When to treat a condition as an absolute contraindication

A contraindication pertains to a state wherein the performance of a specific medical action is not recommended. There are two general types of contraindication that may be directly described in association with its urgency to a situation. A contraindication is deemed absolute when the procedure may not be entirely performed on an individual based of his current condition. On the other hand, a contraindication is relative when the situation of an individual does not entirely rule out the possibility of using a specific procedure unless it is essential that such specific procedure or action be performed. One example of an absolute contraindication is being in a highly infective state, such as having chickenpox. In this situation, the chickenpox virus has the ability to infect any other person that is directly interacting with the infected person and even through the air that is circulating around the room where the infected person is located. The infected person may also spread the chickenpox virus through coughing. Chickenpox is associated with skin blisters that are generally itchy and the fluid from these blisters is very potent in infecting other people that may it come in contact with. A person infected with chickenpox is known to be in a highly infective stage several days before the blisters appear on his skin. Hence, a condition such as chickenpox should be treated as a contraindication because the infected person is highly infective and may pose a health threat to other people surrounding him. Another example of an absolute contraindication is widespread inflammation such as rheumatoid arthritis. In this condition, the patient’s autoimmune system is not normal and his joints are generally inflamed and are very easily affected by drugs and any simple movements. The patient’s connective tissues are generally destroyed hence they have a difficult time in maintaining a normal posture and even simple movements are painful and difficult. In such condition, any type of body massage may not be advisable to an individual with rheumatoid arthritis because it is not helpful and beneficial for such an individual to receive any forceful procedures to the body when the individual is already suffering from joint pains. An individual who has been diagnosed with a severe condition such as Parkinson’s disease should also be considered as an absolute contraindication for several procedures. A patient with Parkinson’s disease suffers from a major disability in terms of motor movements. This condition, also known as dystonia, results in involuntary jerking of specific parts of the body such as the hands, arms or even legs. When an individual has been diagnosed with Parkinson’s disease, this individual’s condition should be treated as an absolute contraindication because his condition may present complications with most procedures. For example, surgery can only be performed on an individual with Parkinson’s disease if a medical release form has been issued by the patient’s primary physician. The reason behind this is that the patient’s condition may become more severe during or right after a specific surgery because his motor movements are not stable and controllable due to Parkinson’s disease. Another condition that should be treated as an absolute contraindication is a medical emergency such as appendicitis. In this situation, the individual’s appendix is infected and surgery needs to be done immediately, or else the patient may die from shock and from the infection (Rizk and Saleem, 2008). In this condition, any other procedure should not be performed unless surgery to remove the appendix has been completed and the incisions that were done on the patient have completely healed. The patient suffering from appendicitis also experiences extreme pain in the lower right portion of his abdomen hence he will be unable to perform any other action unless he is rushed to the hospital and surgery is done as soon as possible.

Business Report of Lenovo Essay

Introduction Lenovo was found in 1984 in Beijing and it is the world’s second-largest PC vendor. According to the last official statistic, Lenovo consolidated turnover of 146.6 billion Yuan and Lenovo employs nearly 40,000 people. Lenovo is a well-known national brand in China and Lenovo is serving customers in more than 160 countries. In order to expand overseas business and access to world-class brand, Lenovo carried out an acquisition of the former IBM Personal Computing Division in 2005. IBM was founded in 1911 in the United States and it is the largest information technology and business solutions company in the world, currently has more than 30 million employees in the world, with operations in over 160 countries and regions. The problems experienced by Lenovo concerns the construction of cross-cultural teams. Most of the merger and acquisition fail in the post-merger cultural integration. Lenovo set up work teams for designing the future of IBM and developing the new view after acquisition. The results had been shown it uneasy and can lead to the failure of the Lenovo’s acquisition strategy. At the beginning of the acquisition, cultural differences had not been enough anticipated in the acquisition process. And Lenovo wants to remedy the problem as soon as possible to make IBM acquisition profitable in the next strategy. The report part of the business plan Summary This report is intended to identify, describe and propose some solutions to Lenovo to solve the problems about teams and groups in the acquisition of the IBM. This report will describe problems associated with team building, provides some possible solutions and evaluates each of these. And, this report will describe the impact of cultural differences on the establishment of work groups. Actually, Lenovo had taken some measures, but it with little success. According to the current state of Lenovo, this report will give some suggestions and solutions to overcome or avoid the conflict caused by cultural differences and set up effective cross-cultural teams. Especially, these solutions are based on literature on the issue. It concludes that it is necessary for the company to establish effective and appropriate measures to eliminate the barriers in cross-cultural teams, as absence of this may threaten the company’s long-term development. To overcome the problem, Lenovo should take the follow action for IBM survival: * Obtain the core values between Chinese employees and American employees through an internal survey. * Design an international training program for all the employees and especially for managers. * Incorporate both corporate cultures of Lenovo and IBM to create a new corporate culture. * Every cross-culture team should organise monthly meeting or weekly meeting to evaluate the progress of communications and work. * Organise some internally non-working activities to create more opportunities for the communication among employees with different cultural context. * Set up the special teams to deal with the problem caused by cultural difference in every cross-cultural team. Introduction This section of business plan will introduce the problems caused by cultural differences in cross-cultural teams and give some suggestions to overcome the problems. In the acquisition of IBM, Lenovo accepted more than 10,000 employees and it also means that Lenovo accepted a very different culture. Lenovo is not only facing the differences between western and eastern culture, but also Lenovo facing the problems of how to integrate the teams with different organisationally cultural context. In this report, the recommendations to overcome the problems in cross-cultural teams and groups are based on the literature on team building and cross-cultural team management. Body At the beginning of the acquisition of IBM, Lenovo had taken some measures. For example, in order to both sides can communicate better, the new Lenovo use the international common language – English as the official language of the company. But cultural integration is a long-term process, which requires companies to devote their time and patience and the communication, compromise between both of high level, and staff in the acquisition. It must not be too hasty. Base on the fact of Lenovo, there are three aspects should be noticed and improved. Firstly, IBM has a long history and IBM has very high brand awareness. In addition to the brand, employees can get the respect for personal values ​​and a comfortable working environment can be provided for employees by the human resources services and the improvement of the system. In contrast, Lenovo has a big gap no matter the position in IT industry and the strength of themselves. If some team members uphold the cultural superiority or group superiority that their own cultural value system better than those members from other cultures or groups, their behavior maybe resulting in the failure of team building because they will be possible to take hate and boycott from other members, even lead to conflict. Because the conflicts caused by cultural differences between team members and individual differences under thus influence, analysis and identification of cultural differences is necessary. Secondly, communication is the process of exchange and transmission of information among people or groups. Because of the multi-cultural background, language and non-language barrier, people lack of understanding of each other’s political, economic, legal, social and cultural environment, and the understanding of the customs, values, etc. are different. They are often based on their own perspective to make an analysis and judgment on each other’s information, and thus the misunderstanding and conflict are often obtained. Because of these, design a multi-cultural training and hold a monthly meeting or weekly meeting is necessary. Thirdly, a company has an acquisition of another company means an integration of two different corporate cultures. When the employees of a cross-cultural group are conscious of the different of personal cultural awareness with others, it will be cause the group lost their purpose. Based on the possibility, establish a common business concept and corporate culture is a good solution to this problem. Establish a new joint management concept and a strong culture based on the environmental requirements and the principle of the company’s strategic development, so that reducing cultural conflict and that each employee’s thinking and behavior can combine with the company’s operations and purpose. Adopting these recommendations and the actions in summary can make internal and external combination of the teams more closely, establish a good reputation in the international market and enhance multinational cultural adaptability. This is the ultimate goal of why Lenovo needs solve the cross-cultural issues of teams and group in the acquisition of IBM. (1077 words) Section 2 1. What the literature says â€Å"teams and groups† The importance of teams and groups for an organisation In modern society, one person’s power, information and resources are limited. Most time people need cooperate with others no matter working or others as Handy (1993) said â€Å"On average, managers spend 50% of their working day in one sort of group or other. Senior managers can spend 80%†. Although there is no clear and single definition of a â€Å"teams and groups†, there is a basic limited definition by Bennett (1991) â€Å"a collection of two or more people who possess a common purpose†. The formation of an organisation groups in order to achieve the purpose of work more efficiently. An organisation can produce some different kinds of groups, for example: formal and informal, LOCO, HICO, teams, etc. An organisation needs to be aware of their differences and use them as efficiently as possible. There are a lot satisfying reasons why an organisation should create work groups. For example, organising effective groups can have some uses for the distribution of work, the management and control of work, problem-solving and decision-making, information processing, information and idea collection, testing and ratifying decisions, co-ordination and liaison, increased commitment and involvement, negotiation and conflict resolution, inquest or inquiry into the past. (Handy, 1993) No matter what kind of a group there is a bottom line is â€Å"A strong group is †¦ usually more powerful than a strong individual and can have a considerable effect on organizational policy and practice.†(Thomson, 2002) This literature review will pay attention on teams mainly. In a team, everyone plays different role and they have specific function and they working with an important principle â€Å"voluntarily co-ordinate their work in order to achieve group objectives†(Bennett, 1991). Building a team People hope they can define their identity through their membership of certain groups like people belong to local political and pressure groups, for example, because they experience a shared set of values with the other people in the group which reinforces their own values. But, according to Thomson (1997), one reason why people belong to group is â€Å"social needs†. As Thomson & Mabey said â€Å"some †¦ groups will be family or friendship groups, which are formed to meet a diverse range of needs such as affection, security, support, belonging or identity. Some may be committees, where members usually represent different interest groups who come together to discuss their differing perspectives on matters of interest†, people should build a team for the work that is highly complex problems, need for consensus decisions and there is uncertainty when a broad range of competences are required. A company is a big group of a lot of people working together, so the managers are responsible to build effective teams or workgroups. After collecting more individual talents, building a team has the ability to use the talents on a united effort and success is very important (Woodcock, 1979). Consequently, the managers should know how to effectively build a team. In general, the managers must have the knowledge about the five development stages (forming, storming, norming, performing and mourning) in a team or workgroup and they should have an appropriate leading method for themselves (Thomson & Mabey, 1994). Of course, this is not enough for managing a team. The managers need realise everyone’s advantages and dis advantages in the team and especially the differences of their culture context. Teams and cross-cultural context In modern society, business environment developed quickly international. Different cultural members mixed in a team so that the team has powerful ability to solve complex problem. But, individuals from different cultural context must show a different behavior and values in the team. This is because the people’s cognition, thinking, needs, values, code of conduct, customs, etc. are formed in the years of life, work and education. The individual differences caused by cultural differences led to the conflict of the team in the cross-cultural context (Sun, 2012). So, how to make a cross-cultural team working effective is the main responsibility of managers. In a cross-cultural team, there is an important factor is a clear understanding of every one culture and values, and a process of acculturation. The acculturation process is a mutual exchange of cultural pattern (Olie, 1995). Related to the case of Lenovo, the best recommendation for acculturation is integration. It different with one culture dominate the others, integration is a process of acculturation (Nahavandi & Malekzadeh, 1995). Interest for Lenovo In the case of Lenovo, Chinese and American must accept each other for working effectively. But the main problem in the cross-cultural groups is communication. The managers of Lenovo must make everyone in the group understands and adapt to the different culture with some training or actions. And more important is design a politic cooperatively cultural pattern. 2. What does the literature say about different cultural contexts and its influence on teams and groups What are culture and its importance According to Hofstede(2003), culture is â€Å"the collective programming of the mind which distinguishes the members of one group or category of people from another†. It related to a group. With a large-scale research study of IBM branches around the world by Geert Hofstede, the culture is considered a compositive project. Geert Hofstede creates a new way to describe culture through five variables: power distance, individualism, masculinity/femininity, uncertainty avoidance and long-term orientation. All theories have limitations. Although this method created by Geert Hofstede is not absolutely right, it does not affect the theory of Hofstede can analyse one country’s culture as a valuable tool. Contract with the case of Lenovo, the most important effect by culture is â€Å"Currently only 25% of international mergers and acquisitions in Europe are successful. The price of failure is high. Cultural misunderstanding lead to loss of face, loss of money and, in extreme case, even loss of life† (Gibson cited in Naysmith, 2006). If managers do not pay enough attention on the culture, it possibly can cause the failure of the acquisition of IBM. Organisational culture Culture is not only exists in the countries, but also culture exists in any organisation constituted by people. Based on Handy (1993) said, â€Å"The role organisation will succeed as long as it can operate in a stable environment†. A steady cultural environment is necessary for an organization get success. At the same time, organisational culture is manageable and it can affects the approach of management, the accepted goals and customer of the society determine and influence that what managers strive for and the rule observed by managers (Stewart cited in Naysmith, 2006). So, the organisation also based on the cultural context of the country. The organisational culture can also measured by the five variables created by Hofstede.(Geert Hofstede, 2001) Influence of culture on â€Å"teams and groups† If a company formed by people comes from different cultural country, this company will own a special energy. It is a competitive advantage from a cross-cultural context. But, exerting the competitive advantage effectively is the most important challenge for the cross-cultural group. Because in a cross-cultural group the members have different working purpose and processes will be revealed. (Maznevski & Peterson, 1997) The effectiveness of work group will be decreased by the ethnocentrism, stereotypes, different expectations and difference in values. And these negative emotions will produce the anxiety and misunderstanding in-group, even diminishing the workers dedication to the company and destroying the group ardor. Interenst for Lenovo Cross-border mergers and acquisitions not only include the corporate cultural differences of both sides, but also include the cultural differences between the countries of the two sides. Organise some activities or cultural training to make more opportunities for every understanding different culture can eliminate the negative affects effectively. 3. Conclusion This literature review introduces some keys briefly for understanding teams and groups in a cross-cultural context. Firstly, teams and groups are particular important for an organisation. But there are some problems should be solved in a cross-cultural group. The managers is not only should know everyone’s skill and talent, but also they should know their difference caused by different cultural context. And some actions can make a good communication between each other for understanding the differences are necessary. Secondly, based on enough knowledge to understand the importance of culture, the managers should eliminate the negative affects of cross-cultural context through some activities or training. And the most important is creating an appropriate organisational culture. It can give the cross-cultural group an approach, so the cross-cultural group can exerts the competitive advantages completely. Bibliography Bennett, R., (1991), Organisational Behavior, London: M&E/Pitman, pp.145, 154. Geert Hofstede, (2001), Culture’s Consequences: Comparing Values, Behaviors, Institutions, and Organizations Across Nations, Second Edition, Thousand Oaks CA: Sage Publications Geert Hofstede, (2003), Cultures and Organisations, Intercultural Cooperation and Its Importance for Survival, Soft ware of the Mind, London: Profile Books Ltd. Handy, C, (1993), Understanding Organisations (4th ed.), London: Penguin, pp.150-2. Maznevski, M. & Peterson, M.F., (1997), Societal Values, Social Interpretation, and Multinational Teams. In C. Skromme Granrose & S. Oskamp (Eds.), Cross-Cultural Work Groups, pp. 61-89, London: Sage Publications Ltd. Nahavandi, A. & Malekzadeh, A.R., (1995), Acculturation in mergers and acquisitions, In Jackson (Ed.), Cross-Cultural Management, pp. 328-341, Oxford: Butterworth-Heinemann Ltd. Olie, R., (1995), Culture and integration problem in international mergers and acquisitions, In T. Jackson (Ed.), Cross-Cultural Management, pp. 308-325, Oxford: Butterworth-Heinemann Ltd. Sun Ziwen, (2012, April 13), Case analysis of the cultural integration in cross-border mergers and acquisitions of Chinese enterprises, People’s Forum, 356(2), 7. Thomson, R., (2002), Managing people (3rd ed.), Oxford: Butterworth-Heinemann, pp.92, 95. Thomson, R. & Mabey, C., (1994), Developing Human Resources, Oxford: Butterworth-Heinemann in association with the Institute of Management, pp.177. Woodcock, M., (1979), Team Development Manual, Aldershot: Gower Press Teakfield Limited, pp.177.

Analysis of the Bottled Water Industry Essay

The shortage of potable water on some islands in the Maldives has been described as â€Å"serious† by the national disaster management centre (NDMC). There are currently 12 islands which have been facing water shortages since mid-February, according to Moosa Ali Kaleyfaan, deputy director general of the NDMC. The NDMC has supplied 763 tons of water to eight islands, but four more islands [†¦ ] are in desperate need of water, he said. â€Å"The main reason is it hasn’t rained for a long time it’s the dry season,† said Moosa. â€Å"Even more islands are believed to face this problem. The department of meteorology has forecast the dry season will continue until June [2009]. The NDMC has spent an estimated US$60,000 to supply water to the 12 islands. â€Å"I am very upset with the government because we need water,† said 42-year old Jameela Aboobakuru from Gaafaru. â€Å"We ran out of water, so we borrowed water from our brother. When he ran out of water we started buying bottled water imported from Male’. † She said her 12-member family was spending US$22 a day to buy bottled water for drinking and cooking; their daily income, she added, was only US$26. On another island, Gulhi, Ahmed Ibrahim, the island office assistant director, said islanders had been importing bottles water from the capital as well as in jerry cans. â€Å"They are getting water somehow,† he said, â€Å"but the island needs a permanent solution to this problem like piped desalinated water. † Kaleyfaan agreed, saying although water was supplied to the islands from Male’, it was necessary to seek a long-term solution such the installation of a desalination plant on every island. We are already in the process of installing a desalination plant in a boat, so that in emergencies we can supply water by travelling between islands,† he said. [†¦ ] Almost 100 per cent of islanders use rainwater as the main source of drinking and cooking water. In [the capital] Male, 100 per cent of the population has access to piped desalinated water. After the 2004 tsunami, 38 islands were provided desalination plants by UN that are operated daily or on em ergency basis.

How can we make globalization something that brings prosperity to Essay

How can we make globalization something that brings prosperity to everyone - Essay Example Finally, the paper concludes with an overview of the aforementioned issues, in particular, the results of the critical evaluation based on the featured theoretical perspective while highlighting the positive impacts of on overall globalization. Keywords, Tranformationalist, Globalization, Satellite, and age, Global Village, Global politics, Global economy and Culture Tansformatiomationlist Theoretical Perspective on Globalization The transformationalist theoretical perspective offers a deep insight into the globalization debates. In its view, globalization is something that is occurring and is changing the face of modern societies, however while the change is occurring many aspects remain the same (Mozaffari 34). Transformationalists still see nation states as retaining much power to steer their own course in the global economy. For instance, while the global capitalist system cuts across most parts of the globe; many nations retain the power to determine their own taxation and econo mic policies. On the political platform, rather than being consumed by a system of global governance where sovereignty and power are eroded by global institution, transformationlists suggests that governments are compelled to adapt an active and outward stance towards governance within the complex conditions of globalization (Heywood 45). This view suggests that nations have to adapt and interact with new Institutions, social movements, and international bodies on a global level and rather than lose power many nations are adapting to this process. On a cultural level, transformationlist see a two-way dynamic happening where global migration telecommunication and mass media are contributing to the diffusion of cultural influences (Giddens 50). From this perspective, whilst the western cultural aspects penetrate many regions across the globe as depicted in Coke and McDonalds, there are counter flows of non-western cultural aspects, which is evidenced by the increasing number of foreig n restaurants in major cities and towns across the globe. This scenario is seen in the satellite and age where the spread of information on an intercultural basis is rapidly taking shape. Ideally, the world is experiencing a cultural exchange in a two-way traffic. Critical Analysis Suddenly, the world appears to have turned into a small place as people can connect and learn of information and events happening in distant places. The optimistic term â€Å"a global village,† coined in the early 1990 refers to the world, becoming, more integrated and hence resembling a village, where people have constant interactions and often depend on one another for survival. Globalization is a product, which has been made possible through the introduction of some important technological innovations including the . The appearance of undoubtedly contributed much to globalization. Today, the affects Globalization in many aspects. Ideally, it imparts the three dimensions of Globalization cultural , economic, and political (Modelski 32). In many respects, affects globalization. Some of the components are cultural and business aspects connecting many people across the globe and the governance of the . globalization relates closely to Transformationslist theoretical perspective on globalization. Globalization relies on the profound transformation change and the major driving force

Contemporary Urban Planning Article Example | Topics and Well Written Essays - 1000 words

Contemporary Urban Planning - Article Example This paper seeks to reflect on various issues that concern urban planning as far as packing spaces are concerned. Regulating parking prices The increased need to diversify investment portfolio has resulted to opening of more businesses in cities as well as establishment of taxi industry especially by young investors. This implies that it is essential for city authorities to adopt right parking prices. It is worth to note that high prices may result to empty curb spaces thus leading to various negativities not only to the business but also to the environment. For example, businesses that are located near parking areas will lose customers, leading to low sales and reduced profits. Due to reduced business operations large number of employees loses jobs resulting to high poverty level especially in the urban areas. In the same way, low packing prices will increase the demand for packing spaces. In their efforts to search for packing spaces, motorists highly contribute to environmental pollution through the emission of carbon. Similarly, traffic jams are experienced and the level of fuel wastage is high. One of the key measures that city authorities should advocate for is setting up proper pricing mechanisms that will ensure availability of at least two parking spaces in every building (Donald 36). Through adoption of performance pricing, parking spaces will not only be appropriately used but also they will be available. In addition, the level of environmental pollution caused by carbon that is emitted during traffic congestion will greatly b e reduced. It is also vital to note that one of major causes of economic backwardness of third world countries are the many hours that employees take while in traffic jams. This means that through performance pricing, the time taken by drivers in traffic congestion will be highly reduced. A notable city that has effectively utilized performance parking is San Francisco. Through the SFpark, the city has put in place meter that does not only report the availability of parking spaces but also they charge variable prices (Donald 12). Implication of right prices on business performance Installation of parking meters has attracted criticism from some drivers. For instance, some motorists in San Francisco argue that the use of meter especially during the evening will demotivate them from going to the restaurants located at the downtown. However, appropriate location of meters will result to proper management of parking spaces that will ensure one or two spaces are available for the custome rs who are willing to pay the fees. One of the major benefits of adopting performance parking in the contemporary urban planning is that motorist who are willing to pay the fees are also in a position to carry customers who are loyal to the businesses located near parking areas. This will ultimately result to more sales for such business thus creating more job opportunities. In the same way, carpooling is enhanced thus resulting to the reduction of packing costs incurred by individual drivers. One of the merits that make performance prices reliable is that they are sensitive to demand. For example, during recession the parking prices are deemed to fall thus resulting to continuous flow of customers. This will not only increase the sales of businesses but also employment opportunities will be generated in the urban areas. Role of parking fees on the expansion of public utilities To

Philosophy and Cinema Journal Essay Example | Topics and Well Written Essays - 2000 words

Philosophy and Cinema Journal - Essay Example   In re Bazin’s famous page (p. 13), where he referred to the camera as a non-living agent that recreates the world, he said: â€Å"For the first time an image of the world is formed automatically, without the creative invention of man.† It may be true that the camera does the recreating but to say that the process is without the creative intervention of man is, to this writer, not perfectly accurate. The angles, the lighting, the lenses choice, and the timing of all these elements are products of the cameraman’s creative intervention which results in the shot. Bazin, who elevated photography as the most significant in what he called â€Å"plastic arts,† had only superlative descriptions of its aesthetic and creative powers. Aesthetically, it is superior, according to Bazin, because of its ability to present reality in its most naked condition. Unlike other forms of art, nothing comes between the original subject and the cold lens of the camera. What the camera does is to strip the object of all contextual non-necessities attached to it by time, place and space and lay it bare to the viewer, an experience that is almost impossible in real life. And to Bazin, photography â€Å"can surpass art in creative power† which surprisingly implies despite his extolling photography, that he did not classify it as art.     Photography is more creative because there is no need for a meticulous combination of tricks to create an object of hallucination, like what surrealist do, but it is a hallucination and at the same time, also a fact.

Democratic and Mutilcutural Classroom Research Paper

Democratic and Mutilcutural Classroom - Research Paper Example In a democratic classroom, it was expected that the class members air out their view on the whole idea without fear of contradiction that maybe negatively geared. In which case, the democratic setting was to demonstrate a high-level participation of students with guidance of the teacher when need arises. For diversity, on the other hand, the students interviewed was composed of students from a diverse community outlook basically consisting of blacks, Latina and whites. The cultural diversity required understanding and appreciation of the diversities. Through this research, it was found out that Hook’s theory applied best in getting the students to share ideas thus democracy was highly advocated for. The diversity to some extent was seen to contribute to the lack of democracy in some cases. Introduction This research was carried on a diverse group of students and minor consideration of the staff. The whole process included the visit to the school and observation of the real sit uation. Other methods were also applied which resulted to a result that was analyzed critically and conclusions drawn. This was done with an aid of some philosophical theory ideas from Bell Hook. This theory highly proposed the democratic setting of a classroom to work better for a learning system. Diversity on the other side was viewed as an asset that could help in having a wider understanding of varied cultural views, norms and diversity hence enriching knowledge. Literature review In this subject education, a class to be handled by a teacher can consist of students from different cultural backgrounds; this can potentially form a basis of discrimination against some students. As such, the minors in the population are most likely to fall a victim of the discrimination. On the other hand, according to Thomas (2003) a democratic class may exhibit fairness to most of the students who make a decision in case of any undertakings. These students, therefore, exercise the full freedom of putting what is in their interest. However, the few who may not be for the same idea may not be considered but forced to join the majority (Amy 46). A class exhibiting such a kind of setting whereby there is diverse cultural outlook expression and a majority preference choice, there may be challenges and merits associated with it. To begin with, multicultural classroom is a can be termed to be sensitive hence prompting the students to achieve their potential (Kymlicka 26). This type of class allows the student to have an understanding of their own culture and appreciate the similarities and differences with other perspectives and cultures in the process of their interaction. The well-known components of such a class are influence of culture in a society, components, which are academic in nature and relevant to the various cultural groups, and the communication skills that can be applied effectively across cultures. In such a case, the teacher can give preparations to all the student s so that they may be multicultural competent ii the diverse society. For a democratic classroom, the students and teachers make a decision on what they feel is right to be done (Portelli & Solomon 33). It is more contribution based than authoritative. Various characteristics may be associated with this type of classroom. This may include hand in hand working of the teacher and student to enable students to apply what they learn in their community, application of the learnt points

Government Secrecy Research Paper Example | Topics and Well Written Essays - 1750 words

Government Secrecy - Research Paper Example In order to gain public support the government of the state must aim at rendering proper information to the people about its future policies and activities. The current world is threatened by undue acts of terrorism, which is shaking the crux of the nation like America. To this end, the government seeks to arrive at a balance to restore secret information from being spilled out to the hands of the public to prevent the event of a holocaust. Thus the government of America must make changes in its public policies to address the dual cause of both safeguarding and publishing security information. (Combest, n.d.). In the light of increased terrorist activities the concept of ‘National Security’ in America has earned much importance. The practice of ‘National Security’ in any country must be observed as a collective effort of both the American people and the government of the country. The people’s support in regards to the government’s security measures to safeguard the country of potential security threats demands sacrifice of the right of get information. Thus, the government’s act of maintaining secret information must be appreciated to protect the country of potential security threats which otherwise would amount to loss of lives and property. The large amount of information acquired by the government of United States held as secret information is obtained through the expertise of some highly skilled persons. The skilled individuals through skilled sets and scientific techniques gather the large amount of secret information. Thus it becomes ob ligatory for the government of United States to protect the lives of the individuals associated with the purpose with also the methods and instruments used such activity. Again, it needs to be observed that the publication of huge amount of security information by the government of United States would render huge thrust on the expenditure of

The Fish by Elizabeth Bishop Research Paper Example | Topics and Well Written Essays - 1250 words

The Fish by Elizabeth Bishop - Research Paper Example Although the main character in the poem is a fish, the situations described therein are not only applicable to the fish itself but is reflective of the struggles of common human beings. Therefore, the discussions in this paper will be dealing with the literary devices used in the poem as well as their relations to the poet. Elizabeth Bishop clearly describes the fish in her poem and brings her readers to think about common things in life observed everyday as a way of bringing connections from the fish to the reader. She brings out common observances as a way of saying, â€Å"This is not simply a talk about a fish but this is also about us†. First and foremost, the author calls the attention of her readers to the â€Å"tremendous fish† that she caught by describing how the fish hung from her hook, looking â€Å"battered and venerable and homely†. In real life, there are so many people with such situations- people who have been through a lot of troubled times but b y overcoming, they have gained a respectable status. The word â€Å"homely† expresses the thought of the poet of this circumstance as a common predicament and not an extraordinary situation and therefore, makes a common ground for the fish and the reader. Early in life, Bishop experienced several troubles herself and was introduced to the words ‘struggles’, ‘trials’, ‘tests’, ‘grief’, ‘disappointments’ and many other difficulties even when she was still unable to understand words. While she was merely eight months old, Bishops’ father died from a disease he has been suffering for six years. This became the start of her troubled life because although her mother was a respectable woman, she was greatly distressed with the death of her husband which led her to get in and out of the mental hospital for the rest of her life (harvardsquarelibrary.org, Miller). As a result, Bishop had a short-lived relationship with her mother because she eventually died when the poet was but five years old. Nevertheless, she tells of memories about her mother such as the boat ride they had when she was around three years old wherein one of the live swans bit her mother’s finger when she tried to give it some peanuts. On another occasion, she picked up a â€Å"woman’s black cotton stocking† which represents an intimate clothing and she was reprimanded of her curiosity by her mother. As a result, she became indignant of her mother and did not have such a good relationship from then on (Miller). From the accounts above, it is clear that even at a young age, Bishop has been through tough times and she sees herself in the fish but as mentioned earlier, she also sees other people’s lives in the fish. She then describes the physical appearance of the fish, commenting on its skin. Bishop uses simile not only to give a vivid description but also to bring the reader from the setting wher e the speaker is fishing to the world beyond it where other people are living. Similes such as â€Å"his brown skin hung like strips†, â€Å"like ancient wallpaper† and â€Å"like full blown roses† give color to the images presented and make the fish an interesting character contrary to what really happens in daily life. Such commonality and vivid descriptions come together as attractions to the reader to consider what the poet is saying. Sure

Week_T_Questions Assignment Example | Topics and Well Written Essays - 250 words

Week_T_Questions - Assignment Example would be better if you do not get involved in discussions where you put yourself in a position where you are left alone as opposed to a general public opinion, which exists at that point of time. In my opinion, the most important thing is to stop thinking in the ‘all or none’ thinking pattern. What most of us do is that we tend to consider things in black and white terms and this is why we usually end up at one extreme with dissatisfaction of self, along with the disapproval of others for our points of view. Similar is the way of our thinking when it comes to terrorism, whether domestic or global. For instance, Muslims are always irritated about how the whole world blames them for every terrorist activity and take out their aggressions whenever and however possible. Due to this, they hardly get time to calm themselves down and think about the reasons that brought them in this position and what they can do to take themselves out of this targeted position. Subaihi, T. (N.A). Whats in a beard? False stereotypes in a post-9/11 age. The National. Retrieved February 26, 2013 from

The role of media. Is there a significant difference between America Research Paper

The role of media. Is there a significant difference between America media portrayal of the world, and that of Canada What are - Research Paper Example Moreover, the spectators are placed to react negatively to the American soft gun laws which have necessarily lead to many deaths. The audience is intentionally led by Michael Moore by a deeply informative and emotional journey, distinctly spotlighting the frightening fact, that the gun culture in United States is grounded upon racism and feari. The documentary can be said to have covered variety of factors that have contributed to increased deaths within the United States due to gun violence. By making use of film techniques like juxtaposition, montage and satire, in an outstandingly powerful way, the viewers are invited by Moore to respond on the attitudes and values about human depravity and frailty as well as to inquire if the guns laws in the United States need more alterations. Moore talks about the views of different countries on violent history, poverty as well as on the breakup of the families. In the United States, the news programs telecasted on the television attempt to en grain terror into the hearts of the individuals. The news concentrate on death and violence, as mentioned by a news reporter who mentioned that he would prefer to cover a gun shooting incident before moving towards a drowning child. However, in the Canada, the news is more focused toward the incidents taking place within towns. The Canadian reporters don’t attempt to instill fear within the hearts and minds of their viewersii. The residents of United States charge for the violence faced by the country on their violent past quoting the examples of Indians and the Cowboys. However the other nations that have less violence in these days have gone through a much more violent past as experienced by the American citizens. For instance around a million people were exterminated by the Germans, The occupation of China by the Japanese, The Massacre in Algiers by France and the British butchery in the Subcontinent. The violent attitude of the American nation has been pasteurized by Moor e in a way that provides both moods of sorrowfulness as well as hilarious and hence could be referred as a two-hour anecdoteiii. The American residents reside in a country where millions of handguns are available to general public. But the acquirement of these handguns by citizens is not the issue covered in the documentary instead the most often incidents of intended shooting incidents is the main problem highlighted in the movie. Moore's considerateness doesn't suppress the stunning set-pieces that have been devised to describe his main concern. Among various explanations provided by Michael Moore in the documentary for the increased deaths due to gun violence within the United States is the culture developed within the United States of intolerance. This intolerance and increased fear has been instilled within the hearts and minds of general public through the television media that focuses more on violence. The American nation has thus become more afraid, more chaotic and more upt ight than the other nations of the world. These incidents of deaths due to gun violence in the United States result from the circumstances of chaos, fear and mere stupidity. Amongst the developed nations, no other country experiences such an increased rate of deaths due to gun violence as are experienced by the United States on annual basis although the number of guns is similar in

Classic Knitwear Essay Example for Free

Classic Knitwear Essay Classic Knitwear, founded in 1995, began production of a unique line of unbranded casual knit apparel. Included in their product line were such clothing as T-shirts, sport shirts, sweatshirts and other wearing apparel. Although the company saw exceptional revenues as of 2005, they still felt that they were not meeting certain criteria when it came to their gross margin. They sought to increase their gross margin, currently sitting at 18%, to that of a more comfortable number of 20%. To combat this issue, Classic Knitwear decided to team up with Guardian, a producer of odorless repellant protection against bugs, and combine their fortes into a line of clothing infused with the bug repellant technology. These new products would hopefully to rise the gross margin to the 20% they were hoping to accomplish. The non-fashion casual knitwear market consisted of products that range from casual t-shirts to even underwear. Within this industry, it can be divided into two categories, those manufacturers who brand their products with their name and those companies who choose not to brand their line of products. On the branded side of the industry, Classic competed with three major brands. These brands were JamesBrands (which accounted for $4.5 billion in revenue from sales), Flowerknit (which accounted for $1.25 billion in revenue from sales), and Greenville Corporations TopTops Division (which accounted for $630 million in revenue from sales). These branded labels competed on the level of private- labeled businesses. On the other side of the industry, Classic competed with one company in terms of unlabeled products. BB Activewear were major competitors as they generated $590 million or 23.6% market share, which made them a leader in the market. Although not directly involved within this sector, Jamesbrand, Flowerknit and Greenville Corporations TopTops Division still were involved with Classic on this level. Distribution channels are essential when it comes to the wholesales of these companies products. 90% of the product distribution from these companies go directly to two distinct types of retailers. Almost 50% of these sales are accounted for from mixed retailers, such as Wal-Mart and Kohls, who sell clothing as well as wide variety of other products. The other 40% is sold towards clothing specialist retailers, such as Gap and Brooks Brothers, who only specialize in the selling of clothing related products. The remaining 10% of the distribution channels contained bits from non- grocery retailers, home shopping, internet retailing and direct selling to the customers. In order for manufacturers to compete for retail business, they used a variety of strategies in order to gain attention from these retailers. Some of these tactics involved prices, variety of products, and efficiency of delivery. Classic Knitwear, since its inception, has been a simple manufacturing company whose focus is on creating and distributing unbranded casual knit apparel which includes T-shirts, sweatshirts and fleece like products. Unlike other companies that chose to have expensive products which carried prestigious fashion labels, Classic decided to venture away from them and focus on products that were categorized as non- fashioned knitwear. With this strategy, Classic accounted for $550 million in revenues from domestic sales. They have also decided to sell only in the United States, as foreign markets were too much of a risk that could have negative consequences. 75% of this revenue came from the selling of their products to wholesalers, who in turn, resold the Classic clothing to screen- print channels which customized the products with logos and images. Ortiz and Chong decided to concentrate on this pathway because it offered the fastest growth potential than trying to sell like ordinary retailers. As a result, Classic Knitwear had established itself as the #2 seller in the market, accounting for 16.5% of the market share. Classic generated the remaining 25% of their revenues from mass retail channels under private labeling. Classic would sell their products to retailers such as Wal-Mart and Dollar General and would be carried under the name of the retailer or through a house brand that was developed by the retailers themselves. In fact, these two retailers accounted for 57% of those revenue sales. To help accomplish such high revenues, Classic had to achieve low production costs throughout the entire company. To ensure that such goals were obtainable, Classic established state-of-the-art production factories that were situated off shore, mainly in the Dominican Republic. Being situated not in the United States allowed them to have much lower production costs than those produced domestically. Although other companies had also set up production factories in other countries, Classic was able to have a slight competitive advantage over these other companies. What helped them keep this competitive advantage was a high volume- low SKU (stock keeping unit) strategy. This ensured that they would produce high quantities of products without the large variety of products that other companies had. As of 2005, Classic felt that it would never reach their goal of 20% gross margins through various controlled labels or tie in promotions. However, Classic Knitwear had an epiphany which could potentially shoot their gross profits to levels that they would feel satisfied with. With the rise of the West Nile virus across the Americas, more and more people were looking for ways to prevent the transmission of the diseases. Classic thought it would generate the attention of customers to produce a new line of clothing that would be infused with chemicals that would be able to repel insects that carried the West Nile virus. With the help of another company, Guardian, who specialized in insect repellants, they would be able to create such a line of products. The reason that they chose Guardian was due to their flagship repellant, have established them as one of the top producers in insect repellant. The products would consist of a short and long sleeve T-shirt, a Mens polo, and a Mens fleece. Along with the production of these chemical infused clothing, Classic was targeting males 18-35, seeing as these individuals would most likely be outside during times when insects are active. The initial investment of such a line could cost about $10 million, which would help to generate 50% unaided awareness across the United States. In order to get the needed awareness of their product out to the public to ensure increased gross margins, Classic relied heavily on marketing. They had studied how other brands that were selling similar brands of insect repellant clothing and how they were successful, establishing themselves into small niche markets. Based on those already established companies, Classic decided to sell their product lines to retail stores with cardboard displays housing the different styles of shirts. On the outside of each of the boxes would display pictures of outdoor related activities that would promote the proper use of each shirt. Some of these retail stores would be outdoor related stores such as Bass Pro Shops and L.L. Bean. Classic wanted to have 10,000 displays in stores over the next 2 years after the product line was to begin production. To help get these displays in stores, they offered discounts on the sale of T-shirts if the store agreed to have a display in their store. Classic, with the production of these chemical infused shirts, could have a possible juggernaut to help generate sales, but there could be other possibilities that could help them reach their target gross margin of 20%. One alternative would be to not produce the new line of shirts, relying on frequent customers to help generate the extra sales to gain the extra gross margin. Another possibility would be to vertical integrate with one of the screen-pressing companies that create the logos which are later screened onto the sold shirts. By integrating, they could possibly cut unnecessary costs that would also help create higher gross margins. Lastly, another possible alternative to this problem would be to establish a brand of clothing that is positioned near the high labeled brands. They would have to compete with the big three companies with sales, but could possibly steal sales away from them to help establish themselves. Classic Knitwear was set with a problem of what to do to try and earn more in their gross profits. To solve such case, it would be recommended that they continue with the production of these insect repellant shirts. With the outbreak of the West Nile virus and outdoorsmen wanting styled brands to wear, this idea would help to generate the sales need to raise the gross profits. Based on Consumer.com surveys, it was concluded that there was a strong desire for such a product, especially one whose clothing was made out Classics materials. In the end, the continuation of this line would help generate the extra gross margin they had hope to gain.

Oral Health Problems In Children Health And Social Care Essay

Oral Health Problems In Children Health And Social Care Essay Dental caries is the most common oral health problem in children. It is not a new phenomenon in children. Dental caries can arise in early childhood as an aggressive tooth decay that affects the primary teeth of infants and toddlers. Caries constitutes the single most common chronic disease of childhood, affecting as many as 40-50% of U.S. and British children (Pitts et al., 2007) and 60-90% of children worldwide between the ages of 2 and 11 years (Donahue et al., 2005). Dental caries is the localised destruction of susceptible dental hard tissues by acidic by-products from bacterial fermentation of dietary carbohydrates (Fejerskov and Kidd, 2003). The signs of the carious demineralisation are seen on the hard dental tissues, but the disease process is initiated within the bacterial biofilm (dental plaque) that covers a tooth surface. Moreover, the very early changes in the enamel are not detected with traditional clinical and radiographic methods. The disease is initially reversible and can be halted at any stage, even when some dentine or enamel is destroyed (cavitation), provided that enough biofilm can be removed. Dental caries is a chronic disease that progresses slowly in most people. The disease can be seen in both the crown (coronal caries) and root (root caries) portions of primary and permanent teeth, and on smooth as well as pitted and fissured surfaces. It can affect enamel, the outer covering of the crown; cementum, the outermost layer of the root; and dentine, the tissue beneath both enamel and cementum. Caries in primary teeth of preschool children is commonly referred to as early childhood caries. ECC is an alarming problem because the disease is so common and widespread amongst young children. Example, study done by (Zahara et al., 2010) prevalence of caries among preschoolers age 6 and 5 in Malaysia was 60%. And at rural Manitoba community the prevalence of ECC was 44% (Schroth and Moffatt, 2005). Previously, caries in the children was described by a variety of terms including nursing bottle caries, nursing caries, baby bottle caries, baby bottle tooth decay, milk bottle syndrome, and prolonged nursing habit caries. But the new terminology, Early Childhood Caries (ECC) helps us to better reflect that this problem is multifactorial etiologic process not only due to inappropriate feedings methods (Warren, 2008; Ismail 2008). Great needs are need for uniformity when diagnosing and reporting the early childhood caries condition, especially for research purposes. In this respect, a workshop was held in April 1999 in Bethesda, Maryland. In a report for this meeting, (Drury et al., 1999) defined the early childhood caries (ECC) as the presence of 1 or more decayed (noncavitated or cavitated lesions), missing (due to caries), or filled tooth surfaces in any primary tooth in a child 71 months of age or younger. In children younger than 3 years of age, any sign of smooth-surface caries is indicative of severe early childhood caries (S-ECC). From ages 3 through 5, 1 or more cavitated, missing (due to caries), or filled smooth surfaces in primary maxillary anterior teeth or a decayed, missing, or filled score of à ¢Ã¢â‚¬ °Ã‚ ¥4 (age 3), à ¢Ã¢â‚¬ °Ã‚ ¥5 (age 4), or à ¢Ã¢â‚¬ °Ã‚ ¥6 (age 5) surfaces constitutes S-ECC. 2.2 Etiology of early childhood caries Dental caries is an infectious and transmissible disease. Dental caries is a multifactorial disease that starts with microbiological shifts within the complex biofilm and is affected by salivary flow and composition, exposure to fluoride, consumption of dietary sugars, and by preventive behaviours (cleaning teeth). Caries is the result from prolong imbalance in the demineralisation and remineralisation process in the oral cavity. Dissolution of tooth structure by high level of acid concentration which produced by the metabolism of dietary carbohydrate by oral bacteria will promote a demineralisation of tooth structure when the pH of plaque drops below the critical level (pH 5.5) (Riva and Loveren, 2003). However, occurrence of dental caries is not as simple as that. The natural protective factors will try to repair the mechanism by promote remineralisation. It was helps by saliva which play a major role in protecting the teeth from acid challenge. The protective factors of the saliva are, the effective bicarbonate buffering affect, the flow and oral clearance rate and Ca2+, PO43- and fluoride ion contain in the saliva (Mount and Hume, 1998). Reposition of mineral (remineralisation) will occur after the pH of plaque rises (Riva and Loveren, 2003). Development of dental caries occurs when susceptible tooth surface colonized with cariogenic bacteria and present of dietary source of sucrose or refined sugar is present. (Axelson, 2000, Caufield and Griffen, 2000). Generally, it can illustrate under Figure 2.1 below; ETIOLOGY 001 Figure 2.1: Development of dental caries (Keyes, 1960) 2.2.1 Dental Plaque Dental plaque plays a major role in contributing a dental caries. Dental plaque is an accumulation of bacteria and intercellular matrix that form the biofilm that adheres to the surfaces of teeth and other oral structures in the absence of effective oral hygiene (Harris et al., 2009). 2.2.2 Dietary factor Diet plays an important role in preventing and promoting oral diseases including dental caries. Dental caries is a modern, life style dependent disease because of fermentable of carbohydrate. In populations which highly exposed to high sucrose containing food manifested with most severe forms caries (Caufield and Griffen, 2000). Increase frequency of carbohydrate intake will increase the caries risk especially in populations with poor oral hygiene habits and lack exposure to the fluoride. However, in populations with good oral hygiene and expose to fluoride either systemic or topical, frequency of diet intake will become a weak risk factor (Axelson, 2000). 2.2.3 Microbiologic factor Fitzgerald and Keyes in year 1960, persons who firstly demonstrate that the dental disease is an infectous disease and can be transmissible. The sources of bacteria that cause dental caries derived from bacterial populations in the oral cavity named normal flora. The most important bacteria in development dental caries are the mutans streptococci. Mutans streptococci are acidogenic and can adhere to tooth surface. It also can produce extracellular and intracellular polysaccharides from sucrose. So, it represent that mutans streptococci fulfill all the requirements of caries to induce bacteria (Axelson, 2000). Mutans streptococci and other bacteria colonies will colonize the oral cavity after emergance of infants first tooth(Caufield and Griffen, 2000). With present of fermentation of carbohydrate, bacteria pathogens will produce lactic acid, and this acid dissolves the hydroxyapatite crystal structure of the tooth (Caufield and Griffen, 2000). Newborn baby usually have a sterile mouth. Transmission of the microbes to the mouth can be derived from water, food, and other nutritious fluid, but the main route is via saliva. Studies have shown that the transmission of oral streptococci and Gram-negative species in children predominantly from the behaviour of mothers and primary caregivers through their intimate contact, sharing and tasting foods on a spoon or pacifier (Caufield et al., 1993). Infants acquired Mutans streptococci at a median age of 26 months. High level of Mutans streptococci in mothers saliva will put their infants to be acquired by these bacteria earlier. It is means that infants exhibit levels of Mutans streptococci corresponding to their mothers level (Caufield et al., 1993). Because of that, mothers need to be educating on how the caries transmissible and the importance of have good dental practice for themselves their childrens. 2.3 Determinants of oral health in children There were correlation between the etiologic factor in dental caries, determinants of caries (diet, fluoride exposure, microbial species) and involvement of cofounders in dental caries such as socio economic status, education level, knowledge, attitudes and behavior as Figure 2.2 below. fejerkov 001 Figure 2.2: Schematic illustration of the determinants of caries process. (Adapted from Fejeskov and Manji, 1990) 2.3.1 Socioeconomic factors Socioeconomic factors especially educational levels become the most important external factors related to dental caries nowadays (Axelson, 2000). There is a strong correlation between incidence of caries in children and the socioeconomic status of the families of those children. That is, children with caries tend to come from low-income or lower socioeconomic backgrounds and lower parental educational level (Leake et al., 2008, Finlayson et al., 2007, Schroth and Moffatt, 2005). 2.3.2 Behavioural factors Behavioural factors such as frequency of consumption of sugar daily, tooth brushing behaviour (Leake et al., 2008), inappropriate feeding practice either bottle feeding or breast feeding (Schroth and Moffatt, 2005, Mohebbi et al., 2008, Tyagi, 2008) and age of first visit to dental clinic (Rayner, 2003, Schroth and Moffatt, 2005) were related to the risk of dental caries especially in children. Parental attitudes towards oral health especially mother are is important to prevent occurrence of dental caries among children (Saied-Moallemi et al., 2008). 2.3.3 Environmental factors Environmental and cultural factors play a role in the development of caries. In newly industrialized countries, the incidence of dental caries increases when people previously eat a starchy staple foods and now move to refined carbohydrate diet. For most industrialized countries, high risk of caries related to persons in a lower socioeconomic and immigrant groups (Riva and Loveren, 2003). 2.4 The impact of early childhood caries to the children and parents Extensive dental decay among children, if left untreated will impact on both oral and general health, including quality of life. Physical function will affected because of pain, disturbed sleep, and difficulty to eat hard, hot and cold food. Mentally, dental caries cause fear and angry in children. The social functions also disturbed by missing preschool or day care, avoid playing with friends and not interested to join family activity. Emotionally, children disturbed with difficulty to say certain words (Cunnion et al., 2010). In other words, dental caries in children will effects physical, mental, social and emotional well being of the children. And most important things it causes lower quality of life of the children who are in growing stages. The impact of ECC on parents We know that parents contribute in their children oral health. But there are still limited study in investigating the relationship between the parents and their children oral health. (Schroth, 2007) found that parents with a better knowledge and attitude towards their children oral health more likely to have children with better oral health. In this study we are trying to explore the relationship between the parents oral health and their children oral health status. 2.5 The availability of children oral health related quality of life assessment Currently, there has been increase research development in measuring oral health related quality of life. The oral health-related quality of life (OHRQoL) instruments designed and used to investigate the impacts of oral problems in children, and recently have been designed to be use for 6-14 year old children. (Li et al., 2008, Easton et al., 2008, Klaassen et al., 2009, Cunnion et al., 2010). And very few have been developed for use in children mainly specifically for children age less than 6 years old. Child Oral Impacts on Daily Performances (Child-OIDP) were used to assess the prevalence and severity of the oral impacts in children age 10-12 years old. This questionnaire also can be used to assess oral health needs in population surveys, thus making it useful for planning services. The Child-OIDP assesses oral impacts on the following daily performances like eating, speaking, cleaning teeth, smiling, emotional stability, relaxing, doing schoolwork and social contact (BernabÃÆ' © et al., 2009). Instruments to assess oral health related negative impacts for children aged 3-5 years, recently was developed in the United States, in English language by (Pahel et al., 2007) called the Early Childhood Oral Health Impact Scale (ECOHIS) which derived from the Childhood Oral Health Quality of Life (COHQoL) instrument developed by (Jokovic et al., 2002). This questionnaire seems to be adequate to measure quality of life of children in the age 3-5 years old and their families. The instrument is short and concise to be completed by the childs parent or primary caregiver for use in epidemiological surveys to discriminate the quality of life between children with or without dental disease. (Li et al., 2008) was translated the English version of ECOHIS into French version for the questionnaire can be use in the French language population. (Klaassen et al., 2009) use ECOHIS questionnaire to explore whether oral health related quality of life in young children will improve after oral rehabil itation after general anesthesia. They also study any changes towards dental fear. Canadian researchers (Jokovic et al., 2002) have developed the Child Oral a health Quality of Life (COHQoL) questionnaire due to their concern about the measurement of child health status preciously was based on the reports by parents and caregivers. In their questionnaire, there are several questionnaires for parent or caregiver (Parental-Caregiver Perceptions Questionnaires, P-CPQ) and Family Impact Scale (FIS) for children aged 6-14 years and three Child Perceptions Questionnaires for children aged 6 to 7(CPQ6-7), 8 to 10 (CPQ8-10), and 11-14(CPQ11-14) years of age. The Infant Toddler Quality of Life (ITQoL) questionnaire was developed in year 1994 by Landgraf JM. ITQoL was designed to measure a quality of life for children as 2 months up to 5 years old. The ITQOL items and scales developed to measure physical function, growth and development, bodily pain, temperament and moods, behavior and general health perceptions. ITQOL also includes scales to measure parental impact (time and emotions). Study by (Raat et al., 2007), to evaluate feasibility, internal consistency, test-retest reliability, and concurrent and discriminative validity of the ITQoL, found five ITQoL scales showed a ceiling affect. They also suggest for developing and evaluating a shortened ITQoL version to reduce respondent burden. (Easton et al., 2008) were tried to ascertain reliability and validity of the ITQoL. They did a study among 2-6 years old Ohio, United State children to evaluate the effect of dental caries related to pain on pediatric quality of life. That study found that it was valid and reliable index among children there. 2.6 The role of parents to the children Children age less than 6 years old still depending on the family members especially their parents to take care of their oral health. Their inability to verbalize their emotions and needs increases their dependence on adult. Parents support and involvement in childs oral health are important in influencing the dental health of the child. Parents play a key role in attempts to achieve the best oral health outcomes for their young children (Cafferata and Kasper, 1985). Parents need to have an adequate knowledge and attitude towards the important of oral health for their children. Parents need to know the important of baby teeth and primary teeth tooth decay can impact childhood health. (Schroth, 2007) found that parents who believed that baby teeth are important were more likely to have children with better oral health (less decay) compared with those who thought otherwise. And parents of children with ECC were more likely to disagree that dental decay could affect a childs overall health. Brushing of young childrens teeth is important to prevent caries, but the parents cannot let their children do it by themselves. Parent need to be motivated and supportive enough to brush their childs teeth. The parents should belief that home oral hygiene is important and it is a parental duty to establish this behaviour with children (Huebner and Riedy, 2010). Their study also found that nearly all (91%) parents thought that brush a childs teeth twice daily a day was important, but only 55% reported that they did it every day. Parents reported that the most common barriers to tooth brushing were due to lack of time and uncooperative child. 2.4 Oral health related quality of life of the parents

Theories in group work

Theories in group work Reflection on group task This essay is going to reflect on learning gained from a group task carried out in the unit lectures. I will explore the theories which inform group work, inter-disciplinary and collaborative working and the application of these theories in relation to the group work. I will also identify how I will develop my practice in relation to my current skills and areas for development. Finally, I will also reflect on how I have developed my self-awareness, professional values and professional development, in relation to group work task and how this will inform my future professional practice. Toseland and Rivas (2008) define group work as a goal directed activity aimed at accomplishing tasks. Members of the group have the opportunity to share ideas, feelings, thoughts, beliefs, engage in interactions and also share experiences. The group members develop feelings of mutual interdependence and a sense of belonging. Martin and Rogers (2004) define inter-disciplinary working as a team of individuals with different professionals working collaboratively with a shared understanding of goals, tasks and responsibilities. This collaborative working is needed when the problems are complex, a consensus decision is required and also when different competencies are needed. According to Cheminais (2009), the approach to the collaborative working requires clarity on roles, power, accountability and strategic planning. Salas et al. (2012) states that, group work was developed from a philosophy of people working together for mutual gain and theories later emerged to provide clarity regarding the dynamics of groups and to provide an understanding of human behaviour. A group or team can be understood by looking at Tuckman and Jensen’s (1977) model of group formation which comprise of forming, storming, norming, performing and later adjourning. According to Tuchman and Jensen (1977), the forming stage of a group involves clarifying common interests and roles to be played. Martin and Rogers (2004) states that, in an inter-disciplinary team this is the stage where membership is established, team purpose is clarified, roles and boundaries are decided and interpersonal relationships begin. According to Tuchman and Jensen (1977), the storming stage may involve the problem-solving processes and this is usually where conflict emerges. If the conflict is unresolved, it can inhibit the team’s prog ress. The norming stage usually involves the clarification of the task and establishing the agenda. This stage involves belonging, growth and control. The performing stage involves the allocation, implementation, and evaluation of the task. Finally, the adjourning stage can include the celebration of task completion. Reflecting on the unit group task, I think my group went through Tuckman and Jensen’s (1977) model group formation which included the â€Å"forming†stage in which the group purpose was clarified. The group went through the â€Å"stormimg† stage and at that point, there were disagreements on what should be included and how the task will be presented. One of the group members suggested that a role play was ideal for the presentation and I was not comfortable with the idea, as I thought that all of the information was not going to be included in the role play. I was anxious, as I had not get the general picture of exactly what the role play was about. I alsofeltanxious as other members elected me to take the lead role as I had experience in working with psychiatrists. At that time I felt that the team wanted me to do most of the task and I rejected their ideas they were putting forward. I think I did this unconsciously because I realised my actions later on when my group members gave feedback. The group also decided that we give ourselves time to research on the topic given (norming stage) and then meet the following week. I was very frustrated to find the following week that some of the group members did not bring the material they had researched. As I have worked with psychiatrist before and had researched I took on the lead role and shared the information I had. Belbin’s (2010) work identified roles in teams which each offer positive contributions to team working. The roles include innovator, implementer, completer, evaluator, investigator, shaper, team maintainer, co-ordinator and expert. Reflecting on Belbin’s (2010) group roles, each team member brought strength and perspectives grounded in their discipline and experience. During the group work task, I had the experience and knowledge in relation to the task and I found myself leading the group on sourcing information. I got positive feedback from my group colleagues such as, â€Å"goal oriented, researched well on the topic, contributed well and very good ideas on the role play†, however I was criticised for being inflexible with ideas of others. I think I took the role of an implementer who turns ideas and decisions into tasks and actions but inflexible and reluctant to change plans. However from my previous placement I think I took the role of an investigator in a proposed group project of working with young mothers to enable them to gain independent skills. The project failed because I lost interest as a result of constraint in obtaining the resources. In Belbin’s (2010) model, an investigator explores opportunities and resources from many sources however can jump from one task to another and lose interest. Looking back at it, I think this was because I tend to do things in a structured way and task oriented. The resources in the organisations did not allow me to do the task in time and I end up losing interest. I later understood the situation of working in an organisation team by looking at the group system theory. According to Connors and Caple (2005), group systems theory provides an understanding and working with teams or groups in an organisation as it goes beyond a focus on the individual or interpersonal exchanges. They suggested that, a group systems theory is influenced by the interactions within the group and by the external environment. All the group members influence group dynamics however, the organisation in which the group work may impacts the group work with its boundaries, power structures that make decisions and the resources it allocates for group work. The environment impacts the group and the group can impact the larger social environment. I abandoned a project which was going to benefit the young mothers and in a way the community as well. In group systems theory, a change in any part of a system creates change in that system and in the other systems in which it is embedded. Another form of group theory emerged from Bion (1989) who viewed the group working as a collective entity and was concerned with overt and covert aspects. Bion (1989) suggested that overt aspects are the task and purpose of the group. The covert aspects are the unconscious emotions and the basic assumptions of group functioning. Bion (1989) also proposed three basic assumptions in group working. He suggested that there is the dependency group, which assumes that security and protection can be obtained from the group leader. Members expect the leader to have all the answers. As a result, individuals may act helpless and incompetent in the hopes that the group leader will carry the responsibilities. This was evident in my group as they assumed that as I am a mental health nurse and had worked with psychiatrist before, I will have all the information at hand. When this did not occur, group members become angry or expressed their disappointment by acting incompetent and not doing enough research. Bion’s (1989) other basic assumption is the fight-flight group. Examples of flight include absences and fight is demonstrated by resisting reflection and self-examination. In inter-disciplinary working, flight is demonstrated by blaming management for the failure of team work. The final basic assumption identified by Bion (1989) is the pairing group where two group members form a bond. The rest of the group may become inactive as the pair rely on each other and exclude other group members. Salas et a.l (2012) state that, it is necessary to develop a theoretical framework to guide group practice and to support my techniques and interventions. I am responsible for formulating my own theoretical framework that is derived from the synthesis of theories and that is aligned with my natural views and inclinations. To achieve this it is imperative that I be self-aware and grounded in theories of small group work, including the strengths and limitations of the theories. Only then I can select theories and interventions that are advantageous and appropriate fit for the client. The Health and Care Professions Council (HPCP) (2012) also states that, I should understand the key concepts of the knowledge base relevant to social work so as to achieve change and development. Gilley et al. (2010) suggested that the purpose of a group is to accomplish the task and for the practitioner to develop problem-solving skills. As a social work student, in order to work collaboratively, I need to develop skills, knowledge, and attitudes in conflict resolution, problem solving, communication, organisational understanding, decision making, and task coordination. This is imperative as I will be working in teams with other professionals or agencies. From the unit group work, I have learnt that co-operation is vital for effective teamwork. Acknowledging and respecting other opinions and viewpoints while maintaining the willingness to examine and change personal beliefs and perspectives are some of the skills I have learnt. I also now have an understanding of the importance of accepting and sharing responsibilities, participating in group decision-making and effective communication. I have also developed skills in exchanging of ideas and discussion and also how to relay and support my own viewpoint with confidence. As a future social worker, specific leadership skills are required to manage an inter-disciplinary team, so I need to develop skills in the ability to recognise the challenges inherent not only in group dynamics, but in trying to blend the different professional cultures represented in the team. According to Crawford (2012), to work effectively and confidently with other professionals, I need to understand my own professional identity as a social worker. The HCPC (2012) states that, I need to be able to engage in inter-professional and inter-agency communication and work in partnership with other agencies as part of a multi-disciplinary team. It is also vital that I develop self awareness of my behaviour and values. According to Hall (2005), values are internalised, therefore they can create obstacles that may actually be invisible to different team members. Therefore the professional values must be made apparent to all professionals involved. Through experiences in group work feedback received from other group members and self observation, I have learnt about my maladaptive style of interacting with others and perceptual distortions. I have also learnt that I need to acknowledge and appreciate the differences and adjust, adapt, and mirror interpersonal interactions when interacting with others. If faced with the same situation again I would try to take into consideration other people’s ideas and also take into consideration that, as people we are different and we have different approaches to tasks. References Belbin, R. M. (2010) Management teams. 3rd edn. Oxford: Elsevier Limited Bion, W. R. (1989) Experiences in groups and other papers. New edition. London: Routledge Cheminais, R. (2009) Effective multi-agency partnerships : putting every child matters into practice. Dawsonera [Online]. Available at: https://www.dawsonera.com/readonline/9781446203514/startPage/38 (Accessed: 13 January 2014) Connors, J. and Caple, R. (2005) â€Å"Review of group systems theory†,Journal for Specialists in Group Work, 30(2), pp. 93-110, SocINDEX [Online]. Available at: http://0-ehis.ebscohost.com.brum.beds.ac.uk/eds/pdfviewer/pdfviewer?vid=5sid=a5e06866-f590-4862-bcbb-3dea9991c6f0%40sessionmgr4005hid=4108 (Accessed: 30 December 2013) Crawford, K. (2012) Interprofessional Collaboration in Social Work Practice. London: sage Publications Limited Gilley, J.W., Waite, A.M., Coates, T., Veliquette, A. and Morris, M.L. (2010) Integrated theoretical model for building effective teams,Advances In Developing Human Resources12(1) pp. 7-28.SCOPUS [Online]. Available at: http://0-ehis.ebscohost.com.brum.beds.ac.uk/eds/detail?sid=a5e06866-f590-4862-bcbb-3dea9991c6f0%40sessionmgr4005vid=10hid=4108 (Accessed: 30 December 2013) Hall, P. (2005) â€Å"Interprofessional teamwork: professional cultures as barriers†,Journal of Interprofessional Care19 pp. 188-196. CINAHL [Online]. Available at: http://0-ehis.ebscohost.com.brum.beds.ac.uk/eds/pdfviewer/pdfviewer?vid=13sid=a5e06866-f590-4862-bcbb-3dea9991c6f0%40sessionmgr4005hid=4108 (Accessed: 12 January 2014) Health and Care Professions Council (2012) Standards of proficiency. Available at: http://www.hpc-uk.org/assets/documents/10003B08Standardsofproficiency-SocialworkersinEngland.pdf (Accessed: 20 January 2014) Martin, V. and Rogers, A. M. ( 2004) Leading interprofessional teams in health and social care. Dawsonera [Online]. Available at: https://www.dawsonera.com/readonline/9780203505359/startPage/139 (Accessed: 10 January 2014) Salas, L. M., Roe-Sepowitz, D. and Le Croy, C. W. (2012) â€Å"Small group theory†, in Thyer, B. A., Dulmus, C. N. and Sowers, K. M. (eds) Human behavior in the social environment: theories for social work practice. Dawsonera [Online]. Available at: https://www.dawsonera.com/readonline/9781118227251/startPage/363 (Accessed: 15 January 2014) Toseland, R. W. and Rivas, R. F. (2008) An introduction to groupwork practice. 6th edn. Harlow: Pearson Education Limited. Tuckman, B. W. and Jensen, M. A. (1977). â€Å"Stages of small group development revisited†, Group and Organizational Studies, 2(4) pp. 419- 427. Available at: http://www.freewebs.com/group-management/BruceTuckman(1).pdf (Accessed: 30 December 2013)

Pigs Cant Fly Essay -- Childrens Books Literature Essays

Pigs Can't Fly "Why?" Amma said. "Because the sky is so high and pigs can't fly, that's why." --From "Pigs Can't Fly" The "why" and "because" of life is often best captured by children, for they, as the relatively less socialized individuals in society, will often innocently question the social myths we, the adults, always take for granted and as the truth. Hence, adults are usually at a loss as to the "because" when children ask in that "cruelly direct way" why certain things happen, or why certain things are the way they are in society. Many adults simply brush off the children's disturbing questions, either telling the children to leave well alone or replying with an answer that has absolutely no relation to the original question, as Arjie's mother does in "Pigs Can't Fly". However, question though they may, children do not have the ability to comprehend the complex societal boundaries they transgress. Intelligent criticism of what we assume as our social reality must come from adult minds. Very often though, a literary text is able to dexterously blend both the poignancy of childhood and the sha rp perspective of a mature consciousness to better question the social myths we assume to be truth and reality. "Pigs Can't Fly" is such a text, and it achieves its blend of childhood poignancy and adult maturity through the literary devices of narrator and narratee. The narrator in "Pigs Can't Fly" is a young child of seven, and the whole story is related to us through his childish perspective, except for a brief moment when we get a sense of an older Arjie, who tells us that "the remembered innocence of childhood" is now lost to him forever. The narratee, the person whom the author assumes the story is to be told to, is howe... ...s a criticism of the social myths we wrap comfortably around ourselves as reality, my reading requires a narratee who has a certain background in social criticism and who may be interested in reading the story in this way. However, many readings may be derived from "Pigs Can't Fly," and hence I feel it is enough to simply understand that the story is essentially about the alienation and loneliness one feels at not being what society expects, and empathy with such a person, instead of bristling self righteousness will better serve towards peace and tolerance in our societies, than all the wealth or knowledge we can ever garner. Bibliography Chatman, Seymour. "Narration: Narrator and Narratee." Reading Narrative Fiction. Ed. Seymour Chatman. New York: Macmillan, 1993. 130-141. Selvadurai, Shyam. "Pigs Can't Fly." Funny Boy. New York: Vintage, 1995. 1-40.

Existentialism :: essays research papers

Existentialism Like "rationalism" and "empiricism," "existentialism" is a term that belongs to intellectual history. Its definition is thus to some extent one of historical convenience. The term was explicitly adopted as a self-description by Jean-Paul Sartre, and through the wide dissemination of the postwar literary and philosophical output of Sartre and his associates — notably Simone de Beauvoir, Maurice Merleau-Ponty, and Albert Camus — existentialism became identified with a cultural movement that flourished in Europe in the 1940s and 1950s. Among the major philosophers identified as existentialists (many of whom — for instance Camus and Heidegger — repudiated the label) were Karl Jaspers, Martin Heidegger, and Martin Buber in Germany, Jean Wahl and Gabriel Marcel in France, the Spaniards Josà © Ortega y Gasset and Miguel de Unamuno, and the Russians Nicholai Berdyaev and Lev Shestov. The nineteenth century philosophers, Soren Kierkeg aard and Friedrich Nietzsche, came to be seen as precursors of the movement. Existentialism was as much a literary phenomenon as a philosophical one. Sartre's own ideas were and are better known through his fictional works (such as Nausea and No Exit) than through his more purely philosophical ones (such as Being and Nothingness and Critique of Dialectical Reason), and the postwar years found a very diverse coterie of writers and artists linked under the term: retrospectively, Dostoevsky, Ibsen, and Kafka were conscripted; in Paris there were Jean Genet, Andrà © Gide, Andrà © Malraux, and the expatriate Samuel Beckett; the Norwegian Knut Hamsen and the Romanian Eugene Ionesco belong to the club; artists such as Alberto Giacommeti and even Abstract Expressionists such as Jackson Pollock, Arshile Gorky, and Willem de Kooning, and filmmakers such as Jean-Luc Godard and Ingmar Bergman were understood in existential terms. By the mid 1970s the cultural image of existentialism had becom e a clichà ©, parodized in countless books and films by Woody Allen. It is sometimes suggested, therefore, that existentialism just is this bygone cultural movement rather than an identifiable philosophical position; or, alternatively, that the term should be restricted to Sartre's philosophy alone. But while a philosophical definition of existentialism may not entirely ignore the cultural fate of the term, and while Sartre's thought must loom large in any account of existentialism, the concept does pick out a distinctive cluster of philosophical problems and helpfully identifies a relatively distinct current of twentieth- and now twenty-first century philosophical inquiry, one that has had significant impact on fields such as theology (through Rudolf Bultmann, Paul Tillich, Karl Barth, and others) and psychology (from Ludwig Binswanger and Medard Boss to Otto Rank, R.

Instruments of Change :: Third World Socialism Essays

Instruments of Change In the Third World today, many countries are changing to become more modernized. They are leaving behind much of their traditional features and trying to become more like the west. In order for this change to take place, there has to be some type of driving force. These elements of change are: the military, charismatic leadership and ideology. One of the most prevalent methods for bringing about change is the military. In many third world countries, the military's primary mission is to quell domestic unrest, unlike the west with it's offensive minded forces. This concentration on domestic policing makes the military an effective means for gaining control of power. When the military itself takes over control of a country's government, it is called a coup d'etat. The military takes over all the government agencies and broadcasting facilities and then enforces marshal law. The people of the nation are powerless to stop the military. Sometimes, as in the case of Iran, the military turns against its leaders and fights for the people. When the military takes over, it is often led by a few rouge officers who feel that they have the country's best interest at heart. In Egypt, a few officers from the working class banded together to form "The Free Officers." These men decided to take control of power in Egypt in order to get their country out of British control. After coming to power in Egypt, the "The Free Officers" took over the high positions in government. However one man became more powerful then the others due to the power of his charisma. Nasser delivered a speech in Alexandria in 1953 in which an attempt was made on his life. Shots were fired but Nasser did not flinch and instead said, "I live for Egypt, I die for Egypt." It was at this point that Nasser became a charismatic leader. He now was free to take more control of the government with little or no opposition due to his popularity. A charismatic leader like Nasser can effect more then just one nation. Nasser became a leader for the entire third world and was responsible for many changes in his country. His affect on people was so great that upon his death over 40 million people attended his funeral and others committed suicide. In addition to the military and charismatic leadership bringing about change, a new type of ideology can also bring about change.

Moral Obligations about Charity views of Peter Singer and John Arthur Essay

The fact that we can afford to provide for ourselves even beyond our basic needs bring an important question. Is it then our duty to provide financial assistance to those who do not have enough to provide for their own basic needs? Peter Singer, in his piece, â€Å"Famine, Affluence, and Morality† would argue that we ought to prevent bad things from happening without sacrificing something of equal importance. Here is the argument Peter Singer presents to us in standard form 1) Millions of people are suffering from hunger every day. 2) Suffering and death from hunger is bad. 3) If it is within our power to prevent something bad from happening without sacrificing anything of comparable moral importance, we ought to morally do so. 4) It is within the power of affluent people to prevent hunger by sacrificing only their luxuries, which are of lesser moral importance. However, John Arthur disagrees with Singer’s conclusion in his piece, â€Å"World Hunger and Moral Obligation: The Case against Singer† and believes that although we should help those in need, it is not imperative to do so. John Arthur’s argument in basic form looks like this: 1) Singer says that all affluent people have a moral obligation to give their money to poor people to the extent that the affluent person would be on the same level as the poor person. 2) Poor people have no positive right to our assistance, because affluent people made no contract to do so. 3) Affluent people have a negative right to their property, which weighs against their obligation. Therefore, the obligation that Singer imposes on affluent people is not as extensive as Arthur. I will analyze both sides of this argument and in the end, propose my own position on this subject. Singer’s main point as stated above is that we ought to prevent bad things from happening without having to sacrifice something of equal importance. In other words, we should give to those in poverty as long as we do not put ourselves in a position of poverty. Singer starts his argument by making the assumption that it is a bad thing when people suffer and die from the lack of food and shelter. Since this is a bad thing, we ought to do something in order to prevent these things from happening without sacrificing anything of equal moral importance to ourselves. This point essentially puts the responsibility of the well-being of all people who are in some way suffering from lack of food and shelter into the hands of those who are in a position to do something about it. The fact that it is now our responsibility makes it morally wrong to not care for these people with our financial assistance. Singer does not see the act of giving money in order to prevent something bad from happening as charity, but instead as our duty. With charity comes the moral option to not give and to spend money on luxuries. If giving to prevent bad things from happening is something that we ought to do, to not do it would be wrong. Money that would have been spent on luxuries should be sent to parts of the world that need it on the basis of their lack of food, shelter, and adequate clothing. On the other hand, John Arthur brings up a strong argument against Singer. Arthur contests that a person has a right to do with their money as they please. There is no contract between ourselves and those in need, therefore we are entitled to invoke our own rights as a justification for not giving to those in need. The interesting thing about this argument is that Arthur is not saying that it is a good thing that we ignore the needs of others, but is instead saying that we have to right to not give. Arthur thinks that we are expected to give to those in need, but we also have the right to invoke our own rights of not giving to those in need. Arthur argues that if we were to live by Singer’s moral standards by following â€Å"greater moral evil rule† then we should not only give monetary charity but also give to the extent of donating parts of our bodies to help someone from dying. He says this because if you can survive without a certain body part (like a kidney) then according to Singer you should give it to someone to save their life because the kidney is less significant than a person dying  (Arthur 473). Arthur does not agree with this idea he sees this as a person violating our negative rights to property, protesting, that it’s your body, and you have a right to it, outweighs any duty you have to help. Both Arthur and Singer agree that there are millions of people suffering from hunger everyday and that this suffering causing death is a bad thing. However Singer believes that it is our moral duty to assist the poor not a choice to do so. While Arthur believes that although we should help those in need, it is not required of us to do so. Therefore the obligation that Singer imposes on people is not as extensive as that of Arthur. As a moral person, one is morally obligated to act in a way which will bring about the greatest happiness. Whether that action is positive or negative doesn’t matter to the pain or pleasure that is produced. No distinction is necessary to the morality of the action. Pain and pleasure are still the measure of moral significance that are used to judge whether a given charity is good or bad. Then the given rules of charity are used to judge the morality of an individual’s acts of charity. Arthur argues that duty to help a stranger in need would be some sort of positive right such as an agreement or contract. However when it comes to assisting in the world hunger situation there are no such agreements or contracts between flourishing countries to assist non flourishing countries. Arthur is correct in arguing that there is something more in the terms of Singer’s argument in the case about the drowning child that if we are able to prevent something bad from happening without sacrificing something of moral significance then we have the moral duty to do it. With the example of the drowning child in the shallow pond, even though we might get our clothes muddy if we were to save the child. As a consequence, like this child case, people have an obligation to rescue strangers when they have the ability to do so that it is our moral duty to do something. Arthur argues the point that these rights as well as deserts are important parts of our moral code based on values such as fairness, justice, and respect. From Arthur’s point of view, there are two significant human rights which are â€Å"negative rights† and â€Å"positive rights†. â€Å"Negative rights†, â€Å"rights of noninterference† (473) in another word, are rights not to be interfered by  anyone such as a right not to be killed. The other rights which are also ignored are â€Å"positive rights† same as called â€Å"rights of percipience† These rights are based on agreements. As long as people have an agreement something, they have a right to receive it. In addition to rights, desert is a second form of entitlement. As an example, a hard working farmer is able to harvest a lot of wheat as a result of his great effort. On the other hand, a lazy farmer is starving because of his laziness. In this case, the hard working farmer should not have any obligation to give wheat to the lazy farmer. Thus, the farmer should consider â€Å"fairness, justice, and respect.† (474). In this case is the farmer who worked hard be obligated to give some of his harvest to the farmer who didn’t do anything to secure a harvest to provi de for him and his family. Looking at Singer’s view on charity makes me wonder, He believes that as citizens of affluent countries we are morally obligated to donate most of our wealth to the starving poor of countries unable to provide for their own with their basic needs to survive like food, shelter and adequate clothing. That theory sounds great, however I have a problem with the fact that are focusing on the welfare of the struggling poor in other countries, while we ignore the suffering of our own right here in our backyard. Yes, I said the United States of America should take care of its own first. Before we spend our precious dollars taking care of the rest of the world. Let me say I cannot fathom a world as progressive as ours and yet people are still starving and dying right here in our own backyard. But it is a reality. Billions of dollars are given to aid so many other countries. While less and less is used here to provide relief for our own who are suffering. So, what is my point you say, my point is we spend a lot of money taking care of people around the world. As a society we are generous. Everyday I listen to politicians and others pointing fingers at each other playing the blame game for our economic crisis. Blaming the Republicans, or blaming the Democrats, Blaming the rich or poor, but the fact is all the blame in the world isn’t fixing the problem. Seeing all the dollar amounts being used to fund all these different relief efforts worldwide is simply amazing. But just think how far those dollars would go if they were to keep them here in the United States and use them to help keep a family member or a neighbor from losing  their home or life. Why are we providing billions of dollars in scholarship aid to foreign students when graduates of our own high schools can’t afford a college education? Why are our religious organizations donati ng billions of dollars to provide health care and literacy programs to foreign countries when our own kids are on Medicaid and illiterate? How much money would go back into restoring our own economy and helping citizens of the United States of America if we kept our money here? Will become the nation known for letting its own people suffer while we take care of the suffering in other countries. Will we keep playing the blame game and turn our backs to the pain and suffering of the people on our own soil. If so, maybe we should change our name to â€Å"The United States Charitable Citizens for the Rest of the World.†