okonkwo despised and does not accept was Okwonkos father Unoka. To the community he was weak and considered to not be a true man. He was a failure in the eyes of society and constantly burrowed money. Unoka had only taken one wife and was unable to support his family. This inability to support his family stemmed from his bad work ethic and laziness. When Unoka died he had taken no title at all and he was heavily in debt (pg. 5). Due to his failure Unoka was frequently called an Agbala, which is a word that means a woman or an insult that describes a man that has taken no titles. Seeing his father inability to provide for the family Okwonko devoted his life to hard work and to hate everything his father loved. Unokas failures sculpted Okwonko to the man he was in the novel he became hard working and despised laziness. He was the complete opposite of Unoka, earning many titles, having many wives and being a successful man. All aspects of Okonkwos life were devoted to masculinity. Even when farming he was conditioned by his clansmen that yams their staple crop is the king of crops. This is further the male dominance in the Ibo culture because males will be the only people able to provide for the family. When his family was working hard to provide food he thought it would not help because they could not grow yams. He thought that His mother and sisters worked hard enough, but they grew womens crops, like coco-yams, beans and cassava.(pg. 19) and that Yam, the king of crops, was a mans crop (pg. 19). These believe caused him to seek yams seeds at a young age to try to help grow crops for his family. Masculinity is so important to Okonkwo that he would have done everything he could to prevent anyone from questioning his masculinity. This is due to his father failure and position in the Ibo community. Every time he felt weak Okonkwo was reminded of his father failure and how he was not able to provide for his family. Which lead Okonkwo to even participated in the killing of his adoptive son Ikemefuna because he was afraid of being thought weak (pg. 53). Afterward he slumped into a period of depression because of his actions. Okonkwo did not taste any food for two days after the death of Ikemefuna (pg.55). His view of masculinity is so high that he was even willing to kill his loved ones. One of the main traits of masculinity that Okonkwo believed in was the ability to control everyone in his household. He believed that all people must obey what he says in house and do what they were told. Whenever any of his wives talked back or tried to argue with him he would beat them. Okonkwo ruled his household with a heavy hand. His wives, especially the youngest, lived in perpetual fear of his fiery temper (pg. 10). Â  In addition he believed that no matter how prosperous a man was, if he was unable to rule his women and his children (and especially his women) he was not really a man (pg.46). This is why he would always talk down to his children and wives to show that he is the authority figure in the house and if anyone one would question this he would beat them. Overall Okonkwo refused to accept any signs of someone challenging his authority as the leader of his house hold. During The New Yam Festival, a holiday that is celebrated by feasting an argument arises between Okonkwo and his second wife Ekwefi. The New Yam Festival was a time of relaxation but in the eyes of Okonkwo it is a sign of laziness which he hates so very much. This causes him to become angry and in a fit he complains about a banana tree which Ekwefi cut some leaves form. Without further argument Okwonkwo gave her a sound beating and left her and her only daughter weeping (pg. 33). Okwonko became even more enraged when he heard her murmured something about guns that never shot (pg. 33), an insult on his poor hunting skills and shot at her with his gun. Luckily for Ekwefi he missed, but this proved how any sign of defiance or challenge to his masculinity is unacceptable to him in anyway. Throughout the novel Okonkwo does not show any signs of compassion for his children. In his perspective it is effeminate and a sign of weakness. This is also the reason why he never shows any love for his daughter Enzima. He even stated that he will not have a son who cannot hold up his head in the gathering of the clan (pg. 28) and that he would rather strangle him with his own hands. (pg.28). At one point he scolded Nyowe his eldest son and Ikemefuna his adoptive son about how to grow yams properly. Inwardly Okonkwo knew that the boys were still too young to understand fully the difficult art of preparing seed-yams. But he thought that one could not begin too early. Yam stood for manliness, and he who could feed his family on yams from one gravest to another was a very great man indeed (pg. 28). This shows how important being a man is and how being effeminate will not be tolerated in his household while he is alive. Okwonko even put his favorite child in danger because of his masculinity. When Ezinma fell sick Ekwefi wanted to take action, but the Oracle would not let her. Okwonko did not try to stop the Oracle even thought he loved Ezinma. He was afraid that if he showed any compassion he would be thought of as less of a man. Ekwefi could not even take any action for her own daughters sake for it was against the tradition and culture of their village Umofia. Ekwefi already lost five other children at young ages but now that Ezinma had come to ten years of age she refuse to let anything hurt her. She did everything she could to protect her. Even before Ezinma was born Okonkwo hired a medicine man to help get rid of the bad spirit that was haunting her. The doctor ordered that there should be no more mourning for the dead child. Then he took it away to bury in the Evil Forest, holding it by the ankle and dragging it on the ground behind him. (pg. 69). Yet Okwonko let the Oracle take Enzima away a nd only went looking for her after a while because it was the manly thing to do. Okwonkos belief in the Ibo masculine lifestyle eventually leads him to his death. He wanted to take action and kill everyone who was trying to change his way of life that he grew up with. When the messengers came to stop the gathering Okonkwo drew his machete(pg. 176) and cut the lead messenger down. The messenger crouched to avoid the blow. It was useless. Okonkwos machete descended twice and the mans head lay beside his uniformed body. (pg. 176). Then everyone started to panic and question why he killed the messengers. That was when he realized his way of life was over because they let the other messengers escape. Later on he committed suicide by hanging himself from a tree. This shows that he was so ingrained in his cultures lifestyle that when it was taken away he had nothing left to live for. Okonkwos believe of masculinity lead him to beat his own children and wife. In addition it also lead him to kill one of his loved ones. Even thought he loved Ikemfuna like a son he hated weakness so much because of his father laziness and inability to support his family. Okonkwos also believes that yams are the king of all crops like all his clansmen does because it is the staple crop of the Ibo people of Africa. He is so ingrained in the belief of masculinity that he commits suicide when he discovered his way of life that he lived his entire life had been taken away from him. We live our lives based on the ideas of people around us and when it is gone we are gone with it such in the case of Okonkwo. Words 1502

Samuel Huntingtons The Clash of Civilizations and the Remaking of Worl

Abstract Samuel Huntington's The Clash of Civilizations and the Remaking of World Order defines eight major civilizations on the basis of religion. This division of global powers can be used to prove that the Western civilization will never completely dominate the global media. While Western thought tends to lead to a more representative form of government, and consequently a more libertarian or social responsibility-based media, the other belief systems of the global powers tend to lead to more authoritarian government and media formats. This difference creates constant conflict between the global powers, thus disabling any one civilization from subjugating the others. Issue Paper In The Clash of Civilizations and the Remaking of World Order, Samuel Huntington asserts the idea that the end of the Cold War marked the beginning of a realignment of global powers. Huntington believes these powers, or civilizations, can be distinguished by religion, and he divides the post-Cold War world into eight major civilizations: Sinic/Confucian; Japanese; Hindu; Islamic; Orthodox; Western; Latin American; and possibly African (45-47). This division of power among religion is the basis for the argument against complete Anglo-dominance of a "global media." The vast differences among the various civilizations' treatment of the media will prove too great for even the transnational corporations to overcome. To take Huntington's theory one step further, the religious differences among these civilizations will be at the heart of the inability of the Western (Anglo-dominated) world to exert total power over the rest of the world. Huntington is careful to separate each religion, excepting Japanese, Latin American and African, from any particul... ...ations of the Moscow Patriarchate, "The Russian Orthodox Church Today." 1996. Grice, Corey. "Russia, Latin America installing fiber-optic networks." CNET News.com. February 3, 2000. Hickerson, Delvin and Trevor Kirkland, The Geography of Confucianism. May 17, 1999. Huntington, Samuel, The Clash of Civilizations and the Remaking of World Order. New York: Simon & Schuster, 1996. Infobeat / AP. "Japan publishers pressured to tone down descriptions." November 11, 1999. Newsday / AP. "Japan Crown Prince attacks press." February 23, 2000. Sprunger, Meredith. The Urantia Book -- On-line Reference Edition. 2000. The New York Times / AP. "Algeria detains photographer." April 03, 2000. The Washington Post. "War reports limited on Russian TV." October 11, 1999. Yahoo / Reuters. "Afghanistan art gallery reopens, but portraits banned." February 22, 2000.

Does Hong Kong Recovered from the Subprime Crisis

Background In 2007, the soaring mortgage delinquencies and foreclosures in the United States triggered the sub-prime crisis and soon spread over the world. In this report, major causes of the sub-prime crisis and its impacts on Hong Kong’s economy will be examined. Different measures made by regulators and financial institutions to tackle this crisis will be discussed also. Lastly, evidence about the recovery of Hong Kong will be provided. The sub-prime crisisIn 2007, the collapse of subprime mortgage-backed securities (MBSs) brought to a huge loss among mortgage lenders. Many large financial firms including New Centaury Financial Corporation and Lehman Brothers Holdings Incorporation declared bankruptcy, which resulted in a downturn in the global financial market and a series of chain reactions spreading over the world afterwards. Impact of the sub-prime crisis on the Hong Kong financial institutions After the outbreak of the subprime crisis, the Hong Kong financial market sh rank along with the global economic recession.The stock market in Hong Kong declined from recorded high of 31,000 in October 2007 to 20,700 in March 2008 (Diagram 1) as investors losses their confidence and withdrew money from the market. Moreover, many banks wrote down huge amount of money for numerous sub-prime related securities. For example, HSBC wrote off US$17. 284 billion for potential losses in MBS or MBS related investments (HSBC 2008). Bank of China (Hong Kong) also wrote down HK$550m subprime-linked assets (Liu 2008). Lastly, there was a credit crunch due to the uncertainty about the amount of MBS related assets held by banks and insurance companies.As a result, many financial institutions reduced loans to each other and increased the interest rate because of high credit risk. Many new companies and corporations were unable to obtain fund to further develop and improve liquidity. Measures undertaken by the regulators and financial institutions In order to strengthen the c onfidence of the citizens and stabilize the banking system, the Hong Kong Deposit Protection Board strengthened and amended the Deposit Protection Scheme Bill in 2011. The 100 % deposit protection scheme of HK $100,000 was first launched in 2008.The amount of protection was increased to HK$500,000 in 2011. Besides, the Hong Kong Monetary Authority has made certain measures to deal with the problem. Firstly, HKMA announced a temporary policy which allowed licensed banks to access to liquidity assistance through the Discount Window with US dollar assets and extended the duration of liquidity assistance up to three months on 30th September 2008. These measures helped to improve liquidity within the banking system and further ease pressures in the interbank market (HKMA, 2008).The Hong Kong Interbank Overnight Offered Rates dropped from 3% to 0. 3% in a few weeks time after the announcement of these measures (HKMA, 2010). Secondly, the HKMA implemented a macro stress testing of the bank ing sector’s vulnerability to shocks such as the sub-prime crisis. Meanwhile, HKMA used the macroeconomic credit risk models to improve the stress testing of banks’ residential mortgage loans and other loan portfolios (Carse, 2008). The objective of this testing is to help HKMA monitor the banking sector and avoid problems similar to sub-prime crisis from happening in Hong Kong.Financial institutions wrote off large amount of money and tried to raise money in the market to improve their liquidity. In 2009, HSBC announced a USD$17. 7 billion rights issue. Shareholders were offered five new ordinary shares for every 12 existing shares at a price of HK$28 per new share (HSBC, 2009). This helped HSBC to restore its capital-debt ratio and allowed it to go over bad times without government assistance. Has Hong Kong economy fully recovered? According to the statistic in 2011, the real GDP growth rate was restored to 5% from -2. % in 2009. And the unemployment rate was dropped to pre-crisis level, it decreased from 5. 4% in January 2009 to 3% in December 2011 (Hong Kong Census and Statistics Department , 2012). The supply of money is in an increasing trend as well. Both M3 and domestic credit were having a 10% increase in 2010, compared with a decrease in 2008 and 2009. And the inter-bank offered rate dropped to a very low level of 0. 09% (Hong Kong Census and Statistics Department , 2012). These figures show that Hong Kong economy has restored gradually to pre-crisis level.However, there are certain hidden problems. Firstly, regulators worry about the inflation problem in Hong Kong after the injection of trillions of funds into the market from the Federal Reserve. Since HK dollar is linked with US dollar, the large increase in money supply in U. S dollar will in turn accelerate the inflation in Hong Kong. Secondly, the case of Lehman Brothers Mini Bond has shown that current regulations on financial products are not sufficient, small individual investor s can be misled easily.Further regulations and monitoring on financial products is necessary. Lastly, after the â€Å"lesson† of subprime crisis, many people lost their belief in financial investment which as a result restricted the development of financial market in Hong Kong. To conclude, the subprime does not only cause many adverse consequences to the global financial market including Hong Kong, but also brings some hidden problems. The cooperation between government and financial institutions is vital to help Hong Kong economy recover from the sub-prime crisis.

The Hand-in Assignments

Untitled Document 1 of 4 https://elearning. uol. ohecampus. com/bbcswebdav/institution/UKL1/C†¦ WEEK 6 ASSIGNMENTS Print Page Use the links below to jump directly to the related information. Hand-in Assignment Individual Project HAND-IN ASSIGNMENT Hand-in Assignments are one way for you to demonstrate your learning. The Hand-in Assignments provide an opportunity to apply concepts and strategies to an authentic context. Typically, Hand-in Assignments are written papers or computer programs that are submitted to the Instructor.They require you to pull together information from the weekly Learning Resources, the Discussion and your own experiences to address an issue from the perspective of a real-world situation. Unless otherwise noted, the papers you write in Hand-in Assignments must follow Harvard Referencing Style reference and citation guidelines. You must submit your answers to the following Hand-in Assignment (HA) questions by the end of Day 7 (Wednesday). Answers will be su bmitted to the weekly Assignments area, but are not to be posted in the module Discussion Board. Question 1 Activity Mean durationStd. dev. (days) A 11 0. 9 B 13 1. 1 C 7 0. 2 D 9 0. 8 E 6 1 F 7 1. 2 G 10 0. 7 H 9 0. 6 11/04/2013 9:52 AM Untitled Document 2 of 4 https://elearning. uol. ohecampus. com/bbcswebdav/institution/UKL1/C†¦ I 8 0. 8 Table 1 Complete the following: 1. Calculate the project completion time. 2. Indicate the critical path activities. 3. What is the probability of completing this project between 38 and 40 days? 4. What are the slack values for activities C and F? Interpret the meaning of their slack values? Question 2 A registered nurse is trying to develop a diet plan for patients.The required nutritional elements are the total daily requirements of each nutritional element as indicated in Table 2: Required nutritional element total and daily requirements Calories Not more than 2,700 calories Carbohydrates Not more than 300 grams Protein Not less than 250 g rams Vitamins Not less than 60 units Table 2 The nurse has four basic types to use when planning the menus. The units of nutritional element per unit of food type are shown in Table 3 below. Note that the cost associated with a unit of ingredient also appears at the bottom of Table 3.Required nutritional element and units of nutritional elements per unit of food type Element Milk Chicken Bread Vegetables Calories 160 210 120 150 Carbohydrates 110 130 110 120 Protein 90 190 90 130 Vitamins 50 50 75 70 Cost per unit ?0. 42 ?0. 68 ?0. 32 ?0. 17 Table 3 Moreover, due to dietary restrictions, the following aspects should also be considered when developing the diet plan: 1. The chicken food type should contribute at most 25% of the total caloric intake that will result from the diet plan. 2. The vegetable food type should provide at least 30% of the minimum daily requirements for vitamins.Complete the following: Provide a linear programming formulation for the above case. (You do not need to solve the problem. ) 11/04/2013 9:52 AM Untitled Document 3 of 4 https://elearning. uol. ohecampus. com/bbcswebdav/institution/UKL1/C†¦ Save your Assignment as a . doc, . docx, or . rtf file and use the Turnitin link below to submit it. Return to top INDIVIDUAL PROJECT T he purpose of this simulation project is to provide you with an opportunity to use the POM-QM for Windows software to solve a linear programming problem and perform sensitivity analysis.POM-QM for Windows software For this part of this project, you will need to use the POM software: 1. Read Appendix IV of the O perations Management (Heizer & Render, 2011) textbook. 2. Install and launch the POM-QM for Windows software and from the main menu select Module, and then Linear Programming. Note: You can retrieve the POM-QM for Windows software from either the CD-ROM that accompanied your Heizer and Render (2011) textbook. 3. Program the linear programming formulation for the problem below and solve it with the us e of POM. Refer to Appendix IV from the Heizer and Render (2011) textbook. ) Note: Do not program the non-negativity constraint, as this is already assumed by the software. For additional support, please reference the POM-QM for Windows manual provided in this week’s Learning Resources. Individual Project problem A firm uses three machines in the manufacturing of three products: Each unit of product 1 requires three hours on machine 1, two hours on machine 2 and one hour on machine 3.Each unit of product 2 requires four hours on machine 1, one hour on machine 2 and three hours on machine 3. Each unit of product 3 requires two hours on machine 1, two hours on machine 2 and two hours on machine 3. The contribution margin of the three products is ? 30, ? 40 and ? 35 per unit, respectively. Available for scheduling are: 90 hours of machine 1 time; 54 hours of machine 2 time; and 93 hours of machine 3 time. The linear programming formulation of this problem is as follows: Maximise Z = 30X1 + 40X2 + 35X3 3X1 + 4X2 + 2X3

Alternative Communication Intervention In Children Health And Social Care Essay

Children and young person who sustain a traumatic encephalon hurt ( TBI ) and/or spinal cord hurt ( SCI ) may hold impermanent or lasting disablements that affect their address, linguistic communication and communicating abilities. Having a manner to pass on can assist cut down a kid ‘s confusion and anxiousness, every bit good as enable them to take part more actively in the rehabilitation procedure and therefore, retrieve from their hurts. In add-on, effectual communicating with household, attention staff, equals, instructors and friends is indispensable to long-run recovery and positive results as kids with TBI and SCI are integrated back into their communities. This article describes how rehabilitation squads can utilize augmentative and alternate communicating ( AAC ) and assistive engineerings ( AT ) to back up the communicating of kids retrieving from TBI and SCI over clip. 1. Introduction Children and young person who sustain a terrible traumatic encephalon hurt ( TBI ) and/or a spinal cord hurt ( SCI ) frequently experience sequealae that can impact their ability to pass on efficaciously. In early stages of recovery, many kids with TBI and SCI are unable to utilize their address or gestures for a assortment of medical grounds related to their hurts. As a consequence, they can profit from augmentative and alternate communicating ( AAC ) intercessions that specifically address their ability to pass on basic demands and feelings to medical forces and household members and inquire and react to inquiries. AAC attacks may include holding entree to a nurse ‘s call signal ; schemes to set up a consistent â€Å" yes † â€Å" no † response ; techniques that help a kid â€Å" oculus point † to simple messages ; low-tech boards and books that encourage interaction with household members and staff ; communicating boards with images or words ; and speech bring forthing devices ( SGDs ) with preprogrammed messages, such as â€Å" I hurt † â€Å" Come here, † â€Å" Help me delight! † â€Å" When ‘s ma coming? † As kids with TBI and SCI recover from their hurts, many no longer will necessitate AAC. However, some kids face residuary motor, address, linguistic communication and cognitive damages that affect their ability to pass on face-to-face, write or usage mainstream communicating engineerings ( e.g. , computing machines, electronic mail, phones, etc. ) . A few may necessitate AAC and assistive engineering ( AT ) throughout their lives. Having entree to communicating through AAC and AT enables these kids to take part actively in the rehabilitation procedure and finally, in their households and communities. Without an ability to pass on efficaciously, kids with TBI and SCI will confront unsurmountable barriers to instruction, employment, every bit good as set uping and keeping relationships and taking on preferred societal functions as grownups. All AAC intercessions aim to back up a kid ‘s current communicating demands while be aftering for the hereafter ( Beukelman and Mirenda, 2005 ) . However, the class of AAC intervention for kids who sustain TBIs and SCIs is different because of the nature of their hurts is different. In add-on, the focal point of AAC intercessions will differ for really immature kids ( e.g. , shaken babe syndrome ) who are merely developing address and linguistic communication and for those who were literate and have some cognition of the universe prior to their hurts ( e.g. , 16 year-old involved injured in a motor vehicle accident ) . For immature kids, the AAC squad will concentrate on developing their linguistic communication, literacy, academic, emotional, and societal accomplishments, every bit good as guaranting that they have a manner to pass on with household members and rehabilitation staff. For older kids, AAC intercessions build on residuary accomplishments and abilities to assist re ctify address, linguistic communication and communicating damages every bit good as provide compensatory schemes that support face-to-face interactions and finally communicating across distances ( phone, electronic mail ) with squad members, household and friends. AAC intercession ends seek to advance a kid ‘s active engagement in household, instruction, community and leisure activities and purpose to back up the constitution and care of robust societal webs ( Blackstone, Williams, and Wilkins, 2007 ; Light and Drager, 2007 ; Smith, 2005 ) . While a assortment of AAC tools, schemes and techniques are available that offer communicating entree, successful AAC intercessions for kids with TBI and SCI besides require that medical staff, household members and finally community forces know how to back up the usage of AAC schemes and engineerings because the demands of these kids change over clip. Speech-language diagnosticians, nurses, occupational healers, physical healers, physiatrists, baby doctors, and rehabilitation applied scientists work collaboratively with the kid ‘s household and community-based professionals to set up, keep and update effectual communicating systems. Ultimately, the end is for kids to take on coveted grownup functions ; AAC can assist them recognize these ends. 2. Pediatric TBI and AAC AAC intercession for paediatric patients with TBI and terrible communicating challenges is an indispensable, complex, on-going and dynamic procedure. AAC is indispensable to back up the alone communicating demands of kids who are unable to pass on efficaciously. It is complex because of the residuary cognitive shortages that frequently persist and because many kids with TBI have co-existing address, linguistic communication, ocular, and motor control shortages ( Fager and Karantounis, 2010 ; Fager and Beukelman, 2005 ) . AAC intercessions are ongoing and dynamic ( Fager, Doyle, and Karantounis, 2007 ) because kids with TBI experience many alterations over clip and undergo multiple passages. Light et Al. ( 1988 ) described the on-going, three-year AAC intercession of an stripling who progressed through several AAC systems and finally regained functional address. DeRuyter and Donoghue ( 1989 ) described an person who used many simple devices and a sophisticated AAC system over a seven month period. Extra studies describe the recovery of natural address up to 13 old ages post onset ( Jordan, 1994 ; Workinger and Netsell, 1992 ) . 2.1. AAC Assessment and Intervention Appraisal tools can assist place and depict the cognitive, linguistic communication and motor shortages of patients with TBI and supply a model for AAC intercessions. The Pediatric Rancho Scale of Cognitive Functioning ( adapted by staff at Denver Children ‘s Hospital in 1989 ) is based on the Ranchos Los Amigos Scale of Cognitive Functioning ( Hagan, 1982 ) . Table 1 describes general degrees of recovery, based on the Pediatric Rancho Lost Amigos Scale, and gives illustrations of AAC intercession schemes that rehabilitation squads can use across the degrees as described below. Levels IV and V. AAC Goal: Determining responses into communicating In the early stage of recovery, paediatric patients at Levels IV and V on the Pediatric Rancho Scale are frequently in the PICU, the ICU, acute infirmary or acute rehabilitation environment. At Level V ( no response to stimuli ) or Level IV ( generalized response to stimuli ) AAC intercessions focus on placing modes that kids can utilize to supply consistent and dependable responses. For illustration, staff can utilize simple switches ( e.g. , Jelly BeanA ® , Big RedA ® and Buddy Button from AbleNet ) , latch-timers ( e.g. , PowerLinkA ® from AbleNet ) and individual message devices ( e.g. BIGmackA ® and Step CommunicatorA ® from AbleNet ) to back up early communicating ( see Table 1 for some illustrations ) . Because kids ‘s early responses may be automatic instead than knowing, the household and medical/rehabilitation squad can besides utilize AAC engineerings to promote more consistent responses. Families provide valuable input about the sorts of music, games and f avourite toys a kid finds actuating. The squad can so utilize these points to arouse physical responses from the kid. For illustration, if the household identified the battery-operated plaything ElmoA ® from Sesame StreetA ® , the rehabilitation squad might show Elmo singing a Sesame Street vocal and so detect to see if the kid ‘s responds. If the kid begins to turn her caput when ElmoA ® sings, the squad might attach a switch with a battery interrupter to the plaything and inquire the kid to â€Å" hit † the button and â€Å" play the ElmoA ® vocal † . In making so, the squad can larn several things. For illustration, the squad may observe that a kid is able to follow bids, bespeaking cognitive recovery. The squad may besides get down to see alternate entree methods for kids with terrible physical damages, i.e. , head motion may go a dependable manner to run an AAC device or computing machine in the hereafter. It is hard to foretell whether a kid will re trieve natural address during early phases of recovery. 2.2. Middle Levels II and III: AAC Goals: Increase ability to pass on with staff, household and friends and support active engagement in intervention Pediatric patients at Levels III ( localized response to centripetal stimulations ) and II ( antiphonal to environment ) go more occupied in their rehabilitation plans as they recover some cognitive, linguistic communication and physical abilities. During this stage, long-run shortages that affect communicating become evident ( e.g. , dysarthria, apraxia, aphasia, attending, induction, memory, vision, spasticity ) . Dongilli, Hakel, and Beukelman ( 1992 ) and Ladtkow and Culp ( 1992 ) besides report natural speech recovery in grownups after TBI at the in-between phases of recovery. Continued trust on AAC schemes and engineerings is typically due to relentless motor address and/or terrible cognitive-language shortages ensuing from the hurt ( Fager, Doyle, and Karantounis, 2007 ) . AAC intercessions at these degrees focus on utilizing a kid ‘s most consistent and dependable response to pass on messages, promote active engagement in the rehabilitation procedure and increase interactions with household and staff. AAC intercessions ever take into history the kid ‘s developmental degree and involvements. Table 1 gives some illustrations of AAC engineerings employed during these Levels III and II. For illustration, Jessica was admitted to the infirmary at 18-months with jolted babe syndrome. At Level II, she began reacting to her parents by smiling and express joying and besides began to pull strings playthings with her non-paralyzed manus when staff placed a plaything within her integral field of vision. However, she did non exhibit any address or imitative vocal behaviours and her speech-language diagnostician noted a terrible verbal apraxia. Nursing staff and household members noted that Jessica seemed frustrated by her inability to show herself. Prio r to her hurt, she could call over 30 objects ( playthings, pets, favourite sketch characters ) and was get downing to set two word sentences together ( Momma adieu, Daddy place ) . AAC intercessions included the debut of a BIGmackA ® , a single-message address bring forthing device ( SGD ) that enabled the staff and household members to enter a message that Jessica could so â€Å" speak † during her day-to-day activities ( e.g. , â€Å" more † , â€Å" adieu † , â€Å" turn page † ) . Because the BIGmackA ® is a colourful, big and easy to entree SGD, Jessica was able to â€Å" press the button † despite her upper appendage spasticity and important ocular field cut. Within a month, Jessica had progressed to utilizing a MACAW by ZygoA ® , an SGD with eight-location sheathing that staff programmed with words she had used prior to her hurt ( e.g. , mommy, daddy, more, bottle, book, adieu ) . Staff besides designed extra sheathings to promote her linguistic communication development by supplying vocabulary that enabled her to build two-word combinations ( e.g. , â€Å" more crackers † ) . Jessica began to show herself at a developmentally appropriate degree, but she had residuary memory shortages that required cuing and support from her communicating spouses. For illustration, ab initio, she did non remember how to utilize her AAC system from session to session so staff needed to re-introduce it each clip. However, after several months, Jessica began to â€Å" seek † for her SGD to pass on. Jessica, like many kids with TBI at this degree, was able to larn processs and schemes with repeat and support ( Ylvisaker and Feeney, 1998 ) . 2.3. Level II and Level I. AAC Goals: Support passages, recommend AAC schemes and engineerings for usage at place and in the community As paediatric patients passage from Level II ( antiphonal to environment ) to Level I ( oriented to self and milieus ) , they frequently move from an ague rehabilitation installation to an outpatient scene, place or a attention installation. Thus, before discharge, AAC squads will carry on a formal AAC appraisal and supply long-run recommendations for AAC schemes and engineerings that can enable kids to be integrated successfully back into community environments. Table 1 illustrates the types of AAC engineerings and schemes employed at Levels II and I, as described below. For kids who continue to utilize AAC and AT when they return to their communities, the rehabilitation squad identifies a long-run communicating advocator. This individual, frequently a household member, becomes actively involved in AAC preparation and collaborates with rehabilitation staff to fix the kid ‘s educational staff, extended household and other health professionals ( Fager, 2003 ) . Having a nexus between the rehabilitation squad and community professionals is indispensable because most instructors and community-based clinicians have limited experience working with kids with TBI and may necessitate support to pull off the cognitive and physical shortages frequently associated with TBI. For illustration, McKenzie, a 12 year-old with a terrible TBI secondary to a auto accident, was quadriplegic with terrible spasticity and no upper appendage control. She besides had cortical sightlessness and important communicating and cognitive damages. As she recovered, McKenzie used a assortment of AAC systems ( e.g. , thumbs up/down for â€Å" yes † â€Å" no † , two BIGmacksA ® to pass on picks, and a scanning Cheap Talk by Enabling Devicess with four messages to take part in structured activities ) . Prior to dispatch, the rehabilitation squad conducted a formal SGD rating and recommended the Vmax by DynaVox Mayer-Johnson, a voice end product device. McKenzie was able to entree the device via a caput switch mounted to the side of the caput remainder on her wheelchair. Using audile scanning, she could make and recover messages. Because she was literate anterior to her hurt and could still spell, the staff set up her device to include an alphabet page every bit good as several pages with pre-programmed messages incorporating basic/urgent attention demands, gags and societal remarks. Family and friends participated in her rehabilitation and learned to utilize tactile and verbal prompts to assist her participate in colloquial exchanges. Due to h er residuary cognitive shortages, nevertheless, McKenzie had trouble originating conversations and retrieving where pre-stored messages were in her device. When prompted, she would react and originate inquiries and could prosecute in conversations over multiple bends. Over clip, she began to take part in meaningful, societal interactions, frequently spelling out two-three word novel phrases utilizing her alphabet page While her parents were restituting their place to manage her wheelchair, McKenzie transitioned to a regional attention installation that specialized in working with immature people with TBI. The ague rehabilitation squad identified McKenzie ‘s aunt as her AAC advocator because she had participated actively in earlier stages of McKenzie ‘s recovery, was adept with the care ( bear downing, set-up and basic trouble-shooting ) of the Vmax and could custom-make and plan new messages into the system. The attention installation staff met with McKenzie ‘s aunt weekly so they could larn how to back up McKenzie ‘s usage of the SGD. Specific developing aims included care and basic trouble-shooting, set up, switch-placement and how to plan new messages to utilize in specific and motivative activities. Staff learned how to modify the arrangement of her switch when McKenzie became exhausted or her spasticity increased. Additionally, McKenzie ‘s school staff ( particul ar instruction coordinator, speech-language diagnostician, occupational healer, and one of her regular schoolroom instructors ) visited McKenzie at the rehabilitation and the attention installations to assist fix for her return place and learned how to back up her in school, given her physical and cognitive restrictions. 2.4. AAC subjects in TBI When working with paediatric patients with TBI, three AAC â€Å" subjects † emerge. 1. Recovery from TBI is dynamic and takes topographic point over clip. In early phases of recovery, most kids with TBI have physical, address, linguistic communication and cognitive shortages that affect their communicating accomplishments. Depending on the nature and badness of their hurts, nevertheless, most recover functional address, although some will hold life-long residuary address, linguistic communication and communicating shortages. Acute rehabilitation squads can use AAC intercessions to back up communicating, every bit good as proctor the kid ‘s altering communicating abilities and needs over clip. 2. The cognitive-linguistic challenges associated with TBI make AAC intercessions peculiarly disputing for rehabilitation staff, every bit good as for households, friends and school forces. Because of the complex nature of the residuary disablements caused by TBI, coactions among rehabilitation specializers, household members and community-based professionals are indispensable. Some kids with TBI require AAC supports throughout their lives. Family members, friends and school forces seldom know how to pull off their terrible memory, attending and/or induction shortages that can impact long-run communicating results. 3. There is a demand to be after carefully for passages. Children with TBI will undergo many passages. While research depicting these passages in kids is non available, studies of the experiences of grownups with TBI describe multiple passages over clip. Penna et Al. ( 2010 ) noted that grownups with TBI undergo a important figure of abode passages peculiarly in the first twelvemonth following hurt and Fager ( 2003 ) described the different passages ( acute attention infirmary, outpatient rehabilitation, skilled nursing installation, place with grownup day care services, and finally assisted life ) for an grownup with terrible TBI experienced over a decennary, documenting important alterations in his cognitive abilities, every bit good as his communicating spouses and support staff. Children with TBI are likely to see even more passages over their life-times. 3. Pediatric SCI and AAC Pediatric patients with SCI frequently have integral cognitive accomplishments and terrible physical disablements that can interfere with their ability to talk. In add-on, they frequently have important medical complications and may be left with terrible motor damages that make it hard, if non impossible, for them to compose, entree a computing machine or take part in the gambling, online and remote societal networking activities embraced by today ‘s young person ( e.g. , texting, electronic mail ) . A subgroup may besides show with a attendant TBI sustained as a consequence of the autumn, auto accident or other traumatic event that has changed their lives. For them, AAC intervention must reflect guidelines that take into history both SCI and TBI. As with TBI, the growing and development inherent in childhood and adolescence and the alone manifestations and complications associated with SCI require that direction be both developmentally based and directed to the person ‘s particular demands ( Vogel, 1997 ) . Initially, AAC intercessions typically focus on guaranting face-to-face communicating when address is unavailable or really hard ; over the long term, nevertheless, enabling kids to compose and prosecute in educational, recreational and pre-vocational activities utilizing computing machines and other mainstream engineerings becomes the focal point. 3.1. AAC Assessment and Intervention The ASIA standard neurological categorization of SCI from the American Spinal Injury Association and International Medical Society of Paraplegia ( 2000 ) is a tool that rehabilitation squads often use to measure patients with SCI because it identifies the degree of hurt and associated shortages at each degree. This can assist steer the rehabilitation squad ‘s clinical decision-making procedure for AAC intercessions. As shown in Table 2, kids with high tetraplegia ( C1-C4 SCI ) have limited caput control and are frequently ventilator dependant. They frequently require oculus, caput, and/or voice control of AAC devices and mainstream engineerings to pass on. While switch scanning is an option for some, it requires higher-level cognitive abilities, endurance, and watchfulness and may be inappropriate for really immature kids and those who are medically delicate ( Wagner and Jackson, 2006 ; McCarthy et al. , 2006 ; Peterson, Reichle, and Johnston, 2000 ; Horn and Jones, 1996 ) . Ch ildren with low tetraplegia ( C5-T1 SCI ) demonstrate limited proximal and distal upper appendage control. If fitted with splints that support their arm and manus, some are able to utilize specially adapted mouse options ( e.g. , control stick mouse, switch-adapted mouse, trackball mouse ) , big button or light touch keyboards and switches to command engineering. These kids are besides campaigners for caput trailing and voice control of AAC devices due to the weariness and physical attempt involved in utilizing their upper appendages. For illustration, a multi-modal entree method to AAC engineering and computing machines may include voice control to order text, manus control of the pointer with an adaptative mouse to execute other computing machine maps ( e.g. , unfastened plans ) , and an adaptative keyboard to rectify mistakes that are generated while ordering text. This multi-modal attack can be more efficient and less thwarting than utilizing voice control entirely for these kid s. Table 2 provides illustrations of appropriate entree options to AAC and mainstream engineerings. 3.2. Supporting face-to-face communicating For kids with high tetraplegia, being dependent on mechanical airing is scaring particularly when they are unable to digest a speaking valve ( Padman, Alexander, Thorogood, and Porth, 2003 ) . Therefore, supplying these kids with a manner to pass on is indispensable to their recovery and sense of wellbeing. As kids with lower degrees of hurt are weaned from a ventilator, they may see decreased respiratory control and be unable to talk ( Britton and Baarslag-Benson, 2007 ) . Medical specializers can supply entree to AAC schemes and engineerings, which enable these kids to pass on their wants, demands and feelings throughout the twenty-four hours. This allows them to interact with direct attention staff, participate in their rehabilitation procedure, and keep relationships with household and friends. Pediatric rehabilitation squads may utilize a scope of AAC schemes and engineerings to back up face-to-face communicating in kids with SCI. Some illustrations include low tech communicating boards used with oculus regard or oculus pointing, partner-dependent scanning, an electro voice box with intra-oral adapter, or laser light indicating to a mark message or missive on a communicating board ( Britton and Baarslag-Benson, 2007 ; Beukelman and Mirenda, 2005 ) . Introducing AAC and AT engineerings early in the recovery procedure, peculiarly for kids who demonstrate high tetraplegia, will besides get down to familiarise them with attacks they may necessitate to trust on extensively throughout their lives, even after address returns. For illustration, Jared, a 17-year-old high school senior, sustained a SCI in a skiing accident at the C2 degree. In add-on to his hurts, he developed pneumonia and a terrible tail bone lesion during his hospitalization, which lengthened his infirmary stay. He was unable to digest a one-way speech production valve due to the badness of his pneumonia and reduced oxygenation during valve tests. Although Jared had minimum caput motion, he was able to command an AccuPointa„? caput tracker to entree his place laptop computing machine and spell out messages he could so talk aloud utilizing speech synthesis package. He used his AAC system to bespeak his medical demands to health professionals and subsequently reported that holding the ability to pass on helped relieve some of the anxiousness he experienced due to his status and drawn-out hospitalization. After Jared recovered the ability to utilize a speaking valve, his work with the AccuPointa„? focused on computing machine ent ree to run into written and societal communicating demands. Once his lesion had healed, he was able to return place 11 months subsequently. At that clip, all of his schoolmates had graduated. Using the AccuPointa„? , Jared was able to finish his GED at place and enrolled in on-line categories at the local community college. 3.3. Supporting written communicating and instruction At the clip of their hurt, some paediatric patients with SCI are pre-literate, others are developing literacy accomplishments, and others have extremely developed literacy accomplishments. However, most kids with tetraplegia will necessitate the usage of assistive engineerings to back up written communicating because their hurts preclude them from utilizing a pencil and/or typing on a traditional computing machine keyboard. In a study depicting the educational engagement of kids with spinal cord hurt, 89 % of the kids with tetraplegia relied on AAC to back up written communicating demands ( Dudgeon, Massagli, and Ross, 1996 ) . For illustration, Max, a 6 year-old male child who suffered a C6 SCI after an All Terrain Vehicle accident, was reading age-appropriate sight words and developing his ability to compose individual words prior to his hurt. After the initial recovery period, formal testing revealed that Max had no residuary cognitive or linguistic communication damages. However, he faced important barriers non merely to his continued development of age-appropriate reading and composing accomplishments, but besides to his ability to larn and make math, societal surveies, scientific discipline, drama games, use a cell phone, etc. Due to his tetraplegia, he needed ways to entree text and write, calculate, draw and so on. Max learned to entree a computing machine utilizing a big button keyboard, control stick mouse, and adaptative hand-typers ( turnups with an affiliated stylus that fit on the ulnar side of the manus and let the user to press the keys of a keyboard ) to back up composing activities and com puting machine entree. During rehabilitation, he was able to go on with his school assignment by developing the accomplishments to utilize the engineering and maintain up with his schoolmates. He returned place during the summer and participated in an intense place tutoring plan. By the autumn, he was able to fall in his schoolmates and was able to execute at grade degree in all categories. Essential to Max ‘s future educational success and development, every bit good as his future employment, may good depend on his ability to compose, calculate and possibly even pull utilizing a assortment of assistive engineerings that support communicating. 3.4. Support societal engagement and pre-vocational activities Entree to assistive and mainstream engineerings non merely facilitates engagement in instruction, but besides has deductions for future employment as these kids passage into maturity. Assistive and mainstream engineerings are now available at modest cost that can assist persons with SCI to counterbalance for functional restrictions, overcome barriers to employability, heighten proficient capacities and computing machine use, and better ability to vie for paid employment In add-on, these engineerings besides provide entree to life-long acquisition, recreational activities and societal networking activities. Specifically, computing machines are described as â€Å" great equalisers † for persons with SCI to prosecute in employment chances and distant communicating ( McKinley, TewksBury, Sitter, Reed, and Floyd, 2004 ) . Social engagement in the current technological age includes more than face-to-face communicating. Social engagement has expanded with the popularity of societal networking sites ( e.g. , Facebook a„?and MySpacea„? ) , video web-based communicating ( e.g. , Skypea„? ) and instant communicating and messaging ( e.g. , Twittera„? ) . Progresss in the field of AAC have allowed persons with the most terrible hurts entree computing machine engineerings to prosecute in these societal communicating activities. For illustration, Crystal was a 10-year-old who sustained a C1 SCI due to a autumn. Crystal ‘s hurt left her with no head/neck control and her lone consistent entree method to computerise engineering was through oculus trailing. With an ERICA oculus regard system from DynaVox Mayer-Johnson, Crystal rapidly became independent with computing machine entree. She emailed and texted her friends and household daily, communicated via her Facebooka„? history, and engaged in on-line gambling plans with her friends and siblings. This engineering allowed her to get down to pass on once more with her school friends while she was still undergoing acute rehabilitation. Keeping these societal webs is an indispensable constituent to emotional accommodation kids with SCI go through after prolonging a terrible hurt ( Dudgeon, Massagli, and Ross, 1997 ) . Additionally, Crystal ‘s friends began to understand that while her damages were terrible, she was basically the same individual with the same involvements, wit, ends, and outlooks as before her hurt. 3.5. AT/AAC subjects in SCI When working with paediatric patients with SCI, three AAC â€Å" subjects † emerge. 1. For those with high tetraplegia, AAC may ease face-to-face every bit good as distant and written communicating demands, depending on the developmental degree of the kid. Introducing AAC engineering early, when face-to-face communicating support is needed, helps the kid become familiar with the engineering they will necessitate to trust on after natural address has recovered. 2. Return to an educational environment is a primary end with many kids with tetraplegia returning to school within an norm of 62 yearss post discharge ( Sandford, Falk-Palec, and Spears, 1999 ) . Development of written communicating accomplishments is an indispensable constituent to successful educational completion and future vocational chances ( McKinley, Tewksbury, Sitter, Reed, and Floyd, 2004 ) . 3. Introduction to methods of written and electronic communicating provides an chance for patients with SCI to prosecute in societal webs through electronic mail, texting, and societal networking sites. As these kids with terrible physical disablements face a life clip of possible medical complications ( Capoor and Stein, 2005 ) , the ability to keep and develop new societal connexions via electronic media allow them to remain connected during times when their medical conditions require them to be house or hospital-bound. 4. Decision Communication is indispensable for continued development of cognitive, linguistic communication, societal, and emotional accomplishments. Children with TBI and SCI have physical and/or cognitive-language shortages that interfere with typical communicating abilities. Their communicating demands are supported through AAC schemes and engineerings. A myriad of engineering options are available that non merely back up face-to-face interactions, but every bit of import distant societal networking and educational activities. AAC intercessions in the medical scene that non merely back up communicating of basic medical demands, but besides facilitate battle in societal, educational, and pre-vocational activities will ensue in successful passage to place, school and community environments for these kids.