Autism in Children Essay example - 1050 Words

Autism according to Merriam-Webster Dictionary is defined as â€Å"a variable developmental disorder that appears by age three and is characterized by impairment of the ability to form normal social relationships, to commutate with others, and by stereotyped behavior patterns.† Autism was believed to be a psychiatric or emotional illness, and doctors told mothers that they were the cause. They were wrong. The cause for autism is still a mystery, however, the facts remain that autism in children is on the rise. Erin Allday of the San Francisco Chronicle writes, â€Å"Environmental factors play a more important role in causing autism than previously assumed and, surprisingly, an even larger role than genetic.† There are theories based on that†¦show more content†¦The Autism Society says, â€Å"children with autism often have repetitive body movements such as, hand flapping, spinning, or head banging.† An autistic child often avoids interaction with o thers and does not like to give eye contact during dialogue. Mastering social skills and interaction is a challenge for children living with autism. Autistic children often do not play with other children. Part of this is noticed during the early developmental stages of childhood. Autistic children are often referred as off in a world of their own, unaware of people or events around them. Children with autism have difficulties in verbal and with non-verbal communication, social interactions and leisure activities. Autistic children have sensory disorders that affect how they interact with objects and people around them. They possibly will experience sensitivities in the five senses of sight, hearing, touch, taste and smell. â€Å"Many children with autism have unusual sensitivities to sounds, sights, touch, taste and smells. High-pitched intermittent sounds, such as fire alarm or school bells, may be painful to these children. Scratchy fabrics and clothing tags may also be intolerable, and some children have visual sensitivities to the flickering of fluorescent lights (autism-society).† The lack of social skills can create behaviors in autistic children. Furthermore, when a childShow MoreRelatedAutism On Children : Autism1066 Words   |  5 PagesPamela Sulger 27 November 2016 Autism in Children Autism according to Merriam-Webster Dictionary is defined as â€Å"a variable developmental disorder that appears by age three and is characterized by impairment of the ability to form normal social relationships, to commutate with others, and by stereotyped behavior patterns.† Autism was believed to be a psychiatric or emotional illness, and doctors told mothers that they were the cause. They were wrong. The cause for autism is still a mystery, howeverRead MoreAutism : Children With Autism2199 Words   |  9 PagesRunning head: AUTISM 1 AUTISM 10 Autism Name: Institution: Autism Introduction Autism is a disorder that is encompassed in the autism spectrum (ASDs) (Landa, 2007). Autism spectrum disorders describe the brain development disorders and encompass Asperger syndrome, autism, and pervasive developmental disorder not otherwise specified (PDD-NOS) disorders. Features of the ASDs includes sensory and cognition problems, difficulty in communicating with other people, and repetitiveRead MoreAutism Research On Children With Autism910 Words   |  4 PagesWhen you hear about Autism you generally think of children; however, the children with Autism grow up. Most people with Autism are adults. Autism research from 1998 shows that adults are: underrepresented in autism research and studies into old age are extremely needed. Most of the Autism adults lack services or even diagnosis. People with Autism are prone to anxiety and depression. The young adults are vulnerable when leaving high school especially in low income families, previous gained skillsRead MoreEffects Of Autis m On Children With Autism Essay865 Words   |  4 Pages For people with Autism, explain what we mean by the phrase â€Å"difficulty relating to others socially,† and give an example. The phrase â€Å"difficulty relating to others socially† is correlated with people with Autism often. This is because those with Autism often struggle with â€Å"communicating with others, interpreting verbal and nonverbal interactions, [and] making friends† (Salend 98). It can also be noted that students who have Autism â€Å"may try to communicate their desires and needs via their behaviors†Read MoreThe Effects Of Autism On Children With Autism3085 Words   |  13 PagesWhat is autism? To some people it can mean many different things. Autism Spectrum Disorders are a range of intense developmental disorders that can cause problems with an individuals’ thinking, feeling, language, and the ability to relate to others. Autism is a neurological disorder which means that it affects the functioning of the brain. (â€Å"Autism Spectrum Disorders† n.d). Some symptoms of autism may include repetitive body movements and communicating with gestures instead o f words. Others are intenseRead MoreThe For Children With Autism Essay2012 Words   |  9 Pagesthat, for many children with autism, even with direct and precise teaching, they may still not attain a substantial understanding, particularly those with additional learning difficulties. Because of many underlying problems, some even put the case for exclusion from mainstream schools. Cigman (2007, p. 23) contends that ASD is characterised by the fundamental psychological impairments and can be manifested in many ways, in different environments and at different ages, of all types of disabilitiesRead MoreAutism : Children With Disabilities1264 Words   |  6 PagesHouda Sabri Dr. Joya L. Chavarin ED 99 September 29, 2016 Autism Before the nineteenth century individuals with disabilities were often seen as burdens or victims. They were also housed in asylums and institutions isolating them from the rest of the world and treating them in a non-human manner. Fortunately, that sub-human treatment was addressed in the late nineteenth by enacting major laws such as the IDEA (Individuals with Disabilities Education Act) to include individuals with disabilities inRead MoreMusic And Children With Autism881 Words   |  4 PagesInformative Speech Topic: Music and Children with Autism Purpose: To inform audiences about the effect of music to the children with autism Thesis: Music effect children with autism in a powerful significant way. Introduction: †¢ Do you know that 1 in every 68 children in the United States has an autism? (Miriam, 2014) †¢ Boys are more likely to have autism than girl. †¢ What is autism means to us? In 1943, according to Dr. Leo Kannar who was the first described autism as a distinct condition that causedRead MoreHow Children With Autism? Essay1308 Words   |  6 PagesHow Children with Autism can be Supported in Education? Autism affects the individuals’ social interactions and the social construction of the world (National Autistic society, 2015). Children with Autism follow a different developmental pattern from other children and develop at the different rate. It could be understood as a social/psychological disability. Autism Spectrum Disorder (ASD) – is a neurological condition that affects the way a person experiences and interacts with the world. ChildrenRead MoreFamily Of Children With Autism921 Words   |  4 PagesFamily of children with autism Family is the basic unit of the society. It is from the family that an individual learns his primary behavioural patterns. When we talk about a family of children with autism they are the family which going through many doubts, changes, stress and conflicts. Many studies have talk about the stress and trauma through which a family of children with autism is going through. The problem starts with the lack acceptance of the child to the lack of awareness on taking care

Leadership Style And Effective Leadership Styles - 986 Words

Group leadership refers to the processes of leading, influencing and motivating members of a group to become highly competent in achieving the goals or objectives of the group (Aritz and Robyn 73). Though the adoption and implementation of a relevant and effective leadership style, group leaders become effective in driving change through work groups and facilitating the achievement of organizational goals. Leaders play a wide range of roles in leading groups, such as motivating members, coordinating group activities, influencing positive behaviors among members and motivating productivity and innovation (Tabernero et al. 1393). The following sections presents a detailed analysis and discussion of the role of leadership style in group work and the most important leadership roles in work groups. The paper uses evidence to support the argument that group leaders must adopt effective leadership styles so that they can be successful in facilitating group activities and ensuring that membe rs of the group actively contribute towards the achievement of shared goals (Thompson 23). Leadership style refers to the specific behavior or characteristics that a leader exhibits in managing, guiding, directing and motivating a group of people within an organization (Kark and Dina 504). The leadership style that leader adopt and use to play their roles within a work group define their ability to inspire change of work behavior among group members. This means that an effective leadership styleShow MoreRelatedLeadership Styles : Effective Leadership840 Words   |  4 PagesThis short paper examines effective leadership. Effective leadership may be outlined in many ways. Although exposed to several different leadership styles, I find that I respond best to a leader who believes in the works and theories of Confucius. According to McMahon, the Confucian leadership system believes that leadership is an emergent quality of the character that radiates and makes others want to follow, based on the respect and trust the leader generates (McMahon, 2010). I believe the newRead Mo rePersonal Leadership : An Effective Leadership Style1644 Words   |  7 PagesPERSONAL LEADERSHIP PORTRAIT Developing an effective leadership style requires one to become aware of their strengths and weakness when operating in the role of a servant leader. Identifying personal preference can assist with better aligning expectations and goals that one would like to see demonstrated in those they lead. Taking on the role as a servant leader requires patience, understanding, and most importantly compassion for others. As a servant leader he or she should always considerRead MoreLeadership Styles And Views On Effective Leadership1382 Words   |  6 Pagesdysfunction between Keller and Petrou is their differing leadership styles and views on effective leadership. This can be seen through both the first and second performance appraisals. In both meetings, Keller and Petrou quarreled over Petrou’s leadership style and ability, and the dispute ultimately led to revisions in the performance appraisals. Keller’s view on leadership line up best with a contingency and an implicit perspective of leadership. Throughout the case study, Keller emphasizes theRead MoreEffective And Ineffective Styles Of Leadership1676 Words   |  7 PagesPeople have always asked if there is any style of leadership that is most effective. Nevertheless, numerous theories and models have been created to show that there is no style of leadership that is the best. Rather, styles of leadership need to adjust depending on the variables such as the leader, the situation, the subordinate, the task, the environment and other factors. Paul Hersey, Kenneth H. Blanchard, and Dewey E. Johnson noted that if the leader’s style of behavior is appropriate or matchesRead MoreCharacteristics Of Effective Leadership Styles2010 Words   |  9 PagesCharacteristics of Effective Leadership Styles Presented to Perry Barton, Instructor MGMT-1115 Leadership By William Allen June 21, 2015 What are the effective leadership styles? More importantly what are the characteristics of these styles. This paper will discuss in detail three topics and how they relate to effective leadership styles. We will start by evaluating business situations to determine whether the leadership style is participative, autocratic, leadership gridRead MoreThe Adoption Of An Effective Leadership Style995 Words   |  4 PagesIntroduction The adoption of an effective leadership style is necessary to achieve Organizational goals and to enhance productively. According to Riaz, Haider, (2010), organizations are expected to carry out tasks with limited resource to the maximum level in order to maintain the competitive edge and sustain profitability position of the organization. Therefore, it is imperative for organizations to adopt leadership styles with characteristics of motivating, directing and influencing employeesRead MoreLeadership Style : An Effective Leader861 Words   |  4 PagesLeadership Style An effective leader has many factors that enable them to be successful. Some of the key characteristics of an effective leader are passion, charisma, dependability, problem solver, communication skills, and multi-tasking abilities. Marquis and Huston (2015) describe four types of leadership styles; autocratic, democratic, laissez-faire, and bureaucratic. The autocratic leadership style deals more with acquiring control and accomplishing tasks rather than relationships (Marquis Read MoreLeadership Style And Effective Communication Essay1253 Words   |  6 PagesLeadership Style and Effective Communication in the Workplace Introduction Blanchard, Hersey Johnson (2015) introduced the concepts pertaining to leadership styles, self-awareness in Chapter 11, and effective communication in Chapter 12. The two main ideas that will be taken away from the lesson review involve the use of feedback, and active listening, which helps in essential communication within the organization and in one’s daily life. When it comes to choosing the right style of leadershipRead MoreEffective Leadership Styles in Buiness Essay1291 Words   |  6 Pages In the world of business, there are a number of effective leadership styles. Among them are autocratic, transactional, and transformational. Autocratic leadership is also known as authoritarian leadership. It is a leadership style characterized by individual control. Leaders make decisions independently with little or no input from the rest of the team. Autocratic leaders typically make their decisions based on their own ideas and judgments’ and rarely accept advice from followers. Leaders provideRead MoreEffective Leadership Styles Within The Workplace1584 Words   |  7 PagesEffective leadership styles Abstract An effective leader influences their employees in a desired manner to achieve goals and objectives. Different leadership styles can affect an organization’s effectiveness and performance. The objective of this paper is to analyze the review of literature on various leadership styles over the past years and how effective and ineffective different leadership styles are in the workplace. Introduction A leader is defined as a person with responsibility to influence

Formulation of Good Research Questions

Question: Discuss about the Formulation of Good Research Questions. Answer: Introduction Formulation of a research question forms the basis of any given research project. It makes the researcher well conversant with the tasks to be carried out to come up with accurate and reliable results. The research question ought to be manageable within the contemporary situation(Shah, 2012). An analysis of the research question should be precise enough to outline the requirements for the research. Knowledge of the resources and personnel required is crucial. There is no predefined procedure on how to come up with precise research questions but some scholars have proposed some guidelines to such. Such tips include clarity, specificity, relevance, expertise and interest. The question should be clear, brief and free from ambiguity(Clarke, 2014). This is to ensure that the others can understand the kind of the research. Questions that tend to be too personal may keep off the participants in fear of their intimacy being interfered with. Verbosity should be avoided so that only a single meaning can be drawn from the question. Simple language and limited use of technical terms make the research even simpler. The clarity of question enables the researcher to gather more information as all the information gathered relevant. A specific concern about the topic is a firm foundation to formulating a good question. Too broad questions are not easily answerable. Specific questions make better research problems(Iannone, 2012). There is always too much to be said making the research not as extensive as it should have been. There will be simply less to be researched on as the individual has a lot to say about the overall dimension. Dealing with a portion at a time makes the research more meaningful. The question should be directly related to the topic. Astray questions often lead to irrelevance in research(Dolnicar, 2013). The study will be more significant if it is a continuation to knowledge that already exists. This helps to sustain the interest in the study and create interest in exploring even more about the given topic. Research is normally intended to build upon already existing knowledge. Adequate knowledge on the question is crucial for a great research question. One should make sure that they have enough expertise to handle the research question. The sources of the information required need to be available to provide the required information. Research projects often require funding to conduct. Before the formulation of the question, one should estimate the required finances and avail them in time. Adequate time to meet all the tasks outlined by the question is vital. However, knowledge from other sources has to be sought. Personal interest is another consideration in the formulation of a research question. Selecting an area of great interest sustains the required motivation in the research and enables the provision of sufficient detail. The interest acts as an incentive constantly gearing the effort to complete the research. Decide what you need to know and acquire the information. This encourages the commitment towards the project. Conclusion The application of the tips discussed above makes it easier to formulate a research question and fully assess the question to provide the required information and data. This helps to meet the criteria of a good research making it successful. Good research questions make research a more captivating activity. References Clarke, M. (2014). The Archaeology of the Book: Formulating Analytical Research Questions. E-Conservation Journal, 10-16. Dolnicar, S. (2013). Asking Good Survey Questions. Journal of Travel Research, 551-574. Iannone, C. (2012). A Good Question? Academic Questions , 430-442. Shah, N. (2012). How to Formulate a Clinical Question and Effectively Search for the Answer.MedEdPORTAL Publications , 5-6.

Social Class free essay sample

In Malaysia and everywhere in the world, social class identification has been translated to the product and services that we consume. Have you ever compare : Bungalows versus setinggan . Ferrari versus kancil, and a lot more examples that we can see surround us. Believe it or not the social class strastification had created a gap among rich and poor. Based on the above facts, compile a relevant material from various sources (preferable academic journal,books,business magazines and newspapers) and prepare a report on social class stratification in Malaysia. Your paper should include (but not necessarily in the following order: Introduction of social class -Bases for social class stratification -Malaysian scenario (A study on social class in Malaysia) -The effects of social stratification on consumer selection of products/service http://www. slideshare. net/carencrasta/social-class-6915801 http://home. earthlink. net/~clevy/Social_Stratification__Chapter_8_. pdf Chapter 11 Social Class and Consumer Behavior Consumer Behavior, Eighth Edition SCHIFFMAN KANUK http://en. We will write a custom essay sample on Social Class or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page wikipedia. rg/wiki/Class_stratification Social Class in consumer behavior is the division of members of a society into a hierarchy of distinct status classes, so that members of each class have either higher or lower status than members of other classes. Social Class and Social Status is frequently thought of as the relative rankings of members of each social class such as wealth, power and prestige. Social Comparison Theory states that individuals compare their own possessions against those of others to determine their relative social standing. Status Consumption is the process by which consumers actively increase their social standing through conspicuous consumption or possessions. Social stratification refers to the division of a society into layers (or strata) whose occupants have unequal access to social opportunities and rewards. People in the top strata enjoy power, prosperity, and prestige that are not available to other members of society; people in the bottom strata endure penalties that other members of society escape. In a stratified society, inequality is part of the social structure and passes from one generation to the next. An economic and cultural rift usually exists between different classes. People are usually born into their class, though social mobility allows for some individuals to attain a higher-level class or fall to a lower-level one. Stratification is usually based on three major premises: a. Power : the ability to impose one’s will on others b. Prestige : the respect given by others c. Property : forms of wealth if we know whether a person or group possesses or does not possess certain traits, then we will be able to predict with reasonable accuracy how this person or group is likely to fare in the social hierarchy

the scarlet letter essays

the scarlet letter essays In the book The Scarlet Letter, by Nathaniel Hawthorne, a character by the name of Roger Chillingworth had committed the unpardonable sin and he basically killed another character, Reverend Arthur Dimmesdale. Everyone has been in a position where they have had the chance of manipulating or blackmailing someone. Chillingworth did exactly that and ended up breaking down Dimmesdale to his death. Dimmesdale was not the single one affected by Chillingworths deeds. Chillingworth had a spouse, but no one knew of their relationship. Her name was Hester Prynne and she had an illegitimate child named Pearl. The Reverend Dimmesdale had an affair with Hester, and he is the real father of Pearl. Throughout the novel the people of Boston were withheld this information, along with the information of Hesters real husband. Chillingworth was a physician, or back in those days a doctor was called a leech. Dimmesdale started to feel ill, thus starting the beginning of his end. Dimmesdale became not simply a patient of Chillingworth, but a roommate as well. Being in such close contact with Dimmesdale, Chillingworth has come to know the ministers most private emotions, and he has begun to suspect that Dimmesdales illness is the result of a deep secret that has at no time been confided with another. In a sequestered conversation with Hester, Chillingworth made a vow to descry the real father of Pearl, and expose him. In a conversation with Dimmesdale, Chillingworth brings up the question of why an individual would...

How to Apply for Federal Student Aid Using the FASFA

How to Apply for Federal Student Aid Using the FASFA You want to go to college so you can make a lot of money but you dont have a lot of money, so you cant go to college. Congratulations! You have just met the main requirements for getting federal student aid. The U.S. Department of Education provides more than $67 billion in loans, grants and campus-based aid every year to assist millions of students and their families pay for postsecondary education. This feature presents an overview of the types of federal student financial aid available, eligibility requirements and the application process. Handy links directly to detailed information from the Department of Education are provided throughout. Federal Student Loan Programs The governments Stafford Loan program offers both subsidized and unsubsidized student loans.   Subsidized loans require proof of financial need. All interest on subsidized loans is paid by the government while the student is actually enrolled at least half-time and during certain periods, such as  deferment and forbearance. Unsubsidized loans are available regardless of financial need. The student must pay all interest on unsubsidized loans. The Direct PLUS program offers unsubsidized loans to parents of dependent students. The parents must pay all interest on Direct PLUS loans. Amounts that can be borrowed, repayment options and interest rates vary greatly and can be modified during the term of the loan. For details on federal student loan programs, see: Federal Direct Student Loans - Information For Students (Note: Some teachers and childcare providers may be able to cancel payment of portions of their federal student loans. See: Loan Cancellation for Teachers and Cancellation for Childcare Providers.) Federal Pell Grants Unlike loans, federal Pell Grants do not have to be paid back. Eligibility is based on financial need. Maximum amounts available vary yearly as determined by Congress. Besides financial need, the amount of a Pell grant also depends on costs to attend school, the students status as a full- or part-time student, and the students plans to attend school for a full academic year or less. Pell grant funds are paid directly to the student by the school at least once each semester, trimester, or quarter. Campus-Based Aid Programs Campus-based programs like the Federal Supplemental Educational Opportunity Grant (FSEOG), Federal Work-Study (FWS), and Federal Perkins Loan programs are administered directly by the financial aid office at each participating school. Federal funds for these programs are given to the schools and distributed to students at the schools discretion. Amounts students can receive depends on individual financial need, amounts of other aid the student receives and the total availability of funds at the school. Basic Eligibility Requirements for Student Aid Eligibility for federal student aid is determined on the basis of financial need and on several other factors. The financial aid administrator at the college or career school you plan to attend will determine your eligibility. Basically, to receive aid from federal programs, you must: qualify for financial need (except for certain loans); have a high school diploma or a General Education Development (GED) certificate, or pass a test approved by the U.S. Department of Education; be working toward a degree or certificate; be enrolled in an eligible program; be a U.S. citizen or eligible non-citizen; have a valid Social Security Number; register with the Selective Service if required; and maintain satisfactory academic progress once in school. Under federal law, persons who have been convicted under federal or state law of the sale or possession of drugs are not eligible for federal student aid. If you have a conviction or convictions for these offenses, call the Federal Student Aid Information Center at 1-800-4-FED-AID (1-800-433-3243) to find out if, or how, this law applies to you. Even if you are ineligible for federal aid, the Education Department urges you to complete a Free Application for Federal Student Aid, because you may be eligible for nonfederal aid from states and private institutions. How to Apply for Student Aid - The FASFA The Free Application for Federal Student Aid (FAFSA) can be used to apply for all loans, grants, and campus-based student aid programs. The FASFA can be completed online or on paper. The FAFSA Web site takes you through every step of the process and provides all the information you need to apply for federal student aid. Applicants can access worksheets to estimate their incomes, electronically sign loan documents, save an application at any computer and print a complete report. How easy is the FAFSA online application process? In 2000, over 4 million student loan applications were processed online, a number the Department of Education expects to top 6 million during 2002. Between Jan. 1 and March 1, 2002, over 500,000 applications had already been processed online. Questions? If you have any questions, or require additional information on student financial assistance, you may contact your high school guidance counselor, the financial aid officer at the postsecondary school you plan to attend, or the Federal Student Aid Information Center, open seven days a week, from 8 a.m. to midnight (Eastern Time). You can also find free information about federal, state, institutional, and private student aid in your high school counselors office or local librarys reference section (usually listed under student aid or financial aid.)

Discussion 1-2 Essay Example | Topics and Well Written Essays - 250 words

Discussion 1-2 - Essay Example Other commonly used MS Office applications include the Power Point for presentations, Access for managing database, and Publisher for publishing various documents or designs. There are many advantages of MS Office Applications. One of the advantages of MS Office is that it has all the components that may be required for use within a classical office. Other than having vast number of features, MS Office has no corrupt files in addition to the fact that the auto recovery function can be used in making sure that any document is not lost to its entirety (Habraken 10). Even though MS Office has various advantages, there are some demerits or drawbacks associated with the same. For instance, MS Office has compatibility problems. There are versions that are not compatible with some operating systems. The above table was derived from excel. The Excel was used to find out the total number of eggs for breakfast depending on the number of members of the family present in a given day. Each family member needs to consume 2 eggs for breakfast. Therefore, a function was developed to find out the total number of eggs that would be required as the number family members change. The formula was to multiply the number of family members and the eggs per member.

Yoko Ono Behind the Controversies Essay Example | Topics and Well Written Essays - 500 words

Yoko Ono Behind the Controversies - Essay Example The essay "Yoko Ono Behind the Controversies" explores art and activities of Yoko Ono. She is a celebrated image but she is also one of the most hated personalities because of her relationship with the famous Beatle singer, John Lennon. Yoko Ono was born in Japan to Eisuke and Isoko, a wealthy couple who owned banks in the country. Known to have given up his love for music, Ono’s father encouraged her and hoped that she will become the performer he always wanted to be. Eventually, Ono grew up to become not only as a musician but a visual artist as well. Critiques say she is a fake because she does not really have artistic elements in her work. Rather, her works are often abstract and whitish. Still, she had quite a quiet but successful career earlier in her life. Her artworks are said to have succeeded due to the influence and help of her second husband, Anthony Cox, a musician with whom she had a daughter. However, their relationship did not do so well and it ended in separat ion which eventually separated Ono with her daughter as well. On her own, Yoko Ono portayed herself as a radical artist with her presentation â€Å"Cut Piece† in Japan and Carnegie Hall in New York, respectively. She claims she did this in her anger to what was happening around the world and she acted on her beliefs about piece through her expression of art, the â€Å"Cut Piece†. This is the reason why she is also known to be an advocate of world peace. Most of her artworks directly speak to her audiences about being at peace with each other.

Sampling and Data Collection in Research Essay Example for Free

Sampling and Data Collection in Research Essay Sampling is one of many ways to conduct research in human service. It consist of one or more elements selected from a population. The manner in which we select elements for the sample has enormous implications for the scientific utility of the research based on that sample (Monette, Sullivan, DeJong, 2011). In order to select a good sample, you must first decide what population you want to get the sample from. If you are not able to retrieve a good sample it can result in inaccurate conclusion. A major reason for studying samples rather than whole groups is that the whole group is so large that studying it is not feasible (Monette, Sullivan, DeJong, 2011). For example, if a human service worker wants to learn about pregnant women or some other large group of people it may be hard to study everyone in this group. Another reason for sampling is the information is more accurate from carefully drawn samples, than it would be if you studied the whole group. There are two types of sampling, probability and non-probability. Probability sampling is a method of sampling that utilizes some form of random selection (Trochim, 2006). This means that the samples are retrieved in a process that gives everyone in the population an equal chance of being selected. There are five different methods of probability sampling which are simple random sampling, stratified sampling, systematic sampling, area sampling and estimating sample size. An example of probability sampling is when the telephone surveys randomly select people to call in order to take the survey. Non-Probability sampling is when the researcher does not know the probability of each population elements inclusion in the sample (Monette, Sullivan, DeJong, 2011). There are also five methods of nonprobability which are availability sampling, snowball sampling, quota  sampling, purposive sampling, and dimensional sampling. An example for non-probability sampling is conducting research on a veteran who is suffering from PTSD and want specific answers. Studying all veterans who suffer from PTSD would be difficult so instead research can be conducted on individuals. If a researcher wants to know about a veteran who suffers from PTSD because of personal trauma instead of PTSD from deployment, non-probability sampling can be conducted. When selecting samples for human service research you should avoid being bias. Bias is defined as any tendency which prevents unprejudiced consideration of a question. In research bias occurs when â€Å"Systematic error is introduced into sampling or testing by selecting or encouraging one outcome or answer over others†. Bias can occur at any phase of research including study design or data collection, as well as in the process of data analysis and publication (Pannucci MD, Wilkins MD MS, 2010). In order to avoid being bias researchers can make sure that the method that they are using will help eliminate sources of bias. Randomization can also help because it will provide the group that has been selected with the same chances of being influenced by the exact same bias. Data Collection There are four levels of measurement which are nominal, ordinal, interval, and ratio. Nominal measurement is basically categorizing the information or data that is retrieved like sex, ethnicity, and religion. Ordinal measurement is used to rank the information or data collected in order. Interval measurement is using a numerical scale to measure in intervals. Last but not least ration measurement has all the characteristics of interval measurement but with zero point as an absolute. In research reliability and Validity is used which is categorized as scales of measurement. Reliability refers to a measure ability to yield consistent result each time it is applied (Monette, Sullivan, DeJong, 2011). For example you weigh yourself on a scale one day and it reads that you weigh 175 pounds. The next day and the day after that you do the same thing and again the scale reads that you weigh 175 pounds. The scale is reliable because it shows the same weight every day. Validity refers to the accuracy of a measure (Monette, Sullivan, DeJong, 2011). For example the scale  might read that you weigh 175 everyday which makes it reliable but you might weigh 200 pounds which does not make the scale valid. It is important that ensure that data collection methods and instruments are both reliable and valid because if they are not the data you retrieve may be incorrect. There are several methods on how we can gather data like conducting telephone surveys, online surveys, surveys via websites and focus groups. Every type of procedure has corresponding advantages and disadvantages. For example, telephone surveys are cheaper and quicker. However, quicker is not always better because using telephone surveys involves shorter period of time, meaning less data is gathered. Telephone surveys also have no visual contact, which means that you cannot observe the person that’s taking the survey. Online surveys and surveys via website advantages are that they are cheaper, can get results quickly, and you can gather information from anywhere around the world. The disadvantage of internet surveys is not many people would choose to take the time to complete an online survey. Focus groups have an advantage because you can gather data from a large number of people at one time but the disadvantage is that it can be time consuming and the information gathered may be hard to evaluate. If I had to collect data depending on these types of surveys, I would prefer focus group because I would be able to see the group of people I would be interviewing as well as gain insight of the people in the focus group. References Monette, D. R., Sullivan, T. j., DeJong, C. R. (2011). Applied Social Research. A Tool for the Human Services (8th Ed.). Retrieved from The University of Phoenix eBook Collection database. Pannucci MD, C. J., Wilkins MD MS, E. G. (2010, August). Identifying and Avoiding Bias in Research. Plast Reconstr Surg, 126(2), 619-625. Trochim, W. M. (2006). Web Center for Social Research Methods. Retrieved from http://www.socialresearchmethods.net/kb/sampprob.php

Essay --

It was a hot summer night in the middle of August, me and my good friends just graduated high school and we had an array of graduation parties to attend. It was ten o’clock and my buddies had been drinking for some time now, we all were having a good time dancing, talking, and reminiscing all the good times we had in high school and all the crazy things we did. My buddy offered me a drink and I figured, why not, were all here with our parents and having a good time. Little did I know, this was a start to a very bad night. By mid night, I wasn’t feeling too hot so I decided to take a break and lay down, not ten minutes after laying down I got up and got sick, and it didn’t happen just once. The next morning I woke up and didn’t know where I was or what happened the night before. What I experienced that night was one of the worst things I have ever experienced in my life. Those are just some of small effects that binge drinking can have on your body. In toda y’s society, drinking has become a big problem. Many people think drinking is a social norm. So drink to have a good time, and some people drink because they can’t help it. Binge drinking refers to a high volume alcohol consumption over a short period of time, and is frequently defined as the consumption of four or more drinks at a single sitting for women, and five or more drinks at a single sitting for men. Binge drinking goes hand in hand with physiological effects. Test have shown that binge drinking may put people at risk of coronary heart disease risk, psychiatric morbidity, and cognitive impairment. Infants that are born to a women that binge drank while pregnant are thought to have behavioral difficulties as they grow up (Lim). Along with the short terms of binge drinkin... ... years, researchers have found that binge drinking has a negative effect of the lung as well. Excessive drinking may cause cell dysfunction within the layer of tissue lining the airway, making it hard to breathe for some people. On many campuses, in many bars, and parties all over the world people are binge drinking. Little do they know that what they are doing in extremely bad for their bodies. Some people don’t think twice about it but people should really be concerned about what they put in their bodies. They are at high risk for injury in the short-term due to behavioral disinhibiting, temporary impairment of judgment, nausea and vomiting, and hangover symptoms. It only gets worst in the long run, there are many different long-term effects that can affect them for the rest of their lives. People should really think twice before they start to have a â€Å"good time.†

Unilateral Neglect After Stroke Health And Social Care Essay

Behavioral Inattention Test is a common standardised measuring for one-sided disregard and has been widely used as the chief results in many neglect surveies. A systematic reappraisal was conducted in the undermentioned database from January 1997 to June 2012: PubMed/Medline ( 1965+ via EbscoHost ) , PsyhcINFO ( 1806+ ) , Science Direct, CINAHL ( Cumulative Index to Nursing and Allied Health Literature, 1982+ ) , Cochrane Collaboration ‘s registry of tests and PEDro ( Physiotherapy Evidence Database ) .The reappraisal included articles of randomized controlled tests about neglect schemes among stroke patients that addressed Behavioral Inattention Test as primary results in the intercessions. Meta-analysis was done.ConsequencesTwelve RCTs were identified in our reappraisal harmonizing the inclusion and exclusion standards. The qualities of the surveies were good with average Physiotherapy Evidence Database ( PEDro ) mark of 6.08 A ± 0.81. Different intercessions have been stud ied in RCTs ; Prism Adaptation ( PA ) appeared to be the most common, with 5 out of 12. The meta-analysis showed that for immediate effects of neglect intercessions, the BIT conventional subtests has a statistically important average consequence size of 0.76 ( 95 % CI, 0.28-1.23 ; p=0.002 ) whereas the BIT Behavorial subtest showed no statistically important average consequence size of 0.37 ( 95 % CI, -0.19-0.91 ; p=0.17 ) , and the BIT ( Total ) showed a modest statistically important average consequence size of 0.55 ( 95 % CI, 0.16-0.94 ; p=0.006 ) . However, the meta-analysis showed that there was no statistically important average consequence size on durable effects for all BIT results. Among all intercessions, Prism Adaptation ( PA ) appears to be more effectual when compared to others based on the BIT results after pooled analysis.DecisionPrism Adaptation ( PA ) appeared to be the most common and effectual scheme among rehabilitation intercessions on one-sided disregard and rT MS possibly is a promising attack for intervention of one-sided disregard. Rehabilitation intercessions have positive immediate effects on one-sided disregard as measured by the BIT conventional subtest than that on the behavioral subtest. As shown by the short durable effects, effects of rehabilitation intercessions are frequently transeunt and frequently can non be generalized across clip to daily working. All surveies faced the same failing of lower power with smaller samples and restriction in sightlessness design. More strict surveies should be done before coming to a steadfast decision.KeywordsSystematic reappraisal, Stroke, Unilateral Neglect, Rehabilitation, Treatment, Behavioural Inattention Test1. IntroductionUnilateral disregard ( ULN ) is a heterogenous perceptual upset that follows intellectual hemispherical lesion [ 1 ] , particularly after right hemisphere stroke. The most typically characteristic of disregard is failure to describe or react the stimulation presented from the contralateral infinite, including stimulation from the ocular, somatosensory, audile and kinesthesia stimulation even comprehending their ain organic structure parts [ 2 ] . The reported incidence varies from 10 % to 82 % following right-hemisphere shot and from 15 % to 65 % following left-hemisphere shot [ 3 ] . Capable choice standards, lesion site, the nature and timing of the appraisal and deficiency of understanding on appraisal methods are all responsible for the variableness in the reported rate of happening of one-sided disregard after shot [ 1, 4 ] . As disregard involved upset in directing attending, stand foring infinite and commanding motion, it became an obstruction for recovery from shot. Neglect has a important negative impact associated with functional recovery at place discharge [ 5, 6 ] . Recently more research workers have put attempts on researching the underlying mechanism and the curative methods about the enormous challenge. Different intervention attacks and assessment battery have been developed to measure and rectify disregard. Recent literature shows that interventions for one-sided neglect autumn under two types of behavioural attacks. They are either enrolling the hemiplegic side or limbs to cut down a spacial penchant over the ipsilesional infinite, or bettering consciousness of the contralesional infinite to advance patients ‘ attending [ 7, 8 ] , Up to now, more than 18 methods were put into pattern in these Fieldss [ 9 ] . Surveies based on these attacks have reported changing consequences based on a big figure of outcome steps. Despite the reported quality is moderate for RCTs in neglect rehabilitation [ 7 ] , some attacks appear to be more promising. There were besides remarks that the effects of these new interventions are frequently task-specific or transeunt and frequently can non be generalized to daily working [ 8, 10, 11 ] . It is difficult to state which attack is the optimum rec ommendation for clinical pattern due to deficient grounds [ 9 ] . In add-on, professional healers seldom use these scientifically proved interventions [ 12 ] . The appraisal of ULN in the clinical scene has normally involved in â€Å" pencil-and-paper † undertakings, including line bisection, cancellation undertakings, copying, and pulling [ 13 ] , many RCTs used some of the undertakings as results. The Behavioural Inattention Test ( BIT ) is a criterion-referenced trial for one-sided disregard or ocular inattention in patients enduring from shot or encephalon hurts [ 14 ] . The trial is divided into two classs: the conventional and the behavioural subtests. This survey used the conventional subtest, which is made up of 6 points: line crossing, missive cancellation, star cancellation, figure and form copying, line bisection, and representational drawing. A cancellation subscore was calculated by adding the first 3 cancellation undertakings together and pulling subscore by adding the staying 3 undertakings. This reappraisal aimed to consistently reexamine the updated grounds from RCTs on the effectivity of rehabilitation intercessions for one-sided disregard as measured by the Behavioral Inattention Test ( BIT ) or its conventional ( BIT-C ) and behavioural subtests ( BIT-B ) .2. Methods2.1. DatabaseWe searched the undermentioned electronic databases: PubMed/Medline ( 1965+ via EbscoHost ) , PsyhcINFO ( 1806+ ) , Science Direct, CINAHL ( Cumulative Index to Nursing and Allied Health Literature, 1982+ ) , and Cochrane Collaboration ‘s registry of tests. We besides hand-searched the bibliography of all surveies ordered in full text. Date of publication was restricted between January 1997 and June 2012.2.2. Search schemesWe used the undermentioned footings for seeking databases ( Cerebrovascular accident OR shot ) AND ( Neglect OR visuospatial disregard OR ocular disregard OR one-sided disregard OR hemisphere neglect OR visuo-spatial disregard ) .We included merely RCTs for grownups with age ( 19 old ages + ) published from: 19970101-20120630, restricted to English linguistic communication.2.3. Inclusion and exclusion standardsInclusion standardsWe included: ( 1 ) all RCTs aimed at place the effectivity of any type of rehabilitation intercession to rectify disregard in grownup shot patients as diagnosed with one-sided disregard by clinical scrutiny and/or classical neuropsychological trials ; ( 2 ) Given our intent, we merely considered the surveies which addressed the Behavioral Inattention Test ( BIT ) [ 15 ] as the primary results. The BIT included the conventional subtest ( BIT-C ) and/or the behavioural subtest ( BIT-B ) every bit good as the entire mark of BIT ( BIT ( Total ) ) or both.Exclusion standards:( 1 ) Observational survey, and instance study every bit good as cross-over design surveies ; ( 2 ) Full text is non available ; ( 3 ) with sample size less than 5 in each group ; and ( 4 ) every bit rated as 4 or less out of 10 by the Physiotherapy Evid ence Database ( PEDro ) .2.5. Quality appraisalThe 2 referees ( Nicole, Y.Y.H and Kenneth, F.N.K ) appraised all documents harmonizing to the Physiotherapy Evidence Database ( PEDro ) graduated table. It was developed specifically for measuring the quality of surveies aimed at comparing the effectivity of rehabilitation intercessions [ 16, 17 ] which has been proved to be a valid step of the methodological quality of clinical tests. It was valid to sum PEDro scale point tonss to obtain a entire mark that can be treated as interval degree measuring and subjected to parametric statistical analysis [ 18, 19 ] . There are 11 points in the PEDro graduated table: The first standards point eligibility is non scored which was used as a constituent of external cogency, the other 10 points obtained a entire mark from 10 ( RCT that satisfies all points ) to 0 ( RCT that does non fulfill anyone ) . The PEDro graduated table classify surveies as of high or low qualities based on a cut-off mark a t 6 out of 10. High quality means articles that obtain a mark equal to or higher than 6 and low quality surveies score less than 6.2.4. Data extraction and analysisEach included survey was carefully assessed for inclusion standards, and the necessary information and features of each included survey was ab initio summarized and extracted by the first writer ( first referee ) and was listed on a tabular array. The abstract every bit good as these sum-ups was independently checked and confirmed by a 2nd referee who is the 2nd writer of the manuscript. In instance of dissensions between the referees, the sentiment of the 3rd referee was sought. We calculate Cohen ‘s vitamin D on single consequence sizes for included surveies and compare the comparative effectivity. Meta-analysis one the overall intervention effectivity will be done with Review Manager 5.0. Standardized average difference ( SMD ) was taken as the consequence size and its 95 % assurance interval was computed. Test of heterogeneousness was used to measure the possible heterogeneousness across surveies. If heterogeneousness existed, random-effect theoretical account was used. Otherwise, the fixed-effect theoretical account was used alternatively. The sensitiveness analysis was besides used to measure the impact of the overall intervention effectivity by excepting one test one time at a clip.3. ConsequencesFigure 1 shows the choice procedure. The hunts chiefly yielded 201 commendations from 1997 to 2012. After taking extras, 153 commendations were obtained. Based on the rubric and abstract of the articles, 32 potentially relevant articles were obtained. An d they were so carefully evaluated by the referees. We identified 25 clinical tests [ 20-44 ] which entered the eventually assessment. Reasons for the exclusion of the other 7 articles were: ( 1 ) they were merely reviews or mechanical surveies, instance studies or other clinical survey design such as multiple-baseline design, cross-over design, ( 2 ) absence of a control group, and ( 3 ) the sample is less than 5 in each group. Finally, 12 articles were included in our reappraisal [ 21, 22, 25-27, 30, 32, 35, 36, 39, 40, 44 ] and other articles were excluded as the BIT was non used as the primary outcome step.Fig 1: Overview of literature hunt and choice procedureThe overall quality of the 12 RCTs is just to good ( Table 1 ) . The average sum mark was 6.08 A ± 0.81, with a scope from 5 to 9. 4 of them ( 33.3 % ) were identified with just quality when cut-off line was set at 6 out of 10 based on the PEDro graduated table.Table 1: PEDro tonss of included surveiesItemsSurveiesEligib ility 1: Random allotment 2: Concealed allotment 3: Baseline comparison 4: Blind topics 5: Blind healers 6: Blind assessors 7: Adequate followup 8: Intention-to-treat analysis 9: Between-group comparings 10: Point estimations variablenessMarkQualityNysa et Al. 2008 yes 1 0 1 1 0 0 1 0 1 1 6/10 Good Serino et Al. 2009 yes 0 0 1 1 0 0 1 0 1 1 5/10 Carnival Turton et Al. 2010 yes 1 1 0 0 0 1 1 0 1 1 6/10 Good Mizuno et Al. 2011 yes 1 1 1 1 0 1 1 0 1 1 8/10 Good Ladavas et Al. 2011 yes 1 0 1 1 0 1 0 0 1 1 6/10 Good Robertson et Al. 2002 yes 1 0 1 0 0 1 1 0 1 1 6/10 Good Luukkainen-Markkulaa et Al. 2009 yes 1 1 1 0 0 0 1 0 0 1 5/10 Carnival Fong et Al. 2007 yes 1 0 1 0 0 1 1 0 1 1 6/10 Good Tsang et Al. 2006 yes 1 1 1 0 0 1 0 0 1 1 6/10 Good Harvey et Al. 2003 yes 1 0 1 1 0 0 1 0 1 0 5/10 Carnival Koch et Al. 2012 yes 1 1 1 1 1 1 1 0 1 1 9/10 Good Ferreira et Al. 2011 NO 1 0 1 0 0 0 1 0 1 1 5/10 CarnivalFeatures of the included surveiesDescriptions of the 12 articles included in the reappraisal are listed in Table 2. Two surveies [ 40, 44 ] used double-blinded design and others largely were single-blinded tests.Table 2: Features of included surveiesSurveiesMethodsInterventionsBIT based ConsequencesTypeStudy designControlGroupstopics( N )shot continuanceTreatmentgovernmentDurationImmediateLong-runNysa et Al. 2008 Dad single-blind RCT Placebo ( impersonal goggles ) n=16 PA gp=10 CT gp=6 a†°Ã‚ ¤ 4 tungsten Wore brace of goggles fitted with wide-field point-to-point prismatic lenses shifted their ocular field 10A °/0A °rightward and make some fast pointing motions 30min/session four-day-in-row Sessionss 4d BIT-Ci-i?†° BIT-Bi-i?†° follow-upi1m Serino et Al. 2009 Dad single-blind Pseud-RCT Placebo ( impersonal goggles ) ni20 PA gp=10 CT gp=10 a†°?1 m have oning prismatic lenses, which shifted their ocular field 10A °/0A °rightward and indicating motions 30 min/session 10 day-to-day Sessionss within 2 hebdomad 2w BITi+i?†° BITi+i?†° follow-upi1m Turton et Al. 2010 Dad single-blind RCT Placebo ( level field glass ) ni36 PA gp=17 i1 drop-outi?†° CT gp=19 i1 drop-outi?†° a†°?20 vitamin D wore 10 diopters, 6 grade prisms utilizing index finger to touch a bold vertical line on screen one time a twenty-four hours, each working twenty-four hours 2w BITi-i?†° BITi-i?†° follow-upi8w Mizuno et Al. 2011 Dad double-masked RCT Placebo ( impersonal spectacless ) ni38 PA gp=18 CT gp=20 a†°Ã‚ ¤ 3m wore prism spectacless shifted ocular field 12A ° to right and repeat pointing undertakings 20 min/session command, 5 yearss / hebdomad 2w BIT-Ci-i?†° BIT-Bi-i?†° BIT-Ci-i?†° BIT-Bi-i?†° follow up until discharge Ladavas et Al. 2011 Dad single-blind Pseud-RCT Placebo ( impersonal spectacless ) ni30 TPA gp=10 CPA gp=10 CT gp=10 a†°?2m Wore wide-field prismatic lenses bring oning a 10a- ¦ displacement ocular field to right and repeat pointing undertakings 30 min/session one per twenty-four hours, 10 Sessionss 2w TPAi?s BIT-Bi+i?†° BIT-Ci+i?†° CPAi?s BIT-Ci-i?†° BIT-Bi-i?†° No followup Robertson et Al. 2002 LA single-blind RCT silent person device n=40 LA+PT=19 i2 drop-outi?†° PT=21 i2 drop-outi?†° Lanthanum: 152.8A ±142.4 Platinum: 152.1 A ±117.9 utilizing a semi-automatic device for limb activation combined with perceptual preparation 45 min/ session one time a hebdomad 12 Sessionss 12w BIT-Bi-i?†° BIT-Bi-i?†° follow-upi18-24m Luukkainen-Markkulaa et Al. 2009 LA single-blind RCT traditional ocular scanning preparation ni12 LA gp=6 CT gp=6 a†°Ã‚ ¤6 m arm activation trainingiDetermined by the single manus and arm motor position assessed by WMFTi?†° Entire 48 hours of therapy 3w BIT-Ci+i?†° BIT-Ci+i?†° Follow-upi6m Fong et Al. 2007 TR TR+EP single-blind RCT conventional OT ni54 TR gp=19 TR+EP gp=20 CT gp=15 a†°Ã‚ ¤8 tungsten Trunk rotary motion was performed in three different places: supine lying on a pedestal, unsupported sitting on a pedestal, and standing in a standing frame 1 hour/session 5 times /week 30d BIT-Bi-i?†° BIT-Ci-i?†° BIT i-i?†° BIT-Bi-i?†° BIT-Ci-i?†° BIT i-i?†° Follow-up= 60d Tsang et Al. 2009 EP single-blind RCT conventional OT ni34 EP gp=17 CT gp=17 EP: 21.5A ±21.67 Connecticut: 22.18 A ± 15.87 underwent occupational therapy with particular spectacless barricading the right half ocular field 30min ADL +30min NDT for UL/day 4w BIT-Ci+i?†° No followup Harvey et Al. 2003 VF RCT Same activities Without feedback ni14 VF gp=7 CT gp=7 5-25 m experimenter-administered pattern of rod raising with justice centre grids for proprioceptive and ocular feedback 1h/d with 3di?†º so 10 yearss of homebased intercession 3d/2w BIT-Ci+i?†° BIT-Bi-i?†° BIT-Ci+i?†° BIT-Bi-i?†° follow-upi1m Koch et Al. 2012 Terbium double-blind RCT fake spiral angled 90A ° ni18 TBS gp=9 CT gp=9 a†°?1 m ( 43A ±16d ) 3-pulse explosions at 50 Hz repeated every 200 millisecond for 40 s i80 % AMT over the left PPC 2 essions/di15min intervalli?†º 5 d/week 2w BIT-Bi+i?†° BIT-Ci+i?†° BIT i+i?†° BIT-Bi+i?†° BIT-Ci+i?†° BIT i+i?†° follow-upi1m Ferreira et Al. 2011 Military policeman VST single-blind RCT Conventional PT without any intervention for disregard ni15 MP gp=5 VST gp=5 CT gp=5 a†°? 3 m Volt: The protocol included 4 undertakings: 2 directed to the extrapersonal infinite and 2 turn toing peripersonal disregard ; Military policeman: included 4 undertakings: 2 undertakings of motor imagination and 2 of ocular imagination. 1h/session Twice per hebdomad 5w VST: BIT-Ci+i?†° Military policeman: BIT-C ( – ) VST: BIT-Ci+i?†° Military policeman: BIT-Ci-i?†°follow-upi2m Abbreviations: PA=prism version ; LA=limb activation ; TR= bole rotary motion ; EP=eye patching ; VF=Visuomotor feedback ; TBS=Theta-burst stimulation ; MP=mental pattern ; VST= ocular scanning preparation ; BIT= Behavioral Inattention Test ; BIT-C= BIT conventional subtest ; BIT-B= BIT behavioural subtests ; OT=occupational therapy ; PT=physiotherapyParticipantsThis reappraisal encompassed 277 topics with one-sided disregard. All of them were grownups with right encephalon harm due to stroke ; most of the topics had a diagnosing of first individual right hemisphere stroke. The continuance from the shot oncoming covered from acute stage ( a†°Ã‚ ¤4w ) to chronic stage ( a†°?6m ) , but most surveies were conducted in the subacute and chronic stage after shot. All surveies used similar inclusion and exclusion standards including age, diagnosing of shot ( the lesion location based on CT or MRI ) , right-handed, presence of one-sided disregard identified by either a clinical scrutiny or a standard disregard appraisal battery, and free of any other confusing neurological shortages or rational damages.InterventionsAmong the 12 surveies included, five [ 27, 32, 39, 40 ] implemented the effectivity of prism version ( PA ) . There were differences in the PA process, one survey [ 27 ] used insistent PA for a short period, and another survey used different feedback schemes in PA ( Terminal prism version, TPA and Concurrent prism version, CPA ) .During TPA, merely the concluding portion of the indicating motion is seeable and prism version relies most strongly on a strategic recalibration of visuomotor eye-hand co-ordinates. In contrast, for CPA the 2nd half of the indicating motion is seeable, and therefore version chiefly consists of a realignment of proprioceptive co-ordinates [ 39 ] . All the five surveies used the same control methods with impersonal goggles. There were two [ 21, 30 ] articles applied limb activation, other articles used different intercessions: visuomotor feedback, practical world, insistent transcranial magnetic stimulation ( Theta-burst stimulation ) . Compared to a old reappraisal [ 45 ] , there was no new i ntercession reported in this reappraisal in the clip period except the uninterrupted Theta-burst stimulation ( cTBS ) . We included a RCT utilizing rTMS with high quality for the first clip. All surveies investigated individual intervention, except one RCT survey [ 26 ] investigated the effectivity of combinations of two different therapeutics ( trunk rotary motion and eye-patching ) . Duration of intervention period ranged from 3-day [ 29 ] to 5-week [ 38 ] , but for half of the surveies the intervention frequence was 30 min per session, 5 Sessionss per hebdomad, and 2 hebdomads for a entire 10 Sessionss. All intervention were conducted in infirmaries except one [ 22 ] survey involved self-administered home-based pattern for two hebdomads.Outcome measuringIn all surveies the results included functional activities and badness of disregard. The functional results included the Functional Independence Measure, the Barthel Index, upper limb motor maps ( the Wolf Motor Function Test and the Modified Motor Assessment Scale ) every bit good as the Stroke Impairment Assessment Set. Apart from the BIT, the result for neglect badness included the Catherine Bergego Scale ( CBS ) , the Bell Cancellation Test, reading and computerized ocular hunt undertakings, and paper-and-pencil disregard trials. There were three surveies [ 32, 35, 36 ] utilizing BIT entire tonss, three surveies [ 27, 39, 40 ] utilizing both the BIT-C and the BIT-B individually as results, two surveies [ 26, 44 ] utilizing both the BIT entire, the BIT-C and the BIT-B as results. Merely one survey [ 21 ] utilizing the BIT-B entirely as the result.Effectss of rehabilitation intercession1. The optimum intercession for disregard Cohen ‘s vitamin D on single consequence sizes was calculated as the difference between the pre- and posttest agencies for the individual intervention group, divided by the SD of the pretest scores. There were more than one paper about PA, so we pooled the consequence size of PA prior to relative comparing on all consequence sizes. The consequences showed that for immediate effects, PA was the highest one when measured by BIT-C and BIT-B, while CBT was the highest in BIT entire graduated table ; all attacks showed low consequence size in the durable effects ( Table 3a & A ; 3b ) .Table 3a: Immediate consequence size of each attackResultsSurveyApproachEffect sizeBIT-C Ladavas et Al ( 1 ) . 2011 Ladavas et Al. ( 2 ) 2011 Mizuno et Al. 2011 Dad 1.31 [ -0.26, 2.88 ] ( pooled ) Ferreira et Al. 2011 VST 1.16 [ -0.24, 2.56 ] Harvey et Al. 2003 VF 1.15 [ -0.25, 2.55 ] Tsang et Al. 2009 EP 0.71 [ 0.02, 1.41 ] Fong et Al ( 1 ) . 2007 TR 0.50 [ -0.19, 1.19 ] Luukkainen-Markkula 2009 LA 0.27 [ -0.87, 1.41 ] Fong et Al ( 2 ) .2007 TR+EP 0.19 [ -0.48, 0.86 ] BIT-B Ladavas et Al ( 1 ) . 2011 Mizuno et Al. 2011 Dad 0.86 [ -0.45, 2.18 ] ( pooled ) Fong et Al ( 1 ) . 2007 TR 0.16 [ -0.52, 0.84 ] Fong et Al ( 2 ) .2007 TR+EP 0.15 [ -0.52, 0.82 ] Robertson et Al. 2002 LA -0.08 [ -0.70, 0.54 ] BIT ( Total ) Koch et Al. 2012 Terbium 1.46 [ 0.39, 2.53 ] Serino et Al. 2009 Turton et Al. 2010 Dad 0.55 [ 0.16, 0.94 ] ( pooled ) Fong et Al ( 1 ) . 2007 TR 0.40 [ -0.28, 1.09 ] Fong et Al ( 2 ) .2007 TR+EP 0.18 [ -0.49, 0.85 ]Table 3b: durable consequence size of each attackItems Survey Approach Effect size BIT-C Mizuno et Al. 2011 Nysa et Al. 2008 Dad 0.52 [ -0.07, 1.11 ] ( pooled ) Luukkainen-Markkula 2009 LA 0.38 [ -0.76, 1.53 ] Fong et Al ( 1 ) . 2007 TR 0.26 [ -0.52, 1.03 ] Fong et Al ( 2 ) .2007 TR+EP 0.25 [ -0.47, 0.97 ] BIT-B Fong et Al ( 1 ) . 2007 TR 0.26 [ -0.51, 1.03 ] Fong et Al ( 2 ) .2007 TR+EP 0.22 [ -0.50, 0.94 ] Mizuno et Al. 2011 Nysa et Al. 2008 Dad 0.03 [ -0.55, 0.60 ] ( pooled ) Robertson et Al. 2002 LA -0.23 [ -0.85, 0.40 ] BIT ( Total ) Fong et Al ( 1 ) . 2007 TR 0.27 [ -0.50, 1.05 ] Fong et Al ( 2 ) .2007 TR+EP 0.24 [ -0.48, 0.96 ] Koch et Al. 2012 Terbium 1.97 [ 0.79, 3.14 ] Serino et Al. 2009 Turton et Al. 2010 Dad -0.06 [ -0.57, 0.44 ] ( pooled )2. Effectss of rehabilitation intercession versus any control on BIT stepsIn order to see the overall effectivity of rehabilitation intercessions on disregard, we applied a meta-analysis on all BIT consequences refer to standardised average difference ( SMD ) and 95 % assurance intervals ( CI ) utilizing random-effects theoretical accounts. The comparing consequences of both immediate and durable effects based on BIT were summarized in Table 4 and inside informations of single intercessions are presented in wood secret plan ( fig 2a & A ; 2b ) .Table 4 Effectss of rehabilitation intercession versus any control on BIT stepsResult or Subgroup Surveies Participants Statistical Method Effect Estimate 1.1 immediate effects 13 547 Std. Mean Difference ( IV, Random, 95 % CI ) 0.57 [ 0.29, 0.84 ] A A 1.1.1 BIT-C 9 209 Std. Mean Difference ( IV, Random, 95 % CI ) 0.76 [ 0.28, 1.23 ] A A 1.1.2 BIT-B 6 183 Std. Mean Difference ( IV, Random, 95 % CI ) 0.37 [ -0.16, 0.91 ] A A 1.1.3 BIT ( Total ) 5 155 Std. Mean Difference ( IV, Random, 95 % CI ) 0.55 [ 0.16, 0.94 ] 1.2 durable effects 9 400 Std. Mean Difference ( IV, Random, 95 % CI ) 0.21 [ 0.01, 0.41 ] A A 1.2.1 BIT-C 5 117 Std. Mean Difference ( IV, Random, 95 % CI ) 0.37 [ 0.00, 0.74 ] A A 1.2.2 BIT-B 5 145 Std. Mean Difference ( IV, Random, 95 % CI ) 0.04 [ -0.29, 0.37 ] A 1.2.3 BIT ( Total ) 5 138 Std. Mean Difference ( IV, Random, 95 % CI ) 0.36 [ -0.21, 0.92 ]Fig 2a Rehabilitation intercession versus any control, result: immediate effectsFigure 2b rehabilitation versus any control, result: durable effectsImmediate consequence of rehabilitation intercession Fig.2a showed the forest secret plan of the immediate effects of the included surveies. The meta-analysis showed that there was important heterogeneousness across the surveies, the random consequence theoretical account was chosen. The BIT-C had a statistically important average consequence size of 0.76 ( 95 % CI, 0.28-1.23 ; p=0.002 ) . The BIT-B showed no statistically important average consequence size of 0.37 ( 95 % CI, -0.19-0.91 ; p=0.17 ) , and the BIT ( Total ) showed a statistically important average consequence size of 0.55 ( 95 % CI, 0.16-0.94 ; p=0.006 ) . The sensitiveness of each test on the average consequence size was besides assessed by excepting one test one time at a clip. The overall consequence was the same even when any one of the tests was eliminated. Durable consequence of rehabilitation intercession Fig.2b showed the forest secret plan of the durable effects of the included surveies. The meta-analysis showed that there was no statistically important on all results of the BIT-C, BIT-B, and BIT ( Total ) .The impact of each test on the average consequence size was besides evaluated by excepting one test at a clip. The consequence was still non-significant ( p & gt ; 0.05 ) even when one of the tests was eliminated. Pooled consequence of PA on disregard Since there was more than one survey on the consequence of PA, we pooled the consequence size of each result ( Table 5 ) . No statistically important consequences were found both immediate and durable effects in all results with important heterogeneousness.Table 5: PA intercession on DisregardResult or Subgroup Surveies Participants Statistical Method Effect Estimate 2.1 immediate effects 5 216 Std. Mean Difference ( IV, Random, 95 % CI ) 0.89 [ 0.27, 1.51 ] A A 2.1.1 BIT-C 3 74 Std. Mean Difference ( IV, Random, 95 % CI ) 1.31 [ -0.26, 2.88 ] A A 2.1.2 BIT-B 3 74 Std. Mean Difference ( IV, Random, 95 % CI ) 0.86 [ -0.45, 2.18 ] A A 2.1.3 BIT ( Total ) 2 68 Std. Mean Difference ( IV, Random, 95 % CI ) 0.59 [ -0.02, 1.19 ] 2.2 durable effects 4 125 Std. Mean Difference ( IV, Random, 95 % CI ) 0.15 [ -0.20, 0.51 ] A A 2.2.1 BIT-C 2 47 Std. Mean Difference ( IV, Random, 95 % CI ) 0.52 [ -0.07, 1.11 ] A A 2.2.2 BIT-B 1 16 Std. Mean Difference ( IV, Random, 95 % CI ) -0.04 [ -1.06, 0.97 ] A A 2.2.3 BIT ( Total ) 2 62 Std. Mean Difference ( IV, Random, 95 % CI ) -0.06 [ -0.57, 0.44 ]4. DiscussionOur systematic reappraisal indicates that there is modest grounds back uping prism version and oculus patching to cut down one-sided disregard in patients with shot, as shown by the BIT-C both in immediate and durable effects. Other surveies proved positive effects with usage of ocular scanning preparation [ 36 ] , visuomotor feedback [ 22 ] , and TBS [ 46 ] . Since Koch et al [ 44 ] , Merely reported the entire mark of BIT and entire tonss of BIT-C and the BIT-B was non available, it is impossible to pull the decision that rTMS was better than prism version in bettering the public presentation of undertakings from the BIT-C and BIT-B for neglect patients. Harmonizing to this reappraisal, the PA seems slope to had the highest consequence size in immediate effects, but the 95 % assurance interval of consequence size crossed over nothing point, so it is no statistically important when it come to the decision. prism version, a bottom-up intercession affecting sensory-motor malleability, was foremost described by Rossetti et al [ 46 ] based on the phenomenon of visuo-motor version. And has been widely used as a paradigm to show visuomotor short-run malleability [ 47 ] .the process consists of have oning an optical prisms and a series of insistent perceptual-motor indicating motions. The possible nervous mechanism underlying the curative consequence is that prism version reduces left spacial disregard by easing the enlisting of integral encephalon countries responsible for commanding normal visuospatial end product by ways of short-run sensori-motor malleability. This technique have produced some betterment in a broad scope of disregard sym ptoms particularly the ocular 1s [ 48-50 ] . However, some opposite consequences were reported [ 51, 52 ] , The inconsistent consequences likely due to the incomparability of intervention setup, continuance of the intervention, differences in the undertakings used to measure prism version effects and the post-stroke continuance. Similar to PA, oculus patching is another underside up compensational intercession for disregard. In our reappraisal, Tang [ 25 ] reported that the 4 hebdomads application of right hemi-visual field patching demonstrated a important consequence with consequence size of 0.71. This technique concentrates the patients ‘ attending on the contralesional infinite by barricading the ipsilesional ocular field, which lessens the disinhibition to the pointing mechanism of the ipsilesional side ensuing from interhemispheric instability. But more good quality RCTs is needed for measuring the existent impact on disregard. The theta-burst stimulation ( TBS ) is a sort of insistent transcranial magnetic stimulation ( rTMS ) which showed comparatively high consequence size as measured by the BIT entire tonss in our reappraisal. Transcranial magnetic stimulation ( TMS ) has become a popular method to excite the human encephalon, Insistent stimulation ( rTMS ) has particularly gained involvement for its curative potency to modify cortical irritability [ 53 ] , which throw visible radiations on the usage of the inter-hemispheric competition theoretical account in explicating the recovery after neglect upset in shot patients [ 54-57 ] . Harmonizing to these surveies, the insistent Transcranial Magnetic Stimulation ( rTMS ) induced and repaired the interhemispheric instability ( a neglect-like behaviour ) in the left or right posterior parietal cerebral mantle in healthy worlds. Based on these findings, some surveies were conducted to research whether this attack may be utile in advancing clinical recovery fr om disregard and the consequence is assuring [ 57-60 ] . Compared to traditional standard cognitive intercession, rTMS can speed up clinical recovery and more effectual in bettering standard trials. And it seemed that the severely patients at baseline benefited more from the intercession. However, the different result measurings and clinical test methodological restriction made it impossible to pull any decision based on robust grounds. This reappraisal can non reply inquiry refering the best beginning clip for neglect rehabilitation intercession, because that most participants of the included surveies were recruited in either the subacute or chronic stages. Merely few surveies implemented rehabilitation to pretermit within one month after stroke [ 26, 27 ] . As most of the self-generated recovery after shot was happened in the first month [ 61 ] , in order to avoid the confounding of self-generated recovery, farther research is necessary to find the effects of an earlier rehabilitation against natural recovery of one-sided disregard after shot. Neglect is the best individual forecaster of long-run functional damage and hapless result in the early phase [ 62, 63 ] , and recent surveies on the mechanism of neglect emphasized more on the secondary alterations of remote web related to attending [ 64 ] . A survey [ 65 ] based on neuroimaging showed that at two hebdomads after shot, the usually functional connectivity be tween left and right dorsal parietal cerebral mantle was disrupted and the grade of dislocation correlated with the badness of left spacial disregard. So it is sensible that patients should get down neglect intercession every bit shortly as possible in the acute phase in order to avoid erudite no-use occurred over the neglect side by increasing multisensory inputs or stimulation to the ipslateral encephalon parts and decelerate down the secondary alteration in the encephalon relation to pretermit. For farther research, we recommend earlier intercession and adequate follow up to maximise the benefit and proctor persist consequence of disregard rehabilitation and functional results. Our reappraisal indicates that the BIT conventional subtests and the BIT entire mark may be used to mensurate the immediate effects on one-sided disregard as the entire average consequence size on immediate effects was 0.76 and 0.57 severally, which can be consider as clinically important [ 66 ] . The BIT behavioural subtests should non be used entirely as an result as we could non establish any satisfactory consequence in the BIT-B as the consequence size is excessively little ( average immediate consequence size=0.37, average durable consequence size=0.04 ) to make any statistical important consequences. Restrictions of the reappraisal The reappraisal exists some restrictions. The quality of the included surveies limits the determination of this reappraisal. Although there was an betterment in the coverage quality as the average sum mark in this reappraisal was 6.08 A ± 0.81 ( ranged from 5 to 9 ) as rated by the PEDro, which is higher than that of the antecedently reported mark 4.56 A ± 1.54 with a scope from 2 to 7, obtained from the overall RCTs in another reappraisal of neglect rehabilitation [ 7 ] . The intention-to-treat analysis is non satisfied by any of the surveies. The sightlessness design is still the most failing of these RCTs. The heterogeneousness of surveies included meant this meta-analysis is less powerful and could non place a conclusive optimum intervention approach.in add-on ; extended hunt may acquire more surveies to beef up the decision.DecisionPrism Adaptation ( PA ) appeared to be the most common and effectual scheme among rehabilitation intercessions on one-sided disregard and rTMS po ssibly is a promising attack for intervention of one-sided disregard. Rehabilitation intercessions have positive immediate effects on one-sided disregard as measured by the BIT conventional subtest than that on the behavioral subtest. As shown by the short durable effects, effects of rehabilitation intercessions are frequently transeunt and frequently can non be generalized across clip to daily working. All surveies faced the same failing of lower power with smaller samples and restriction in sightlessness design. More strict surveies should be done before coming to a steadfast decision.

Immigration Reform: Impacts at the State and Federal Levels Essay

Texas has a reputation throughout history of differing views from the federal government in laws and politics pertaining to social, fiscal, and educational issues. On the whole, Texas operates as a largely conservative state. Because of this, policy-making is often right wing. With the institution of a Democratic, liberal president, the State’s dissent from the Federal government has only increased over certain issues. One hot topic of the 2012 Presidential election was immigration. With the major increase in immigration, it is no surprise that the issue was so emphasized. Between 2000 and 2011 there was a 30 percent increase in the foreign-born population. The immigrant population grew from 31.1 million to 40.04 million. (americanprogress.org) Texas has a special interest in this subject due to the fact that they have a population of over 4 million immigrants. Texas is among the top three states with foreign born individuals living within its borders, giving the state a veste d interest in the nation’s immigration policy. (Orrenius et al., 1) Historically, Texas has differentiated from the National government in regards to immigration. One example is the Supreme Court case Plyer v. Doe. In 1975, the Texas Legislature allowed public schools to deny enrollment to children who could not provide documentation that they were â€Å"legally-admitted† to the United States. In 1977, the Tyler independent school district adopted a policy that required foreign-born students who were not â€Å"legally-admitted† to pay tuition to attend. A group of students from Mexico who could not establish their â€Å"legal-admittance† filed a class action suit which challenged the policy. The Supreme Court ruled that the policy violated the Equal Protection Clause, stating, â€Å"If states provide a free public education to U.S. citizens and lawfully present foreign-born children, they cannot deny such an education to undocumented children without ‘showing that it furthers  some substantial state interest.’â₠¬  (immigrationpolicy.org) Being a right-wing state, Texas has a strong belief in state autonomy in policy making, therefore the decision in this case was not well-received by the majority of individuals in the state—despite it being the morally and legally correct decision. Texas has also long supported an increase in border security. In 2006, Gov. Rick Perry announced a plan that assigned Department of Public Safety personnel as well as other resources to the border to assist in law enforcement. He also added an additional $3.8 million in grant funding for state criminal justice planning funds to the Texas Border Sheriff’s Coalition. (Texas House of Representatives) The state’s legislative policy has been one of strict anti-immigration. In Texas’s 81st Legislative session, the issue of Voter ID arose. The Voter ID bill would require photo identification or two forms of other identification in order to vote. During the 81st session, Democrats filibustered to prevent the issue from being voted upon, it is very likely this is the only reason the bill did not pass and it likely will pass should it reappear in the 82nd session. Despite its history of harsh policies towards foreign born immigrants, two bills have been introduced into the Texas Legislature which provide some leniency toward immigrants. The first is a proposal would grant undocumented immigrants the ability to legally drive and obtain insurance if they pass a background check and a driving test. Texas Rep. Byron Cook said about the subject, â€Å"That’s much better policy than what we have right now, where we have undocumented workers that are driving without a license and without insurance, and we don’t know who they are or where they live.† (Harper) Despite the reason behind it, the policy definitely shows an unprecedented favor towards illegal aliens within Texas borders. The second bill would prohibit law enforcement from asking the immigration status of witnesses and victims of crimes. Though neither of these bills has made it to debate, they do demonstrate a shift from previous anti-immigration sentiment. In June of this year, the Senate passed immigration reform bill S.744, containing several provisions including: increased border security, a feasible path to citizenship for undocumented immigrants, creates a new category of merit-based green cards for individuals who meet certain criteria which might benefit the national interest, and mandates that all employers in the country use E-Verify—a government work-authorization  system—within five years of employment (americanprogress.org). While the provisions of this bill are largely in line with the beliefs of the Texas Legislature and policies of the state, they do bring certain issues to light. Although the idea of stricter Federal immigration policies seems to be beneficial for the states, often the federal government passes legislation and leaves the states to handle the cost. For example, from October 2011 to September 2013 Texas county jails spent $156.6 million on incarceration of undocumented immigrants. (Su, 23) Ultimately, immigration policy on both the state and federal level will continue to be a dynamic topic. While certain aspects of immigration reform will likely have major benefits for the nation such as boosts to the economy with an estimated 121,000 jobs being added yearly and an increase in the GDP over 10 years, others are fundamentally flawed. For instance, the E-Verify system is viewed by some as the first step towards a national identification system for all US citizens. This is viewed by many as an invasion of privacy. In addition to this, according to research the system misidentifies about 1% of applicants as undocumented. (Against The Current) Forcing employers to use E-Verify could also lead to a decrease in State and Federal payroll taxes because it could cause employers to move their undocumented employees â€Å"off the books† to avoid having to incur the cost of training new employees and offering more competitive wages. Although both state and federal governments have good intentions with their immigration policies, both have serious issues to consider. Solving the immigration problem will require Federal and Local governments to work hand in hand. Border security is something both sides advocate heavily, spending millions on walls, electronic equipment, and increased border patrol. The cost has not just been limited to dollars, however, as increase border security leads to an increase in casualties. Immigration reform has the potential to boost the economy as well as increase the relations between the United States and foreign countries. By continuing to advocate for a path to citizenship and work towards getting the 11 million undocumented immigrants citizenship, the government can achieve these goals. In addition, continued movement towards bipartisanism on both the state and federal levels can create an overall better, more effective nation. Works Cited: â€Å"Facts on Immigration Today.† Center for American Progess. N.p., n.d. Web. 7 Dec. 2013. . Orrenius, Pia M., Madeline Zavodny, and Melissa LoPalo. Pia M. Orrenius Madeline Zavodny Melissa LoPalo Federal Reserve Bank of Dallas Agnes Scott College Federal Reserve Bank of Dallas DALLAS FED Immigration and the Transformation of the Texas Economy. Nov. 2013. Print. â€Å"Public Education for Immigrant Students: States Challenge Supreme Court’s Decision in Plyler v. Doe.† Immigration Policy Center. American Immigration Council, n.d. Web. 7 Dec. 2013. . Texas House of Representatives. House Research Organization. The Role of States in Immigration Enforcement. Feb. 2006. Print. Harper, Karen Brooks. â€Å"Immigrant Driving Permit Bill in Legislature Raises Tough Issue for GOP.† Dallas Morning News [Dallas] 2 May 2013: Print. SU, RICK. â€Å"The States Of Immigration.† William & Mary Law Review 54.4 (2013): 1339-1407. Academic Search Complete. Web. 8 Dec. 2013. â€Å"Organizations and Leaders’ Critique of S.744.† Against The Current 28.4 (2013): 11-12. Academic Search Complete. Web. 8 Dec. 2013.

Romeo and Juliet summary Essays

Romeo and Juliet summary Essays Romeo and Juliet summary Paper Romeo and Juliet summary Paper For my English coursework, I have been studying the Shakespeare play Romeo and Juliet. Romeo and Juliet is a romantic tragedy. The plot chronicles two star-crossed lovers, which belong to two feuding families, the Capulet family and the Montague family. For the two to be happy they must deceive their families. This is done with the help of Juliets maid and Friar Lawrence. The dramatic play concludes tragically as the couple die, together, in a sad twist of fate. The scene I have chosen to dramatise and direct, as on stage is, Act 1 Scene5. During this scene the two main characters, Romeo and Juliet, meet at the Capulets masked ball. Romeo sees Juliet and is infatuated, he then follows her. Meanwhile Tybalt, a highly respected, powerful Capulet, discovers that Romeo, a Montague, is at the party, Tis he the villain Romeo. Tybalt is told not to pursue Romeo and let him be, by Sir Capulet It fits when such a villain is a guest; I shall not endure him. Approaching the end of the scene Romeo finds Juliet. He takes her behind a curtain, and tries to kiss her My lips, two blushing pilgrims, ready stand to smooth that rough touch with a tender kiss, She gives in after playing hard to get, and the two kiss twice. Juliets maid then interrupts and tells Juliet that her mother wants to talk to her Madam your mother craves a word with you. Juliet goes, and Romeo leaves the party. At the end of the scene Juliet asks her maid what was Romeos name, She answers, His name is Romeo, and a Montague; The only son of your great enemy. On that note the scene ends. In the scene leading up to this, the Montagues were deciding whether or not to crash the Capulets party. We find out more about Romeos best friend and companion Mercutio, this character plays a large role in this scene, and also later in the play. Romeo then enters the party disguised in a mask. In the scene following on from mine, the party has ended and Romeo intrudes into the forecourts of the Capulet Mansion. Romeo then goes to Juliets balcony. Then the sentence that is most well known, O Romeo, Romeo! wherefore art thou Romeo? Deny thy father and refuse thy name; or, if thou wilt not, be but sworn my love, and Ill no longer be a Capulet. is proclaimed. This is an example of irony, because Romeo is actually hidden very near the balcony from which she is speaking. She then encounters him later in the scene Romeo and the two embrace romantically before nearly being caught. During Act 1 Scene 5 we discover some important information about some of the main characters, such as Romeo, Juliet, Juliets Nurse and Tybalt. We learn that Romeo has strong feelings towards his newfound love Juliet, and he seems anxious to pursue these feelings. We also learn that Romeo is about nineteen years old. He is also a Montague, and only son of his father Sir Montague. Juliet is young but is mature, she is about thirteen years old. She is a Capulet. Also she is the only daughter of Sir Capulet. This proves a difficulty later in the story. Tybalt is the henchman of Sir Capulet. He is very powerful and seems to be second in command to Sir Capulet. Juliets nurse is understanding of Juliets new found love. She is he one who walks into the two would be lovers first embrace. She accepts that Romeo is a Montague, the enemy of the family she works for, and doesnt hold it against him. She actually acts as a go between, later in the story. She is the one who delivers the news to Juliet, that Romeo is a Montague. In this scene I am trying to draw out the love and passion of the two characters. I want to show that even though the two families despise each other, Romeo and Juliet would put that behind them, as their love is so strong. I want to point out that Romeo is infatuated with Juliet and the audience should be aware of this. O, she doth teach the torches to burn bright! It seems she hangs upon the cheek of night like a rich jewel in an Ethiopes ear; beauty too rich for use, for earth too dear! So shows a snowy dove trooping with crows, as yonder lady oer her fellows shows. The measure done, Ill watch her place of stand, and, touching hers, make blessed my rude hand. Did my heart love till now? Forswear it, sight! For I neer saw true beauty till this night. This is what Romeo says when he first sets eyes on Juliet, and it is a great example that he is infatuated with her.

Portia in Shakespeares The Merchant of Venice

Portia in Shakespeare's 'The Merchant of Venice' Portia in Shakespeares The Merchant of Venice is one of the Bards most beloved characters. The Love Test Portias fate is determined by the love test her father gives to her suitors. She is unable to choose her own suitor but is forced to marry whoever passes. She has wealth but has no control over her own destiny. When Bassanio passes the test, Portia immediately agrees to divest all her riches, property, and power over to him in order to be his loving and dutiful wife. She is passed from one man’s control- her father’s- to another- her husband’s: As from her lord, her governor, her king.Myself and what is mine to you and yoursIs now converted: but now I was the lordOf this fair mansion, master of my servants,Queen oer myself. And even now, but now,This house, these servants and this same myselfAre yours, my lord’s (Act 3 Scene 2, 170-176). One wonders what is in it for her... other than companionship and, hopefully, love? Let’s hope that her father’s test really is foolproof, in that the suitor is proven to love her through his choice. As an audience, we know the lengths to which Bassanio has gone to win her hand, so this gives us hope that Portia will be happy with Bassanio. Her name is Portia, nothing undervaluedTo Cato’s daughter, Brutus’ Portia.Nor is the wide world ignorant of her worth,For the four winds blow in from every coastRenowned suitors, and her sunny locksHang on her temples like a golden fleece,Which makes her seat of Belmont Colchis’ strand,And many Jasons come in quest of her (Act 1 Scene 1, 165-172). Let’s hope Bassanio is not just after her money but, in choosing the lead casket, we are to assume he is not. Character Revealed We later discover Portia’s true grit, resourcefulness, intelligence, and wit through her dealings with Shylock in court, and many a modern audience might lament her fate at having to go back to court and be the dutiful wife she promised to be. It is also a pity that her father did not see her true potential in this way and, in doing so, he may not have determined his ‘love test’ necessary but trusted his daughter to make the right choice off her own back. Portia ensures that Bassanio is made aware of her alter ego; in disguise as the judge, she makes him give her the ring that she has given him. In doing so, she can prove that it was she posing as the judge and that it was she who was able to save his friend’s life and, to and extent, Bassanios life and reputation. Her position of power and substance in that relationship is therefore established. This sets a precedent for their life together and allows the audience some comfort in thinking that she will maintain some power in that relationship. Shakespeare and Gender Portia is the heroine of the piece when all the men in the play have failed, financially, by the law, and by their own vengeful behavior. She swoops in and saves everyone from themselves. However, she is only able to do this by dressing up as a man. As Portia’s journey demonstrates, Shakespeare recognizes the intellect and abilities that women have but concedes that they can only be demonstrated when on a level playing field with men. Many of Shakespeare’s women show their wit and cunning when they are disguised as men. Rosalind as Ganymede in As You Like It is another example. As a woman, Portia is submissive and obedient; as the judge and as a man, she demonstrates her intelligence and her brilliance. She is the same person but is empowered by dressing as a man and, in doing so, she hopefully gains the respect and equal footing she deserves in her relationship: If you had known the virtue of the ring,Or half her worthiness that gave that ring,Or your own honour to contain the ring,You would not then have parted with the ring (Act 5 Scene 1, 199-202).

Organizational Theory Assignment Example | Topics and Well Written Essays - 2000 words

Organizational Theory - Assignment Example Also, the paper will review the criticisms that have been generated towards the two assumptions. While ontology is associated with the nature of an event, epistemology is about the way people understand such an event (Gioia, 2003). The classification of the two assumptions, therefore, can be based on an individual’s belief considering that objective existence is inherent in the world, or because the reality of an event is based on a mediated social understanding. In this sense, prior to human judgement, objective ontology presumes that natural and social reality occurs independently (Johnson and Duberley, 2000: 180). In view of this assumption, objective epistemology takes into consideration the causal inter variable relationships, and assumes that the reality does not originate in an individual, but rather from sensory experiences. Having said this, the manner in which an individual understands an event is acquired from measurement, touch, taste, or observation (Johnson and Duberley, 2000). Furthermore, the epistemology of objectivity seeks to generalize theories by mak ing a very important presumption that the theory applies to all people in the world regardless of the context and circumstances. A good example of a research that best shows a theory-approach alignment is one conducted in by Cooper and Sobol (1969) investigating seniority and employment testing as a criteria for hiring and promoting employees. In this paper, the theory being used is the disparate impact theory while the approach is basically a case study complex, while epistemology is constructionism coupled with positivism. By analyzing the various cases where the use of seniority and testing were deemed to be violating the fair employment laws, Cooper and Sobol (1969) went on to suggest that depending on who is analyzing the cases may take different meanings because of their constructionist approach. They

Biotechnology in healthcare Essay Example | Topics and Well Written Essays - 1000 words

Biotechnology in healthcare - Essay Example Consequently, doctors tend to prescribe specific drugs so as to achieve maximum personal benefits even though the prescribed drugs are of less effect. The regulatory authorities face difficulty with preventing these unethical practices since medical prescription is completely left to doctors’ choice. This paper will critically explore the ethical and regulatory issues associated with marketing drugs in the United Kingdom. Drug Marketing Issues It has been identified that pharmaceutical companies spend a lot of money toward marketing their drugs in a way that their drugs would continuously get prescribed by doctors. Naturally, the company representatives exaggerate the benefits and efficacy of their products; and often doctors do not try to verify the authenticity of their argument. In fact, there are no practical ways for doctors to test the reliability of companies’ claims instantly; the laboratory tests require much time and they would not provide cent percent accurat e results of the drug’s effectiveness. The Inverse Benefit Law focused on Hart’s inverse care law states that â€Å"the ratio of benefits to harm among patients taking new drugs tends to vary inversely with how extensively the drugs are marketed† (wellness resources). When companies extensively market their drugs, sometimes the act gives rise to new diseases. Pre-diabetes and pre-hypertension are some best fitted examples which reveal the horrible impacts of unethical drug marketing. Reducing the verge for a disease means maximum sales for pharmaceutical companies in UK; the same happens while new diseases emerge. It is important to note that the ultimate aim of medicine is to eradicate diseases but not to create new ones. However, drug marketers encourage doctors to test the effectiveness of their products on patients. Although doctors know that certain drugs’ impacts may vary with age, sex, and demographic factors, they would not be willing to change th eir prescription criteria so as to preserve their personal interests. The most destructive impact of drug marketing is the practices of over dosage. Company representatives are always under pressure to meet their fixed targets; consequently, they may force doctors to prescribe drugs in large quantities. Although these over dosages may mitigate the symptoms of diseases rapidly, they have far reaching impacts on patients’ health. Similarly, all misleading pharmaceutical advertisements are against the professional ethics as they negatively affect patients’ medical knowledge also. Issues associated with drug marketing regulation The regulatory authorities cannot insist doctors regarding medical prescription because of two reasons; firstly, a doctor is well conversant with the physical conditions of his/her patients; secondly, he/she must have full freedom of action during the course of treatment. In real practice, it is seen that doctors misuse their freedom with intent to gain personal economic benefits. In such situations, regulators cannot identify whether a doctor’s prescription is genuine or not. The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for excessive drug marketing prevention in UK. The MHRA 2008 reports show that the discontinuation of drugs within a shorter period of time causes severe impacts on patient’s health. Therefore, it is difficult to ban certain drugs even though they are found harmful. Disputes have been going on in UK even among regulation panel