Evaluating the Case of The Early Retirement Essay

Evaluating the Case of The Early Retirement - Essay Example †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦11 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦12 Appendix A†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..13 Abstract This paper seeks to delve deeper into the trend in the modern economy of high employee early retirement. While it may be very alluring for many to opt for this option, it may not necessarily be the best move for employees to consider. There are many factors that might prove to be very problematic for the early retirees. This paper also explains why majority of companies are offering early retirement op tions, but not for the well and benefit of their employees. Companies are forced to offer this option because of the ever fast changing technological advancements and they constantly need to train individuals, most preferably the younger ones, to take over these aspects. This matter then becomes something like teaching an old dog new tricks. Companies tend to decide to offer termination for their older employees rather than to sustain them and incur higher salary expenses. Technical advancements also tend to make jobs obsolete. Financial stability as well as the emotional and mental consequences must be considered before opting for early retirement. For one cannot enjoy the vast time that is availed by early retirement if one does not have the resources to make it worthwhile. Evaluating the Case of Early Retirement Introduction In the ever tolling rat race of the industrial world, with all the heavy and laborious challenges that man is faced just to earn a living, every man is looki ng forward to their retirement. Who would not want to just lay back, enjoy life, and do the things which were rendered impossible by the busy lives of working and toiling day after day for decades and decades. Sure, everyone wants the easy life, who doesn’t? After all, every man who has sweat blood and broke his back would ultimately need to reward himself and reap the benefits of his labor. Early retirement sounds so ideal, so surreal, and so gratifying. It means that you have achieved and managed to build your keep and have you living well-off for the rest of your life; the ultimate achievement for a good and fruitful career. But early retirement is not like as how fairy tales go. It is not as simple as living happily ever after. Financial stability does not necessary follow with early retirement. Sure, there will be that severance pay and/or whatever the companies will package and offer you as â€Å"gratitude† to your services to them, but once those are depleted co mes the real problem. Pension is a viable option to compensate for the monthly salary which you will not be receiving anymore, but there are also other benefits which cannot be availed for early retirees. In this paper, not only will the advantages and the good life of early retirement will be tackled but also this paper will seek to delve into the cons and the

Breast Cancer Awareness And Assessment Health Essay

Breast Cancer Awareness And Assessment Health Essay Programme evaluation is one of the key skills required of public health professionals. Evaluating healthcare interventions is important in order to allocate resources efficiently, assist decision-making and inform policy[1].It is also important in order for programme managers to monitor progress in achieving set objectives, improving programme activities, justify need for continuity and accountability to project funders. The proposed evaluation would be carried out using the CDC framework of programme evaluation which has six steps[2].This evaluation would be somewhat pluralistic in nature as there would be an interplay of the perspectives of different groups[3].However, the dominant perspective would however be that of the policy makers-a managerial perspective[1].This evaluation would be carried out three years after the start of the programme. It would take a long time to achieve the overall programme aim, hence the need for reliance on short or intermediate indicators (Parry)cited in[4]. An evaluation working team would be set up for the proposed evaluation and a leader would be appointed. In this evaluation, the author would be the lead evaluator and would be responsible forselecting members of the evaluation team, scheduling meetingswith stakeholders, planning, and budgeting funds for the evaluation, addressing data collection needs, reporting evaluation findings, and working with consultants whose services may be required. Prioragreement would be on the reasons for carrying out the evaluation, the primary user of the evaluation findings, funding arrangements, time-line for completion of the evaluation and reporting of its findings. Engaging stakeholders The programme mainly targets postmenopausal women between 48 and 63 years as breast cancer commonly affects this population. However, the 40-47 age group would be included as early presentation occurs commonly in this population. The key stakeholders involved in the programme are the clients, the Federal Government of Nigeria, the Federal Ministry of Health, Oyo State Ministry of Health, the Ministry of Women Affairs, University College Hospital, Ibadan, programme managers, and staff. Professional associations-Nigerian Medical Association (NMA), Association of Radiologists of West Africa and the Medical Women Association ofNigeria (MWAN) -advocate for the implementation of a national breast cancer screening programme and policy which is currently non-existent[5, 6]. Other stakeholders are advocacy groups-the Genevieve Pink Ball Foundation , Breast Cancer Association of Nigeria (BRECAN),Medicines Plus; media groups-Silverbird Entertainment, Inspirational FM, City People, Genevieve mag azine, Globacom Limited-a leading telecommunications firm. The primary users of this proposed evaluation are the policy makers and the programme management.The findings would determine if the programme is worth its ‘value for money and would help inform decision on the whether the programme should be continued and if a screening policy would be implemented. The purpose of the evaluation would be made clear and agreed upon by all key stakeholders from the outset[4]. It would have been possible to develop the logic model for this evaluation using the theory of change approach with the stakeholders. Defining a theory of change which is agreed by all stakeholders can mitigate the effects of causal attribution[4].One representative would be selected from each key stakeholders group to form an evaluation working group. The stakeholders in the team would be asked about their vested interests in the programme, their expectations, and what resources they would put in during the actual implementation of the evaluation. The Ibadan-Ibarapa Breast Cancer Screening Initiative The programme was commissioned in December, 2006 in response to the growing concern for the need for early detection of breast cancer. The programme aims is to reduce incidence and mortality from breast cancer in women. Breast cancer screening is a secondary prevention programme that takes the form of physical examination using in combination with radiographic techniques-mammography. Health needs assessment using the epidemiological approach conducted prior to the implementation of the programme revealed that breast cancer is the most common cause of female cancer deaths in Nigeria. Breast cancer is the most common cancer affecting women globally[7] and in Nigeria [5, 8-11].It accounts for the greatest proportion of cancer deaths in women in Nigeria. Previous surveys showed a rising prevalence in breast cancer in Nigeria from 33.6 per 100,000 in 1992[12] to 116 per 100,000 in 2001[5].A retrospective review of hospital-diagnosed cases of cancer revealed 1,216 cases over a four-year period with breast cancer accounting for 13.9% of the cases[11] .Differences exist between the aggressiveness and survival rates in Nigerian women when compared to other populations[13, 14]. The mean age at presentation is 48 years[5]. The average age at menopause of Nigerian women is 48 years[15, 16]. The intervention targeted at women between 40 and 64 years as early presentation-before menopause-has been observed to be the dominant pattern in this population. There is generally a low level of awareness and knowledge of early detection breast cancer among Nigerian women [8, 10, 17-19].Despite the burden, there is currently no national policy or programme for early breast cancer detection[5, 18]. There is a high mortality from breast cancer in Nigeria. This is because most present for treatment late[18, 20-22] and tumours are more aggressive, responding poorly to medical treatment[23].Cultural factors and religious influences also affect health seeking behaviours with some detected cases seeking healing from lay or traditional practitioners. Risk factors for developing breast cancer include age at menopause, at age at first live birth and parity, history of   first-degree relative with breast cancer[24]and smoking. Research evidence supports that early detection of breast cancer leads to improved outcomes. Surveys investigating the knowledge, attitudes and practice of female health care workers showed that with the exception of physicians, there are gaps in knowledge of the risks of breast cancer and low practice of early detection methods [6, 25]. The activities being carried out in this programme are: Breast cancer seminars and workshops for nurses, physicians, community health workers, public health nurses and health promotion specialists in order to increase their knowledge of breast cancer risks and change their attitudes towards screening practices Clinical Breast Examination (CBE) trainings using breast models -donated by the University of Chicago Medical Centre-in order to enhance clinical skills in breast lump detection. Breast cancer education workshops and lectures for postmenopausal women and teaching skills in Breast Self Examination (BSE) to increase their knowledge of the benefits of early detection of breast cancer and to change their attitudes and beliefs on breast cancer Counselling sessions by breast cancer survivors who are volunteers trained to help motivate women in utilising the screening service and reassurance that the benefit of screening outweighs any discomfort felt during the mammography procedure Distribution of IEC (Information, education and communication) materials breast cancer facts leaflets and posters to increase knowledge of breast cancer risks and the benefits of early detection Media campaigns through paid and unpaid advertisements in newspapers and magazines widely read by women; radio jingles in English and the local dialect; role plays on television by volunteers; health promotion messages on television aired in English and Yoruba languages Provision of free Clinical Breast Examination (CBE) and free mammography screening to postmenopausal women between ages 40 to 63 years Funding is mainly from the Federal Government with equal support from the Breast Cancer Research Foundation and the Genevieve Pink Ball Foundation. Shortage of health care staff and inadequately trained staff contribute to mortality from breast cancer. Cultural and religious beliefs also influence cancer health-seeking behaviours. There is increasing interest in cancer issues and many agencies are getting involved in breast cancer awareness activities. Focusing the evaluation design Evaluation design and perspective taken by an evaluation depends on who the primary user of the evaluation is[1].The proposed evaluation takes the managerial perspective[1]. The primary users of this evaluation are the programme managers and the policy makers (health systems). At this stage of the programme, three years after its implementation, it is inappropriate to make judgement based on the achievement of long-term outcomes. It will thus assess the changes in the knowledge, attitudes, and beliefs of the clients concerning breast cancer and the utilisation of the screening service. Purpose of the evaluation In future, evaluating the programme would determine if the breast cancer awareness programme and screening leads to a reduction in incidence and mortality from breast cancer in women aged 40-63 years .The proposed evaluation would carried out in order for policy makers to decide the effectiveness of the programme in promoting health i.e. to evaluate the effectiveness of breast cancer screening as a public health policy; to make decisions about continuity of the service in light of its cost-effectiveness in the face of other healthcare needs competing for funds and to assist in policy making and implementation [4]of a national breast cancer screening programme. It would also assist the programme manager in judging fidelity of implementing the programme activities. The main evaluation questions to be dealt with can be thus can be summarised as follows: Effectiveness-‘Is the programme working as intended? i.e.is it achieving the objectives it set out in its mandate? Efficiency- ‘Are the programme activities being produced with minimal use of resources? The proposed evaluation would use the Before-After (Type 3) evaluation approach[1] in assessing the effectiveness of the programme in producing the change in knowledge, attitudes and behaviour that would ultimately lead to achievement of the programmes goal of reducing the incidence and mortality from breast cancer. This evaluation needs to be carried out in a relatively short period and funding for the evaluation is limited. While true randomised controlled trials are said to be the gold standard for evaluation[26], they would be unethical; expensive to conduct and take a really long time to complete. The main problem with this before-after design is the issue of causal attribution- that the results may not be conclusive in proving that the outcomes are as a result of the programme activities[1].The opinions and inputs of the key stakeholders would also be taken into account at this stage[27].Stakeholders opinion would be sought on how the evaluation would be funded ,how long it wo uld be carried out for and what the reasonable level of achievement should be. The number of years the programme has been in existence would help set the standard against which progress is monitored. Gathering credible evidence-Data collection The mixture of quantitative and qualitative methods would be used in data collection.Observational methods would be used in collecting some primary data for the evaluation as there are few existing databases from which the relevant information for the evaluation can be obtained. Green and South stress that selecting methods for measuring outcomes of health promotion programmes should be based on concern for â€Å"reliability, validity, suitability for purpose, feasibility, consistency with the values and methods of working of the project and appropriateness for use with various groups†[4].Although validity is recognised as being very important in selecting the indicators for evaluation, practical feasibility should also be put into consideration[4]. McNamara fallacy-‘making the measurable important rather than the important measurable. Change in the knowledge, attitudes and practice of healthcare workers would be assessed using a structured self-administered questionnaire placed in the staff pigeon holes at the teaching hospital where the programme activities are carried out. The questionnaire would be pre-tested prior to its use for the evaluation. Pertinent questions would reflect social and demographic characteristics of the respondents, level of knowledge about breast cancer, risk factors for its development, symptoms, screening methods known as well as their individual practice of breast self examination (BSE) and screening using mammography as appropriate. The questions would be closed and pre-coded responses would be included in the questionnaire as these are quick to analyse[28].Careful attention would be paid to the wording of the questionnaire and how the information is coded during its design in order to ensure its reliability and validity. The healthcare workers would be sampled using the stratified ran dom sampling technique based on age and gender. Responses would be anonymised to reduce the chances of reporting bias. The number of healthcare workers would be determined from the training register kept by the programme monitoring and evaluation staff and it can be estimated from the survey in the absence of fidelity in the recording of programme activities. In order to assess if the healthcare workers have developed the appropriate clinical competence in Clinical Breast Examination (CBE).Participants would be observed carrying out the examinations. A hospital researcher skilled in ethnographic methods would be called upon to engage in this aspect of the evaluation. The limitation of this method of investigation is that observer bias is an issue to contend with and the method is not objective[28].To limit observer bias, a different observer would also assess the trained participants-inter-observer comparison[28].The contribution of the Hawthorne effect-a reactive effect which produces bias- is also a limitation worth noting [28].If healthcare staff are aware that they are being studied, they strive to demonstrate that they have the required level of competence in carrying out the breast examination. Changes in the knowledge, attitudes, and practice of screening in the clients would also follow the before-after method of investigation. Study participants would be randomly selected from the community. Informed consent would be ensured before data collection. Data would be obtained using structured pre-coded questionnaires with allowance for open-ended questions delivered via face-to-face interviews trained interviewers. The interviewers would trained on the social skills of establishing good rapport with people in order to reduce potential bias[28].Information obtained would include socio-demographic variables- age, marital status, level of education, religion, occupation-potential risk factors for developing breast cancer-family history of breast cancer, parity, duration of breast-feeding age at onset of menstruation, age at menopause-knowledge of screening methods-Breast Self Examination(BSE),Clinical Breast Examination(CBE) and mammography and on utilisation of screening servic es[29].Barriers to accessing service can also be explored. Mailed questionnaires would have taken less time and would be cheaper to administer but consideration is given to the fact that most people in this community do not have mailing addresses and the literacy level is generally low. Justifying conclusions Data collected from the surveys would be analysed using appropriate tests with statistical software. The main exposure variables of interest the educational component of the programme and the physician skills training in Clinical Breast Examination(CBE) while the main outcome of interest is the utilisation of mammography as a screening service. Secondary variables of interest are the media campaigns, healthcare workers training, Clinical Breast Examination Other factors that would be explored would be the effect of some key demographic characteristics like age, ethnicity, and level of education on the utilisation of the mammography service. In conducting the analysis, adjustment would be made for potential confounding by other influences. The before-after status of the women receiving the educational programme would be compared. For the uptake of mammography as a screening method comparison before and after status would also be compared as though a few other mammography centres exist, none is currently running a similar awareness programme that may qualify its use as a non-random control. The overall results obtained would be compared with the set standards as outlined in the programme objectives or in the absence of this, what was agreed upon at the stakeholders meeting as a measure of success Ensuring use of the evaluation findings The findings would be put together as a draft after representing the data in well-presented graphs and tables as appropriate and circulate among the stakeholders. After reviewing the draft with the stakeholders, the results would be disseminated widely in the hospital journals, as a government publication, in women magazines and other publications as defined by the stakeholders. The results obtained are expected to help inform the development and implementation of a national breast screening policy and programme. Quality assessment There are a number of frameworks that have been developed for investigating the quality of healthcare services[30]. The Maxwells framework would be used for assessing the quality of the screening service. Maxwells conceptualisation of health care quality is organised around the following six dimensions[31]: Access to services-accessibility in terms of time ,distance and location of services, language and other cultural barriers Relevance to need (for the whole community) Effectiveness (for individual patients) Equity (fairness) Social acceptability(cultural competence) Efficiency and economy. Effectiveness The effectiveness of mammography as a screening method has been proven to be beneficial by some studies. A case-control study reported a 50% reduction in mortality from breast cancer using mammography hence supporting its efficacy[32].A recent case control study also demonstrated similar results[33]. Collette et alevaluated a breast cancer screening programme using different methodologies and found that early detection using mammography reduced mortality in the 50-64 age groups[34]. Though a previous meta-analysis demonstrated no benefit to women in the 40-49 age group[35],the well cited Swedish trials have however suggested the need for screening in this age group. Efficiency and economic evaluation This would answer the evaluation question: ‘are we making the best use of limited resources? The economic evaluation of this programme would take the managerial standpoint to answer the policy makers question on if it is the best ‘value for money. It is important in making resource allocation decisions[4]. The overall summary of the programme can be succinctly stated as: Activities- breast cancer education workshops, lectures, and seminars, Clinical Breast Examinations (CBE) for healthcare workers distribution of information leaflets and posters, media campaigns, mammography. Outputs-Number of educational sessions held, number of healthcare workers trained, no of women reached by educational programme, number of women counselled, number of women screened, and number of IEC materials distributed Outcomes -increased awareness and knowledge of breast cancer risks and screening methods (short-term outcome) -increased awareness of early detection (intermediate outcome) -increase in uptake of breast cancer screening (behaviour change) Goal-reduction in incidence and mortality from breast cancer (long term impact) Accessibility, equity, relevance, and acceptability The issue of accessibility and social acceptability would be addressed in the questionnaire survey of clients after the intervention.Relevance to need was initially addressed in the epidemiological needs assessment prior to programme implementation. In further evaluating the need for the programme with respect to the community, focus group discussions with carefully selected members of the community would be held. Members of women groups who are opinion leaders in the community would be involved in these interviews. This technique enables the evaluator explore in-depth views on how social, cultural, religious, and other barriers that affect the uptake of screening service. However, they are time-consuming; data is difficult to analyse; confidentiality is compromised and interviewer bias is a key issue[28]. References Ovretveit, J., Evaluating health interventions : an introduction to evaluation of health treatments, services, policies and organizational interventions. 1998, Buckingham: Open University Press. Centers for Disease Control and Prevention. Framework for Program Evaluation in Public Health.   1999   [cited 2010 7 February]; Available from: http://www.cdc.gov/eval/framework.htm. Naidoo, J. and J. Wills, Evaluation in health promotion, in Foundations for health promotion. 2005, Baillià ¨re Tindall Edinburgh. Green, J. and J. South, Key Concepts for Public Health Practice: Evaluation. 2006, Maidenhead: Open University Press. Adesunkanmi, A.R.K., et al., The severity, outcome and challenges of breast cancer in Nigeria. The Breast, 2006. 15(3): p. 399-409. Akhigbe, A. and V. Omuemu, Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer, 2009. 9(1): p. 203. Ferlay, J., et al., Global Burden of Breast Cancer. Li C et al. Breast Cancer Epidemiology, Springer Science, 2008. Okobia, M., et al., Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study. World journal of surgical oncology, 2006. 4(1): p. 11. Okobia, M.N. and U. Osime, Clinicopathological Study of Carcinoma of the Breast in Benin City. African Journal of Reproductive Health / La Revue Africaine de la SantÃÆ' © Reproductive, 2001. 5(2): p. 56-62. Adebamowo, C.A. and O.O. Ajayi, Breast cancer in Nigeria. West African Journal of Medicine, 2000. 19(3): p. 179-91. Nggada, H.A., et al., Breast Cancer Burden in Maiduguri, North Eastern Nigeria. The Breast Journal, 2008. 14(3): p. 284-286. Ihekwaba, F.N., Breast cancer in Nigerian women. British Journal of Surgery, 1992. 79(8): p. 771-775. Ikpatt, O.F., et al., Breast cancer in Nigeria and Finland: epidemiological, clinical and histological comparison. Anticancer Research, 2002. 22(5): p. 3005-12. Huo, D., et al., Population Differences in Breast Cancer: Survey in Indigenous African Women Reveals Over-Representation of Triple-Negative Breast Cancer. Journal of Clinical Oncology, 2009. 27(27): p. 4515-4521. Okonofua, F.E., A. Lawal, and J.K. Bamgbose, Features of menopause and menopausal age in Nigerian women. International Journal of Gynecology Obstetrics, 1990. 31(4): p. 341-345. OlaOlorun, F. and T. Lawoyin, Age at menopause and factors associated with attainment of menopause in an urban community in Ibadan, Nigeria. Climacteric, 2009. 12(4): p. 352 363. Okobia, M., et al., Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study. World journal of surgical oncology, 2006. 4: p. 1 9. Oluwatosin, O.A. and O. Oladepo, Knowledge of breast cancer and its early detection measures among rural women in Akinyele Local Government Area, Ibadan, Nigeria. BMC Cancer, 2006. 6(1): p. 271. Odusanya, O.O., Breast cancer: knowledge, attitudes, and practices of female schoolteachers in Lagos, Nigeria. Breast J, 2001. 7(3): p. 171-5. Ezeome, R.E., Delays in presentation and treatment of breast cancer in Nigeria. J Clin Oncol (Meeting Abstracts), 2009. 27(15S): p. 1527-. Ekanem, V.J. and J.U. Aligbe, Histopathological types of breast cancer in Nigerian women: a 12-year review (1993-2004). African Journal of Reproductive Health, 2006. 10(1): p. 71-5. Ukwenya, A., et al., Delayed treatment of symptomatic breast cancer: The experience from Kaduna, Nigeria. South African Journal of Surgery, 2008. 46(4): p. 106. Gukas, I.D., et al., Clinicopathological features and molecular markers of breast cancer in Jos, Nigeria. West African Journal of Medicine, 2005. 24(3): p. 209-13. Negri, E., et al., Risk factors for breast cancer: pooled results from three Italian case studies. American Journal of Epidemiology, 1988. 128(6): p. 1207-1215. O. Odusanya, O.O.T., Olumuyiwa, Breast Cancer Knowledge, Attitudes and Practice among Nurses in Lagos, Nigeria. Acta Oncologica, 2001. 40(7): p. 844-848. Black, N., Why we need observational studies to evaluate the effectiveness of health care. BMJ, 1996. 312(7040): p. 1215-1218. U.S. Department of Health and Human Services. Centers for Disease Control and revention. Office of the Director, O.o.S.a.I., Introduction to program evaluation for public health programs: A self-study guide 2005: Atlanta, GA. Bowling, A., Research methods in health:investigating health and health services. 2002, Buckingham: Open University Press Akhigbe, A.O. and V.O. Omuemu, Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer, 2009. 9: p. 203. Gray, S., The contribution of health services to public health, in Public Health for the 21st Century:new perpectives on policy,practice and participation, J. Orme, et al., Editors. 2007, Open University Press: Maidenhead. Maxwell, R., Quality assessment in health. British Medical Journal, 1984. 288(6428): p. 1470-1. Walter, S.D., Mammographic screening: case-control studies. Annals of Oncology, 2003. 14(8): p. 1190-1192. Puliti, D., et al., Effectiveness of service screening: a case-control study to assess breast cancer mortality reduction. British Journal of Cancer, 2008. 99(3): p. 423-427. Collette, H.J., et al., Further evidence of benefits of a (non-randomised) breast cancer screening programme: the DOM project. Journal of Epidemiology and Community Health, 1992. 46(4): p. 382-386. Kerlikowske, K., et al., Efficacy of Screening Mammography: A Meta-analysis. JAMA, 1995. 273(2): p. 149-154.

michael jordan :: essays research papers

The Cabinet President Bush’s Cabinet   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Agriculture: Ann M. Veneman   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Set up to control food regulations as well as farming and food   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   production.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Commerce: Don Evans   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Set up to control international trade, as well as statewide and f  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   federal spending.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Defense: Donald Rumsfeld   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Set up to provide funding and tactical information for the US   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   military and its many operations throughout the world. Also   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   used to defend the United States.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Education: Rod Paige   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Set up to provide administrative guidelines for schools across   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   the country. provides certain types of funding for schools.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Energy: Spencer Abraham   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Controls the energy grid as well as international energy trading,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   buying, and selling between countries.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Health & Human Services: Tommy Thompson   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Works in conjunction with the Board of Health to provide   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  affordable health products, as well as testing for safety issues   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  regarding the specified products. Also works with the   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Department of Agriculture to provide safe food.   Ã‚  Ã‚  Ã‚  Ã‚  Department of Homeland Security: Tom Ridge   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Controls the ever popular terror alert model. Works to protect   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  the Unites States from acts of terrorism.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Housing & Urban Development: Alphonso Jackson   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Set up to ensure that neighborhoods across America will be able   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  to function properly and also meet the building requirements set   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  forth by the Board of Housing and Development.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Interior: Gale Norton   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Known for working directly with overseers regarding   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  endangered species and public lands legal issues for the   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  National Park Service and the Fish and Wildlife Service.   Ã‚  Ã‚  Ã‚  Ã‚  Department of Justice: John Ashcroft   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *The main overseer over the Federal Courts of the Unites States. Head of   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   the US Supreme Court.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Labor: Elaine Chao   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Works to oversee labor laws and their violations. Works with   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   the states to provide proper working permits and regulations for   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   citizens of the United States.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of State: Colin Powell   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  * Works to create a more secure, democratic, and prosperous   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   world for the benefit of the American people and the   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   international community.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Transportation: Norman Mineta   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *Works to ensure that transportation throughout the United   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   States meets the Federal Regulations and makes sure they are   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   safe from any type of harm.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of the Treasury: John Snow   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  *In charge of the currency throughout the United States.   Ã‚  Ã‚  Ã‚  Ã‚  Secretary of Veteran’s Affairs: Anthony Principi   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  * In charge of the Veteran's Rights and the funding they receive   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚   after they retire from the military.

Balancing The Christian Life Revision2

Christianity is more than just a religion that one gets into. Rather, it is a relationship between God and the believer. And as Charles Ryrie has pointed out in his book, â€Å"Balancing the Christian Life,† that like all relationships, the Christian life of a person grows, develops, and matures from one that was less spiritual to one that is spiritually genuine and wholesome. But the Christian life is a journey until one achieves genuine and wholesome spirituality.And Ryrie intended to reach Christians become better Christians by presenting biblical concepts such as spirituality, man, the old and the new life, and the unity with Christ. He goes on to discuss the personal responsibilities of Christians, and a third part which deals with some practical problems faced by Christians such as being filled with the Spirit, temptation and the Devil, forgiveness and confession, being legalistic, tongues, and Christ’s seat and lordship over one’s life.To me, every chapter of the book was interesting only that I wish more life applications and examples could have been incorporated by the author. Without such applications and examples, the book struck me more of a mere discussion or lecture material about biblical concepts, the Christian’s responsibilities, and the problems every Christian is bound to encounter later in his or her Christian life. The life applications and examples could help readers of the book relate more to what is being discussed by the author, and this could help readers grasp and gain a deeper understanding of the texts.In addition, the topics of the book could have been written more extensively with less biblical jargon for the benefit of new Christians. This is because the topics and the discussions of the book are very good sources of information, especially for the new Christian to be renewed and strike a balance between spirituality and life in this world. Moreover, the book can help Christians become more established in the faith, in the Word and in the Church.If new believers are not properly and promptly established, they might not make it in their Christian life. Had the topics been discussed at length and with practical life applications and examples, most readers would be edified for the topics were designed to minister, edify, and equip the believer and strengthen his faith by applying the concepts and properly taking hold of the responsibilities cited by the author. In essence, however, the book was okay.I particularly liked the author’s discussion about understanding man’s salvation: man’s original sin, the results of sin, and God’s solution for sin. His initial message moves readers about sin and redemption. Basically, the author pointed out that, before we can understand salvation and appreciate the fact that Jesus is our Savior, we must first understand why man needs a savior and what it is that men need to be saved from. In short Ryrie tells us that we mu st understand the seriousness of sin and its eternal consequences.He goes on to tell us that all sin is rebellion against the holy nature of God, hence, because of sin, man is separated from God and doomed to an eternity away from His presence. Because God is holy and just, he cannot let sin go unpunished. But because He is love, He desires to redeem His creation. So in order to be just and justifier at the same time, God sent His son to earth to pay the penalty for man’s sin. Hence, because of the blood of Jesus, we have been justified. Justified means â€Å"just-as-if-I’d† never sinned.In other words, God not only forgives sin, he lets us start all over with a clean slate, just as if we’d never sinned. This new start is not because of our good works but because of the blood of His son. I also liked the discussions regarding spiritual gifts and how we must use them; the wiles of the Devil; and the power of confession and of forgiving. I think Ryrieâ€⠄¢s book may be a very helpful reading material, although a new version may be written to make the texts more significant and applicable especially for those who’ve just begun their Christian walk.

HR Roles and Responsibilities Essay

Human Resource is a field that has attained reasonable and due attention by many leading firms in recent times. Human Resource has been recognized as an important factor for achieving success in the global arena and in gaining a competitive advantage in the industry. Many leading firms put special importance on the behavior of their work force playing an important role in the success of the organization. To maintain this they have planned and organized their human resource function in such a manner that it provides them a competitive advantage in the industry they operate. If we talk about Human Resource Management which has been a dedicated field for improving Human Resource function of any organization puts special emphasis on certain important aspects to be taken care of regarding the employee to achieve success in formulating a successful Human Resource department. These factors are the compensation plans and strategies, Reward and incentives plan, Training and trainability of the employees, Hiring and Recruiting and Future or career development plans (Mathis and Jackson, 2007). All these factors play a strong role and go side by side in the formulation of a competitive Human Resource Department. Human Resource has recently achieved a huge amount of success due to the realization of its importance in the organizational environment. It has been identified as a competitive advantage by some of the organizations due to the importance of Human Resource in the related industry. Human Resource Management has also changed its shape according to the trends in the World and the factors that drive change. These factors include Globalization, Technology, Diversity, and Ethics. All these factors go side by side as the business spreads due to these factors (Dessler, 2007). Globalization has been due to the technological advancements and because of which diversity increases and more ethics related situations arise in an organization. The work of human resource at one hand increases due to globalization, diversity and ethics but on the other hand Technology helps them to resolve these issues. There have been recent trends of using more and more technological equipment in the Human Resource processes. The major work of the Human Resource is to provide the organization with quality people that become the work force of the organization. In this paper we would concentrate on two functions of the Human Resource Department and how they have changed according to the trends of the human society and development of Humans. First we would discuss induction which is a very common practice in the current scenario of any organization. Induction is basically the first step in which an employee gets to know about his or her workplace environment. This covers each and every activity that helps the employee in adapting to the environment and people around him at his or her workplace. Induction can also be termed as the process of building a relationship between the employee and the organization the nature of this relationship is of a two way communication process (French, 2006). Starting on a new position and with a new organization can be a process which might take some time for the employee and the organization to get settled with. There are many new things that need to be understood and get familiar with these include fellow employees, supervisors and managers to interact, entirely new processes that need to be understood and followed, new offices and buildings that are required to be navigated, learning to work on new software, new and unknown employment environment to understand and new tasks to learn. This transition or all the above mentioned activities are made easier and more effective for the new employee as well as for the employer if the induction schemes in the organization are effective and efficient (Mathis and Jackson 2007). There are obviously costs for implementing effective and efficient induction schemes but the benefits are more far reaching and long lasting if a comparison of both costs and benefits are made. Induction is a process that has been recently added in the organizational hiring and recruiting process by the Human Resource function. There was no concept of induction some 15 to 20 years back. As organizations tend to realize the importance of working environment, which factors affect the performance of an employee and the importance of organizational culture induction has been the solution or the bridge to reduce the gap between an employee and its surroundings in a new environment (Ivancevich, 2009). This not only helps the employee in speeding up the level of his performance in the organization but also reduces the time to know different people around the organization. Performance Appraisal is another important task that needs to be completed by the Human Resource Department. This task requires a great amount of analyzing and insight on the work an employee has been doing. The employee performance is not the only criterion that is considered while creating performance appraisals. Other aspects such as employee’s attitude towards his or her job, how he or she behaves with the colleagues and other aspects such as absenteeism and the following of ethics in the work environment are also criteria that need to be studied while making performance appraisals. All this is not an easy task as studying qualitative aspects of an employee and evaluating them becomes a very difficult task to do. Apart from that employee performance can only be evaluated through the direct supervisor or manager who the employee reports to (Mondy, 2007). This can bring in to play the personal feelings and impression of the supervisor or manager under which the employee works and can create biasness in the evaluation process. Apart from this judging behaviors and attitude is another complicated task. Performance Appraisals have now included a great amount of technological tools to be used for helping in this process. Organizations have online forms for employees, which reduces the time to gather data about the performance of an employee and even retrieving it hence helping in quick appraisals and employee satisfaction of his or her performance. Not only it has reduced time but also made the procedure very effective than before helping in the work of the Human Resource Department. To conclude this paper I would like to mention the fact that all the trends and advancements in the field of human resource management have helped the organizations in making the function more effective and efficient. Some organizations proudly say that their Human Resource department is the competitive edge they have in the industry. Especially in the IT industry it is very important to maintain a effective and efficient Human Resource Department due to the fact that it can provide competitive advantage to the organization.

Causes And Effects Of Child Abuse Social Work Essay Essays

Causes And Effects Of Child Abuse Social Work Essay Essays Causes And Effects Of Child Abuse Social Work Essay Essay Causes And Effects Of Child Abuse Social Work Essay Essay One of the common psychosocial jobs is child maltreatment that has been encountered most of kids worldwide. Child maltreatment can take several signifiers of ill-treatment, it is classified to 4 types chiefly, physical, emotional, sexual and neglect. Children s parents and the health professional have been identified to be the most abuser in such instances. There are a batch of concealed facts that contribute to child maltreatment ; emphasis, drug and intoxicant consumption are illustrations of the causes that lye down behind it. Some effects of childhood ill-treatments are so deep and can be extended to adolescence and adulthood. As wellness supplier you should be cognizant for the marks and symptoms abused because early designation and direction can assist to decrease the long-run effects of maltreatment. On other manus there are two types of bar of kid maltreatment primary, and secondary. Raising a kid is non easy. Child maltreatment is considers a chief job that is endangering kids all over the universe. Most of us ca nt conceive of the effects of kid maltreatment.Unfortunately most of the victim are abused by their parents or any household member who might be really near to them. In the same clip kid maltreatment can go on in anyplace at schools, nines, and street non merely at place. ( In 2007, about 5.8 million kids were involved in an estimated 3.2 million kid maltreatment studies and allegations. In the United States ) Child Abuse is defined as hazard to a kid inflicted by another individual, normally the health professional ( Leiter, n.d para1 ) and includes physical, sexual, emotional maltreatment, and disregard. Child maltreatment can be brought by any one at any clip. Child maltreatment is seen in different frame, physical, sexual, emotional, and disregard. This paper is designed to speak about the types, causes, effects of kid maltreatment and how to cover with it by pull offing and forestalling it. Physical maltreatment can be classified as any effort or injury to a kid where the health professional was scruples of the hazard before the fact. Physical maltreatment refers to non inadvertent hurt to a kid. Physical maltreatment is highly unsafe to the kid and can do lasting physical and mental disablements May include striking, combustion, agitating, squeezing or drawing hair or ear. The kid may come with seeable grade of ill-treatment such as: cuts or contusions, breaks and internal hurts. On the other manus Sexual maltreatment refers to any sexual behaviour between a kid and an grownup or an older, bigger, or more powerful individual, for that individual s sexual enjoyment. Sexual maltreatment while still wholly atrocious is frequently times blown wholly out of graduated table and is the most advertised type of maltreatment ( Leiter, n.d Para 2 ) . Sexual activity maltreatment ranges from unwanted busss to inappropriate touching to sexual interaction. It is the most unsafe signifier of maltreatment because it consequences in really bad cicatrixs that are deep and durable, impacting non merely abused kids but the whole society. Sexual maltreatment is frequently times kept hidden more than other types of maltreatment. Children are forced and threatened non to state any one of the brushs because of the societal humiliation of being involved in sexual maltreatment. While, Emotional maltreatment refers to a chronic attitude or behaviour directed at a kid, or the creative activity of an emotional environment, which is earnestly unfavourable to or impairs the kid s psychological and/or physical development. This type of opprobrious behaviour can convey down an person s feeling of ego worth and self-pride. It let the victims to experience ineptitude and it can hold more durable negative psychological effects than physical maltreatment. Such as deficiency of fondness, disregarding, rejecting, and isolating, failure to embrace, utmost penalty. Furthermore, Negl ect is frequently thought of as the most unsafe type of maltreatment. Neglect refers to any serious skip or committee by a individual which jeopardizes or impairs the kid s psychological, rational, or physical development ( Leiter, n.d Para5 ) Neglect includes anything from go forthing kids entirely for long periods of clip to non giving them the correct attention for illustration, failure to supply equal nutrient, vesture, or hygiene. Like any other maltreatment, kid maltreatment besides has a cause. There are many causes of kid maltreatment. The most major 1 among the causes is mental unwellness, every bit good as psychological jobs. The inclination is that people who are non in their right heads, could easy make injury to kids, whether knowing or non. Besides, household jobs are major causes of child maltreatment such as hapless household relationships, divorce and separation, desperation and inability to get by with parenting or hapless parental sexual relationship. Parents under the power of drugs could easy ache their kids, besides drug or intoxicant dramas an of import function in arousing and the uncontrolled behaviours towards the kid. Plus, fiscal jobs could raise parents or other members of the household to mistreat kids as an mercantile establishment of their emotions. Stress could besides be a root cause of kid maltreatment, besides disorganized household and socially isolated can be cause, in add-on t o these causes hard kid who have characteristics of demanding or overactive may arouse the pique of the parents which may take to physical maltreatment, on the other manus handicapped kid who frequently more dependent will be prone to any type of maltreatment because they have physical or mental disablements or both of them.It is good to cognize the cause of maltreatment on a certain kid so that the intervention will be easy to implement. The effects of kid maltreatment can be direct shown in childhood or maturity Childs who have experienced kid maltreatment are likely to hold some emotional and psychological jobs whether they show them or non and in worse instances, a kid might hold suicidal inclinations because of this. The effects of kid maltreatment on a kid depends on how great the maltreatment is, the greater the maltreatment, the greater the consequence on the overall province of the kid. Depression, emphasis and injury are besides some of the effects of kid maltreatment in kids. Abused kids besides exhibit conditions like trouble in constructing up relationships in people, low ego image, eating upsets, every bit good as physical disablements. Child maltreatment could besides take down the self worth of the kid who experienced it. In add-on to that some effects of kid maltreatment are obvious: physical or mental issues broken or bruised organic structure, mental upsets, eating, slumber, opprobrious etc, separation of household, kid become lone wolf, arrested development kid acts younger than age well and on intent, halt speech production, more accidents of lavatory trained, hapless instruction, failure to win, favoritism, low ego regard, hapless ego assurance, hapless ego image, self injury, aching others, can impact offense, teenage gestations Management of suspected kid maltreatment Abused kids may show in the infirmary or to medical nursing staff in the community. They may besides be brought for a medical sentiment by societal services or the constabulary. In all instances, the processs of the local country kid protection commission should be the followed.the medical audience should be the same as for any medical status, with a full history and full scrutiny.it is normally most productive when this is conducted in a sensitive and concerned manner without being accusatory or reprobating.any hurts or medical determination should be carefully noted, measured, recorded and drawn on a topographic chart they may necessitate to be photographic with parental consent.the tallness, weight and caput perimeter should be recorded and kept in a chart. All notes should be dated, timed and signed. Treatment of specific hurts should be ingested and blood trials and X-ray undertaken. If maltreatment is suspected or confirm, a determination needs to be made as to whether immediat e intervention is required and if the kid needs immediate protection from farther injury. If this is the instance, this may be achieved by admittance to infirmary, which besides allows probe and multidisciplinary appraisal. If sympathetically handled, most parents are willing to accept medical advice for hospital admittance for observation and probe. Occasionally this is non possible and legal enforcement is required. If medical intervention is non necessary but it is felt to be insecure for the kid to return place, arrangement may be found in a surrogate place. In add-on to a elaborate medical appraisal, rating by societal workers and other wellness professional will be required. A kid protection conference will be convened in conformity with local processs.in the UK, the conference will be chaired by senior member of societal services section or of the National society for the bar of inhuman treatment to kids ( NSPCC ) .Member of conference may include societal worker, wellness vi sitants, constabulary, general practician, instructors and attorneies.increasingly, parents attend all or portion of the cause conference.Details of the incidents taking to the conference and the household background will be discussed.good communicating and a swearing working relationship between the professional are critical as it can be highly hard to measure the likeliness that injures were inflicted intentionally and possible result of legal continuing.The conference will make up ones mind whether to put the kid s name on the kid protection, besides there should be an application to the tribunal to protect registry the kid and follow up is needed.if the kid is topographic point is placed on the kid protection protection registry, the societal services section will bring forth a kid protection attention program which will include medical follow up in many cases. There are many stairss which can be taken besides to protect the kid.in UK, this enshrined legislatively in kids act ( 1989 ) , which clarified and acknowledge the jurisprudence, and came into operation in late 1991. Child maltreatment bar: There are two types of kid maltreatment bar primary and secondary bar Primary bar involves placing households at hazard before any hurt occurs. There may be call for aid from the female parent, such as frequent visit to the physician for minor jobs or ailments of inordinate weeping or hard eating. The female parent may state that she thinks she will wound the kid: this should ever be taken earnestly and stairss taken to live over the crisis by acknowledging the kid to hospital if necessary. Once recognize as a household at hazard, add-on support from wellness visitant or societal worker may forestall the crisis taking to existent hurt. Secondary bar means identifying kids who have been injured and taken stairss to forestall farther hurt. Subsequent hurt is likely to be more terrible. Plans will usually be made at instance conference and may intend taking the kid from place at least temporarily, but many kids possibly 35-45 % can be reunited with their parents when state of affairs improves. Child maltreatment can be prevented through the attempts to construct on household strength. This could be achieved through activities such as parent instruction, place visit, parent support groups or public instruction. The Child Abuse Prevention Service ( CAPS ) was founded in 1973 and aims to relieve kid maltreatment in all its signifiers through household support and community instruction. CAPS runs a free, national telephone line offering support, information, and referral to those affected by or concerned about kid maltreatment. You can name the telephone line on 1800 688 009 and talk to one of our highly-trained support workers. In decision, kid maltreatment needs to be better recognized. In order for it to be more recognized, people need to derive more cognition. More information demands to be presented to the populace. Everyone needs to work together to diminish this job because whether or non you think it is impacting you, it truly is. Abuse affects society as ? ° whole and that includes everyone in it. Child maltreatment is the figure one slayer of kids all over the universe. The four signifiers neglect, emotional maltreatment, physical maltreatment, and sexual maltreatment continue to run kids all over the universe. Child maltreaters inflict physical, sexual, and emotional injury on defenseless kids every twenty-four hours. The cicatrixs can be deep and durable. Everyone can back up and assist abused kid by describing of any kid maltreatment instance so they can back up the kid by pull offing the maltreatment or forestalling farther harm.

Further Your Career with an Online MBA Essays

Further Your Career with an Online MBA Essays Further Your Career with an Online MBA Essay Further Your Career with an Online MBA Essay There comes a time in every career when you feel as though you may have hit a plateau; it’s a time that cries out for change but knowing how to jumpstart this professional stall can prove to be difficult. For a great many professionals such a time initiates a desire to pursue a higher degree – furthering their education to ultimately further their careers. And for many people this means the pursuit of a Master of Business Administration (MBA). Of course the complicated part of earning such a degree is that the people who are earning them for this very reason – to further their career and enrich their knowledge of their chosen profession – are already heavily embroiled in a career; working and juggling the myriad responsibilities of adulthood. And so for those students – those that have taken to be called â€Å"non-traditional† – there is the opportunity to pursue an online MBA. Offered through accredited universities that may offer exclusively online degree programs or a combination of campus-based and online classes, an online MBA allows adult students to further their education without leaving their career and putting their lives on hold to do so Rather, through a series of online classes, students can earn an online MBA without having to commute to a traditional university setting and by completing the course work at times that are convenient for them. By earning an online MBA students can take control of the future of their careers, gain invaluable education that will increase their value to an employer, and do so all within the framework of their existing schedule. :

Althea Gibson - Biography of Tennis Pioneer

Althea Gibson - Biography of Tennis Pioneer Tennis, which first came to the United States in the late 19th century, by the middle of the 20th century had become part of a culture of health and fitness. Public programs brought tennis to children in poor neighborhoods, though those children couldnt dream of playing in the elite tennis clubs. Dates:  August 25, 1927 - September 28, 2003 Early Life One young girl named Althea Gibson lived in Harlem in the 1930s and 1940s. Her family was on welfare. She was a client of the Society for Prevention of Cruelty to Children. She had trouble in school and was often truant. She ran away from home frequently. . She also played paddle tennis in public recreation programs. Her talent and interest in the game led her to win tournaments sponsored by the Police Athletic Leagues and the Parks Department. Musician Buddy Walker noticed her playing table tennis  and thought she might do well in tennis. He brought her to the Harlem River Tennis Courts, where she learned the game and began to excel. A Rising Star The young Althea Gibson became a member of the Harlem Cosmopolitan Tennis Club, a club for African American players, through donations raised for her membership and lessons. By 1942 Gibson had won the girls singles event at the American Tennis Associations New York State Tournament. The American Tennis Association - ATA - was an all-black organization, providing tournament opportunities not otherwise available to African American tennis players. In 1944 and 1945 she again won ATA tournaments. Then Gibson was offered an opportunity to develop her talents more fully: a wealthy South Carolina businessman opened his home to her and supported her in attending an industrial high school  while studying tennis privately. From 1950, she furthered her education, attending Florida AM University, where she graduated in 1953. Then, in 1953, she became an athletic instructor at Lincoln University in Jefferson City, Missouri. Gibson won the ATA womens singles tournament ten years in a row, 1947 through 1956. But tennis tournaments outside the ATA remained closed to her, until 1950. In that year white tennis player Alice Marble wrote an article in American Lawn Tennis magazine, noting that this excellent player was not able to participate in the better-known championships, for no reason other than bigotry. And so later that year, Althea Gibson entered the Forest Hills, New York, national grass court championship, the first African-American player of either sex to be allowed to enter. Gibson Takes on Wimbledon Gibson then became the first African-American invited to enter the all-England tournament at Wimbledon, playing there in 1951. She entered other tournaments  though at first winning only minor titles outside the ATA. In 1956, she won the French Open. In the same year, she toured worldwide as a member of a national tennis team supported by the U.S. State Department. She began winning more tournaments, including at the Wimbledon womens doubles. In 1957, she won the womens singles and doubles at Wimbledon. In celebration of this American win and her achievement as an African American New York City greeted her with a ticker tape parade. Gibson followed up with a win at Forest Hills in the womens singles tournament. Turning Pro In 1958, she again won both Wimbledon titles and repeated the Forest Hills womens singles win. Her autobiography, I Always Wanted to Be Somebody, came out in 1958. In 1959 she turned pro, winning the womens professional singles title in 1960. She also began playing professional womens golf and she appeared in several films. Althea Gibson served from 1973 on in various national and New Jersey positions in tennis and recreation. Among her honors: 1971 - National Lawn Tennis Hall of Fame1971 - International Tennis Hall of Fame1974 - Black Athletes Hall of Fame1983 - South Carolina Hall of Fame1984 - Florida Sports Hall of Fame In the mid-1990s, Althea Gibson suffered from serious health problems including a stroke, and also struggled financially though many efforts at fund-raising helped ease that burden. She died on Sunday, September 28, 2003, but not before she knew of the tennis victories of Serena and Venus Williams. A Lasting Legacy Other African American tennis players like Arthur Ashe and the Williams sisters followed Gibson, though not quickly. Althea Gibsons achievement was unique, as the first African American of either sex to break the color bar in national and international tournament tennis at a time when prejudice and racism were far more pervasive in society and sports.

M&ms color distribution Essay Example | Topics and Well Written Essays - 500 words

M&ms color distribution - Essay Example The color of the candies has changed over the years depending on the market demands and other issues. For instance, the red color had been eliminated in the year 1976 after it was believed that it contained components that could cause cancer. It was replaced by orange color but it was later returned to the shelves after it was discovered that it was not after all carcinogenic. Each flavor has different color and is made of different ingredients making it to have a distinctive taste and look. The color is distributed through certain percentages. M & Ms color distribution has always been something that has intrigued different types of people. As a result, there are different people who have tried to analyze the colors. This article compares Josh Madison’s analysis and that from Consumer Affairs Office. According to the consumers’ affair office, the following are the statistics for the distributions of the colors: 25% brown, 10% blue, 6% green, 7% orange, 17% red, 18% yellow and 17% purple. Josh Madison analyzed the color distribution of the candies using the random sampling method. He did not take several packages of the candies from different locations. Instead he analyzed the candies from a single case which had a total of 48 packages. This would ensure that he was able to analyze packages that came from the same production store. He then took to counting all the candies with different colors in each package and compared it with the total number found in the whole sample as a way of checking the errors. These are results that were obtained from the analysis: 18.36% were blue, 14.16% brown 18.44% green, and 20.76% orange, 14.20% and 14% yellow. Blue was observed to be the most popular color but the statistics from the sampling were lower than the expected value of 24%. Comparing the statistics from the two analyses it can be observed that the distribution of the different colors is quite different. For instance,

Decision support systems Article Example | Topics and Well Written Essays - 1000 words

Decision support systems - Article Example Almost 2.8 people have been left homeless and 2.3 million are without food. The direct damage caused by the earthquake is estimated to be about US$2.3 billion. Private housing suffered the maximum damage to the extent of about US$1.03 billion. Of the total housing stock, 84 percent was damaged or destroyed in AJK and 36 percent was damaged or destroyed in NWFP. The transport, education, and agriculture and livestock sectors suffered damages to the extent of US$340 million, US$335 million, and US$218 million, respectively. The cost of reconstruction and restoration of services is estimated to be US$3.5 billion, with housing reconstruction accounting almost UD$1.6 billion. Reconstruction: In the short term, in addition to addressing the immediate sheltering needs of the affected population, the Government should begin preparing for the longer reconstruction phase. With the onset of winter, reconstruction activities could be reduced to a minimum, particularly in areas above the snowline. During this time, it will be important to undertake the following activities in preparation for reconstruction: (i) determine losses for establishing a baseline and eligibility levels; (ii) undertake seismic and soil investigations, particularly in the most affected areas; (iii) conduct training for safe construction techniques; (iv) disseminate information on available assistance packages and seismic-resistant designs; and (v) establish property rights. The reconstruction effort for permanent housing would predominantly begin in the spring with the provision of hazard-resistant housing for affected population through cash grants for basic housing assistance, beneficiary identification with compensation levels, and urban planning and development initiatives. Livelihood: The livelihood support strategy should also seek to rejuvenate economic activity in affected areas through reviving small businesses and trades, livestock and agriculture, and creating employment opportunities for those who are now permanently disabled. A short term option would be providing cash grants to affected families in the form of a monthly support of a recurrent, fixed amount. In addition, cash for work programs may be effective in generating temporary employment for those who are able and willing to work at an appropriate wage. Agriculture and Livestock: In the medium term support would be needed for replanting fruit trees, rebuilding terraces, replenishment of livestock inventory, rehabilitation of productive infrastructure, and reconstruction of laboratories, offices of extension and research for agriculture, livestock, and irrigation departments. Over the longer term the focus should be on restoring livestock inventories and rehabilitation of terraces and soil conservation infrastructure that have been severely damaged. It is necessary to reestablish the agricultural sector in a sustainable manner through strengthening institutional capacities and providing support services. Health: The reconstruction

Economics for Business Assignment Essay Example | Topics and Well Written Essays - 750 words

Economics for Business Assignment - Essay Example This product differentiation gives the players in the monopolistic competition pricing power (A.Koutsoyiannis, 2010). The ACCC chairman Graeme Samuel believes that the fuel market is characterized by a comfortable oligopoly. I agree with Mr. Samuel’s opinion. At the retail stage of the fuel market, Woolworths and Wesfarmers Coals each have 22% of the market share. BP has 19%. Caltex has 16% and Exxon-Mobil has 6%. This totals to 85% of the total market share. Therefore these five players definitely dominate the industry at the retail stage. The situation at the refining stage is also similar with Caltex supplying as much as 55% of the wholesale supply in some states like New South Wales. The oligopolistic structure in the fuel industry in Australia arises from the barriers to entry because of intensive capital and technological requirements for operating in the industry. 2) The Australian Competition and Consumer Commission is the competition regulator of Australia. The ACCC promotes competition and fair trade in the Australian marketplace to benefit consumers, business and the community ( ACCC, 2011). In the year 2007, the ACCC undertook a detailed investigation in the Australian fuel industry to determine if there was ‘collusive oligopoly’ marked by price-fixing. The investigation found no â€Å"obvious† investigation of price-fixing, but it said that there were operational concerns because of the oligopolistic nature of the industry (ACCC, 2011). The ACCC opposed the acquisition by Caltex on the ground that it would substantially lessen competition across a range of fuel markets in Australia. The ACCC believed that this acquisition would have an adverse impact on competition in the petrol, diesel and automotive LPG markets. During a six month investigation of the proposed deal the ACCC identified 53 Mobil sites that, if they were acquired by Caltex, would result in

The Impact of Fruit Juices on the Dental Erosion in Human Tooth Enamel Research Paper - 1

The Impact of Fruit Juices on the Dental Erosion in Human Tooth Enamel - Research Paper Example The difference in the degree of teeth erosion between the adult permanent teeth and the baby primary teeth will also be stressed in this project. The effect of orange juice acid on the dental tubules will also be clearly demonstrated in the experimental project. This is because the two teeth have a different structure and chemical make up and hence respond differently to any form of chemical erosion on their part. Project Aim The use of Scanning Electron Microscope images (SEM) was employed to present a clearer view of the macroscopic effects of the erosive effects of the acid, present in orange juice, on the teeth’s surface. The effects of the obliteration of the dentinal tubules are also clearly evidenced in the SEM images. SEM Analysis of Tooth Enamel The images used in the experiment were taken using a Scanning Electron Microscope. The teeth were placed in a horizontal position, and care was taken to ensure that there was zero degree of tilt. After that, the SEM image pict ures were taken at two different magnification levels of 10Â µm and 200Â µm for teeth in both categories of adult and primary. The electron acceleration that was used in the experiment was relatively low at 15.0kV and the working distance ranging from between 4.5mm to 7.0mm for both sets of adult and primary teeth depending on the overall size of the tooth. The Images taken by the microscope were then digitized with the help of SEM Image Slave software in order to obtain the quality images displayed1. The use of both back scattered and secondary electrons was employed to produce images. The SEM images in fig 1.4 show the surface of the adult tooth to be rough and scattered with many surface wide fissures and niches. The SEM image in fig 3.3 of the primary tooth shows the baby tooth to be covered with different size and number of particles, which are suggestive of different types of abrasive changes on the biting surface2. Discussion of the SEM Images Analysis of the Scanning Elect ron Microscope (SEM) Samples From the Scanning Electron Microscope image of the controlled tooth without any effect in fig 2.1, it can clearly be seen that there is an overall erosion of the entire smear layer of the tooth after its immersion in orange juice. The appearance of macroscopic lesions on the surface of the tooth after its immersion in orange juice is a clear indication of the erosive nature of the liquid. The result obtained is not much different from the one shown in the fig 1.1 of controlled tooth 1, which shows a normal human tooth viewed at 200Â µm; the tooth appears to be normal with a few deep lesions on its surface that can be ascribed to characteristic wear and tear due to the tooth’s normal activities while in the oral cavity. The surface appears to be smooth and not suffering from signs of any previous tooth erosion or any other tooth defect3. The figure 1.2 of controlled tooth 2 viewed at 200Â µm shows a normally developed adult permanent tooth. The t ooth appears to be normal with a few deep lesions on its surface. The tooth also seems to have more pronounced chipping as compared to the previous tooth in figure 1.1. No dental caries or any other defect can be detected on the tooth’s surface. The figure 1.3 of controlled tooth 3 that is being viewed at a magnification level of 10Â µm shows a clear lesion on the tooth’

From a social psychological perspective, what is stereotyping and how Essay

From a social psychological perspective, what is stereotyping and how does it operate - Essay Example According to the second premise of the continuum model proposed by the authors, â€Å"ease of information fit between category and attribute determines the processes people use,† i.e. categorization or individuation (p.237). Attribute-oriented process is launched in case the target does not fit into the perceiver’s category and confirmation categorization shows itself as unsuccessful. Further individuation is done through re-categorization of the target. Re-categorization occurs through subcategorizing, usage of exemplars or creation of new categories. If the target continues being incompatible with the perceiver’s categories, piecemeal, attribute-by-attribute analysis occurs. However, this is done only in case the perceiver has sufficient time, attentional resources and motivation. The initial categorization process is an automatic perceptual process, while the rest of processes – confirmation categorization, re-categorization and piecemeal integration â €“ are thoughtful, reflective ones. Our experience is coded in our nervous system. This makes us act and react automatically, repeating once learnt reactions again and again. The category filter of individual’s perceptions makes us perceive only selected information. We see what we are focused on, registering positive comments on those we like, negative comments on those we dislike and ignoring the rest. Further, we organize and interpret information following the usual scheme. This automatic perception leads to a number of perceptual errors. Self-fulfilling prophecy (â€Å"behaviour confirmation effect†) and halo-effect (â€Å"cognitive confirmation effect†) are the two widely spread perceptual errors. Self-fulfilling prophecy is about acting according to our beliefs as if they are true. The cognitive confirmation effect takes place when we interact with a person at a distance. Then our

Art History Essay Example | Topics and Well Written Essays - 1000 words - 4

Art History - Essay Example The Plan of St. Gall shows an entire monastery compound, which includes things like churches, houses, a brewery, kitchens, stables, and an infirmary. While this plan was never actually built, much can be learned from it because it was probably a typical plan during this time period. The plan was actually made by combining five different parchments that were sewn together. This includes room for this like an orchard and a road. The buildings are marked with red, while everything else is marked in brown. There are over forty buildings that are present in this plan and although the buildings were never built, they are an excellent guide to how people lived during this time period. The plan itself is actually quite interesting, as things like the scriptorium and library are located on the inner concourse of the plan, while lodging and a hostel are located on the outer half. Also, the Abbott’s house in located near the scriptorium, which could symbolically mean that he is closer to God than the other monks. Many of the buildings that are present would be for economic reasons, as the monks had animals and places to grow fruit and vegetables located at these places. The plan was meant to depict a place that was entirely self-sufficient, meaning that the monks would not have to leave this monastery for any reason. This means that every aspect of life had to be explored in order to come up with a plan that would accomplish this goal, which is what makes this plan so important historically. The largest buildings that were present at this monastery were the buildings of worship and study, with these building also being located in the middle of the plan. The schools, houses, and stables were also quite large, but they were located on the outside of the plan. The entrance also led right up to the largest buildings. These large buildings were mostly meant for guests,

From a social psychological perspective, what is stereotyping and how Essay

From a social psychological perspective, what is stereotyping and how does it operate - Essay Example According to the second premise of the continuum model proposed by the authors, â€Å"ease of information fit between category and attribute determines the processes people use,† i.e. categorization or individuation (p.237). Attribute-oriented process is launched in case the target does not fit into the perceiver’s category and confirmation categorization shows itself as unsuccessful. Further individuation is done through re-categorization of the target. Re-categorization occurs through subcategorizing, usage of exemplars or creation of new categories. If the target continues being incompatible with the perceiver’s categories, piecemeal, attribute-by-attribute analysis occurs. However, this is done only in case the perceiver has sufficient time, attentional resources and motivation. The initial categorization process is an automatic perceptual process, while the rest of processes – confirmation categorization, re-categorization and piecemeal integration â €“ are thoughtful, reflective ones. Our experience is coded in our nervous system. This makes us act and react automatically, repeating once learnt reactions again and again. The category filter of individual’s perceptions makes us perceive only selected information. We see what we are focused on, registering positive comments on those we like, negative comments on those we dislike and ignoring the rest. Further, we organize and interpret information following the usual scheme. This automatic perception leads to a number of perceptual errors. Self-fulfilling prophecy (â€Å"behaviour confirmation effect†) and halo-effect (â€Å"cognitive confirmation effect†) are the two widely spread perceptual errors. Self-fulfilling prophecy is about acting according to our beliefs as if they are true. The cognitive confirmation effect takes place when we interact with a person at a distance. Then our

The Battle of New Orleans Article Example | Topics and Well Written Essays - 1500 words

The Battle of New Orleans - Article Example The British moved in for a predawn attack, but due to problems crossing the river were delayed until daylight. Nonetheless, the forces of one of the three sections, under the command of General Gibbs, continued with the original plan. The attack began after a signal of one rocket being fired from each of the two attacking sections. The British then began to charge into the American position but were met quickly with artillery fire that ripped through their lines. American rifle fire along with a continued slew of artillery managed to stop this advance. The British losses continued to be heavy, as every wave that attacked the American lines was fiercely repelled. Many British officers were killed during this part of the battle, including Pakenham and Gibbs. Keanes, commanding the reserve force of Highlanders, saw the devastation and soon moved to reinforce the attacking element. His wave met the same fate as the others, however, and suffered heavy losses. The attacking section that had not yet been met with defeat, however, was still well hidden amongst the fogs near the river. This section, under General Lambert, made its advance and nearly took the right side of the American line. Quickly, however, American forces fired back on this section and again brought heavy casualties while suppressing their advance successfully. However, the British did see some success on the opposite bank of the river, where they landed and were opposed by fatigued militia forces. A weak line existed overall on this side of the river and was only of much use because its naval guns near the river had contributed to the artillery fire that repelled the British  attack against Jackson’s line. After the British broke this line, the success was short-lived, as the order to withdraw came in.  

An analysis of Critical Race Theory

An analysis of Critical Race Theory Critical Race Theory (CRT) was pioneered in the mid- 1970s, by who is considered to be the God Father of CRT, Mr. Derrick Bell, a professor at the New York University School of Law. He was not only angered by what he viewed as the slow progress of racial reform in the United States, but he also held that the gains brought about by the civil rights laws of the 1960s were being eroded in the 1970s ( Discoverthenetworks.org). Mr. Bell saw how people were being mistreated and saw the need for change. Not caring how people saw him or what the said about him, he continued to move forward towards progress and the conception of Critical Race Theory. According to Professor Bell and his fellow Critical Race theorists, existing legal structures are, like American society at large, racist in their very construction. Critical Race Theory suggests that to combat this institutional racism, oppressed racial groups have both the right and the duty to decide for themselves, which laws are valid and are worth observing. Critical Race Theory also promotes the use of storytelling narratives in law-review articles to better reflect the oral traditions of black experience (Discoverthenetworks.org). Traditions can only be shared by people via word of mouth, storytelling back in the day. Bell set precedence so that others to come after can be better prepared when using the CRT. In Bells original publication he states three major arguments in his analyses of racial pattern in American Law, the Constitutional Contradiction, the Interest Convergence Principle, and the Price of Racial Remedies. In The Constitutional Contradiction, Bell argues that the framers of the Constitution chose the rewards of property over justice. With regard to the Interest Convergence, he maintains that whites will promote racial advances for blacks only when they also promote white self-interest. Finally, in The Price of Racial Remedies, Bell argues that whites will not support civil rights policies that may threaten white social status. Each of his arguments sheds a different light on the traditional racial discourse (english.turkcebilgi.com). These arguments Bell stated were to make sure that everyone knew and was aware and what was ahead of them in this struggle. One of the most recent publications using the CRT theory is Talking about Race Using Critical Race Theory: Recent Trends In The Journal Of Marital And Family Therapy (2004). Laureal and McDowell state that: CRT is a useful lens that can inform MFT practice in education, research, and therapy. For example, educators can use CRT to critique Eurocentric MFT curricula, integrate marginalized voices in course readings, and engage students in critical discussions about racism and social justice. We believe CRT holds significant promise for MFT by critically considering multiple identities, acknowledging sources of dominant ideologies, committing to social justice, creating space for marginalized voices, and spanning boundaries to build interdisciplinary knowledge of racial relationships (p.92) Another recent publication, Exploring possibilities through critical race theory: Exemplary pedagogical practices for Indigenous students (2003), McDonald states in this publication: I examine the contribution that critical race theory (Ladson-Billings, 1998, 1999, 2000) can make to understandings of the experiences of Indigenous students in Australian schools, which continue to be a site of both struggle and possibility for Indigenous people. Recent government reports (Department of Education Science and Training, 2002; Yunupingu, 1995) have concluded that there have been considerable improvements in the educational status of Indigenous Australians since the introduction of the National Aboriginal and Torres Strait Islander Education Policy (Department of Employment Education and Training, 1989). However, inequities remain. These inequities are clearly evident in the area of secondary education. critical race theory should remind Australian researchers to draw on the specific experiential and subjugated knowledges of Indigenous Australians (Moreton-Robinson, 2000) expressed in academic scholarship, community discourses and in public expression through the arts t o examine the persistence of race and racism within Australian society, a persistence often denied in a society where a mania for formal equality contributes to the insidious denial of racism which infiltrates policy and political discourse (Jonas, 2002). These authors and publications give credit to the Critical Race Theory, for example with the Indigenous Students, because they are not treated equally with the non indigenous students. This can definitely be compared to Brown vs. Board of Education. CRT is concerned with the idea of inescapable and inherent racism. In the American legal system, as well as with the consistent application of racial subordination and discrimination in the practice of law, with the exception of interest-convergence issues, in which both the white majority and minorities profit from expansion of rights (as argued by Bell in Brown vs. Board of education and the Interest- Convergence Dilemma ( Harvard Law Review 1980) (retrieved from http://reachinformation.com/define/critical%20race%20theory.aspx). The fact that it is 2010 and there is still segregation in the world is a problem that should be an issue to every one, not just the indigenous people, because it is not fair to treat people differently just because they are not the same race as others. That is exactly what Mr. Bell and others fight for. The Journal of Marital and Family Therapy credits Critical Race Theory with: Therapists helping clients deal with individual acts of racism (Friedlander, 1999); encouraging clients of color to develop stories of strength and resistance (Killian, 2001; Milan Keiley, 2000); relying on the historic survival, resistance, and resilience of ancestors of color (Milan Keiley, 2000); openly discussing the history of race relationships and legal discrimination in the U.S, (Killian, 2001; Milan Keiley, 2000); using cultural genograms to uncover stories of strength and adversity (Milan Keiley, 2000).(McDonald p. 9). Being able to talk to someone and to express your concerns is a great outlet to have. The therapist needs to be well-informed and sensitive to the topic of race and racism as well, in order to help someone. This Critical Race Theory provides a foundational understanding to communication scholars in relation to the role race plays and its importance in societal issues. Scholars can take from history many examples of how race is depicted. Stories from people who are faced with the obstacle of racism will now have scholars have the chance to have their true story told, rights given and laws established. Other significant contributors to the critical race theory discourse from the 1980s to the present include Richard Delgado and Kimberlà © Williams Crenshaw. Delgado, in defense of Bells storytelling or narrative style, argues that people of color speak from an experience framed by racism. Delgado argues that the stories of people of color are born from a different frame of reference and therefore impart to them a voice that is different from the dominant culture of hegemonic whiteness and deserves to be heard. Critical race theorists believe that in order to appreciate the perspective of oppressed racial minorities, the voice of a particular contributor must be understood in terms of that individuals own narrative (www.english.turkcebilgi.com). Many people can not understand what African American people go through on a day to day basis. The same can be said for Jewish people, Arab people and other people who are not Caucasian. Our point of view, besides what is told to us through history, is all we have. Our voice often can only be expressed and explained through narratives. Kimberlà © Williams Crenshaw explains that the formal, legal embrace of equality was a major breakthrough in the challenge to social norm of white supremacy, but the removal of formal barriers, although symbolically significant to all and materially significant to some, will do little to alter the hierarchical relationship between blacks and whites ( Rossing, 2007) Yes there are laws in effect that can protect us from inequality. However, we have to take the opportunity, when it arrives and fight for what we believe. Other noteworthy contributors, in the legal field are Neil Gotanda, Cheryl I. Harris, Charles Lawrence III, Mari Matsuda, and Patricia J. Williams. Richard Delgado and Jean Stefancic, state similar themes when writing about CRT. According to http://www.absoluteastronomy.com/topics/Critical_race_theory 2003: A critique of liberalism Storytelling/counter storytelling and naming ones own reality Revisionist interpretations of American civil rights law and progress Applying insights from social science writing on race and racism to legal problems Structural determinism, how the structure of legal thought or culture influences its content The intersections of race, sex, and class Critical Race Theory has also been applied in education by one scholar Gloria Ladson-Billings. Critical race scholarship in education, has occurred in three waves. The first wave of studies emanated in the mid 1990s with the introduction of CRT to the field by Ladson-Billings and Tate. Parker and Solorzanos contributions followed soon thereafter. The second wave of scholarship occurred in the late 1990s and continued through about 2004. Younger scholars like Lynn, Duncan, and Yosso became key players. Dixson and Rousseau represent the third wave of new scholars who are attempting to re-introduce CRT to the field while creating stricter standards for how critical race theory in education is defined. Other noteworthy educators who have researched CRT are Laurence Parker, Daniel Solà ³rzano, William Tate, Yosso, Dixson, Rousseau, and Chapman (Tate 1997). Applications of the theory: Identify and analyze five studies that use this theory. Judge Alex Kozinski, United States Court of Appeals for the Ninth Circuit, writes Critical Race Theorists have constructed a philosophy which makes a valid exchange of ideas between the various disciplines unattainable. He writes, The radical multiculturalists views raise insuperable barriers to mutual understanding. Consider the Space Traders story. How does one have a meaningful dialogue with Derrick Bell? Because his thesis is utterly untestable, one quickly reaches a dead end after either accepting or rejecting his assertion that white Americans would cheerfully sell all blacks to the aliens. The story is also a poke in the eye of American Jews, particularly those who risked life and limb by actively participating in the civil rights protests of the 1960s. Bell clearly implies that this was done out of tawdry self-interest. Perhaps most galling is Bells insensitivity in making the symbol of Jewish hypocrisy the little girl who perished in the Holocaust as close to a saint as Jews have. A Jewish professor who invoked the name of Rosa Parks so derisively would be bitterly condemned and rightly so. (http://pediaview.com/openpedia/Critical_race_theory) Judge Kozinski, just states that fact the way CRT tries to be recognized, by way of story telling and narratives, does not give the theory and the speaker any substance because a persons word does not have much to any weight in the legal system. Judge Richard Posner of the United States Court of Appeals for the Seventh Circuit in Chicago has labeled critical race theorists and postmodernists the lunatic core of radical legal egalitarianism.' He writes, What is most arresting about critical race theory is thatit turns its back on the Western tradition of rational inquiry, forswearing analysis for narrative. Rather than marshal logical arguments and empirical data, critical race theorists tell stories fictional, science-fictional, quasi-fictional, autobiographical, anecdotal designed to expose the pervasive and debilitating racism of America today. By repudiating reasoned argumentation, the storytellers reinforce stereotypes about the intellectual capacities of nonwhites. (http://pediaview.com/openpedia/Critical_race_theory) Judge Posner suggests by his writings that anybody can tell a story and who knows what the truth could be. There is no proof that the narratives are real as they are telling their story, all we have to go by is our word. Another application of CRT has been associated to hate crime and hate speech legislation. In response to Justice Scalias  opinion in a paradigm hate speech   case, R.A.V. v. City of St. Paul (which addressed cross burning as an act of hate speech ), Mari Matsuda and Charles R. Lawrence III presented a critical race theory argument against Scalias opinion. While Scalia posits that speech is protected independent of content, Matsuda and Lawrence argue that historical and social context is paramount. When acts of speech are acts of intimidation and threaten violence, backed up by a historical force, then those words become a mechanism for social control and domination. Justice Scalia delivered the opinion of the Court, in which Chief Justice Rehnquist, Justice Kennedy, Justice Souter, and Justice Thomas joined. All 9 justices concurred in the judgment of the Court that citys ordinance was facially invalid under the First Amendment. (http://reachinformation.com/define/critical%20race%20theory.aspx) The symbolism of a burning cross, what it represents and the stories that follow, speaks volumes of what the intent is and because the Supreme Court was able to see that, and was able correctly, based on the history and the stories that were told, CRT was used to put that case of racism to history. The fourth application of the Critical Race Theory deals with how the community was able to take action when students were being treated unfairly. Larson (1997) presents an example of this phenomenon in a case study of White school administrators at a Midwestern high school. The administrators rigidly follow bureaucratic strategies of control by enacting disciplinary procedures against African American students despite growing evidence of racial tension due to outright prejudice by White teachers and tracking placements that stunted African American student progress and eventually caused the community to rise up and demand change (p.33). The school only feeds the problem of racism and unconsciously or not they are giving power to the majority students to act against them in anyway knowing no repercussions will be handed down. As parents they teach their children how to act, the race does not matter, but for a school to reinforce that attitude is outrageous. When communities rise up and demand change (Deyhle and Parker, p.33) and they are in one accord, the outcome will make a difference. The final application I would like to use is how Latino Immigrants were made to feel inferior. According to Ladson-Billings, the narrative that we are all immigrants blames Latino immigrants themselves for their marginalization by saying they do not work as hard as previous European immigrants. In this way, Ladson-Billings (in this volume) argues that CRT sees the official school curriculum as a culturally specific artifact designed to maintain a White supremacist master script(p. 36). Unfortunately, trying to make people inferior to another is what people in general do. One can say this started when white supremacist would talk down to people and in older times owned them as slaves. Some races of people now do that to make others seem better than others, when there is no need. Some can not stand for someone to be better than us. There is a need to TRY and break others down, just to make themselves feel better. The first criticism of the Critical Race Theory would be that, Critical Race theorists face the task of challenging deeply ingrained mental structures that categorize and define race to the disadvantage of blacks and other nonwhite groups' (Rossing p.6) Change is always hard to adjust to and when people are stuck in their ways, it is nearly impossible to get them to change their minds once it is already made up. Another criticism of CRT, many mainstream legal scholars of various ethnicities have criticized CRT for its use of narrative and storytelling. Judge Richard Posner   of the United States Court of Appeals for the Seventh Circuit in Chicago has labeled critical race theorists and postmodernists the lunatic core of radical legal egalitarianism' ( http://www.absoluteastronomy.com/topics/Critical_race_theory). Judge Posner is basically saying Critical Race Theorist are crazy people who try from a far-reaching radical group trying to bring social justice to others. A third criticism would be Critical Race Theory also analyzes and challenges the terms that we associate with societys changing definitions of reality and truth (Rossing p.9). Because this theory is based on the exact words from people, there is the thought that crosses the minds of all is who is judging and wonders if they are telling the truth or making this up. Once doubt has entered your mind you will continue to second guess the decision that has been made from that point on. Critical Race Theory is a movement that studies and attempts to transform the relationship between race and power by examining the role of race and racism within the foundations of modern culture. As far back as the principles of Enlightenment thought that form the basis for many modern views of equality and law; as a movement, it has moved beyond law and has now become common in the academic disciplines of ethnic studies, political science and education (http://reachinformation.com/define/critical%20race%20theory.aspx). People who would not like this theory are people who think that we have laws and we need to abide by those laws down to the meaning without many different interpretations. When in court some lawyers and judges may not allow any un-written theories or studies that are not documented by court, giving a reason of how do we know this person is telling the truth? In reality, people misuse the system to get what they can gain, so who is to say that they are not telling the truth? The CRT Theory is useful for being able to tell my side of the story of how I have been mistreated if anyway. For example, a co-worker who was not of African American descent, who felt he could talk down to me, and could try and make me feel inferior to him, by making inappropriate jokes and making unethical decisions. If I was to make a complaint my job would have me write up a statement and participate in a possible meeting detailing what happened and how I was offended. .