Education in Pakistan Essay

President Asif Ali Zardari signed ‘The Right to Free and Compulsory Education Bill 2012’ into law. The bill, which sought to ensure all children between five to 1 6 years of age are provided free education. He urged provincial governments to promulgate similar legislations in their respective assemblies as well. He said the responsibility for providing free education rests with both federal and provincial governments, referring to article 25-A of the Constitution. The article 25-A of Constitution of Pakistan obligates the state to provide free and compulsory quality education to children of the age group 5 to 16 years. The federal government will now provide free textbooks and uniform s to children and ensure schools have qualified teachers. Free pre-school education, early childhood care and free medical and dental inspection will also be provided to all citizens and no child will be subjected to corporal punishment â€Å"Under the law, private schools will be required to provide free education to disadvantaged students, who will comprise 10% of each class,† Zardari said, adding that school management committees will be established to persuade parents into sending their children to schools. â€Å"We will honor our international commitments and achieve the targets set by the Education for All and Millennium Development Goals initiatives. National Educational Policy 2009 Under the 18th constitutional amendment control and management of the education sector has been devolved to the provinces. They are now responsible for the key areas of the education sector i.e. curriculum and syllabus, centers of excellence, standards of education up to intermediate level (Grade 12) and Islamic education. Planning and policy and standards of education beyond Grade 12 are covered under Federal Legislative List. All the provinces have shown their commitment to the National Education Policy 2009. The National Educational Policy (NEP) 2009 is a milestone which aims to address a number of issues including: * Quality and quantity in schools and college education * Universal primary education * Improved Early Children Education (ECE) * Improved facilities in primary schools * Converting primary schools to elementary schools * Detaching classes XI-XII from college education * Adopting a comprehensive definition of ‘free ‘education * Achieving regional and gender parity especially at elementary level the share of resources for education in both public and private sectors Accordingto the latest Pakistan Social and Living StandardsMeasurement (PSLM) Survey 2010-11, the literacyrate for the population (10 years and above) is 58percent during 2010-11,

Rate Equation and Order Reaction

Top of Form 1. For the overall hypothetical reaction A + 5B —> 4C the rate of appearance of C given by may also be expressed as: A. B. C. D. 2. For the reaction 4 NH3(g) + 5 O2(g) —> 4 NO(g) + 6 H2O(g), the value of -[NH3]/t = 2. 6 x 10-3 M/s at a particular time. What is the value of -[O2]/t at the same instant? A. 1. 3 x 10-2 M/s B. 2. 08 x 10-3 M/s C. 2. 6 x 10-3 M/s D. 3. 25 x 10-3 M/s E. 520 M/s 3. What is the overall order for the following reaction between acetone and iodine? The experimental rate law is rate = k [CH3COCH3] [H3O+] ) CH3COCH3(aq) + I2(aq) +H2O —> CH3COCH2I(aq) + H3O+(aq) + I-(aq) A. 0 B. 1 C. 2 D. 3 E. 4 4. Nitric oxide (NO) reacts with hydrogen (H2) according to the equation: 2 NO(g) + 2 H2(g) —> N2(g) + 2 H2O(g) The following initial rates of reaction have been measured for the given reactant concentrations. Expt. # | NO | H2 | Rate (M/hr)| 1 | 0. 010 | 0. 020 | 0. 020| 2 | 0. 015 | 0. 020 | 0. 030| 3 | 0. 010 | 0. 010 | 0. 005| Which of the following is the rate law (rate equation) for this reaction? A. rate = k[NO]2 [H2] B. rate = k[NO] [H2]2 C. rate = k[NO] [H2]4 D. ate = k[NO] [H2] E. rate = k[NO]1/2 [H2]1/4 5. A certain first order reaction A —> B is 46 % complete in 68 min at 25Â °C. What is its rate constant? A. 9. 06 x 10-3 min-1 B. 1. 14 x 10-2 min-1 C. 31 min-1 D. -1. 14 x 10-2 min-1 E. 51 min-1 6. What is the value of the rate constant for a first order reaction for which the half-life is 26. 7 min? A. 18. 5 min-1 B. 38. 5 min-1 C. 9. 25 min-1D. 19. 3 min-1 E. 0. 026 min-1 7. A reaction which is second order has a rate constant of 1. 0 x 10-3 LÂ · mol-1 Â ° sec-1. If the initial concentration of the reactant is 0. 200 M, how long will it take for the concentration to become 0. 250 M? A. 4. 0 x 104 s B. 3. 5 x 104 min C. 3. 5 x 104 s D. 8000 s E. 3. 5 x 10-2 s 8. What is the half life of the previous second order reaction? A. 200 s B. 5000 s C. 0. 005 s D. 2 x 10-4 s E. none of the above 9. For the chemical reaction A —> C, a plot of ln[A] versus time is found to give a straight line with a negative slope. What is the order of the reaction? A. third B. second C. first D. zero E. such a plot cannot reveal the order of reaction 10. What is the slope of an Arrhenius plot for the following reaction? CH3CHO(g) —> CH4(g) + CO(g) Temp (K); k (LÂ ·mol-1Â ·s-1) 700; 0. 11 730; 0. 035 790; 0. 343 A. 7. 86 x 10-2 L mol-1 s-1/K B. 2. 89 x 10-3 K C. -2. 87 x 103 K D. 3. 23 x 10-4 K E. -2. 32 x 104 K 11. The rate constant of a first order reaction is 3. 68 x 10-2 s-1 at 150Â °C. What is the rate constant at 170Â °C if the activation energy for the reaction is 71 kJ/mol? A. 9. 16 x 10-2 s-1 B. 3. 68 x 10-2 s-1 C. 10. 92 s-1 D. -4. 04 x 10-2 s-1 E. 2. 46 x 101 s-1 12. A catalyst increases the rate of a reaction by A. increasing the enthalpy of the reaction B. lowering the activation energy C. raising the activation energy D. decreasing the enth alpy of the reaction 13.For the following exothermic reaction, the rate law at 298 K is: Rate = k [H2] [I2] ———– H2(g) + I2(g) –> 2 HI(g) Addition of a catalyst would effect the initial rate of the reaction by: A. increasing the rate of the forward reaction B. increasing the rate of both forward and reverse reactions C. increasing the rate of the reverse reaction D. causing no increase or decrease in the rate of reaction E. none of the above 14. If the rate of the reaction PCl5 —> PCl3 + Cl2 is increased a factor of four by doubling the concentration of PCl5, the rate law: A. depends on the concentrations of PCl3 and Cl2B. is first order with respect to PCl5 C. is second order with respect to PCl5 D. is fourth order with respect to PCl5 15.. Consider the reaction of CH3Cl with hydroxide ion CH3Cl + OH- –> CH3OH + Cl- At some temperature the following data are collected: Initial conc| rate after 1 min| [CH3Cl]| [OH-| | 0. 1 M| 0. 1 M| 1 x 10-4 mole/L| 0. 2 M| 0. 1 M| 2 x 10-4 mole/L| 0. 1 M| 0. 2 M| 2 x 10-4 mole/L| A. The reaction is first order with respect to methyl chloride B. The reaction is first order with respect to hydroxide ion C. The reaction is second order overall D. All of the above

First case study assignment Example | Topics and Well Written Essays - 750 words - 1

First assignment - Case Study Example the purpose of this brief analysis is to briefly discuss the seduction theory, analyze its contents, and seek to infer a rational for why Sigmund Freud chose to abandon such a theory only one year after mentioning the high probability of its existence. As a way to do this, the author will examine Freud’s own admissions with regards to the lack of therapeutic success, unlikely number of sexual deviants in the Vienna population, the nature of unconsciousness, and the Oedipus Complex. Firstly, with regards to the Seduction Theory, this was ultimately a theory put forward by Sigmund Freud around the year 1895-1896 in which he sought to link the prevalence of hysteria and obsessional neurosis to repressed memories of childhood sexual assault. In the theory, the repressed sexual assault was ultimately internalized and manifests itself as a function of a type of neurosis or other form of mental issue. Naturally, within the constructs of the times and within the scientific body of knowledge, Freud published a paper on the topic in 1896 and prior to this performed a long set of clinical trials in which he was able to elicit confessions of repressed sexual abuse upon his patients, generally taking place before the age of 4 years; i.e. in infancy. However, for one reason or another, Freud soon abandoned this theory as he evidently thought it to be ultimately untenable within the realm of extant science and experience he had witnessed (Blum 2008). Although many of Freud never detailed the reasons for why he chose to distance himself from the Seduction Theory, one can infer a great deal based upon his 1897 letter to Wilhelm Fliess. Within this personal correspondence, the four factors which were listed in the introduction of this analysis with regards to why Freud may have ultimately chosen to abandon the theory are iterated. Firstly within the letter Freud complained of the â€Å"inability to bring a single analysis to a real conclusion† (Freud 1985). This of course

Care Plan Essay Example | Topics and Well Written Essays - 2000 words

Care Plan - Essay Example The patient has been fired from several jobs. When she does work it becomes difficult for co-workers as she moves into one of her depressive cycles. During this time she becomes "caustic" and "irritable". With her presenting behaviors the patient has been given a diagnosis of "Bipolar Disorder". The case study did not specifically say whether she was diagnosed with Bipolar Disorder I or II but from the presenting problems it appears to be Bipolar Disorder I. The DSM-IV (1994) describes Bipolar Disorder within several different categories. It describes 296.4x Bipolar I Disorder as having the "most recent episode manic." This is the case with the patient. The criteria for this is someone who has "most recently had a manic episode, there has been at least one major depressive episode" (DSM-IV, p. 357)and other types of disorders have been ruled out.. Bipolar Disorder usually begins between the ages of 21 and 30 and it has been statistically shown that over 50% of bipolar patients also have a challenge with substance abuse (Boyd and Nihart, 1998, 0. 456). Although it is only reported from the husband that substance abuse or drugs "may" be involved it is something that needs to be explored more thoroughly. The patient also started having bouts of depression before the age of 34 (their current age) and these periods exacerbated at the death of her father. Clinical issues that present themselves in Bipolar Disorder include an elevated or irrit able mood, impaired functioning and several depressive and manic phases. There are also challenges with interpersonal relationships. The disorder also has behaviors of "reckless spending which can cause financial ruin and work related problems that can include difficulty in focusing" (Boyd and Nihart, p. 457). The patient has been spending money "recklessly" according to her husband on items that they cannot afford. The patient is also having problems with irritable mood and the

Leadership Essay Example | Topics and Well Written Essays - 2000 words - 9

Leadership - Essay Example as observed that , transformational leaders who may happen to have narcissistic tendencies can apply a very powerful influence over followers, who may give them trust and respect (Stone, Russel and Patterson, 2003, p.4) as to manipulate the latter. Manipulating followers may actually be violating the latter’s very freedom as the act would amount to misleading them to choosing what is proper as free human beings. These followers may virtually submit their wills to their leaders. The possibility of this argument is due to the appeal to emotions which a key ingredient to practice transformational leadership. The source of the first criticism is the fact that there are allegedly people who were transformational leaders who led their people to destruction. Used as examples are the cases of Rev Jim Jones and Hitler. In the case of Jones, the leader caused massive Jonestown suicide after convincing his people of the value of his proposition no matter how evil it may be (Krans, B. 2007). Which could be more evil than taking one’s life by the instigation of a leader who is supposed to espouse and value life and on the greatest values on human being? The case of Hitler is too familiar to escape mentioning the same when it comes to leaders who could move their followers to attainment of objectives and goals of the group. Who could imagine that Hitler was able to have the command of his followers to exterminate millions of Jews as to offend the sensibility of human kind? Hitler and Himmler, his fanatical racist and ultimate bureaucrat what able to take control of anti-Jewish initiatives and Hitler was the ideological and political author of the Holocaust (Farmer, 2010). The reasoning behind the criticism is assumption that there is a tendency by the transformational leaders to take advantage of the emotions of the followers who may forget about the supremacy of reason because they have virtually submitted their beliefs and wills to their leader because of their

Relaxation and Learning Essay Example | Topics and Well Written Essays - 500 words

Relaxation and Learning - Essay Example It is in these instances when learning a lesson or analyzing data from work necessitates the conditioning of a calm, open mind. There is thus nothing like getting one’s self into a relaxed, tranquil disposition in order to make the most out of a learning or thinking activity. Coming from a particularly taxing workday and before tackling the books for the next day’s lesson, I look forward to a warm soak in the tub. The lukewarm water and moisturizing suds not only wash off the day’s dirt and grime, but also its worries and consternations. A good 15 minute soak, coupled with measured deep breathing, feels like what a baby probably feels while it is in its mother’s womb; warm, secure, floating in perfect quietude. And maybe, some soft music and the scent of aromatic candles are welcome additions to soothe the other senses. At least three days in the week, I don running shoes and take a morning jog around the neighbourhood or in the park. There is nothing like the rhythmic pounding of concrete and a cool evening (or morning) breeze on your face as you savor the sights, sounds and smells of the neighbourhood/park. Running, for some reason or another, helps you sort your thoughts and think through problems, so that after a good run the world seems right again. At times when soaking in the tub or jogging in the park are not just practicable, I find that creating a mental picture or remembering an inspirational line helps put things in perspective and prepares me for heightened concentration. My favourite mental picture is that of gently rolling waves lapping the shore of a beach deserted but for a few people: white sand, blue sea, reclining chair, tall glass of iced tea in hand. This technique is useful for minute-long â€Å"mental vacations† to quickly get one into the proper mental frame for learning. Even during the process of learning, there is sometimes need to resort to quick calming techniques especially

The Evening Dress in Victorian era Essay Example | Topics and Well Written Essays - 500 words

The Evening Dress in Victorian era - Essay Example Also, I will discuss how this particular dress reflects issues of social, culture, class, work, lifestyle, leisure and home or more during the Victoria era. This dress was made by the Father of Haute couture, Charles Frederick Worth, during Queen Victoria reign in the year of 1882. The medium is silk. This evening dress was made elaborately and with a lot of detail. It has included a lot of important elements of Victorian style such as flounced on the cut off sleeves, neckline, bottom of the dress and the sweeper; the bow on the lower right dress and the bow design on the breast area; layers; balayeuse under the dress; cage crinoline and high waist to emphasize the shape of the women body; and no ankle showing. In addition, Charles Frederick Worth used the gauzes to created different layers and used flowers to decorate the dress to add more colors. This demonstrated that the women were conservative but still did not lose resplendent in the design. â€Å"Fashion is a language that creates itself in clothes to interpret reality.† said by one of famous designer Karl Lagerfeld. Clothes can always reflect the society in the particular period. During Queen Victoria reign, there was no war but peace and prosperity. On the other hand, it means the improvement in technology. In the early Victoria era women have to wear a larger number of petticoats underneath, but â€Å"in 1856 they were replaced by a ‘cage crinoline’ or hooped petticoat† (Laver, Haye, and Tucker 177). Because of the technology improved women can sit down easily and walk comfortable without carrying heavy petticoats underneath. The Victorian era evening gowns were made up of the same shape as the daytime gowns. Frequently, women had two tops for the one skirt as one was worn for day time, while the other one in the evening. There was also a significant difference in the necklines as they were highly trimmed, less conservative, and featured shorter sleeve

Quality improvement Term Paper Example | Topics and Well Written Essays - 2250 words

Quality improvement - Term Paper Example Based on a similar notion, various studies have been undertaken, which focused on one or the other dimension of the healthcare sector. Contextually, as these studies emphasize revealing certain facts regarding the quality improvement aspects of healthcare practices, its reliability tends to be of great significance. Based on a similar perspective, this paper intends to review two different articles focusing on the healthcare treatments for cardiac patients and the common errors or needs for quality improvement associated with the sector. The first article is titled â€Å"A Nurse-Led Heart Failure Clinics Improve Survival and Self-Care Behavior in Patients With Heart Failure† and the second article is titled â€Å"Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke.† When reviewing the selected articles, due significance was provided towards the methodology used in the studies to evaluate the findings obtained through the research. Wha t Were the Targeted Population and the Disease State? Stromberg et al. (2003) targeted a population of 106 patients who were either directed to a follow-up in the usual care section or to the nurse-led heart failure clinic section for further treatment. The cardiac diseases diagnosed among the patients included in the study in terms of sample population were identified by the nurses in the initial stage followed by the deliverance of proper healthcare facilities along with adequate education regarding the self-care and other probable strategies to prevent such heart-failure in the future. It is worth mentioning in this context that the nurse-led heart failure clinic was staffed by specially educated people and experienced nurses who were given the responsibility to make necessary changes, especially in the protocol followed during medications, which was further identified to play a vital role in reducing heart-failure among the patients and thus resulting in quality improvements of the clinic (Stromberg et al., 2003). Similarly, Moser et al. (2006) were focused on the patients with acute coronary syndrome and stroke syndromes as the targeted population. The article by the above authors summarizes the advantages of early treatment to such patients and also explains the number of problems a patient has to face when there is a delay in the treatment. The article also depicts the approach of the current system in reducing this delay in treatment (Moser et al., 2006). Why Was This Important to Study? The study conducted by Stromberg et al. (2003) aimed at explaining the effects of nurse-led heart failure clinic follow-ups in preventing the occurrence of coronary diseases generating a self-care attitude among the patients. The importance of this particular study can be thus justified on the basis that the survival rate of a patient with a record of heart failure as compared to other severe diseases has been relatively low, which is often argued to be effectively cur able with a greater degree of self-caring attitude and better awareness regarding the diseases (Sutherland, 2010). Emphasizing the positives of nurse-led clinics, this study thus aimed at critically evaluating the performances of the hospitals which would further render noteworthy inputs in enhancing the

Fast Food Tips for Athletes Essay Example | Topics and Well Written Essays - 750 words

Fast Food Tips for Athletes - Essay Example Since the fast food concept is based on speed, uniformity and low cost, fast food products lack the required nutritional values (Wikipedia n. pag) required particularly for an athlete. Fast food restaurants provide a quick, cheap and filling meal but these are often items which are high in fat, calories and sugar. They are also low in vitamins, minerals and fiber. Too many fat calories get in the way of eating enough carbohydrates. Carbohydrates are the body's main source of energy. Athletes require more of carbohydrate in their food. If an athlete eats too few carbohydrates, they lose energy for sports performance. It is estimated that about 60% of the calories should come from carbohydrates (bread, rice, pasta, fruits, vegetables, beans). Proteins are essential and are the basis for building muscles and fats/oils help with nerves and hormones, in the body (University of southern Maine n. pag). A proper diet should include all of these. Fat takes longer to digest than carbohydrate, which means that an athlete should cut down on high-fat snacks or meals particularly just before the game. Soft drinks are high in sugar, but do provide energy. Diet drinks have no nutritional value, especially if they contain caffeine which draws fluid out of the body should be avoided. Instead better choices are juices, seltzer, low-fat milk, hot cocoa, or just plain water (The Women's Sports Medicine Center 1999). As it is a well known fact that 70 % of our body is water. As an athlete, it's important to keep the body well-hydrated. It is also important to drink plenty of water to keep the muscles hydrated. Athletes must take care of their dietary requirements and should stay away from carbonated drinks, especially soft drinks. No junk foods such as sugary snacks or chips even if they are baked. And minimize heavy fats and proteins in pre-game meal (velocitys p.com n pag). Staying away from dairy products and too much protein like greasy hamburgers, pizza, ice cream, and cheese is good for athletes. It is good to avoid dishes that are deep fried or battered. Though soda pop and candy bars are quick burst of energy but it will drop quickly, avoiding them is good. Before the game eating high carbohydrate foods like bread, pasta, whole grains, vegetables, and fruits are considered as very good. Carbohydrates are digested quickly and provide glucose to the muscles. Meals that are good sources of carbohydrate such as rice, noodles and pasta are a good place to start. In addition, adding lean sources of protein such as lean meat, fish, chicken, beans or tofu and include plenty of vegetables are good. Sandwiches, cereal bars, fruit, juice, liquid meal supplements and bottled or powdered sports drinks are ideal (Department of Sports Nutrition, AIS). Some of the major nutritional challenges faced by athletes include achieving carbohydrate and protein requirements on a daily bases, meeting daily vitamin and mineral requirements, balancing energy intake, maintaining adequate hydration, and food safety. It is very essential to choose the right food before and after the game to complete the nutritional requirement of the body as well as to provide enough energy for the athlete to perform well in sports. Work cited Department of Sports Nutrition, AIS, Nutrition for Travelling Athletes, Australian Sports Commission (2004) 29 March 2007

The Bane of Living in the Cities Essay Example for Free

The Bane of Living in the Cities Essay When we discuss about living in big cities or small towns, different people have different point of view. Both have their own advantages and disadvantages. From my personal opinion, big cities have more advantages as compared to small towns, which I quiet disagree with the topic. There are three points I would like to highlight here on why I said living in big cities brings more benefits. Firstly, big cities have far better quality education from lower to higher education. What I am trying to emphasize here is big cities can provide us with modern and adequate academic environment which I find it is very important as education is the key for success in the future career. Therefore, students in big cities can get several benefits from the modern education offered such as multimedia teaching, electronic library and also internet. see more:advantage and disadvantage of living in the city By contrast, those who are living in small towns cannot take the opportunity as much as in big cities because there are not enough modern facilities provided in small towns. Secondly, we can see that more and more people especially the young people migrate to big cities because they see many opportunities in employment. As we all know, most of the local and international companies are situated in big cities so there are many places that they can work as opposed to small towns. Consequently, they have bigger chances in achieving their dreamed career and also pursue in what they like. In addition to this, most of the jobs offered in big cities have bigger salaries so that is why it is one of the attractions for the young people to live in big cities. Last but not least, people live in big cities can enjoy several entertainments and closer to better services like hospitals. To illustrate, in big cities there are many shopping centers, entertainment parks and also many of the international events are held here. We can enjoy our quality time with our family in the entertainment parks but not for those who live in small towns because there is no such thing there. Furthermore, hospitals are nearer to you in big cities and the services offered are better compared to hospitals in small towns as they are fully equipped with modern equipments and also most of the specialists work there, It is true that despite these benefits of living in big cities, there are certain disadvantages to it. However, when compared both, I tend to see the advantages outweigh the disadvantages so that is why I am more on living in big cities. In a nutshell, no matter where we live it depends on an individual to make the decision to continue living your life.

Risk Of Falls Among Elderly Health And Social Care Essay

Risk Of Falls Among Elderly Health And Social Care Essay The loss of strength, balance, and mobility are no longer considered inevitable consequence of aging. Physiological impairments related to functional dependency are potentially reversible with appropriate exercise intervention (Morgan, 2005; Nelson et al., 2004). Furthermore strength training research programs have been especially helpful in improving balance, physical performance and reducing falls (Hoglund, Sadovsky, Classie, 2009; Kruger, Buchner, Prohaska, 2009; Nelson et al., 2004). Several interventional researchers have been conducted to prevent falls among elderly people (Judge, 2003; Kim, Yoshida, Suzuki, 2010; McMurdo, Millar, Daly, 2000). In this study we will examine a home-based training intervention to improve strength of muscles which can directly improve balance and reduce the risk of falls among community dweller elderly or through increased self-efficacy. Problem statement Risk of falls due to balance impairment among elderly people is reversely associated with muscular strength (Clemson, Cumming, 2004). Effectiveness of muscle exercise interventions to improve balance and reduce the risk of falls in aged people with high risk for falling have been a matter of controversial in different studies (Salminen et al., 2001). While some found exercise training programs successful in reducing the risk of falls (Cheung, Au, Lam, Jones, 2008; Clemson et al., 2010; Gobbi et al., 2009a; Nelson et al., 2004), others have found contrary results (Au-Yeung et al., 2002; Clemson et al., 2010; Rubenstein et al., 2000). The need for a home-based training exercise program is felt by some researchers (Kamide, Shiba, Shibata, 2009). Muscle strengthening exercise intervention by home facilities has its own advantages and disadvantages. Home-based exercise program, in comparison to clinic-based interventions which are very luxurious and seem to be very tempting and promising (Takano et al., 2010), sounds to be more feasible. As a matter of fact, the lack of public availability of high-tech facility in developing courtiers, transportation barriers for elderly, the problem of cost-benefit and cost effectiveness of any high-tech program are major barriers to use clinical-based exercise programming for elderly people (Nelson et al., 2004). Moreover, it is estimated that about one half of seniors aged 85 years or above rarely leave their homes and interventional trials targeting on those housebound aged are scarce(Ashworth, Chad, Harrison, Reeder, Marshall, 2005). Nelson et al 2004 summarized that a home-based exercise program in community-dwelling elders with functional impairment is feasible and effective in improving functional performance, despite limited supervision. They also added that home-based exercise programs that focus on strength and balance training improve functional performance in elderly people and should be promoted by the allied health community (Nelson et al 2004). Low price and organizational flexibility make it an alternative or a supplement to other forms of physical exercise and active lifestyle (Hinrichs et al, 2009) On the other hands, compliance, which is a major problem in centered-based exercise among elderly people, can be achieved by home-based programs. Previous researches emphasis that adherence to any exercise program is low among elderly people especially in long run (Campbell et al., 1997; Dishman, 1991; Gobbi et al., 2009b; Sturnieks, St George, Lord, 2008e; Sun et al., 2005). Blanchard 2008 stated that less than 15 percent of elderly people participate in center-based exercise program. He added that to achieve a larger number of participants, there has been a shift toward implementing home-based rehabilitation programs. Home-based muscular strength training can be considered as an alternative to expensive and low compliance clinical-based muscle training (Blanchard, 2008). There have been some problems in previous home-based programs. They still rely on most expert personnel who closely supervise their patients and provide them with high standard care at their home (Gardner, Robertson, McGee, Campbell, 2002; Nelson et al., 2004; Luukinen et al., 2007a). The others emphasize on individualized tailored programs (Clemson et al., 2010) which raises the cost of intervention program. Moreover, these programs, although were reported to be effective, lack in large scale randomization was the main limitation of the studies (Nelson et al., 2004). Moreover, because of low health literacy among Iranian elderly population, any home-based training intervention without proper supervision and adherence will not be able to achieve its objectives (Carpenter, 2010a). A well cited study suggested that elderly people need supervision to improve strength in a home-based setting (Baker et al., 2001). To overcome the problem of health illiteracy among elderly people we plann ed to involve participants adult children who have the most interaction with the client in training program to supervise him/her during training and fill up the log books. Fear of falling, a risk factor for falls, is being understood as an emerging public health problem (Denkinger et al., 2010; Hill, Schwarz, Kalogeropoulos, Gibson, 1996; Li, Fisher, Harmer, McAuley, 2005). Evidence suggests that both fallers and non fallers experience psychological problems associated with falls (Honaker, 2001). Previous researches have termed psychological factors as fear, diminished self efficacy and loss of confidence(Topping, 1994; Gai, Gomes, Jansen, 2009; Legters, Verbus, Kitchen, Tomecsko, Urban, 2006; Pednekar, 2007). In community dwelling elderly, a complex interaction has been found among fear of falling, falls self- efficacy, increased physical impairments and diminished functional ability and activity participation (Legters et al., 2006; Maxwell, 2006; Mihalko, 1997; Tinetti, Richman, Powell, 1990b; Pednekar, 2007). This interactive cycle encompasses fear of falling which leads to activity restriction and further decreasing physical capabilities such as functional mobility, balance and strength which leads to decreased confidence and fear of falling (Pednekar, 2007). A home-based training exercise should be directed toward strengthening weak muscles and balance. The consequence of muscular weakness and co-contraction is lack of confidence (Tinetti, Richman, Powell, 1990a) which makes elderly people loss their self-confidence and fear of falls (Hill et al., 1996). Fear of falling deteriorates the balance reactions and leads to increased risk of falls and increased risk of injury (Okada, Hirakawa, Takada, Kinoshita, 2001). Loss of confidence among elderly people results in functional limitations and may cause restriction in activity due to fear of falling, which is very common problem among community-dwelling older adults with or without experience of falls (Hansma, Emmelot-Vonk, Verhaar, 2010). Under a public health perspective, the access to home-exercise programs seems to be easier. Once implemented, a home-exercise program should be capable to reach a broad audience (Ashworth et al 2005). So, it is logical that improved muscular strength can result in self-confidence, reduce fear of falls, increase balance and decrease risk of falls. A great number of studies have proposed that only additional research with frail elderly individuals will help answer if home-based training would improve balance in older ages (Nelson et al., 2004; Baker et al., 2001). We, therefore, decided to test the hypothesis that an individual home-based muscle strength training in high risk individuals (60 years old and above elderly people with previous history of falls in last 12 months) would be feasible with minimal expert supervision and would result in clinically important improvements in balance and functional performance. The role of care givers in this study is to fill the log books, because most of the elderly subjects have health illiteracy. Significant of the study This dissertation contributes to the scientific literature in different interrelated ways. Firstly, the finding of this study can contribute to the body of knowledge in regard to falls among elderly. Falls have been explored by several researchers from different aspects; however it needs more scientific and empirical investigations to find out the ways to prevent the fall or alleviate the incidence of falls among frail elderly community-dwellers. To achieve a better understanding of falls, its consequences and prevention of falls, this area of research needs a richer body of knowledge to illuminate the way for other researchers to explore the ways to reduce risk of falls. Secondly, the findings of this study, practically, can contribute to alleviate the problem of falls among frail elderly people in community. This study looks the problem of falls from both biological (muscular strength) and psychological (self-efficacy) point of view. So, any falls prevention program has to consider the results of this dissertation as evidence to plan a comprehensive program on falls. In addition, finding of this dissertation can be used by falls prevention planners. All programs designed to prevent falls can benefit from this study, because it is planned to reduce morbidity and reduces burden of falls for person, family and healthcare services. American Geriatrics Society recommends some activities including exercise and/or physical to prevent falls among elderly people. Health professionals after orienting to the program can deliver and supervise the exercise training program for older people. The program has been tested as a single intervention but could be delive red in a multifactorial falls prevention program, too. Thirdly, the findings of this study can be used by other health practitioners in different disciplines to utilize exercise training to reduce the risk of falls among their elderly clients. So many other researchers have investigated the benefits of the exercise for other high risk groups such as patients with chronic diseases e.g. Parkinson Disease (PD), Multiple Sclerosis (MS), Stroke, Arthritis and other neuromuscular or articular diseases, depression, anxiety, etc. This study highlights the importance of exercise training among elderly people. Moreover, the current study is one of the first studies on the problem of falls in Iranian elderly community. In developing countries where sources are limited, the exercise program can be offered first to those with high risk e.g. history of falls, aged 70 and older. However, other aged people can benefit the advantages of this program. Objectives This study is planned to investigate the relationship between muscular strength to risk of fall among community dweller elderly people. To achieve this objective, the following specific goals are followed: To describe the subjects muscular strength, self-efficacy, fear of falls and balance before and after intervention To examine the relationship between subjects background variables, muscular strength, self-efficacy and fear of falls before and after intervention To examine the relationship between subjects muscular strength and risk of falls before and after intervention Hypotheses The home-based training exercise can improve muscular strengths among elderly people. Strong muscles can directly increase physical balance which is considered as proxy for decreased risk of falls among elderly people. Moreover stronger muscled can increase self-efficacy and reduce fear of falling and decreased risk of falls among elderly people. Definition of key words History of falls Conceptual: History of falls is previous experience of the event of falls. In this study, fall is an unexpected, involuntary loss of balance by which a person comes to rest at a lower or ground level (Kelly Dowling, ). Other researchers have defined falls as An unintentional descent that may or may not result in an injury, and in which any motion of descent may not necessarily result in a landing. (Berry et al., 2010). Operational: In this research, history of falls is defined as any report of falls incidence by which a person comes to rest at a lower or ground level, in subjects of the study. Any incidence of falls in last 12 months is considered as history of falls. Moreover, the number of falls during intervention is questioned. Data are collected by a questionnaire. In the questionnaire history of falls during last 12 months and causes of falls are questioned. No history of falls, one incidence of falls and two or more falls are categorized as non-faller, accidental faller and recurrent faller, consecutively. Fear of Falls Conceptual: fear of falling, first described as ptophobia, by Bhala, ODonnell, Thoppil, 1982, which means a phobic reaction to standing or walking and was subsequently classified by Murphy Isaacs in 1982 as Post fall syndrome (Jung, 2008). Operational: In this study Falls Efficacy Scale (FES) is used to assess clients fear of falling. It is a rating scale with 10 items to assess clients confidence in performing daily activities. Each item is rated from 1, meaning extreme confidence to 10, meaning no confidence at all. Participants with lower self-efficacy report avoiding most of activities because of fear of falling and get higher FES scores. On the other hands, participants with higher self-efficacy report less avoiding most of activities because of fear of falling and represent lower FES scores. Balance Conceptual: Benjuya, Melzer, Kaplanski defined balance as the ability to maintain an upright posture during both static and dynamic tasks (Bird, Hill, Ball, Williams, 2009). Operational: In this study balance is the subjects score in Berg Balance Scale. Total Score is varies between 0 and 56. In interpretation of Berg Balance Scale low, medium and high risk of falls are corresponded to 41-56, 21-40 and 0-20, respectively. Muscular strength Conceptual: Muscular strength is defined as the maximal ability of a muscle to contract and generate force (Hanney, Kolber, Schack-Dugre, Negrete, Pabian, 2010). Operational: operationally muscular strength in lower extremity and hand grip are assessed. For lower extremity muscular strength the chair stand test commonly used. The chair stand test is a physical performance test used to assess lower-extremity function. A 5 repetition test is a measure of strength (Ward et al., 2010). Subjects hand grip force score in their left and right hands will be recorded. Individual patients whose grip strength is less than the lower limit of the confidence intervals can be considered to be impaired grip (Bohannon, Peolsson, Massy-Westropp, Desrosiers, Bear-Lehman, 2006). Exercise Conceptual: A subset of physical activity. It is planned and repetitive body movement, which improves or maintains one or more components of physical fitness (e.g., cardiovascular endurance, muscular strength, balance, flexibility)(Pate, 1995). Operational: operationally exercise is a set of muscular strengthening action used to increase balance in terms of Berg Balance Score (BBS) and reduce the risk of falls among participants of the study. Self efficacy: Conceptual: Bandura (1986) defined self-efficacy as, Peoples judgments of their capabilities to organize and execute courses of action required attaining designated types of performances (p. 391). Self efficacy means ones self confidence towards learning. People usually engage in certain behaviors when they believe they are capable of implementing those behaviors successfully, this means that they have high self-efficacy (Bandura, 2007). Operational: In this study subjects scores in the Activities-specific Balance Confidence (ABC) Scale are considered as their self-efficacy. The Activities-specific Balance Confidence Scale is a scale with 16 items; each item is rated from 0% (no confidence) to 100% (complete confidence). Clients are asked to rate the level of confidence that they will lose their balance in daily activities. Conceptual Model This study will be conducted based on a modern biologic theory called wear and tear theory and Orems self-care theory. In this study the wear and tear theory is used to explain why muscular strength and balance deteriorates during old ages. Orems self-care theory is utilized to explain how self-care through exercise can maintain and improve an old persons ability for balance and reduce the risk of falls. Moreover, Banduras self-efficacy explains the moderating role of self-efficacy between muscular strength, fear of falls and balance to risk of falls among elderly people. Proposed conceptual framework Background Age Gender Marital Status Education Mental status SES Chronic Diseases Medication Health literacy ADL/IADL Self-rated Health (IV) Muscular Strength Fear of Falls Self-Efficacy (DV) Falls Risk (Balance) Chapter Two There has been a lack of investigation on effectiveness of home-based exercise, since there have been few randomized control trials (RCTs) evaluating home-based exercise (Kamide et al 2009). Home-based exercise programs are thought to be effective in improving functional performance and balance in functionally impaired elders (Nelson et al 2004). It is demonstrated that participation in a supervised home-based exercise program was associated with significant improvements in exercise beliefs, including exercise self-efficacy and outcomes expectation (Matsuda, Shumway-Cook, Ciol, 2010). This study is trying to investigate effectiveness of home-based exercise on reducing the risk of falls among elderly people based on theoretical framework and review of related literature. This chapter is devoted to disclose two main sections of the dissertation. First, the theoretical framework of the study will be discussed and then the main related literature to this study will be reviewed. Theoretical Framework In this section, theories of wear and tear and self-care are introduced. The wear and tear theory explains the process of biologic changes during old ages which makes humans cells and tissues degenerated. Moreover, self-care theory explains how anyone (self-care agent) can exert some measurements and actions to maintain health and well being. Wear and Tear Theory Wear and tear theory of ageing was first introduced by Dr. August Weismann in 1982 (Salvi, Akhtar, Currie, 2006). The wear and tear theory of aging believes that the effects of aging are caused by damage done to cells and body systems over time. Essentially, these systems wear out due to use. Once they wear out, they can no longer function correctly (Giampapa Williamson, 2004). According to the theory, aging occurs through wear and tear that leads to the progressive accumulation of damage(Murphy Partrige, 2008) The theory postulates that the daily grind of life, in particular disuse or overuse, literally wears the body out, leading to disease states (tears). The degeneration of muscles, cartilage and eventual grinding of bone on bone is examples of the aging process on body joints, as wear and tear exceed the bodys ability to repair (MacWilliam, 2002). The wear and tear profile over the course of time determines such degradations as loss of information (genetic and epigenetic mutations during the life course), loss of structural integrity (increases in entropy), and breakdowns in the emergent property of complexity (Juckett, et al. 2009). Based on wear and tear theory, senile muscular muscles atrophy starts after middle ages, especially when muscles are disused or overused (Giampapa et al., 2004). The process of degeneration is associated with senile changes in body and progressively reduces muscular bulk. There are good evidences to support that type 2 muscles are more prone to degenerated than type 1 muscles (Mannion et al., 2000). Deterioration in muscular size and number in old ages causes muscular atrophy and in combination of other senile changes in other organs (neurons) (Klitgaard et al., 2008) eventually ends up a loss of muscular strength and balance disorder which may predisposes old people to risk of falls (Sturnieks, 2008). Lack of muscular strength and balance affects patients self-efficacy and make them more susceptible to falls (Campbell et al., 1997), because of fear of falls(Denkinger et al., 2010). Self-care theory Self care theory was given by Dorothea Orem between 1959 and 2001 with a unique philosophy that patients have different level of independently. Orems self-care framework is based on the three components of self-care deficit theory, self-care theory and the nursing system theory (Denyes, Orem, Bekel, 2001). Self-care is defined by WHO as activities individuals, families, and communities perform in order to enhance their health, prevent diseases, limit illnesses, and restore health (Klainin Ounnapiruk, 2010). These activities are undertaken by lay people on their own behalf, either independently or in participative collaboration with healthcare professionals. There are several examples for self-care behavior including seeking health-related information, exercising and consuming healthy diets (Klainin et al., 2010). Self-Care Agency Self-care agency, as defined by Orem (2001), refers to the power of individuals to engage in self-care and their capability for self-care. The person who uses this power or self-care ability is the self-care agent. Self-care agency is acquired and affected by family members and care giver. They specifically may affect the clients adherence to behavioral changes and treatment regimens and overall outcomes (Rutledge et al., 1999). There is a power component to self-care agency, which addresses the importance of knowledge, attitudes, and skills that enable the individual to engage in self-care (Kumar, 2007) Nursing System Nursing system are interventions needed when individual is unable to perform the necessary self-care activities and categorized in three distinct levels as follow: Wholly compensatory in which care givers provides entire self-care for the client. An example of this category is an elderly person hospitalized in critical care unit who need a care giver for his basic needs to survive. Partial compensatory in which a care giver and client perform care; client can perform selected self-care activities, but also accepts care done by the care giver for needs the client cannot meet independently. An example of this category is an elderly person who needs help for some activities such as ambulating, but is able to perform most activities by his own. Supportive-educative in which training is planned to help the client develop/learn their own self-care abilities through knowledge, education, support and encouragement. A good example of this category is educating the elderly client to perform exercise to strengthen the muscles or to teach how to do insulin self-injection. In this research, the third category of nursing system will be applied among elderly people to strengthen their upper and lower extremities muscle to improve their balance and reduce the risk of falls Review of literature A recent study, by Matsuda et al 2010, proposed that effectiveness of any exercise to improve physical function varies with level of frailty, format and intensity of exercise program, and kind of supervision. A systemic review summarized the best evidence for effectiveness of interventions designed to reduce the incidence of falls in older people living in the community, concluded that home-based exercises and Tai Chi were specific exercise programs that showed benefit (Carpenter, 2010b). Home-based exercise program among relatively healthy older adult are proven to be effective in functional performance than group-based programs. In an Iranian study researchers conducted a 12 weeks home-base exercise training in 40 -65 years old Iranian women to prevent osteoporosis and increase muscular strength and balance (Shirazi et al., 2007). In another study researchers conducted a home base training exercise on Parkinson disease patient. They concluded that individuals with Parkinsons disease can significantly improve functional performance measures utilizing a convenient, cost effective, home-based exercise intervention (Nocera, Gainesville, Horvat, Athens, 2008). Other recent studies on standing exercise and balance training program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults supported that exercise can improve balance, However, definitive conclusions need to await validation from more rigorously designed studies before the present training program can be confidently recommended to physical therapists engaged in home care practice(Miller, Magel, Hayes, 2010). In New Zealand, the Otago Exercise Program is designed as a home-based training exercise with combination of strength, balance exercises and walking program to prevent falls. The program is individually designed program three times a week and progressed over time. Four randomized controlled trials in different setting disclosed the effects of training program among elderly people. In another supervised 6-week, multidimensional home-based exercise program, researchers found that the program was safe and associated with improvements in physical and exercise-related belief outcome measures(Matsuda et al., 2010). Some researchers have used some technical instrument to improve balance and reduce the risk of falls among elderly people (Runge, Rehfeld, Resnicek, 2000). However, any community home-based program should integrate the training into peoples everyday life. It would be feasible, economic and more acceptable for elderly people rather than high technical procedures. A randomized controlled pilot study with 12-week physical and/or nutritional intervention program was followed by six months of home-based exercises for the training groups, followed up with training diaries aiming to describe the effects of a physical training and nutritional intervention program on the physical activity level and activities of daily living (ADL) in frail elderly people found moderate correlations between increases in physical activity level and ADL as well as between the amounts of home-based exercises and ADL for the two training groups (Rydwik, Frandin, Akner, 2009). Another study found that a 6-month, home-based exercise program consisting of progressive strength training, balance exercises and general physical activity improves functional performance and balance in functionally impaired elders (Nelson et al., 2004). Finding of another study concluded that an exercise class even once every 2 weeks is very effective in enhancing physical function in ambulatory i ndividuals aged over 73 years, provided that it is supplemented by a home-based exercise program (Suzuki, Kim, Yoshida, Ishizaki, 2004). However they suggested a large scale study to confirm their results and to evaluate the most effective exercises for the prevention of falls. Researchers concluded that incorporation of exercises in daily life is important in maintaining an appropriate level of physical function in the elderly. Prevention of falls and injuries is not easy, however, because they are complex events caused by a combination of intrinsic impairments and disabilities (Kannus, Niemi, Parkkari, Palvanen, Sievznen, 2007) fall prevention in elderly people consists of regular strength and balance training, vitamin D and calcium supplementation, reduction of the number and doses of psychotropic medication, cataract surgery, and professional home-hazard assessment and management in people with a history of falling (Kannus, Sievenen, Palvanen, Jervinen, Parkkari, 2005). On the other hand, a single-factor intervention such as exercise could also reduce many impairments and disabilities and more distant risk factors for falling simultaneously. Muscle mass diminishes considerably between the ages of 20 and 80 years (Sturnieks, St George, Lord, 2008d). Sarcopenia is a common problem among elderly people and is associated with loss of muscle mass and strength (Iannuzzi-Sucich, 2002). Understanding age-related changes in the physiological systems imperative to balance is of importance to prevent falls in older people and reduce the injury-related burden on individuals and society (Sturnieks, St George, Lord, 2008c). It has been estimated that the human beings in their 4th to 8th decade of life lose approximately half of muscle mass and muscle strength (Spirduso, 2005). Senile muscular atrophy predominantly occurs in type 2 muscle fibers which ends up a degenerated muscular bulk in which remaining muscle mass is not only smaller and weaker but slower as well (Kostka, 2010; Faulkner, 1995). The most primary atrophy occurs in quadriceps, hamstrings and back muscles with the highest concentration of type II fibers (Kostka, 2010). It has also been consistently proven that power-generating capabilities of type II fibers is approximately four times more than of type I fibers (Faulkner, 1995; Metter, 1997). Muscular strength is typically maintained at peak levels until the fifth or sixth decade, after which accelerated losses occur, with strength decreasing approximately 50% by the age of 80 year (Sturnieks, St George, Lord, 2008b). Deficits in skeletal muscle strength, balance, and gait, being major causes of frailty and risk factors for falls, are equivalently and potentially reversible by exercise training (Suzuki et al., 2004). One proposed intervention for preventing falls and fall-related injuries in the elderly is exercise. If falls occur at least in part because of physical deficits in balance, strength, reaction time, and flexibility, then it is plausible to believe that exercise targeted to improve these deficits might result in fewer fall and/or injury events. The role of strength exercise in falls prevention is under investigation. In a recent study, researchers evaluated the balance and weight training to alter gait characteristics of elderly to reduce the likelihood of slip-induced falls. The results indicated decreases in heel contact velocities and the friction demand characteristics after 8 weeks of training, although fundamental gait characteristics, such as walking velocity and step length, were not changed (Kim Lockhart, 2010). Latham, et al 2003 in a randomized control trial found that among older people recently discharged from hospital quadriceps strengthening exercises failed to reduce falls rates and was associated with a significant risk of musculoskeletal injury (Sturnieks, St George, Lord, 2008a). A recent study investigating the effects of a multifactorial fall prevention trial on the specified risk factors of falling, incidence of falls and injurious falls did not find significant difference between control and intervention groups (Sjosten et al., 2007). However there are some evidences to support effectiveness of training program among elderly people (Kruger et al., 2009; Madureira, Bonfb, Takayama, Pereira, 2010) Review of literature reveals that self-confidence deteriorates because of muscular weakness and make old people to fear of falls (Davis, 1999; Evitt, 2003; Gai et al., 2009). Bandura in his book 1997 wrote that: People make causal contributions to their own psychosocial functioning through mechanisms of personal agency. Among the mechanisms of agency

Emily Dickinsons Works Essay -- Emily Dickinson Poet Essays

Emily Dickinson's Works There is a life in Emily Dickinson’s poems, readers have found. Although one may not completely understand her as a legend, a writer, or as a part of literature books, she is considered one of America’s greatest poets. While unknown answers may not be revealed about her, secrets may not be told, nor any new discoveries made, evidence from books and articles showing Emily Dickinson’s experiences and hardships exists. Critic Paul J. Ferlazzo describes her writings: â€Å"Many students and casual readers of her poetry have enjoyed hearing tales about her which remind them of storybook heroines locked in castles, of beautiful maidens cruelty relegated to a life of drudgery and obscurity, of genius so great that all the world’s suppression cannot deny its flowering.† 1 Many researchers ignore the bases of her writings, her life, and her dreams. Fascinated by many works examining the life and writings of Emily Dickinson, some may find that Dickinson’s trials at a young age are the basis of many assumptions today. The facts of her childhood and young adult life are few and simple,but the interpretations are many and complex. She was born in Amherst Massachusetts, a small farming town which had a college and a hat factory; she seldom left her home town. Even though she was claimed to be a high-spirited and active young woman, Dickinson began to withdraw from society in the 1850’s; virtually her only contact with her friends came to be made through letters. Wendy Martin, a critic of Emily Dickinson, discusses Dickinson’s choice of seclusion: â€Å"...as a young woman, Dickinson rejected these comforting traditions, [anxiety, helplessness, anger, confusion, desperation, fears, and frustrations] resisted ma... ... Endnotes 1) Ferlazzo, Paul J. Pg. 13 2) Martin, Wendy Pg. 79 3) Ferlazzo, Paul J. Pg. 19 4) Martin, Wendy Pg. 84 5) Keller, Karl Pg. 205 6) Martin, Wendy Pg. 86 7) Ferlazzo, Paul J. Pg. 32 8) Wells, Henry W. Pg. 257-258 9) Pollitt, Josephine E. Pg. 72 10) Ferlazzo, Paul J. Pg. 35 11) Faust, Langdon Lynne Pg. 164 12) Griffith, Clark Pg. 140 13) Cody, John Pg. 212 14) Ferlazzo, Paul J. Pg. 41 15) Higginson, Thomas Wentworth Pg. 444 16) The Readers Companion to American History Pg. 1 17) Cody, John Pg. 160 18) Lindburg- Seyersted, Brita Pg. 57 11) Faust, Langdon Lynne Pg. 164

The Role of Mrs. Hammond and Emily in Rebecca Rushs Novel Kelroy Essay

The Role of Mrs. Hammond and Emily in Rebecca Rush's Novel Kelroy In this day and age, women have liberties that are often taken for granted. Women have the freedom to choose which university they will attend (if they plan on attending college), what career they wish to pursue, and also whom their mate in marriage will be. In early American days, liberties of women were looked upon from society as being wealthy and holding high social status. Many did not have the opportunity to pursue a career, much less decide what university they preferred to attend. They were fortunate to even have the opportunity receive a higher education beyond reading! Choosing the right men for their futures ensured them the luxuries they wished to maintain. If they were not already included in "upper society," their chances of upward mobility were slim to none. If the family lost their fortune, their only salvation was to be married back into wealth, another slim to none chance. This is the reality Rebecca Rush clearly paints in Kelroy. Rush projects her jud gment on early American society and the role of women and marriage. Using the creation of two main characters, Mrs. Hammond and Emily Hammond, Rush is able to project her disapproval of society's ways through their opposing views and personalities. The opening of the novel begins with a transparency of American society. Rush quickly illustrates how "the good natured world" orchestrates. The reader is not disillusioned to the reality of the Hammond's society. A reality Mrs. Hammond herself is fully conscious of. "Still she retained an unabated relish for show and dissipation, which her knowledge of the world, on which she prided herself much, taught her could only be o... ... They are viewed as gossips only concerned with the display of proper mannerisms and fashions. Rush is able to enlighten readers to see that even though women were allowed little liberties, they could still provide a higher level of human nature. Something that neither liberty nor education can provide. Through Mrs. Hammond, she displays the outlook of society's views on women and how many women perceived it as their only reality. Through Emily, Rush is able to challenge society in all its vanity and selfishness. Emily represents the future aspiration of women and the mark they will leave for following what they know to be true, their hearts. Work Cited Murray, Judith Sargent. "On the Equality of the Sexes." Ed. Paul Lauter.The Heath Anthology of American Literature, third edition. Volume 1. Oxford: Oxford University Press. 1992. 1058-1064.

Another Benito Mussolini :: essays research papers

Benito Mussolini was born in Predappio on July 29, 1883, the son of a socialist blacksmith. Largely self-educated, he became a schoolteacher and socialist journalist in northern Italy. In 1910 he married Rachele Guidi, who bore him five children. Mussolini was jailed for his opposition to Italy's war in Libya. Soon after that, he was named editor of Avanti!, the Socialist Party newspaper in Milan. When World War I began, in 1914, Mussolini first denounced it as 'imperialist," but he soon reversed himself and called for Italy's entry on the Allied side. Expelled from the Socialist Party, he started his own newspaper in Milan, // Popolo d’ltalia, which translates ‘The People of Italy’, which later became the organ of the Fascist movement. When Fascists marched on Rome, King Victor Emmanuel III invited Mussolini to form a coalition government on October 28, 1922. By 1926 the Fascist leader had transformed the country into a single-party, totalitarian regime. In his new "corporative state," employers and workers were organized into party-controlled groups representing different sectors of the economy. The system preserved capitalism and expanded social services, but abolished free trade unions and the right to strike. The Lateran pacts with the Vatican ended a half-century of friction between church and state and proved to be long lasting. Another enduring legacy of fascism was a system of industrial holding companies financed by the state. Adopting an aggressive foreign policy, Mussolini defied the League of Nations and conquered Ethiopia in 1936. This won him acclaim in almost every sector of the populace. II Duce's popularity declined, however, after he sent troops to help General Francisco Franco in the Spanish Civil War, this linked Italy to Nazi Germany, enacted anti-Jewish laws, and invaded Albania. Because of military unpreparedness, Mussolini did not enter World War II until June 1940, when the Germans had overrun France. Italy fought the British in Africa, invaded Greece, and joined the Germans in carving up Yugoslavia, attacking the Soviet Union, and declaring war on the United States. After Italy's many military defeats, King Victor Emmanuel dismissed Mussolini on July 25, 1943, and in September obtained an armistice with

Roderick Mullen

Chapter 15 The West and the Changing Balance of Power Multiple-Choice Questions 1) Which of the following was NOT a symptom of decline in the Arabic caliphate by 1400? A) The narrowing of intellectual life symbolized by the triumph of religion over literature, philosophy, and science B) Landlords seized power over peasants C) The decline of the Sufis D) Decline of tax revenues for the state E) Landlords ceased to experiment with new agricultural techniques. 2) By what date had the Arabs been virtually excluded from European trade? A) 900 B) 1000 C) 1100 D) 1350 E) 1453 ) Which of the following statements concerning Arabic trade after 1100 is most accurate? A) Arabic control of the seas was strengthened following 1100. B) Although Arabic trade was reduced, Muslims remained active in world markets. C) The total collapse of the Islamic world in the 12th century can best be compared to the fall of the Roman Empire. D) The Arab trading complex was reduced after 1100 to the Middle East. E) Their economic decline could be compared to that of Rome. 4) Which of the following statements concerning the political fragmentation of the Arabic world in the 1400s is most accurate?A) After the fall of the Abbasid caliphate, the emerging Ottoman Empire soon mastered most of the lands of the old caliphate plus the Byzantine corner. B) The political fragmentation caused by the fall of Baghdad lasted for several centuries under the decentralized administration of the Seljuk Turks. C) The Mongol conquests eliminated any form of centralized government in the Middle East until the 17th century. D) Following the fall of the Abbasid caliphate, the Middle East became part of the colonial empire of the emerging feudal states of western Europe.E) The political system was chaotic for 300 years until the rise of a new political order under the Ottoman Turks. 5) Which of the following statements concerning the Ottoman Empire is most accurate? A) The rise of the Ottoman Empire restored the ful l international vigor that the Islamic caliphate had possessed. B) Turkish rulers promoted trade more actively than did their Arab predecessors. C) The expansionist power of the Ottoman Empire was very real, but the focus on conquest and administration overshadowed wider commercial ambitions. D) The Ottoman Empire had no expansionist interests or capabilities.E) The Ottomans competed with western Europe for Atlantic trade. 6) What area represented a new conquest for the Ottoman Empire in the late 1400s? A) Asia Minor B) North Africa C) Southeastern Europe D) Mesopotamia E) Russia 7) Which of the following statements concerning the Ottoman Empire is most accurate? A) Turkish rulers did not promote maritime trade as vigorously as had the Arabs. B) Scientific and philosophical investigations reached the level of innovation that they had enjoyed under the Abbasids. C) The Turks refused to patronize the traditional Persian artists and craftsmen who had dominated the later Abbasid court.D ) The Ottomans were more interested in cultural patronage than in military organization. E) The Ottomans never mastered the full territorial extent of the old caliphate. 8) Which of the following civilizations first attempted to fill the commercial vacuum created by the decline in Arabic trade? A) Russia B) Japan C) China D) India E) Sub-Saharan Africa 9) What Chinese dynasty succeeded the Mongol Yuan dynasty in China? A) Chou B) Ming C) Han D) Tang E) Qing 10) What was the innovation launched by the Ming dynasty? A) Receiving tribute payments from Korea and Japan B) Extending their political control over Vietnam and KoreaC) Use of a centralized bureaucracy but under the direct control of the emperor D) Mounting huge, state-sponsored trading expeditions throughout Asia and beyond E) The use of gunpowder weapons on both land and naval vessels 11) In what year did the Ming dynasty halt state-sponsored commercial voyages? A) 1358 B) 1405 C) 1433 D) 1487 E) 1453 12) What admiral command ed China? s great overseas expeditions between 1405 and 1433? A) Zhenghe B) Jung Tzi Lung C) Xun Xi D) Yan Xuanshang E) Chenla Khmer 13) Which of the following was NOTa reason used by the Ming dynasty to halt the trading expeditions?A) The opposition of the scholar-gentry and bureaucracy B) The technological inferiority of Chinese ships and navigation C) The growing military expenses of the campaigns against the Mongols D) The traditional preference of the Chinese for Asian products E) The expense of building the new capital in Beijing 14) Which of the following statements concerning the cessation of state-sponsored trade by the Ming dynasty is most accurate? A) The cessation of trade severely damaged the internal economy of China and produced the inevitable peasant revolutions that overthrew the Ming dynasty.B) The end of international trade signaled a general decentralization of government in Ming China. C) Because of the Chinese dependence on imports from abroad, the decision to end the state-sponsored expeditions was particularly critical in initiating cultural decline. D) In Chinese terms, it was the brief emphasis on trading and commerce that was unusual, not its cessation. E) China had long emphasized internal development at the expense of trade. 15) Which of the following was NOT a drawback to the West? s emergence as a global power? A) Western nations lacked the political coherence and organizing ability of imperial China.B) The West did not begin to establish key maritime and commercial links until after 1600. C) The Catholic church, long one of the organizing institutions of Western civilization, was under attack. D) The lives and economic activities of ordinary Europeans, the artisans and peasants, were in serious disarray. E) Population loss caused further economic disarray and lack of strong leadership. 16) Which of the following was NOT a contributing factor to the economic crises of the 14th century? A) Withdrawal from the global trading networ k B) Bubonic plague C) Lack of technological advance in agriculture D) Recurrent famineE) Labor shortages 17) What proportion of the European population died as a result of the 14th century plague? A) One tenth B) One fourth C) One third D) One half E) One eighth 18) Which of the following was NOT a source of Western dynamism in the 14th and 15th centuries? A) The strengthening of feudal monarchy B) The growth of cities and urban economies C) Advances in metallurgy D) Two centuries of peace among the major European nations E) A cultural reawakening 19) Strong regional monarchies took hold in the decades around 1400 in A) Russia and Poland. B) the Ottoman Empire. C) Spain and Portugal.D) Germany and Austria. E) Italy and Greece. 20) In what region of Europe did the Renaissance begin? A) Germany B) Italy C) France D) England E) Spain 21) In comparison to medieval culture, Renaissance culture was A) more concerned with Aristotelian philosophy. B) more concerned with things of the earth ly world. C) disinterested in classical models. D) based less on urban vitality and expanding commerce. E) more other-worldly and religious. 22) Which of the following was NOT one of the reasons that Italy emerged as the center of the early Renaissance? A) Italy was spared the Black Plague due to its geographic location.B) Italy retained more contact with Roman traditions than did the rest of Europe. C) Italy led the West by the 14th century in banking and trade. D) Italy had closer contacts with foreign scholars, particularly those in late Byzantium. E) Italy was more urbanized than most of Europe. 23) What Florentine painter led the way in the movement toward nature and people as the primary subject matter of Renaissance art? A) Giotto B) Petrarch C) Masaccio D) Fra Angelico E) Boccaccio 24) What Italian city-state was best placed to engage in the new, Western-oriented commercial ventures of the 15th century? A) Rome B) Florence C) GenoaD) Pisa E) Padua 25) Along with Italy, a key center for change in the 14th and 15th centuries was A) France. B) Germany. C) England. D) the Iberian peninsula. E) Austria. 26) What was unique about the development of states in the Iberian peninsula? A) These governments were based on city-states rather than nation-states. B) Based on Castile and Aragon, the Iberian states were unique in their adoption of Islam. C) Spain and Portugal developed effective new governments with a special sense of religious mission and religious support. D) The states of Spain and Portugal were able to develop without emphasis on the military.E) They had never participated in the feudal practices of the Middle Ages which made them more open to change. 27) What was the Western response to the problems of international trade that they experienced in 1400? A) Western nations halted trade with Asia and the East and became more dependent on European-produced commodities. B) Many nations sought to establish alliances with the Ottoman Empire in order to re store the trade routes. C) Overland trade routes through northern Russia were established to the East. D) Western nations began explorations of alternative routes to Asia that would bypass the Middle East and Muslim realms.E) They began to pull back from all but regional trade networks found in the eastern Mediterranean. 28) The key theme of Polynesian culture from the 7th century to 1400 was A) the adoption of Japanese civilization in the island societies. B) the development of a uniform written script. C) contraction as a result of the world-wide epidemic of the 14th century. D) spurts of migration and conquest that spread beyond the initial base in the Society Islands. E) large-scale expeditions of discovery which were aimed at establishing colonies in South America. 29) Which of the following was NOT characteristic of Hawaiian culture? A) UrbanizationB) Animal husbandry featuring swine C) Warlike regional kingdoms D) Highly stratified social structure E) Use of imported animals such as pigs 30) Which of the following represents a significant difference between New Zealand and Hawaii? A) Art based on carved wood B) A cold and harsh climate C) A highly stratified society D) A society based on warfare E) Tribal military leaders 31) The practice of judging other peoples by the standards and practices of one? s own culture of ethnic group is A) ethnocentrism. B) genocide. C) anthropomorphism. D) aversionism. E) localism. 32) Which of the following statements is most accurate?A) Without European intervention, there is no reason to believe that the Inca and Aztec empires could not have survived for several more centuries. B) Without European interference, the likelihood is that the Inca Empire would have overwhelmed the Aztecs and established a unified government in the Americas. C) Because of internal weaknesses, both the Inca and the Aztec empires were receding and might not have survived, even if the Europeans had not arrived. D) Prior to the arrival of the Eu ropeans, both the Inca and the Aztec empires had been replaced by other, indigenous governments.E) Both the Inca and the Aztecs stopped exploiting subject peoples after 1500 due to the intervention of the Black Plague. 33) Which of the following was NOT a result of the European contact with sub-Saharan Africa after 1500? A) Trade patterns in west Africa shifted from the Mediterranean to the Atlantic B) Trade shifted in west Africa from Muslim to European hands C) Seizure of slaves for European use affected many regions deeply D) Regional kingdoms lost all influence in west Africa and were replaced by European governments E) European weapons played an increasing role in the tribal conflicts between north and south.

Bloodsucking Fiends: A Love Story Chapter 35

Chapter 35 Sculptures Sunset cast a warm orange across the great Pyramid, while below, the Emperor enjoyed a cappuccino on a concrete bench and Bummer and Lazarus battled for the remains of a three-pound porterhouse. â€Å"Men, would that I could let you, like Cincinnatus, retire like gentlemen soldiers to the country, but the City is still in need. The fiend is vanquished, but not the despair of my people. Our responsibility is legion.† A family of tourists passed the Emperor, hurrying to get to the cable-car stop at California Street before dark, and the Emperor tipped his cup in salute. The father, a balding fat man in an Alcatraz sweatshirt, took the Emperor's gesture as a request for spare change and said, â€Å"Why don't you get a job?† The Emperor smiled. â€Å"Good sir, I have a job. I am Emperor of San Francisco and Protector of Mexico.† The tourist scrunched his face in disgust. â€Å"Look at you. Look at your clothes. You stink. You need a bath. You're nothing but a bum.† The Emperor looked down at the fraying cuffs of his dirty wool overcoat, his rib-worn gray corduroys, stained with splatters of vampire blood, the holes in his filthy sneakers. He raised an arm and took a sniff, then hung his head. The tourists walked away. Cavuto and Rivera sat in leather wingback chairs in front of the fireplace in Cavuto's Cow Hollow apartment. The fireplace was burning, the fire crackling and dancing as it fought off the damp chill of the bay. The room was furnished with rugged oak antiques, the bookshelves filled with detective novels, the walls hung with guns and posters from Bogart movies. Rivera drank cognac; Cavuto, Scotch. On the coffee table between them stood a three-foot-high bronze statue of a ballerina. â€Å"So what do we do with it?† Cavuto asked. â€Å"It's probably stolen.† â€Å"Maybe not,† Rivera said. â€Å"He might have bought it from Degas himself.† â€Å"The black kid says it's worth millions. You think he's right?† Rivera lit a cigarette. â€Å"If it's authentic, yeah. So what do we do with it?† â€Å"I've only got a couple of years before I retire. I've always wanted to own a rare-book shop.† Rivera smiled at the thought. â€Å"The wife wants to see Europe. I wouldn't mind having a little business of my own. Maybe learn to play golf.† â€Å"We could turn it in and just finish our time. They're going to move us out of homicide after this, you know that? We're too old for narcotics. Probably vice – night after night of screaming hookers.† Rivera sighed. â€Å"I'll miss homicide.† â€Å"Yeah, it was quiet.† â€Å"I've always wanted to learn about rare books,† Rivera said. â€Å"No golf,† Cavuto said. â€Å"Golf is for pussies.† Tommy moved the futon so he could sit facing the two statues, then sat down to admire his handiwork. He'd worked all day in the foundry below, covering Jody and the vampire with the thin coat of conductive paint and putting them into the bronzing vats. The two biker sculptors had been more than happy to help, especialy when Tommy pulled a handful of cash out of the grocery bag that the Emperor had delivered. The statues looked very lifelike. They should, they were still alive under the bronze coating, except for Zelda, who stood next to the two vampires. Tommy had put Jody in a leotard before he applied the paint. He'd dressed the vampire in a pair of his own jockey shorts. It was amazing how fast the vampire had healed after drinking Jody's blood. The worst part had been waiting – waiting outside the bedroom where Jody had carried the vampire, waiting for them to go out at sunrise, listening to the soft murmur of their voices. What had they been talking about? Overall, the vampire looked pretty good. Almost all the damage to his body had healed by morning. Jody, even bronzed, looked beautiful. The finishing touch had been to drill ear holes through the thick bronze coating so he could talk to her. â€Å"Jody, I know that you're probably really, really mad. I don't blame you. But I didn't have a choice. It's not forever, it's just until I can figure out what to do. I didn't want to lose you. I know you wanted to just go away and I think you would have, but he wouldn't have. He would never have let me live.† Tommy waited, as if he would get some response from the statue. He picked up the grocery bag of money from the floor and held it up. â€Å"By the way, we're rich! Cool, huh? I'll never make fun of Lash for studying business again. In less than a day he fenced the art from the yacht and got us ten cents on the dollar. Our cut's over a hundred thousand. The guys flew to Vegas. We tried to give a share to the Emperor, but he would only take enough to buy a meal for Bummer and Lazarus. He said that money would distract him from his responsibilities. Great, huh?† He dropped the money and sighed. â€Å"Those two cops believed you. They're going to leave us alone. They reported that the killer was on board the yacht when it went up. Lash gave the gate guard some money to back up their story. I couldn't believe they were going along with it. I think the big cop kind of likes me. â€Å"I'm going to write a book about this. I came here to find adventure and being with you sure has been that. And I don't want to give it up. I know we're not the same. And we shouldn't feel lonely when we have each other. I love you. I'm going to figure I something out. I've got to sleep now. It's been days.† He got up and went to Jody. â€Å"I'm sorry,† he said. He kissed the cold bronze lips and was turning to go into the bedroom when the phone rang. â€Å"It's probably the Animals calling from some casino,† he said as he picked up the phone. â€Å"Hello.† â€Å"Uh, hi,† a man's voice said. â€Å"Could I speak to Jody, please?† Tommy pulled the phone away and looked at it, then put it to his ear and said, â€Å"Jody's†¦ well†¦ she's deceased.† â€Å"I know. Can I speak to her?† â€Å"You sick fuck.† â€Å"Is this C. Thomas Flood? The guy from the paper?† Who was this guy? â€Å"Look, buddy, that was a mistake. They got the guy who did those murders.† â€Å"Look, my name is Steve. I can't tell you my last name. Not until I'm sure it's safe. I'm a med student at Berkeley. I spoke to Jody the other night. We were supposed to meet the other night at Enrico's, but she never showed up. I'm kind of glad, I met a nice girl who works at the Safeway with you. Anyway, when I saw Jody's name in the paper I took a chance and looked up the number.† â€Å"If you saw the paper, you know what happened to Jody,† Tommy said. â€Å"This isn't very funny.† The line was silent for a moment, then Steve said, â€Å"Do you know what she is?† Tommy was shocked. â€Å"Do you?† â€Å"So you do know?† â€Å"She is, I mean was, my girlfriend.† â€Å"Look, I'm not trying to blackmail you or anything. I don't want to turn you in. I talked to Jody about reversing her condition. Well, I think I've found a way to do it.† â€Å"You're kidding.† â€Å"No. Tell her. I'll call you back tomorrow night. I know she's not up during the day.† â€Å"Wait,† Tommy said. â€Å"Are you serious about this? I mean, you can make her human again?† â€Å"I think so. It will probably take a few months. But I've been able to do it with cloned cells in the lab.† Tommy covered the mouthpiece and turned to the statue of Jody. â€Å"There's a guy here that says he can help you. We can be†¦Ã¢â‚¬  Vapor was streaming out of the ear holes in the brass and swirling into a cloud in the middle of the room. Tommy dropped the phone and backed away from the cloud. He could hear Steve's voice calling for him on the phone. Tommy backed against the counter in the kitchen. â€Å"Jody, is that you?† The cloud was pulsating, sending out tendrils, or were they limbs? It was as if it was condensing into a solid shape. Jody thought, Oh Tommy, you can't believe what I learned last night. You're going to have the adventure of your life, lover. And it's going to be such a long life. The things you'll see – I can't wait to show them to you. She became solid, stood before him, naked, smiling. Tommy held the phone to his chest. â€Å"You're pissed, aren't you?† â€Å"I was never going to leave you, Tommy. I love you.† â€Å"But what about him?† Tommy pointed to the bronzed vampire. â€Å"I had to make him think that I was going to go with him so I could find out what I needed to know. I've learned a lot, Tommy. I'm going to teach you.† She started moving toward him. â€Å"He taught you the mist thing, huh?† â€Å"That, and how a vampire is made.† â€Å"No kidding. That could come in handy.† â€Å"And soon,† she said. She looked back at the old vampire. â€Å"The bronzing was a pretty good trick. I didn't exactly know what I was going to do with him after I found out what I needed to know. Maybe later we can figure out a way to let him out and still be safe.† â€Å"So, you're not mad? You're really not leaving?† â€Å"No. I thought I would have to leave, but I never wanted to. You and I are going to be together for a very long time.† Tommy smiled. â€Å"Great, this guy on the phone says†¦Ã¢â‚¬  â€Å"Hang up, Tommy. And come here.† â€Å"But he says†¦ he can change you back.† â€Å"Hang up.† She took the phone from him and set it down on the counter, then moved into his arms and kissed him.

Examples Of Acute Injuries Health And Social Care Essay

To be fit and healthy it is of import that you exercise, nevertheless, exert excessively much and you could wound yourself. This can be caused by ; An accident while developing Insufficient equipment Pushing yourself excessively difficult Not warming up decently Sports hurts can be classed into two classs ; Acute hurt Overuse hurt An acute hurt is on in which there is rapid oncoming of hurting is ensuing from an incident that has been traumatic for illustration, an hurt. It is usually impact on a specific portion of the organic structure. Examples of acute hurts are ; Sprains are hurts to ligaments by stretching them excessively far or by being torn. Ligaments are hempen tissue which holds castanetss together every bit good as to maintain your organic structure in place forestalling any unwanted motions. Examples of ligaments are ; the calcaneoifbular ligament in the mortise joint which is the damaged ligament in the image on the right. A sprain is an hurt to a musculus or to a sinew. Muscles move your skeleton and this in bend pulls on a sinew which is connected to a bone. Both can be stretched but if they are stretched to far it can do a tear in it. A bruise or contusion in common footings, is one of the most common athleticss hurts. These occur when a blood vas underneath the tegument ruptures due to compressive force to a musculus. Blood so leaks into the dermis bed of the tegument, doing stain. This can besides happen to variety meats. Dislocation is the separation of two castanetss at their meeting articulation due to sudden force to the joint ; this is clearly shown by the image on the left. Therefore, the bone is no longer in its normal place. Dislocation can do harm to the tissues environing the bone every bit good as any ligaments attached to the bone. Damage can besides be done to the blood vass and nervousnesss. A break is a status where the bone has broken or when there is a cleft nowadays in the bone. These occur due to high force or emphasis on the bone. Fractures can happen in any bone in the human organic structure, nevertheless, castanetss can usually defy most impacts and it is merely if the force is excessively much it fractures. There are several different categories which breaks can be classed into ; all are identified on the right. Closed/Simple break is when the bone is merely damaged and there has been no harm done to the tissue or tegument environing the bone. Compound/Open break is when the tegument or tissue environing the break has been damaged. There is a higher hazard of infection with this type due to the harm to the tegument. Overuse hurts are those that are caused by repeating actions which damage sinews, ligaments, musculuss and tissues in the same topographic point over a period of clip. Common overexploitation hurts are ; Tennis cubitus is due to hurt of both the musculus and sinew on the exterior of the radius and ulna, or more specifically the sidelong epicondyle. It is caused my overexploitation of the forearm musculuss ensuing in hurting. It is most common in tennis participants ; nevertheless, you do non necessitate to be a tennis drama to acquire this. Golfer ‘s cubitus is a similar status to tennis cubitus, merely this status affects the musculus and sinews on the interior of the arm. Iliotibial set syndrome ( ITBS ) is caused by insistent injury to the Iliotibial set which is present in legs and runs along the exterior of the thigh which keeps the articulatio genus in topographic point as it flexes and extends. ITBS is the overexploitation of this set ensuing in hurting specifically during running and redness of the iliotibial set. A Shin splint occur when there is a repeating and a big sum of exercising being done. This puts big sums of force per unit area onto the leg which can do hurt to the bone and tissue that surrounds it. Shin splints can besides be where little cryings develop in the interosseous membrane in the leg or bantam breaks develop on the surface of the shinbone. Sports hurts are really common. One of which is a broken leg, this happened to American football broad receiving system Tyrone Prothro who played for the University of Alabama between 2003 and 2005. On 1st October 2005, during a game versus the Florida Gators, Prothro went for a touchdown base on balls and got hit in the air and the manner he landed on the land he fractured both the shinbone and calf bone. Since the leg is deformed, this would be classed as a terrible shinbone and fibula break ensuing in the inability to stand and walk every bit good as failing in both the leg and pes. Damage was more than probably done to the environing tissue, nervousnesss and blood vass.First assistanceFirst assistance is really of import when it comes to an injured individual. There are a figure of regulations in which you can follow ; DR ABC is a mnemotechnic which is used shortly after person got injured ;Danger –Check the country and do certain you and the people around you are safe, particularly the injured individual.Response –Can the injured individual hear you? Can they open and shut their eyes? Any motions? Response to touch?Airway –Is there a obstruction in the pharynx or have they swallowed their lingua? Is the caput in a suited place to let external respiration? Care should be taken non to do anything worse but the air passage must be cleared if it is blocked.Breathing –Can the injured individual breathe clearly?Circulation –Is there a pulsation? Is the pulse weak / strong / racing R.I.C.E is another mnemonic that is used for tissue hurts ;Rest –This is of import for mending the organic structure as without it more strain would be placed on the injured country taking to more hurt.Ice –Ice is perfect for cut downing redness and any hurting caused. It is recommended that you ice for 20 proceedingss and so no ice for 20 proceedingss. This can cut down the opportunity of acquiring frostbite, every bit good as wrapping the ice in a towel before puting it on the injured country. If you use the ice for excessively long, this can protract the repairing clip as it will curtail the blood flow to the country, which can cut down the foods acquiring the tissues of the injured country.Compression –Compaction is used to cut down the puffiness that is from redness but everyone does acquire some puffiness. For this an elastic patch is better as it does non curtail the blood flow every bit is non to be excessively tight.ElevationA ­ –Elevation is go od at cut downing swelling by the higher sum of blood which returns to the systemic circulation. This interruption is easy to name by the usage of modern imaging techniques ; X raies CT scan Magnetic resonance imagings scan Bone scan Extremity ultrasound However, in Tyrone Prothro fortunes, he was given an X-ray as this was the fastest technique to utilize and is the least expensive. X raies are high photon energy electromagnetic radiation which can be used in both diagnosing and therapy. As the beams pass thought the organic structure, the photons present in your organic structure are absorbed at different rates ; this is what produces the image. The stuffs in your organic structure which are heavy, like bone, show up as white countries on the image. The parts of your organic structure which are made of softer stuff, like musculuss and variety meats, show up as darker countries. X raies can be unsafe if the does given is excessively much for the organic structure, nevertheless, medical X raies are usually are a really little dose degree, intending the opportunity of radiation harm to your organic structure is little. Due to the manner in which Tyrone Prothro fractured his shinbone and calf bone, surgery had to be the option due to being the quickest option as without it, it would take old ages to mend or might ne'er mend and will invariably be in hurting. He had to acquire three separate surgeries due to the harm done to the tissue, nervus and blood vas harm. The physicians put an intramedullary rod in his leg which will aline the leg and aid to repair the break. The IM rod was inserted into the inside of the castanetss, where the bone marrow is present. This is the best manner to assist mend the broken shinbone and calf bone as it does non back up the bone ; alternatively it portions the burden with the bone. Rehabilitation of the broken shinbone and calf bone would be used to reconstruct the map of the limb, every bit best as possible and to cut down the uncomfortableness the patient is in. The patient may necessitate the usage of crutches, depending on the weight bearing place. The physician may besides make up one's mind if Tyrone would necessitate the usage of an orthopedic dramatis personae, which means the leg would be covered by plaster to make a shell type shell. This is to cut down the motion the injured limb to make which will diminish the healing clip. Once the dramatis personae has been removed, the patient will hold to see a physical therapist to recover strength and scope of gesture in the leg. However, it will ne'er be the same as what he had before the hurt. Both the shinbone and calf bone may get down to mend within 6 to 16 hebdomads of the hurt, but the capableness of the bone to prolong a heavy burden could take up to a twelvemonth, intending the injured may be is some kind of uncomfortableness until so.REHABILITATION VISITSNon-surgicalSpecialist Fracture, Tibia or Fibula Physical Therapist Up to 20 visits within 8 hebdomadsSurgicalSpecialist Fracture, Tibia or Fibula Physical Therapist Up to 16 visits within 8 hebdomads hypertext transfer protocol: //www.mdguidelines.com/fracture-tibia-or-fibula/rehabilitation The tabular array is how frequently you would hold to see a physical therapist if you had a broken shinbone and calf bone. Or Tyrone Prothro, surgery was the option, intending one time he was released from infirmary and ready, he would hold to see the physical therapist 16 times within the infinite of 8 hebdomads, means 2 times a hebdomad. Due to the harm that was done and his leg ne'er to the full retrieving, intending he was advised ne'er to play football once more, his calling finished. Prevention of athleticss hurts There are six stairss that are extremely of import to cut down the hazard of athleticss hurts ; Warm up Do non over do it Stay hydrated Using the right technique Use of the proper equipment Cool downSports businessThe athleticss profession that I have chosen to analyze in this unit is physiotherapy. Physiotherapy helps to reconstruct the map and motion in any portion of the organic structure where the homo has been consequence by a disablement, unwellness or hurt. This is usually done through motion, exercising and instruction. The American Board of Physical Therapy Specialties ( ABPTS ) , province that there are 8 believable types of physical therapy ; Sports – This has to be the most common type of physical therapy, being used every twenty-four hours. It is the direction of hurts for all types of jocks, amateur to Olympian. It involves the intervention and healing of hurts. Orthopedic – This type helps to place and care for hurts or upsets of the musculoskeletal system. Pediatric – This type is all about bettering coordination and balance within a human every bit good as their motor accomplishments. It can besides be used to concentrate on strength and endurance. Worlds with conditions such as, spina bifida and intellectual paralysis. Normally this is used on kids and striplings. Cardiovascular and Pneumonic – This is for the intervention of worlds with cardiovascular and pneumonic upsets, every bit good as those who have had cardiac or pneumonic surgery such as, beltway surgery. This is used in worlds with the undermentioned upsets ; pneumonic fibrosis, CORD ( Chronic Obstructive Respiratory Disease ) , bosom onslaughts. Geriatric – This type of physical therapy is for the huge sum of conditions that affect worlds as they grow old and hence would merely be practiced on the aged. A few illustrations of the conditions are as follows ; Alzheimer ‘s disease, malignant neoplastic disease, arthritis and osteoporosis. Neurological – This type is practiced on those with a neurological upset such as, Alzheimer ‘s disease, intellectual paralysis, Parkinson ‘s disease and motor neurone disease Clinical electrophysiology – This type usually is used with electrophysiological rating where an EMG ( electromyography ) is used. Integumentary – This is used as a intervention for tegument and organ conditions like Burnss and lesions.University degreePhysiotherapy is degree based calling, intending you have to travel through university if you wish to go a physical therapist. University of Ulster is the lone university in Northern Ireland to offer a grade, specifically, a BSc Hons in physical therapy. ‘The university provinces that appliers must ; Keep a GCSE base on balls in English Language at Grade C or above ( or equivalent ) .A You must besides hold obtained a GCSE base on balls in Mathematicss at grade C or above ( or equivalent ) .A degreeGrades BBB to include one scientific discipline topic from Biology, Chemistry, Maths, Physics or Double Award Applied ScienceA ( with a BB in Double Award Applied Science ) .Irish Leaving CertificateB2B2B3B3B3 at higher degree – to include two topics from Maths, Physics, Biology or Chemistry. English and Maths Grade D at Higher Level or Grade C at Ordinary Level.BTEC National DiplomaSuccessful completion of a scientific discipline related BTEC National Diploma with a DDM profile.A Base on balls with overall norm of 70 – 71 % to include 70 % in each concluding twelvemonth faculty. Concluding twelvemonth faculties must include 2 from the followers: – Mathematicss ( with maths to be presented at degree 3 ) , Biology, Physics, Chemistry. Applicants must besides sit the Health Professions Admissions Test consequences in a satisfactory public presentation in the HPAT. Equally good as proving all campaigners are required to undergo a medical scrutiny and condemnable records cheque ( AccessNI ) . ‘ hypertext transfer protocol: //prospectus.ulster.ac.uk/course/ ? id=9773 BSc Hons in Physiotherapy is a three twelvemonth class consequences in peoples run intoing the demand of physical therapists in the current wellness attention system, the NHS or via private patterns. In each of the three old ages you study ;Year 1Development of professional individuality and professionalism – ‘Knowledge and Skills for Professional Practice ‘ , and ‘Communication and Psychology for the Health Sciences ‘ . An apprehension of nucleus topics: Physiology and, Structure, Function and Assessment of the Human Body. Specific accomplishments are taught with respect to cardio-respiratory, galvanism, walking rehabilitation and curative exercising. Students undertake a one hebdomad orientation and a six hebdomad clinical arrangement.Year 2Neurological rehabilitation. Spinal disfunction and rehabilitation. Musculoskeletal. Pediatricss. Oncology. Amputation rehabilitation. Students undertake two six hebdomad clinical arrangements.Year 3Cardio-respiratory and professional issues develop consciousness of the function of the physical therapist within the multidisciplinary squad and in a altering clinical environment. Students undertake an fact-finding undertaking or thesis Students undertake two six hebdomad clinical arrangements. hypertext transfer protocol: //prospectus.ulster.ac.uk/course/ ? id=9773Professional AdministrationsOnce you have completed the class, you leave with a BSc ( Bachelor of Science ) in Physiotherapy and are hence eligible for ‘registration with the Health and Care Professions Council ( HCPC ) , this was set up with the Health Service reform 2002 and rank of the Chartered Society of Physiotherapy ( CSP ) . As a physical therapy pupil at the University of Ulster, they recommend that you join CSP every bit shortly as possible with rank being a one off payment.Personal QualitiesAs a physical therapist it is of import that they are fit and healthy, to put an illustration to your clients. Good communicating and societal accomplishments are cardinal to guarantee a good relationship between the healer and the patient. Tolerance and forbearance is an of import quality, due to this being a really manus on calling.CareersBeyond obtaining the BSc in physical therapy, you can either travel into a calling or make a graduate student grade, MSc which is a Maestro of Science. The University of Ulster offers Physiotherapy at MSc degree. If one does non desire to travel on to make a graduate student grade so it is possible to travel into the universe of work, the possibilities are eternal with physical therapy due to the huge sums of athleticss played in the universe or any other types of physical thera py ( ABPTS ) are needed on a day-to-day footing.NHS V. Private CareThere are assorted occupations available on the NHS ( National Health Service ) and private practicians, both of which are extremely regarded. With the NHS based occupations, they would be working in a infirmary environment and are needed in most of the sections ; Outpatients Intensive attention Women ‘s wellness Care of the aged Stroke patients Orthopedicss Mental unwellness Learning troubles Occupational wellness Terminally ill Pediatricss This means that they will invariably be on the clocked and needed for assorted things. Physical therapists do non merely work in the infirmary environing ; they would work in assorted environments ; Industry Particular schools The private sector ( for illustration, private pattern ) Education Leisure & A ; athletics For physical therapists that are in the private sector would work in the same rules as those on the NHS, nevertheless, the private subdivision physios will hold to be paid for. There are three sets for physical therapists on the NHS, all have a different wage ; 21,176 – ?27,534 ( band 5 ) 25,472 – ?34,189 for specializer physical therapists ( band 6 ) 30,460 – ?40,157 for advanced physical therapists ( band 7 ) The physical therapists that work in the private sector will by and large hold the same wage as those on the NHS. 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