Why Your House May Be Neoclassical

The Writing Of Writing Courses Essay - 2364 Words

Writing courses are classes that are there to help students become familiar with formal, written English as well as come into their own as writers. The curriculum should focus on grammar, punctuation, usage, mechanics, writing style, organization and clarity and non-traditional compositions. These courses should be hands on, letting students learn from experience; there is only so much you can learn by reviewing someone else’s work. Yet, I have been in many writing courses where we hardly wrote. This caused the students’ writing skills to become rusty; we as students lost interest and no longer participated because of it. Having a writing course turned into a writing seminar is not only false advertising, but it caters more to the teacher’s comfort zone and need to be in control of what the students read and write. This leaves students trying to gratify their teachers to get a good grade, rather than improving their skills. In A guide to Composition Pedagogies by Gary Tate, Amy Rupiper and Kurt Schick, there is a section on the education behind the writing curriculum that states: The student writes the wrong thing, for the wrong reason, to the wrong person [†¦] he writes about a subject he is not thoroughly informed upon in order to exhibit his knowledge rather than explain something the reader does not understand, and he writes to a professor who already knows more than he does about the matter [†¦] (page 156). Writing intensive courses should be writing intensive to beginShow MoreRelatedMy Writing For Writing A Writing Intensive Course1228 Words   |  5 PagesThere were goals in English 109M that lets me know that I will learn in the class to help prepare me for the writing intensive course. These goals, let me know what the expectation is for the class and how these goals will help me to improve my writing proficiency in the writing intensive course. However, it was not an easy journey for me. I did have my struggles with writing essay for this class due to insufficient of English grammar rules but I manage to do better than I thought. My essays mightRead MoreMy Writing Of A College Level Writing Course993 Words   |  4 PagesAt the beginning of the term, I came into this class not feeling very confident about my writing. I had taken writing classes in the past, but none to the extent of a college level writing course. One of the skills that I found I lacked the most was my vocabular y. While my writing structure was often not a problem my writing did not sound as sophisticated as it could be. I occasionally used a thesaurus but this would often cause problems as sometimes the words would not quite agree with the meaningRead MoreWriting And Researching English Course974 Words   |  4 Pagescompleting English 1020 course, I thought I have gained so much skill in writing, reading, and researching that I didn’t need to take any other English course to gain more skills. However, English 3010 course proved me wrong. By taking English 3010 courses, I could realize that, even though I have gained many skills from English 1020 course, it wasn’t enough and I certainly needed to learn more. English 3010 was a course designed to test student’s skill on three major areas: writing, reading, and researchingRead MoreThe College Level Writing Course877 Words   |  4 PagesAt the beginning of the class this year, I didn’t expect o to well right of f the bat of the college level writing course because I had always struggled with English in middle school through high school. To my surprise though, I have learned many things this semester and have already used some of these skills in other papers in other classes I had. Thanks to the help of Sue Oakes, I can now say proudly that I can actually write a decent paper and feel rather confident about it. Starting off theRead MoreCritical Reading And Writing Course995 Words   |  4 PagesCritical Reading and Writing course. I did not know anything about rhetoric before entering the class and I now feel that I have a good grasp on it. I still struggle a bit remembering some of the rhetorical terms, but I am way more comfortable and familiar with them now. In high school I never really summarized pieces, instead I would quote them. I now feel confident in my abilities to summarize and paraphrase accurately which is a really useful skill to have. Before this course I knew how to use researchRead MoreInstructions for Business Writing Course593 Words   |  2 Pagesstudent x CC: a, b.c Date: 05/01/012 Re: Business writing course Dr. Know-it-all: I have recently chanced across a business writing course that will be held at Loyola university once a week between the hours of 1.30 to 5.30. It costs $1000 per session. Although I am just an internist in your company, I believe that you have sufficient trust in me to employ me some day and, therefore, I am requesting that you pay so that I complete the course. Research that I have done and people whom I have spokenRead MoreWriting Is A Major Part Of College Courses Essay1685 Words   |  7 PagesWriting is a major part of college courses. Most courses will require you to write a paper to pass the course. Writing has not always been something that I have excelled in. I was never a good writer from the start. This paper is to show where I have struggled in the past, currently and where I improved in my writing. It will explain where I got help in years previous to Neumann University along with my first semester at Neumann University. This will include grammar, word choice, using resourcesRead MoreGraduation Speech : College Writing Course856 Words   |  4 PagesIn order to gain a sense of familiarity for first- year college writing, a small portfolio of the student’s work was submitted to help high schools students become more prepared for the college writing techniques. A college writing course is much different than a high scho ol class. Although the course is only a semester long, instead of the traditional year long class high schools provide, I have learned how to write a stronger essay in a shorter amount of learning time. For this portfolio my previousRead MoreGraduation Speech : Teaching And Writing Courses986 Words   |  4 PagesThroughout the previous years of my education, I have explored a variety of English and writing courses where I learned to dissect and explore the various meanings and intentions of authors and poets as well as my peers. Aside from the mandatory conventions that must be mastered in writing to ensure clarity, there are some characteristics that run deeper. These are what dictate whether or not a writer may truly become successful. A common theme that has been reinforced in my experiences is that ofRead MoreLearning the Process of Writing in a First-Year Composition Course1601 Words   |  7 PagesI entered my first-year college composition course believing I was equipped w ith the knowledge, skill, and ability to write an efficiently researched and well-organized essay. In high school, I learned how to create the traditional five-paragraph paper with its introduction of a thesis, explanation of that claim through three sections riddled with supporting quotes, and conclusion that restated the author’s substantiated statement. This was the prescribed formula I had learned and grown accustomed

It236 Week 2 Free Essays

Web site plan part one. * Tittle: Cocibolca Money Transfer web site. This site will be design for a small money transfer business, in need of a web site to promote their services and to try to enhance their business success. We will write a custom essay sample on It236 Week 2 or any similar topic only for you Order Now * Site purpose- The purpose of my site is to promote and informed customers about the products and services offered by this small business services. In which customers will be able to see and understand the different products and services in detail; such as pricing on every product and services. By creating and maintaining this site the company, is hoping to gain more customers to use their services. This site will help the company to keep up with today’s business standards. * Key points of this web site- This web site will be focused in providing a customer service and successful customer experience. 1. Detail information- when customers go online, they do not want to make a phone call or email a company to obtain the information that they need about products and services. The goal is to provide ensure that, when a customer goes into this web site easily find answers to any questions. 2. Services- On this site the services offered by this company, will be describe in detail using a good visual design. Having this in mind it is important to have clean and simple design that will stand out from competitors. A great visual design will catch the attention of everyone that logs in; the first impression it is crucial. 3. Contact information- It is essential to provide contact information that a potential customer can use easily. It is ideal to provide more than one contact method, such and email address and also a contact form. 4. Search field- Having a search field will be very beneficial; it can be very frustrating having to go over a few pages of site before obtaining information of a specific service or content. * Target Audience-The target audience will be the Hispanic community that uses the products and services of money transfer business. The local Hispanic community of Miami Dade County especially those from south and Central America that are known to use money transfer services very often. * Pages transition- In this site I am planning to create a uniform look among each page and sections of the site. By reinforcing and identifying elements of the site and create smooth transitions from one page to another by repeating colors and fonts and by using a page layout that allows hierarchical levels. On this site I also think that it is imperative to use all the blank spaces of every pages and section on the site. With the use of every white space on this web site, will guide the readers and it will define each area of the site. * Slogan- Good service is our expertise!!!!! — This slogan will induce the target audience to use the business services, and the slogan drive the site content, because it represent everything that will be presented on the web site. Every service available to help every customer in their needs and also to demonstrate the expertise of the business in servicing customers is presented on this slogan. Sources: (Sklar) How to cite It236 Week 2, Papers

Priimtiniausias Vadovavimo Organizacijoje - Myassignmenthelp.Com

Question: Discuss About The Priimtiniausias Vadovavimo Stilius Organizacijoje? Answer: Introduction Leadership refers to the art in which an individual motivates a group of people towards achieving a common and desired goal. This report talks about the various types of leadership theories which are used by different and successful leaders across the world. An emphasis is put on the type of leadership styles exhibited by Steve Jobs and this is used as an example of which type of leader is good and one that is not a great leader. Organizational settings An organization set basically refers to the way in which an organizations employee base is in constant contact with the top management. The type of organizational setting is usually affected by the way in which the leadership style being used can have an impact on the organization itself. (Goldsworthy, 2015, 399). The setting now accommodates for the various factors that are there such as the styles of leadership and other factors that may cause an effect in any way. Some of the leadership theories in an organization are as follows This theory affects the performance of the organization either directly or indirectly. The theories that are commonly known are:- Great Man Theory. This theory came into being in the 19th century. By this time no one was in a position to identify himself or herself with the theory. This type of theory is concerned with the identification of great leaders who could perform numerous outstanding functionalities. (Ahmed, et al 2015). As the name of the theory portrays it shows that only a man can have the best characteristics that are required in a leader. The theory of the great man suggests that the characteristics of a leader are intrinsic, that they are born with the various qualities of a leader and therefore not made to obtain the traits to be made leaders. The theory views great leaders to be the ones that from birth they were destined to be a great leader and if not from birth then the leader, not a great one. The theory also shows that great leaders show their capabilities when confronted with difficult situations. Trait Theory. This theory is concerned with the mental capability of a leader. The theory states that people are either born leaders or are made to be leaders overtime. What matters most is the mentality of the particular person. What makes a person excel in leadership according to the theory is the type of character traits that the person has and this majorly is influenced by the mental being of the person. This then proves that the theory focuses mostly on the mental, physical and social analysis of a persons characteristics and this helps in making more sense of the particular person. Behavioral Theories. Role Theory. Behavioral theories are those type of theories that focus more on the type of behaviors that are exhibited. This is a different case as is not concerned with their mental capabilities, physical or social characteristics. (Jobs Hoopla digital, 2012, 76). The theory states generally that leaders are not born but they are made from the particular experiences in which they are exposed to. The kind of behaviors in which they exhibit proves that they are leaders or not. This theory then means that the various people who are leaders can also be trained to be better leaders than they are. Transactional Leadership. This set of theories is also known as exchange theories of a leader. The theories are characterized by a particular transaction made between the follower and the one leading. The theory shows a relationship that is positive and in a way a mutually beneficial relationship. This theory states that for the relationship to be transactional and be in an effective manner there must be motivations made by the leader to the follower and this usually is when the follower has done what is expected to his/her perfection. Transactional leaders must always learn to appreciate their employees and most specifically when the employee performs in an outstanding manner. The theory also states that the average human being usually seeks to maximize most of the experiences that entail pleasure and they tend to put off the experiences that are un-pleasurable. This theory states that the human in most occasions likes to associate himself or herself with the people that add value to their lives and most people that can be of more value. Transformational Leadership. This is a theory that states that in the process by which a person interacts with other people can be able to help make a great relationship that is formed on the basis of trust. This particular relationship helps motivated people that work together and helps improve the employee to employer relationship. (Jobs In Gillespie, 2016, 99). This style means that the leaders transform their followers through inspiring them in various ways and especially in their various personalities. This style makes the employees have a sense of belonging to the particular organization, also this helps make the employees have a sense of identity to the particular organization. The forms of leadership approaches are the qualitative approach and the functional approach. Qualitative approach states that leaders are born and therefore consists of certain inherited factors and therefore leaders are not made. The second approach, a functional approach which is also referred to as group approach states that leadership as a virtue can be developed through learning over time. The behavioral styles approach is an approach that mainly focuses on the particular behaviors of the leaders. Another approach is the situational approach. This refers that the certain situation that is present determines the type of leadership style to be adopted, and this is usually the most effective style according to the situation at hand. Transactional and transformational leadership is another approach. This approach closely monitors two of the leadership levels as:- Transactional- deals mostly with the self-interest of the available employees and based on the position occupied by the leader in authority Transformational leadership- This is guided by a leadership style where the employees are motivated to offer effort than what the transactional leadership can offer and not just their self-interest. There are also leadership styles that affect the way in which a leader conducts himself or herself. These various styles affect the people being led in different ways and this makes the styles different. The people being led sometimes tend to work more for certain leaders with certain styles as compared to other leaders. Global leadership This refers to the study of elements of leaders that is key to the future leaders in all areas of life. The particular personnel should always be familiarized with the psychological, physiological, geographical, geopolitical, anthropological and sociological effects that come about from the fact of globalization. (Jobs In Kelly-Gangi, 2014, 323). Advantages of global leadership By having intellectual competence in an organization there is the development of proper communication and marketing strategies with particular market entries or launching of products becomes easy. Management environment becomes increasingly international and also the cross-cultural effect on the global perspective. This, therefore, leads to additional dimensions in the environment that is usually dynamic. This brings about forming of a multinational group. Makes it possible to learn how to build cross-cultural networks. Leadership and change In the world today there is a lot of competition in all areas and everything is becoming competitive. This is an indication that more and more organizations are coming up and the ones that are already available going through change in terms of growth. An organization that resist change is therefore an organization that is as good as dead. Change therefore is needed because customers are demanding more and more as compared to how they demand quality. This then means that if you do not changes and provide what is needed competitors will provide it for you. For change to occur successful in an organization the type of leaders present really matter and are the ones to drive the changes. The work of a leader mainly is to emphasize the essence of change in an organization and also make the other colleges in the organization to buy the idea. The leadership of Steve Jobs Steve jobs is one of the most successful technology CEO of all times and up to now no one really has reached the point in which he led. Steve Jobs was always aware of the constantly growing competition in the world that is all over. As the competition rises there is a lot of pressure on innovation and the need to create more products. (Ofoegbu, et al, 2013) The top on the list of strategic goals of every organization is their service to stay on top of others. The CEOs of these companies remain to be the ones under a lot of pressure to help maintain the image of the organization and also to make the organization to remain relevant to the world as whole. The CEOs are then now challenged with the question of constant change which is required in every organization. There is a global firm that carried out an investigation on the various leadership styles and how the CEOs of various companies have been able to stay on the move of constant change in order to combat the constantly increasing competition. The firm, Waterhouse Coopers, did a market survey and in this they did to 1258 CEOs in more than 60 countries. The survey was termed as 2012 Global CEO survey. They spoke on the various opportunities and challenges that their organizations have. (Jobs Revolver Entertainment (Firm, 2012, 333) Revelation was seen that CEOs play a greater role when it comes to the overall change in an organization. The challenge that is present in the globe is on various organizations having great leaders who have the ability to spearhead creative force to the employees of the organization. One of the outstanding CEOs in this survey was Steve Jobs. He had not taken part in the previous survey but this time round had proven to be a driver of innovation and hence increased profits in his organization. For a clearer understanding of the various leadership styles that Steve Jobs exhibited research done was broken down to five phases of his life lessons during his entire career. First, beginning when he founded Apple, second is the challenges he faced, third was his fall, fourth was his return and then finally fifth was his legacy on his career. (Williams, 2005, 111). The beginning of Steve Jobs when he founded Apple. Jobs was a dropout from college with a spirit to change the world. He was ambitious and need some boost to be able to accomplish various tasks. He then joined hands with his brother Steve Wozniak. Jobs designed the fast computer and this was as a result of his love for designing. This first shows that Jobs was an innovative and creative young man. Another trait exhibited by Jobs in this context is his commitment to perfection. This was also seen in his entire career as he demanded this from all he worked with. It is even recorded that pleasing Steve Jobs was almost impossible as he was always a perfectionist. In many occasions Jobs became brutal and cold. He says in one of his interviews my job is not to please people but is to make them better. Jobs always carried the vision of apple and always inspired other employees. This is a great leadership trait and always encouraged innovation and creation of new things with a view to change the world. As a leader Jobs always showed his employees the meaning of work and made several employees believe in making what seemed to be impossible become possible. Challenges faced by Steve Jobs during his career Not everything that he created was a success. Throughout his career Jobs had what is called unmatched set of skills that are vision, intuition, creativity and leadership. Though he was usually not put down by his failures and always kept on moving forward. (Spaulding, 2008, 39). When his group failed to in a certain project he fired a lot of memos and narrowed down to middle managers. Even before the project was done he demoralized the designers. This he did by demanding them to produce an entirely new look of the design. This was due to his quality of perfection. The return of Steve Jobs. During the time when Steve Jobs was not working for Apple anymore he experienced a lot of changes in his life. The organization also faced some changes due to this factor. He had founded two companies, NeXT and Pixar. He was in need of funds to fund this two companies. This is when Apple had proposed to buy NeXT for its software. Jobs was also asked to return to apple as an advisor and this made him become a changed man. The legacy of Steve jobs in his entire career. First Steve Jobs will always be remembered in the whole world as a global icon who always wanted advancements in technology. The greatest legacy that he left behind was that of leadership insights and lessons. He achieved his main goal which was to connect people and actually this is a great legacy he left behind as a leader. Conclusions Leadership refers to the art in which an individual motivates a group of people towards achieving a common and desired goal. (Steinberg, 2014, 110). A leader must always influence the various employees that he is working with. I can also conclude that the success of an organization depends a lot with the type of leader in the organization. This is proven by Steve jobs who proves to be a great leader who is creative and innovative and success is seen in Apple. I would recommend that survey should be done in order for various aspects of leaders to be noticed around the world so that we can change the world as a whole. References Ahmed, E., Reaburn, P., Samad, A., Davis, H. (2015). TOWARDS AN UNDERSTANDING OF THE EFFECT OF LEADERSHIP ON EMPLOYEE WELLBEING AND ORGANIZATIONAL OUTCOMES IN AUSTRALIAN UNIVERSITIES. Journal Of Developing Areas, 49(6), 441-448. Bauer, D. (2015). Successful leadership behaviours in Slovak organizations' environment - an introduction to Slovak implicit leadership theories based on GLOBE study findings. Journal For East European Management Studies, 20(1), 9-35. doi:10.1688/JEEMS-2015-01-Bauer Boyle,D., Rudin,S., Gordon,M., Casady,G., Colson,C., Sorkin,A., Universal Studios Home Entertainment (Firm). (2016).Steve Jobs. Ghasabeh, M. S., Reaiche, C., Soosay, C. (2015). THE EMERGING ROLE OF TRANSFORMATIONAL LEADERSHIP. Journal Of Developing Areas, 49(6), 459-467. Goldsworthy,S. (2015).Steve Jobs. Jobs,S., Hoopla digital. (2012).Steve jobs - consciously genius: unauthorized documentary. United States: REAGAL. Jobs,S., In Gillespie,K. (2016).Steve Jobs. Jobs,S., In Kelly-Gangi,C. (2014).Steve Jobs. Jobs,S., Revolver Entertainment (Firm). (2012).Steve Jobs: Visionary genius. West Hollywood, CA: Revolver Entertainment. KUNNANATT, J. T. (2016). 3D LEADERSHIP -- STRATEGY-LINKED LEADERSHIP FRAMEWORK FOR MANAGING TEAMS. Economics, Management Financial Markets, 11(3), 30-55 Landis, E. A., Hill, D., Harvey, M. R. (2014). A Synthesis of Leadership Theories and Styles. Journal Of Management Policy Practice, 15(2), 97-100. Ofoegbu, F. I., Clark, A. O., Osagie, R. O. (2013). Leadership Theories and Practice: Charting a Path for Improved Nigerian Schools. International Studies In Educational Administration (Commonwealth Council For Educational Administration Management (CCEAM)), 41(2), 67-76. Paulien?, R. (2012). TRANSFORMING LEADERSHIP STYLES AND KNOWLEDGE SHARING IN A MULTICULTURAL CONTEXT. Business, Management Education / Verslas, Vadyba Ir Studijos, 10(1), 91-109. doi:10.3846/bme.2012.08 PETRULIS, A. (2017). DARBUOTOJAMS PRIIMTINIAUSIAS VADOVAVIMO STILIUS ORGANIZACIJOJE. Regional Formation Development Studies, (21), 109-121. doi:10.15181/rfds.v21i1.1413 Spaulding,S. (2008).Team leadership in the game industry. Boston, MA: Course Technology, PTR/CRM. Steinberg,B. (2014).Women in Power: The Personalities and Leadership Styles of Indira Gandhi, Golda Meir, and Margaret Thatcher. Montre?al: McGill-Queen's University Press. Tyssen, A. K., Wald, A., Spieth, P. (2013). Leadership in Temporary Organizations: A Review of Leadership Theories and a Research Agenda. Project Management Journal, 44(6), 52-67. doi:10.1002/pmj.21380

The Catcher In The Rye - Foreshadowing Essays - Literary Realism

The Catcher in the Rye - Foreshadowing The use of forshadowing in a novel can help it's reader get a sense of what is to come in the story without giving away the events themselves. It is a powerful tool which prevents events from being left unexplained, leaving the reader question the effectivness of an outcome. The eventual breakdown of the character Holden Caufield in J.D. Salinger's controversial 1945 novel "The Catcher in the Rye" was foreshadowed in the early chapters of the book. The first clue is his negative approach to life. He begins by talking about his "lousy childhood" (p.1) and the first traces of profanity can be seen scattered about the page in the form of "crap", "hell" and "goddam". Holden's first sign of distrust comes when he speaks to Ward Stradlater about his date with Jane Gallagher: "Listen. Give my regards, willya?" "Okay," Stradlater said, but I knew he probably wouldn't... "Ask her if she still keeps all her kings in the back row." "Okay," Stradlater said, but I knew he wouldn't. (p.33-34) This is seen again when he doesn't trust Stradlater to stop his advances of Jane in the case that she says no. Holden gives up his faith in people to trust him when he boards a bus holding a snowball. The driver refuses to believe that Holden won't throw the snowball so he draws the conclusion that "People never believe you." (p.37). He is also always placing labels upon people as being "phonies" which gives the reader the idea that Holden thinks that others are materialistic. Holdens attempts to protect the innocence in the world is another early sign of his deteriorating state. When Holden goes to Pheobe's school to deliver his note he sees some swearing of the wall which he says "drove me damn near crazy" (p.201). He wipes the words from the wall in an attempt to prevent the inevitable from occuring, leading the reader to believe that he may experience some mental unstability in the future. Eventually he comes to the realization that he can't rub all the profanity away himself. Another example of Holden's attempt to shelter innocence is the fact that he never does call Jane, possibly for fear that she will scar his memories of her as an innocent child. The title of this novel presents this theme to the reader in that Holden wants to be "the catcher in the rye" (p. ) so he can catch all of the children that sway to close to the edge of a cliff in thier play. Perhaps the most obvious example of foreshadowing in the novel occurs when his parents come close to having him "phsycoanalyzed and all" (p.39) when he breaks all the windows in the garage. Throughout the novel he refers to himself as "a madman" (p.79) which gives the reader the idea that he sees himself as having a sort of mental problem. These two peices of evidence alone present a fairly firm idea of what will happen to Holden towards the end of the story. The use of foreshadowing is evident in the novel "The Catcher in the Rye". It does it's job well in that it foretells the outcome of Holdens many problems and gives reason for it. The eventual breakdown of Holden is not startling to the reader because of the authors use of foreshadowing and therefore it is effective.

Carta de invitación para sacar la visa de turista EE.UU

Carta de invitacià ³n para sacar la visa de turista EE.UU Las cartas de invitacià ³n se utilizan frecuentemente como parte de la documentacià ³n que se entrega a una embajada o consulado americano cuando se solicita una visa de turista para Estados Unidos. No es un documento necesario, pero sà ­ que es  frecuente  porque puede ayudar a que el oficial consular se decida aprobar la visa que se solicita. Pero es importante entender que, por sà ­ sola, la carta de invitacià ³n no es suficiente para obtener la visa, sino que es un elemento ms a tener en cuenta y para inclinar la balanza a favor del solicitante.   Asimismo, si no se presenta una carta de invitacià ³n eso no quiere decir que la visa no pueda obtenerse. En otras palabras, es un documento de presentacià ³n voluntaria que puede ayudar a obtener la visa. En este artà ­culo se informa sobre quià ©nes pueden escribir la carta de invitacià ³n, quià ©n es el destinatario de la misma, cul es el formato adecuado y quà © documentos adicionales se pueden incluir en apoyo de la veracidad de la carta. Quià ©nes pueden escribir la carta de invitacià ³n para sacar la visa de turista La carta de invitacià ³n no la escribe la persona que solicita la visa, sino otra distinta que es a quien se va a visitar en Estados Unidos. En este punto, es fundamental el estatus migratorio de dicha persona en Estados Unidos ya que determina si tiene capacidad para redactar este tipo de documento. Pueden hacerlo las siguientes personas: En primer lugar, los ciudadanos americanos, que debern acreditar tal situacià ³n mediante documentos como copia del pasaporte americano o del certificado de nacimiento en Estados Unidos. En realidad, cualquier documento oficial que pruebe su condicià ³n de estadounidenses. En segundo lugar, los residentes permanentes legales. En este caso, debern incluir con la carta una fotocopia legible por los dos lados  de su tarjeta de residencia, tambià ©n conocida como green card. Y, en tercer lugar, pueden redactar la carta de invitacià ³n los extranjeros que se encuentran legalmente en Estados Unidos  porque tienen una visa vigente. En este caso  debern adjuntar a la carta de invitacià ³n su certificado original de nacimiento, fotocopia de todas las hojas de su pasaporte y, si su visa estuviera en otro ya expirado, tambià ©n incluir copias de à ©ste. Si la visa est expirada pero se ha pedido su renovacià ³n, una copia de dicha peticià ³n. Adems de esos documentos los extranjeros con visas L1 de transfer entre sedes de una misma empresa  o H1  para profesionales debern incluir su à ºltimo I-797, una carta que reciben del Servicio de Inmigracià ³n y Ciudadanà ­a (USCIS, por sus siglas en inglà ©s). Por otro lado,  los migrantes que està ©n en situacià ³n de ajuste de estatus pendiente  se recomienda que envà ­en junto a la carta de invitacià ³n una copia del documento que pruebe tal situacià ³n, como por ejemplo el permiso de trabajo, conocida en inglà ©s como  EAD card. Por à ºltimo, tener en consideracià ³n que si la invitacià ³n se hace a favor de un familiar por razà ³n de matrimonio, como por ejemplo un suegro o un cuà ±ado, deber acompaà ±arse la carta de invitacià ³n con una fotocopia del certificado de boda de la persona que invita y fotocopia del pasaporte de su marido o de su mujer. Por ejemplo, si un ciudadano americano est casado con una mexicana y quiere invitar a su suegra a que les visite en EEUU con ocasià ³n del bautizo de su hijo deber incluir no sà ³lo prueba de su ciudadanà ­a estadounidense, sino tambià ©n de estar casado con su esposa mexicana y copia del pasaporte de à ©sta. Finalmente, los migrantes indocumentados no deben  escribir una carta de invitacià ³n. No facilitarà ­a la solicitud de visa del solicitante y, por otro lado, servirà ­a para revelar la situacià ³n de indocumentado de dicho migrante y datos importantes como, por ejemplo, dà ³nde vive. Adems, si una persona invita a sus padres a visitar Estados Unidos y esos padres tienen ms hijos en ese paà ­s, deber tambià ©n acreditarse el estatus legal de todos los hijos que viven en el paà ­s y no sà ³lo el del hijo que extiende la invitacià ³n. Destinatario de la carta de invitacià ³n para sacar la visa de turista La carta se envà ­a a la persona que se desea invitar y  no al consulado  o embajada que debe tramitar el visado. Este punto da lugar a mucha confusià ³n ya que es comà ºn creer que el consulado es el destinatario de esta carta. Sin embargo, esa creencia es equivocada. En todos los casos, la persona que invita debe enviar la carta a la persona invitada. Formato de la carta de invitacià ³n para la visa de turista para EE.UU. No hay una forma determinada que diga expresamente cà ³mo tiene que ser la carta. Es decir, cada persona puede escribir lo que quiera, pero utilizando un lenguaje formal, respetuoso y claro. Adems, deberà ­a seguir las siguientes pautas: Estar escrita en inglà ©s.  Incluir la fecha en la que se escribeNo olvidarse de firmarIdentificar expresamente  a la persona que se quiere invitar. Por ejemplo, si son padre e hijo, hermanos o simplemente amigos.Redactarla en una computadora e imprimir el documento. Documentacià ³n adicional que deberà ­a aà ±adirse a la carta de   invitacià ³n Se recomienda enviar documentacià ³n que pruebe la capacidad econà ³mica de la persona que invita a un extranjero a visitar EEUU y puede ser uno o varios de los documentos siguientes: Copia de la declaracià ³n de impuestos federales de los à ºltimos tres aà ±os. Si no se tienen tantos aà ±os declarados, los que se tengan. Y tambià ©n copias de los W2. Si se es empresario por cuenta propia, enviar prueba de tal situacià ³n y cuentas bancarias corporativas. Tambià ©n serà ­a apropiado enviar una copia de los extractos bancarios de al menos los à ºltimos seis meses. Deben demostrar cierta fortaleza econà ³mica. Otra opcià ³n es incluir una carta en papel oficial de la empresa que emplee a la persona que hace la invitacià ³n y que identifique al empleado, desde cundo trabaja allà ­, cul es su salario y si su contrato es temporal o no. Finalmente, tambià ©n es vlido una carta del banco en papel oficial en el que se diga cundo la persona que redacta la carta de invitacià ³n abrià ³ la cuenta en una de sus oficinas, cunto dinero se deposità ³ el aà ±o anterior y el saldo en el momento actual. Ejemplos de cartas de invitacià ³n Aquà ­ se puede consultar  ejemplos de cartas de invitacià ³n. Estn en inglà ©s porque es el idioma en el que deben escribirse.   Consejos migratorios para turistas en Estados Unidos No todos los extranjeros necesitan sacar una visa de turista para ingresar a Estados Unidos. Y es que los ciudadanos de los paà ­ses acogidos al Programa de Exencià ³n de Visas  pueden ingresar solicitando una Autorizacià ³n Electrà ³nica conocida como ESTA si llegan al paà ­s por avià ³n o llenando el formulario I-94 si llegan por barco o se presentan en una frontera terrestre. Como no necesitan visa, tampoco precisan de una carta de invitacià ³n. Por à ºltimo, destacar que las visas de turista se pueden negar por muchas causas, pero que pueden resumirse en dos grandes categorà ­as: por ser inadmisible para ingresar a Estados Unidos y/o por ser inelegible.   La causa ms comà ºn de rechazo de la aprobacià ³n de la visa de turista es que el oficial consular considere que no se ha probado ms all de toda duda que el solicitante tiene lazos familiares y econà ³micos fuertes en su paà ­s de origen o de residencia habitual. Este es un artà ­culo informativo. No es asesorà ­a legal.

An Analysis of Rumis Poem Unmarked Boxes

Jalà ¢lal-Din Mohammad Rumi, an analytical writer without a mark, embraces the wisdom of accepting that fate and the world can not be changed in the poem Markless box using metaphors and sound techniques I am sharing. In the sentence at the beginning of Rumi, two short and violent words of do not be sad are included (1). By saying this, he warned him not to change what he could not turn into a reader. He also told the reader not to worry about this. And I suggested that everything is for reason. But for many readers Rumi's Persian career has little impact on the power of his poetry. He embodies a completely different American spirit like Walt Whitman and Muhammad. The work of Rumi is so general that it is meaningful, and readers use poetry for self discovery of recreation. It is impossible to get Rumi out of the background, said Remy's translator, who often reads Rumi's poetry at a yoga studio, performance poet Shah Ramshiva. Jalal-ad-Din-Muhammad Rumi is commonly known as Rumi (120 7 - 1273), Persian of the 13th century, Muslim poet, Sufi mysticism. Rumi's influence exceeds national borders and ethnic groups. Iranians, Tajiks, Turks, Greeks, Pashtoans, Central Asians, South Asians have valued his spiritual heritage for the past seven centuries. His poetry is widely translated into many languages ​​of the world. Rumi is said to be the most popular poet and best selling poet in the United States. Like many others, Omid Safi believes that Barks' achievement is to introduce Rumi to millions of American readers in the process of turning Rumi into an American poetry, Bacchus. Pour much time and energy into the work and life of the poet. There are other versions of Rumi that can be deleted from the original including Deepak Chopra and the book of the new era of Daniel Ladinsky. Chopra, spiritual work and creator of alternative medicine enthusiasts, acknowledges that his poem is not Rumi's words. On the contrary, as he wrote in the introduction of Rumi's Love Poems, they are emotions, we caught some of the phrases spoken in the original Persian language and gave a life to new creation The essence of its source. I am busy reading novels and I just started reading poems recently. The poet I contacted includes Robert Frost, Ruskin Bond, William Wordsworth, Rumi. Some of the poems I read at school have always been shocked, such as solitary readers, poems and stones of life. Returning to your question, after I started writing in YQ for 2 months, I learned that other people were using my pseudo at that time then - Indhu. As I was angry, I complained that FB's App founder (Harsh Snehanshu) violated my pen name (now looks a bit childish). He explained the actual problem that the user can change the copyright of the pen name at any time. So I want to add myself a unique pen name. Because this is what I want, I want something that is warm, witty and reasonable. As a lazy one, I chose Warm.Witty.Wise.

'Cargo' now intends to introduce justintime. Advise Cargo as to the Essay

'Cargo' now intends to introduce justintime. Advise Cargo as to the main problems they are likely to face and examine how they should overcome these problems - Essay Example As the company sells mainly to the Car industry it has to be noted that a change of ownership(especially in a foreign context) will lead to a clash of management and production culture. Some academics have spoken favourably of the incidents of such a takeover as Graham (1988) notes that 'just-in-time' production is an "innovative paradigm for manufacturing control". This production technique is the brainchild of the Japanese management philosophy and Graham (1988) has expressed the view that British and American systems can benefit from this in order to remain internationally competitive. The previous decades have seen a radical modification in the Manufacturing techniques through the interaction and intersection of Western and Japanese techniques. (Graham 1988, Yamashina 1996) It is worth noting that the political atmosphere of the decade of the eighties made the United Kingdom a conducive political environment for the Japanese foreign manufacturers. (Graham 1988, Yamashina 1996).Th is gave them a chance to transfer their highly competitive manufacturing processes and management techniques to the United Kingdom's production culture and a unique permeation of their specialities like Just-in-Time to their production culture.(McDermott 1996). ... Therefore the output is cost reflective and any accumulation of excessively low level production and inventory methods is highly discouraged.(Epps 1995).The system involves the establishment of highly balanced work flows with sophisticated linkages between the production stages.(Epps 1995).The process will involve the reduction of inventory buffers and a heightened emphasis on the economies of scale from wise efficient procedures.(Mc Dermott 1996). Just In Time owes its origins to the development innovations by Toyota Car Company in the mid fifties and later influenced many major western companies/engineering business concerns like General Electric and Rover.(Mc Dermott 1996). Mc Dermott 1996 and Yeung 1997 have stated in reference to Rover that this British Car company had a lot to learn from its Japanese influence as it benefited immensely by reducing the new product development cycle and reduction in and management levels.Also prominent is the introduction of the minimal inventory control (MIC), a just-in-time system as it embraced its Japanese influence in its new slogan- "Prevention not detection: part of Rover's total quality commitment". (Mc Dermott 1996).Therefore the positive western experience has led to the Just In Time systems to be widely used in British Car manufacturing today.Cargo Engineering Company will have to adopt itself to a number of salient features of the Just In Time innovation. At this point we are assuming that the British car company is neither familiar with the Just-in time culture nor has employed any foreign technical staff. However the presence of British labour laws is acknowledged along with an absence of any major technological changes in the past few years. Based on the analysis by Nataraajan &

The Idea of Property in Land Essay Example | Topics and Well Written Essays - 2250 words

The Idea of Property in Land - Essay Example As a rule, a thing, which is the object of "ownership", refers to property. Actually, one should know that property is not a thing but rather a relationship which is established in the result of property existence. For property, we can relate words, which describe a certain degree of power over some things and resources. In the legal context "usage property is not the land or thing but is in the land or thing"2. We can illustrate the example of a property with the word combination "a proper thing". Â  When someone has particular resources at a particular time it means that a thing owned is of infinitely gradable quality. Actually, interrelated relations define a myriad of property characteristics. Legal rights dictate the rights, which define if the land belongs to our "owners" or "strangers". It is possible to give a straightforward analysis of property in land. It can be claimed vice versa that to identify "property" one requires a certain degree of time and skills. Different perspectives can play a decisive role in legal nature identification. There are different ways of English law context identification and the main roles and models of "property" identification should be taken into account. Under conditions of the common law "property" can be understood as a certain allocation of social utility. The psycho-social nature of "property" understanding can be clarified under conditions of some hypothetical variants. To describe "possession" one can claim the following things: "a conclusion of law defining the nature and status of a particular relationship of control by a person over land"3. Â  

Effects of Behavioral Interventions on Disruptive Behavior and Affect in Demented Nursing Home Residents Essay Example for Free

Effects of Behavioral Interventions on Disruptive Behavior and Affect in Demented Nursing Home Residents Essay Behavioral interventions might ameliorate them and have a positive effect on residents’ mood (affect). Objectives: This study tested two interventions—an activities of daily living and a psychosocial activity intervention—and a combination of the two to determine their efficacy in reducing disruptive behaviors and improving affect in nursing home residents with dementia. Methods: The study had three treatment groups (activities of daily living, psychosocial activity, and a combination) and two control groups (placebo and no intervention). Nursing assistants hired specifically for this study enacted the interventions under the direction of a master’s prepared gerontological clinical nurse specialist. Nursing assistants employed at the nursing homes recorded the occurrence of disruptive behaviors. Raters analyzed videotapes filmed during the study to determine the interventions’ influence on affect. Results: Findings indicated significantly more positive affect but not reduced disruptive behaviors in treatment groups compared to control groups. Conclusions: The treatments did not specifically address the factors that may have been triggering disruptive behaviors. Interventions much more precisely designed than those employed in this study require development to quell disruptive behaviors. Nontargeted interventions might increase positive affect. Treatments that produce even a brief improvement in affect indicate improved quality of mental health as mandated by federal law. Key Words: affect †¢ Alzheimer’s disease †¢ behavior therapy †¢ dementia †¢ nursing homes Nursing Research July/August 2002 Vol 51, No 4 proximately 1. 3 million older Americans live in nursing homes today (Magaziner et al. , 2000). By 2030, with the aging of the population, the estimated demand for long-term care is expected to more than double (Feder, Komisar, Niefeld, 2000). Thus, nursing home expenditures could grow from $69 billion in 2000 to $330 billion in 2030 (Shactman Altman, 2000). About half of new nursing home res idents have dementia (Magaziner et al. , 2000). The disease has an impact on four major categories of functioning in persons with dementia. These are disruptive behavior (DB), affect, functional status, and cognition (Cohen-Mansfield, 2000). This article will focus on the first two categories. Disruptive behavior has received much more attention than affect has (Lawton, 1997), perhaps for three reasons. First, more than half (53. 7%) of nursing home residents display DB with aggression (34. 3%) occurring the most often (Jackson, Spector, Rabins, 1997). Second, DB threatens the wellbeing of the resident and others in the environment. Consequences include: (a) stress experienced by other resiCornelia K. Beck, PhD, RN, is Professor, Colleges of Medicine and Nursing, University of Arkansas for Medical Sciences. Theresa S. Vogelpohl, MNSc, RN, is President, ElderCare Decisions. Joyce H. Rasin, PhD, RN, is Associate Professor, School of Nursing, University of North Carolina. Johannah Topps Uriri, PhD(c), RN, is Clinical Assistant Professor, College of Nursing, University of Arkansas for Medical Sciences. Patricia O’Sullivan, EdD, is Associate Professor, Office of Educational Development, University of Arkansas for Medical Sciences. Robert Walls, PhD, is Professor Emeritus, University of Arkansas for Medical Sciences. Regina Phillips, PhD(c), RN, is Assistant Professor, Nursing Villa Julie College. Beverly Baldwin, PhD, RN, deceased, was Sonya Ziporkin Gershowitz Professor of Gerontological Nursing, University of Maryland. A Note to Readers: This article employs a number of acronyms. Refer to Table 1 to facilitate reading. 219 220 Effects of Behavioral Interventions Nursing Research July/August 2002 Vol 51, No 4 TABLE 1. Acronyms Term Activities of daily living Analysis of variance Apparent affect rating scale Arkansas Combined Disruptive behavior(s) Disruptive behavior scale Licensed practical nurse(s) Maryland Mini mental status exam Negative visual analogue scale Nursing home nursing assistant(s) Observable displays of affect scale Positive visual analogue scale Project nursing assistant(s) Psychosocial activity Research assistant(s) Acronym ADL ANOVA AARS AR CB DB DBS LPN MD MMSE NVAS NHNA ODAS PVAS PNA PSA RA decreases in targeted behaviors (Gerdner, 2000; Matteson, Linton, Cleary, Barnes, Lichtenstein, 1997). However, others reported nonsignificant reductions (Teri et al. , 2000), no change (Churchill, Safaoui, McCabe, Baun, 1999), or increased behavioral symptoms (Mather, Nemecek, Oliver, 1997). These studies used nursing home staffs to collect data, had sample sizes below 100, and measured an array of DB with different assessments. Only in the last decade have researchers investigated affect. Compared to studies to reduce DB, far fewer studies have measured interventions using affect as an outcome measure. Studies reported positive outcomes on affect from such interventions as simulated presence therapy (Camberg et al. , 1999), Montessori-based activities (Orsulic-Jeras, Judge, Camp, 2000), advanced practice nursing (Ryden et al. , 2000), music (Ragneskog, Brane, Karlsson, Kihlgren, 1996), rocking chair therapy (Watson, Wells, Cox, 1998), and pet therapy (Churchill et al. , 1999). The studies on affect used global measures that relied on observer interpretation, which could have compromised objectivity. Theoretical Bases A number of conceptual frameworks have guided intervention research on persons with cognitive impairment (Garand et al. , 2000). The theoretical basis for this study was that individuals have basic psychosocial needs, which, when met, reduce DB (Algase et al. , 1996) (Table 2). The interventions, one focusing on activities of daily living (ADL) and the other focusing on psychosocial activity (PSA), and a combination (CB) of the two, were developed to meet most of the basic psychosocial needs that Boettcher (1983) identified. These included territoriality, privacy and freedom from unwanted physical intrusion; communication, opportunity to talk openly with others; self-esteem, respect from others and freedom from insult or shaming; safety and security, protection from harm; autonomy, control over one’s life; personal identity, access to personal items and identifying material, and cognitive understanding, awareness of surroundings and mental clarity. The section on study groups specifies which interventions were designed to meet which needs. Positive affect usually accompanies interventions that meet basic psychosocial needs (Lawton, Van Haitsma, Klapper, 1996). Several researchers and clinicians have suggested that displays of affect may offer a window for revealing demented residents’ needs, preferences, aversions (Lawton, 1994), and responses to daily events (Hurley, Volicer, Mahoney, Volicer, 1993). The study reported here dents and staff; (b) increased falls and injury; (c) economic costs, such as property damage and staff burn-out, absenteeism, and turnover; (d) emotional deprivation such as social isolation of the resident; and (e) use of physical or pharmacologic restraints (Beck, Heithoff, et al. 1997). Third, before the Nursing Home Reform Act (Omnibus Budget Reconciliation Act, 1987), nursing homes routinely applied physical and chemical restraints to control DB with only moderate results (Garand, Buckwalter, Hall, 2000). However, the Act mandated that residents have the right to be free from restraints imposed for discipline or convenience and not required to treat the residents’ medical symptoms. Thus, researcher s have tested a wide range of behavioral interventions to reduce DB and replace restraints. The Act (1987) also stipulated that all residents are entitled to an environment that improves or maintains the quality of mental health. Interventions that promote positive mood or affect fulfill this entitlement. Therefore, this article will report the effects of an intervention to increase functional status in activities of daily living (Beck, Heacock, et al. , 1997), a psychosocial intervention, and a combination of both on reducing DB and improving affect of nursing home residents with dementia. TABLE 2. Basic Psychosocial Needs Relevant Literature Literature suggests that behavioral interventions offer promise in managing DB. A wide range of modalities and approaches have been tested: (a) sensory stimulation (e. g. , music); (b) physical environment changes (e. g. , walled garden); (c) psychosocial measures (e. g. , pet therapy); and (d) multimodal strategies. Many studies found significant Territoriality Communication Self-esteem Safety and security Autonomy Personal identity Cognitive understanding Nursing Research July/August 2002 Vol 51, No 4 Effects of Behavioral Interventions 221 adopted the inference by Lawton et al. (1996) that frequent displays of positive affect when basic psychosocial needs are met might indicate improved emotional wellbeing. is leg continually and without apparent reason needs redirection. This intervention lasted 45–60 minutes a day during various ADL. PSA Intervention. A PNA also conducted the PSA intervention, which involved 25 standardized modules designed to meet the psychosocial needs for communication, selfesteem, safety and security, personal identity, and cogni tive understanding through engagement in meaningful activity while respecting the individual’s unique cognitive and physical abilities (Baldwin, Magsamen, Griggs, Kent, 1992). The intervention was chosen because it: (a) provided a systematic plan for the PNA to address some of the participant’s basic psychosocial needs; and (b) represented clinical interventions that many long-term care facilities routinely used, but had not been formalized into a research protocol or systematically tested. Each module contained five psychosocial areas of content (expression of feelings, expression of thoughts, memory/recall, recreation, and education) and stimulated five sensory modalities (verbal, visual, auditory, tactile, and gustatory/olfactory). For instance, Activity Module I involved life review, communicating ideas visually (identifying and making drawings), clapping to different rhythms, massaging one’s face, and eating a snack. Initially, many participants tolerated less than 15 minutes of the activity but eventually habituated and participated 30 minutes. CB Intervention. This treatment consisted of both the ADL and PSA interventions and lasted 90 minutes daily. Placebo Control. This involved a one-to-one interaction between the participant and PNA. It controlled for the effect of the personal attention that the PNA provided to the three treatment groups. The PNA asked the participant to choose the activity, such as holding a conversation or manicuring nails. It lasted 30 minutes a day. No Intervention Control. This condition consisted of routine care from a NHNA with no scheduled contact between participants and the PNA. Instruments: Disruptive Behavior Scale. The 45-item disruptive behavior scale (DBS), designed to construct scores based on the occurrence and severity of behaviors, assessed the effect of the interventions on DB (Beck, Heithoff et al. 1997). Gerontological experts (n 29) established content validity, and interrater reliability tests yielded an interclass correlation coefficient of . 80 (p . 001). Geropsychiatricnursing experts weighted the behaviors using a Q-sort to improve the scale’s capacity to predict perceived patient disruptiveness. Factor analysis identified four factors (Beck et al. , 1998). Two corresponded to two—physically aggressive and physically nonaggressive—of the three categories from the factor analysis of the Cohen-Mansfield Agitation Inventory (Cohen-Mansfield, Marx, Rosenthal, 1989). The third category of the Inventory was verbally agitated; in contrast, the factor analysis of the DBS produced a third and fourth category—vocally agitated and vocally aggressive. To obtain a score for the DBS, a trained individual completed a DBS form for every hour of a shift by check- Methods The primary aim was to conduct a randomized trial of the ADL and PSA interventions individually and in combination (CB) for their effect on DB and affect on a large sample of nursing home residents. The experimental design consisted of three treatment groups (ADL, PSA, and Combined) and two control groups (placebo and no intervention). Individual residents were assigned to one of the five groups at each of seven sites in Arkansas and Maryland, which controlled for site differences. To demonstrate the practicability of the interventions and assure adherence to the treatment protocols, certified nursing assistants were hired and trained as project nursing assistants (PNA). They implemented the interventions Monday–Friday for 12 weeks. Afterward, one-month and two-month follow-up periods occurred. Nursing assistants employed by the nursing homes (NHNA) recorded DB. To measure affect, raters were hired for the study to analyze videotapes filmed during intervention. Research Subjects: The sample initially consisted of 179 participants. The study design allowed for the detection of an improvement in DB scores on the Disruptive Behavior Scale (DBS) (Beck, Heithoff et al. , 1997) across time of at least 1. 6 units with a power of 80%. This power calculation assumed that the repeated measures would be correlated with one another at 0. 60. Inclusion criteria were age 65; a dementia diagnosis; a Mini Mental Status Exam (MMSE) (Folstein, Folstein, McHugh, 1975) score of 20; and a report of DB in the previous two weeks. To form a more homogeneous group for generalizing findings, exclusion criteria were a physical disability that severely limited ADL; a psychiatric diagnosis; and a progressive or recurring medical, metabolic, or neurological condition that might interfere with cognition or behavior. Study Groups: ADL Intervention. A PNA used the ADL intervention during bathing, grooming, dressing, and the noon meal based on successful protocols that improved functional status in dressing (Beck, Heacock et al. , 1997). It attempted to meet residents’ psychosocial needs for territoriality, communication, autonomy, and self-esteem to promote their sense of safety and security. The intervention also tried to respect participants’ cognitive and physical abilities by prescribing three types of strategies specific to the individual participant. First, strategies to complete an ADL address specific cognitive deficits. For example, the person with ideomotor apraxia needs touch or physical guidance to start movements. Second, standard strategies are behaviors and communication techniques that work for almost everyone with dementia. For example, the caregiver gives a series of one-step commands to guide the resident to put on her shoe. Third, problem-oriented strategies address particular disabilities such as fine motor impairment, physical limitations, or perseveration. For example, a subject who rubs his hand back and forth on 222 Effects of Behavioral Interventions ing the behaviors that occurred. The score for a behavior was the frequency (0–8) times the weight. The item scores were summed to obtain each of the four subscale scores. Mini Mental Status Exam. The Mini Mental Status Exam (MMSE) (Folstein et al. 1975) provided a global evaluation of participants’ cognitive statuses for screening subjects for the study. Test-retest reliability of the MMSE is . 82 or better (Folstein et al. ). Cognition is assessed in seven areas, and scores lower than 24 out of 30 indicate dementia. Nursing Research July/August 2002 Vol 51, No 4 Observable Displays of Affect Scale. The Observable Displays of Affect Scale (ODAS) (Vogelpohl Beck, 1997), designed to rate videotaped data, contains 41 behaviors categorized into six subscales of positive and negative facial displays, vocalizations, and body movement/posture. Raters indicate presence/absence of each behavior during five 2-minute intervals from a 10minute videotape. Scores range from 0–5 for each item. The range of scores for each scale is: facial positive (0–20), Aggression during bathing facial negative (0–20), vocal positive (0–45), vocal negative (0–50), body could stem from physical positive (0–30), and body negative discomfort or rough (0–40). Interrater reliabilities (Kappa handling coefficients) for the ODAS range from . 68–1. 00, and intrarater reliability is . 97–1. 00. Ten gerontological nursing experts established content validity (Vogelpohl Beck). Apparent Affect Rating Scale. The Apparent Affect Rating Scale (AARS) (Lawton et al. , 1996) is designed for direct observation of persons with dementia and contains six affective states: pleasure, anger, anxiety/fear, sadness, interest, and contentment. (In later work, Lawton, Van Haitsma, Perkinson, Ruckdeschel [1999] deleted contentment). Each item has a noninclusive list of behaviors that might signal the presence of the affect from which observers infer the affect. The observer assigns a score of 1 to 5 to measure the duration of the behavior. Visual Analogue Scales. The Positive Visual Analogue Scale (PVAS) and Negative Visual Analogue Scale (NVAS) (Lee Kieckhefer, 1989; Wewers Lowe, 1990) are two 10centimeter lines on separate pages for rating positive and negative affect. The PVAS has end anchors of â€Å"no positive affect† and â€Å"a great deal of positive affect. † The NVAS has end anchors of â€Å"no negative affect† and â€Å"a great deal of negative affect. † Scores range from 0 to 100. Procedure: The study consisted of six phases: (a) preliminary activities, (b) a three-week normalization/desensitization period, (c) a 12-week intervention period, (d) a onemonth follow-up period, (e) a two-month follow-up period, and f) a videotape analysis. Preliminary Activities. The institutional review boards at the University of Arkansas for Medical Sciences and the Univer- sity of Maryland approved the research. Each nursing home identified residents with dementia and sent letters informing persons responsible for the residents that researchers would be contacting them. Responsible persons could return a signed form if they did not want to participate. Willing responsible persons received a telephone call explaining the study followed by a mailed written description along with two consent forms. Those willing kept one consent form for their records and signed and mailed back the other. Screening involved a review of the residents’ charts, recording their diagnoses, and interviews with the staff to find evidence of DB during the previous two weeks. Each resident took the MMSE to meet inclusion criteria. Within each home, female residents who passed these screens were randomized to one of the five groups by a drawing, but males were assigned to the five groups to ensure even distribution of their small number. Simultaneously, research staff members were hired and trained. Normalization/Desensitization. For the next three weeks, each PNA accompanied a NHNA to learn the routines of the facility but did not help care for potential study participants. A videotape technician placed a camera that was not running in the dining and shower rooms to desensitize residents and staff to its presence. In addition, nursing home staffs participated in two-hour training sessions on the DBS. Throughout the study, a gerontological clinical nurse specialist trained any new NHNA and retrained if behaviors reported on the DBS differed from those she observed during randomized checks. Intervention. During the 12-week intervention period, the first three weeks were considered baseline and the last two weeks postintervention. The PNA administered the treatment/s or placebo five days a week. Every day, they asked participants to give their assent and espected any dissents. During weeks 11–12 (postintervention), the PNA prepared the participants for their departure by telling them that they were leaving soon. To facilitate data collection, a separate form of the DBS for each of the three eight-hour daily shifts was developed. Eight one-hour blocks accompanied each item of the scale. The NHNA placed a check mark in the block that corresponded to the hour when the NHNA observed the behavi or. The NHNA completed the DBS on all participants during or at the end of a shift. In addition, a technician videotaped participants in the treatment and placebo groups every other week during an interaction with the PNA and no intervention group monthly during an ADL. The technician monitored positioning and operation of the camera from outside the room or behind a curtain to respect the participants’ privacy. One-Month and Two-Month Follow-up. One month and two months after the research team left the nursing home, Nursing Research July/August 2002 Vol 51, No 4 Effects of Behavioral Interventions 223 esearch assistants (RA) retrained nursing home staffs on the DBS. The NHNA then collected DB data on their shifts Monday–Friday for one week. tervention, week 16 as one-month follow-up, and week 20 as two-month follow-up. Participants with fewer than six observations at any time period were omitted. For each period, a total DBS score represented an averVideotape Analysis. The videotapes ranged in length from age of the participant’s data for the t hree shifts of each day less than five minutes to 40 minutes, depending on the across the five days of the observation week. Therefore, activity and the participant’s willingness to cooperate with total DBS scores were obtained for baseline (M of weeks the treatment (baseline and control participants’ tapes 1–3), intervention (M of weeks 4–10), postintervention (M tended to be shorter). To standardize the opportunity for of weeks 11–12), first follow-up (M of week 16), and secbehaviors to occur, an editor took 10-minute segments ond follow-up (M of week 20). The same procedure from the middle of baseline and final treatment eek tapes yielded subscale scores for physically aggressive, physically and randomized them onto videotapes for rating. Because nonaggressive, vocally aggressive, and vocally agitated videotaping occurred to ensure appropriate implementabehaviors for each of the five time periods. tion of interventions, the treatment groups had more A repeated measures analysis of variance (ANOVA) usable videotapes than the control groups did. consisted of two between- subjects and one within-subjects A master’s prepared gerontological factors. The between-subjects factors nurse specialist intensively trained six were intervention group and state (AR raters on the Observer III Software or MD) to account for regional differSystem (Noldus Information Technolences in scoring DB, and the withinogy, 1993) for direct data entry and subjects factor represented DBS scores the affect rating scales. The raters for the five different time periods. Each reached . 80 agreement with the speanalysis allowed for testing by intervencialist on practice tapes before they tion group, time period, and state. The Screaming may started rating the study videotapes. nalysis of the interaction effect of She monitored reliability for each tape intervention group by time period express pain or monthly, retrained as needed, and rantested the hypothesis that the intervenself-stimulation domized the sequence of rating the tions would decrease DB across time in scales. The raters entered the ODAS treatment conditions as compared to and AARS data directly into a comcontrol conditions. The analysis was puter using the Observer. The system repeated five times, once for each suballowed raters to watch videos repeatscale of the DBS and once for the total edly in actual time and slow action to score. Level of significance was set at document behaviors objectively and 0. 05. The researchers believed that the precisely. The raters indicated their small group sizes justified the liberal perception of the participants’ positive and negative level of significance. For the videotape analysis, analyses of affect by placing a vertical mark at some point between covariance occurred for the 14 variables observed from the the two end anchors of the PVAS and NVAS. They videotapes during intervention. The baseline score served marked neutral affect as negative. s a covariate for the final score. While a multivariate analysis would have been desirable, it would have had Intervention Integrity: The PNA and video camera techniinsufficient power with this number of variables and subcian underwent two weeks of intensive training on general jects. The 14 univariate analyses do inflate the Type I error aging topics, stress management, information on dementia, rate. and confidentiality/privacy issues. Training also involved instruction on the study interventions, DBS, and research Results protocols. Of the 179 initial participants, 36 did not finish; the greatA gerontological clinical nurse specialist viewed treatest attrition occurred in the no intervention control group. ment and placebo videotapes biweekly in a private office to Attrition resulted from death (39%), withdrawal of fammonitor PNA compliance with research protocols, provide ily’s consent or at nursing home staff’s request (26%), discorrective feedback to PNA, and help PNA recognize and charge (18%), and change in health status/medications meet participants’ needs as they changed during treatment. hat did not meet inclusion criteria (17%). This left 143 The possibility for contamination appeared to be low participants: 29 in the ADL, 30 in PSA, 30 in CB, 30 in the because NHNA were unlikely to change their care practices placebo, and 24 in the no intervention, but 16 with incomand had little opportunity to observe PNA. Further, NHNA plete data were dropped. Table 3 gives the demographic were b linded to the hypothesis of the study, the nature of the statistics for the 127 participants with complete data. No interventions, and the participants’ group assignments, statistically significant demographic differences emerged although they probably could identify the no intervention among the five groups. In short, this sample primarily conparticipants. sisted of elderly, white females with severe cognitive impairment. Analysis: Reviewers checked for completeness of all data. For the videotape analysis, the final number was 84 The researchers designated intervention weeks 1–3 as baseparticipants with 168 videotape segments. Most were line, weeks 4–10 as intervention, weeks 11–12 as postin- 224 Effects of Behavioral Interventions Nursing Research July/August 2002 Vol 51, No 4 TABLE 3. Description of the Sample by Intervention Group No Intervention 19 89. 5 78. 9 84. 2 86. 47 (6. 37) 11. 47 (6. 43) ADL Number in group Percent female Percent white Percent widowed Mean age (SD) M MMSE (SD) 28 78. 6 82. 1 64. 3 82. 29 (8. 40) 11. 44 (7. 69) PSA 29 82. 1 85. 7 66. 7 82. 18 (7. 64) 10. 65 (6. 76) CB 22 81. 8 77. 3 77. 3 82. 82 (9. 81) 7. 91 (5. 41) Placebo 29 75. 9 86. 2 75. 9 86. 45 (6. 92) 11. 11 (6. 39) Total 127 81. 0 82. 5 72. 8 83. 64 (7. 97) 10. 55 (6. 64) Note. ADL = activities of daily living; PSA = psychosocial activity; CB = combination. emale (79%) and widowed (69%) with a mean age of 83 (SD 7. 44). Participants had a mean score of 10 (SD 6. 34) on the MMSE, indicating moderate to severe cognitive impairment. Table 4 displays the means and standard deviations for the DBS overall and the four subscales across the five time periods for the five groups. No significant differences emerged for the interventi on-by-time interaction for any of the dependent variables. Thus, the results failed to support the hypothesis that the interventions would decrease DB across time in treatment groups as compared to control groups (statistical analysis tables on Website at: http://sonweb. nc. edu/nursing-research-editor). However, the main effect of state was significant in three analyses. Arkansas recorded significantly more behaviors than Maryland did for the dependent variables of physically nonaggressive (p . 001), vocally agitated (p . 001), and overall DBS (p . 002). Further, the main effect of time was significant for overall DBS (p . 002) and the four subscales of physically aggressive (p . 001), physically nonaggressive (p . 027), vocally aggressive (p . 021), and vocally agitated behaviors (p . 008). The significance resulted from increased DB after the PNA had left the home (generally from intervention or postintervention to first follow-up). For the videotape analysis, the hypothesis stated that treatment groups, compared with control groups, would display more indicators of positive affect and fewer indicators of negative affect following behavioral interventions. In general, neither the positive nor the negative affect scores were particularly high, indicating that this sample had relatively flat affect. Results from the analysis of covariance tests supported increased positive affect but not decreased negative affect. Compared to the control groups, the treatment groups had significantly more positive facial expressions (p . 001) and positive body posture/movements (p . 001), but not more positive verbal displays on the ODAS. The treatment groups displayed significantly more contentment (p . 037) and interest (p . 028) than the control groups did on the AARS. For the negative affects on the AARS, the treatment groups had a shorter duration of sad behaviors (p . 007) than the control groups did. Comparison of VAS scales likewise showed that the treatment groups displayed more positive affect (p . 012). Discussion In contrast to other studies (e. . , Hoeffer et al. , 1997; Kim Buschmann. , 1999; Whall et al. , 1997), this study found no treatment effect on DB. The interventions were a synthesis of approaches believed to globally address â€Å"triggers† of DB and meet psychosocial needs (Boettcher, 1983). They did not address the specific factors that might have been triggering the particular behavior (Algase et al. , 1996). Such triggers include under/over stimulation, unfamiliar or impersonal caregivers, and particular individual unmet psychosocial needs. For example, aggression during bathing could stem from physical discomfort or rough handling (Whall et al. 1997). Interventions much more individually designed require development. Increasing DB across all groups was reflected in the DBS scores at 1-month follow-up. Two factors may explain this increase. First, the PNA had warned participants that they would be leaving. Second, the ADL and CB participants no longer received care from the familiar PNA, and PSA, CB, and placebo participants no longer had a daily activity or visit. The increased stress and time constraints for NHNA as they resumed caregiving of the ADL and CB participants may explain the heightened DB in the control groups. Such changes may trigger increased behavioral symptoms in persons with dementia (Hall, Gerdner, Zwygart-Stauffacher, Buckwalter, 1995). Two measurement issues may have affected outcomes. First, observers view behaviors differently (Whall et al. , 1997) and come to expect particular behaviors from certain residents (Hillman, Skoloda, Zander, Stricker, 1999). If the NHNA were accustomed to a participant’s DB pattern, such as persistent screaming, they may have overlooked decreases in that behavior. Initial training and retraining of raters occurred as needed; however, some Nursing Research July/August 2002 Vol 51, No 4 Effects of Behavioral Interventions 225 TABLE 4. Weighted Scores for Disruptive Behavior by Intervention Group and Time Period No Intervention (n = 19) Mean (SD) 408. 71 (427. 24) 303. 69 (408. 44) 281. 97 (410. 85) 418. 31 (630. 58) 292. 85 (405. 15) 114. 66 (202. 89) 90. 85 (182. 70) 77. 98 (173. 15) 130. 92 (257. 12) 128. 20 (195. 67) 191. 97 (157. 75) 117. 11 (112. 30) 118. 23 (137. 08) 154. 46 (225. 05) 100. 45 (153. 30) 55. 16 (74. 70) 42. 89 (54. 54) 33. 26 (47. 06) 64. 72 (77. 89) 28. 09 (37. 02) (continues) DB Category Time Period DBS total Baseline ADL (n = 28) Mean (SD) 172. 51 (191. 47) 182. 45 (181. 3) 164. 56 (154. 95) 207. 22 (205. 58) 190. 70 (291. 06) 20. 67 (30. 52) 32. 59 (51. 29) 15. 02 (26. 10) 44. 18 (100. 62) 21. 45 (36. 47) 95. 50 (105. 28) 87. 58 (87. 58) 85. 04 (89. 60) 88. 81 (85. 69) 148. 75 (187. 28) 22. 85 (32. 10) 28. 37 (32. 50) 21. 15 (26. 54) 30. 72 (48. 95) 18. 28 (24. 55) PSA (n = 29) Mean (SD) 348. 02 (467. 50) 306. 81 (393. 03) 303. 24 (367. 54) 373. 17 (533. 05) 300. 20 (366. 42) 85. 87 (199. 01) 83. 94 (167. 53) 82. 82 (166. 93) 113. 49 (235. 71) 81. 30 (151. 85) 162. 41 (206. 65) 130. 82 (142. 72) 133. 92 (145. 97) 141. 47 (188. 99) 164. 92 (223. 63) 49. 64 (93. 15) 43. 80 (64. 6) 37. 90 (53. 43) 54. 47 (90. 33) 40. 26 (45. 26) CB (n = 22) Mean (SD) 287. 66 (373. 73) 300. 84 (379. 33) 286. 21 (365. 78) 374. 10 (510. 10) 312. 83 (433. 18) 68. 84 (126. 18) 67. 14 (137. 79) 61. 04 (127. 78) 92. 68 (205. 52) 60. 40 (131. 54) 136. 67 (189. 03) 124. 64 (164. 49) 125. 99 (157. 78) 159. 97 (202. 75) 146. 53 (201. 83) 34. 49 (55. 91) 40. 73 (52. 60) 31. 18 (33. 85) 36. 95 (42. 70) 32. 82 (51. 32) Placebo (n = 29) Mean (SD) 325. 96 (337. 14) 337. 60 (328. 94) 336. 80 (366. 55) 389. 92 (434. 43) 319. 15 (384. 59) 49. 26 (90. 24) 62. 10 (112. 71) 59. 67 (106. 37) 76. 79 (165. 45) 48. 25 (101. 4) 167. 01 (177. 80) 164. 62 (161. 48) 175. 36 (189. 80) 201. 68 (212. 06) 87. 67 (127. 38) 47. 20 (79. 70) 39. 55 (57. 74) 32. 69 (55. 77) 29 . 30 (47. 60) 30. 18 (52. 85) Intervention Postintervention 1 month follow-up 2 month follow-up Physically aggressive Baseline Intervention Postintervention 1 month follow-up 2 month follow-up Physically nonaggressive Baseline Intervention Postintervention 1 month follow-up 2 month follow-up Vocally aggressive Baseline Intervention Postintervention 1 month follow-up 2 month follow-up 226 Effects of Behavioral Interventions Nursing Research July/August 2002 Vol 51, No 4 TABLE 4. Weighted Scores for Disruptive Behavior by Intervention Group and Time Period (Continued) NoIntervention (n = 19) Mean (SD) 47. 65 (97. 22) 68. 32 (103. 13) 68. 01 (116. 62) 84. 50 (112. 48) 73. 07 (117. 12) DB Category Time Period Vocally agitated Baseline ADL (n = 28) Mean (SD) 33. 49 (84. 39) 33. 91 (62. 52) 43. 17 (72. 10) 43. 48 (64. 39) 50. 53 (117. 95) PSA (n = 29) Mean (SD) 46. 92 (98. 70) 52. 84 (96. 03) 52. 50 (90. 78) 68. 22 (98. 89) 48. 89 (92. 33) CB (n = 22) Mean (SD) 62. 49 (98. 97) 70. 43 (110. 85) 69. 08 (107. 29) 82. 14 (118. 97) 75. 80 (129. 67) Placebo (n = 29) Mean (SD) 50. 0 (92. 05) 48. 25 (81. 63) 48. 59 (72. 20) 63. 74 (95. 30) 54. 11 (80. 61) Intervention Postintervention 1 month follow-up 2 month follow-up Note. Scores were created by assigning each behavior with a severity weight prior to summing and then averaging across day and then week(s). DBS = disruptive behaviors; ADL = activities of daily living intervention; PSA = psychocial activity inte rvention; CB = combination of the two interventions. NHNA appeared to continue to consider participants’ behaviors, such as repetitive questioning, to be personality characteristics or attention-seeking efforts rather than DB. Thus, they may have under-reported behaviors. Further, staff may prefer withdrawn behaviors, such as isolating self and muteness (Camberg et al. , 1999), and view them as nonproblematic. Second, categorizing a behavior as disruptive without understanding its meaning to the person with dementia may be conceptually flawed. For example, screaming may express pain or self-stimulation. Two design features may explain differences between the findings of this study and others. First, this study had both placebo and no intervention control conditions. Just a few other studies randomized subjects to treatment or control groups or included two control groups (e. g. , Camberg et al. , 1999). In most studies, control conditions preceded or followed treatment conditions (e. g. , Clark, Lipe, Bilbrey, 1998). In both designs, subjects served as their own controls, which limits examination of simultaneous intra- and extra-personal events that might affect DB frequency. Second, many control groups came from separate units or different nursing homes (e. g. , Matteson et al. , 1997), which makes it difficult to control for differences in environment, staff relationships, and personalities. This study occurred at seven sites in two different geographical areas, but at each site, the randomization of female participants distributed the groups across all nursing units to control for environmental and staff characteristics. Acknowledged limitations include the following. First, in spite of the large overall sample, the group sizes were small (range 19–30) with the greatest loss in the no inter- vention group. Larger groups might have provided more definitive findings on the relationship between behavioral interventions and DB frequency as Rovner et al. (1996) did (treatment group 42; control group 39). Second, NHNA served as data collectors because using independent observers would have been cost-prohibitive. These results suggest that future intervention research should consider the individual characteristics of the person with dementia (Maslow, 1996) and the triggers of the behavior (Algase et al. , 1996). Studies that have individualized interventions have demonstrated decreased DB (Gerdner, 2000; Hoeffer et al. , 1997). Researchers need to continue to refine methods for identifying what works for whom (Forbes, 1998) to minimize the prevalent trial-anderror approach to DB management.

Radar: A Silent Eye In The Sky :: essays research papers fc

Radar: A Silent Eye in the Sky   Ã‚  Ã‚  Ã‚  Ã‚  Today's society relies heavily on an invention taken for granted: radar. Just about everybody uses radar, whether they realize it or not. Tens of thousands of lives rely on the precision and speed of radar to guide their plane through the skies unscathed. Others just use it when they turn on the morning news to check the weather forecast.   Ã‚  Ã‚  Ã‚  Ã‚  While radar seems to be an important part of our everyday lives, it has not been around for long. It was not put into effect until 1935, near World War II. The British and the Americans both worked on radar, but they did not work together to build a single system. They each developed their own systems at the same time. In 1935, the first radar systems are installed in Great Britain, called the Early Warning Detection system. In 1940, Great Britain and the United States install radar aboard fighter planes, giving them an advantage in plane-to-plane combat as well as air-to-ground attacks.   Ã‚  Ã‚  Ã‚  Ã‚  Radar works on a relatively simple theory. It's one that everybody has experienced in their lifetime. Radar works much like an echo. In an echo, a sound is sent out in all directions. When the sound waves find an object, such as a cliff face, they will bounce back to the source of the echo. If you count the number of seconds from when the sound was made to when the sound was heard, you can figure out the distance the sound had to travel. The formula is:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  (S/2) X 1100 = D (Half of the total time times 1100 feet per second equals the distance from the origin to the reflection point)   Ã‚  Ã‚  Ã‚  Ã‚  Of course, radar is a much more complicated system than just somebody shouting and listening for the echo. In fact, modern radar listens not only for an echo, but where the echo comes from, what direction the object is moving, its speed, and its distance. There are two types of modern radar: continuous wave radar, and pulse radar.   Ã‚  Ã‚  Ã‚  Ã‚  Pulse radar works like an echo. The transmitter sends out short bursts of radio waves. It then shuts off, and the receiver listens for the echoes. Echoes from pulse radar can tell the distance and direction of the object creating the echo. This is the most common form of radar, and it is the one that is used the most in airports around the world today.   Ã‚  Ã‚  Ã‚  Ã‚  Continuous wave radar works on a different theory, the Doppler Theory. The Doppler Theory works on the principle that when a radio wave of a set

The Changing Role and Status of women in Britain since 1900 – source related study

1. Source A is useful as it shows how united the Suffragettes were in 1908. It says in the caption beneath the photograph, that there was said to have been 200000 people who attended. They look like they are determined to get what they want. Some of the women are holding banners, flowers and flags. There is a policeman in the corner of the picture. This shows that the police thought that the protest might become violent. The Suffragettes were known for heckling at meetings, deliberately trying to get arrested and get sent to prison, and in 1908 they began to attack properties. The Suffragettes believed that peaceful campaigns were getting them nowhere. In 1908, women had already achieved many improvements in their education, legal rights and job opportunities. However they still wanted to earn the right to be able to vote in General Elections. This may be what the protest was for. The Suffragettes had a lot of support, particularly in London. There were thirty-four branches of the WSPU in London alone and fifty-four branches in the rest of the country. Source A shows that the Suffragettes are like a big team and family. They all look determined to get what they want. The WSPU's motto was ‘Deeds not Words,' this meant that they believed that actions were stronger than words. Emmeline Pankhurst is leading the protest. In the Suffragettes first public demonstration in 1905 Emmeline said, â€Å"Then amid uproar and shouting, the women were seized and flung out of the hall.† In conclusion this source shows that the Suffragettes were a strong group of women who had strong opinions and views. This source shows that the Suffragette movement was a strong force to be reckoned with thus affecting people's attitudes. There would be those people in full support, with many women openly and many offering passive support. Men's attitudes would be very different. Up until now the women's place was in the home. The police's attitude was one of recognition of their considerable power and they feared the implications of this, thus the police presence in Source A suggests the need for containment and prevention of violence. 2. Source D and E are both extremely useful in showing us what peoples views about the Suffragettes were in 1910. Source D is taken from a British newspaper, and is obviously written by a man. It is reliable to show the some peoples opinions of what the Suffragettes were doing at the time. Source E is also useful as it is a postcard that was issued by the Suffragettes. It shows the suffragettes opinion. The postcard would be used to persuade people to become one of them. It shows what women could be a mayor or a nurse, and can't vote however men could be lunatics or drunkards and they can vote. This is biased as it has been created by the suffragettes, and is very one sided. However Source D is also biased as it doesn't show the views of the suffragettes, only the writers view about what went on. In Source D the writer uses phrases such as ‘shameful recklessness' and ‘desperate women' to show how the country should be ashamed of the way the suffragettes have acted. This newspaper article does not once say why the suffragettes were doing what they were doing. I'm sure many people agreed with what was written however I am also sure a lot of people were against what was written. In the headline it says ‘ DISGRACEFUL SCENES Reckless Women Charge Headlong into Cordon of Police.' The word ‘disgraceful' suggests that the country should be ashamed of the actions of the Suffragettes. Men expected women to be quiet and obedient so when women started to rebel against this stereotype, the campaign for women's votes was important news, especially with the papers. The Suffragettes began to create posters, which got them some sympathy from people in the public. In Source E it says ‘What a woman may be and yet not have the Vote.' Underneath, it has pictures of women being a mayor, a nurse, a doctor, teacher and a factory hand. It also says ‘what a man may have been and yet not lose the vote.' Underneath, it has pictures of men being a convict, a lunatic, an owner of white slaves, being unfit for service and a drunkard. Of course, women could also be all of the things the males are, and the males are able to have all of the livings the females have however in this postcard the women have only been shown as being good things, whereas the men have been shown as being bad. This would have got the suffragettes some more support. In conclusion I believe that both sources are equally reliable. They both are biased and they both show different opinions of different people at the time. 3. When the First World War began so many men had gone away to fight, that women were needed to do their jobs. This meant that the number of women working in industry increased massively. The war made it acceptable for women to work in shipyards, collieries and brickyards. Some of them worked as highly skilled engineers and carpenters. In some of these jobs, women were welcomed, however in others they were resented because they had little or no training for jobs, which had previously needed very skilled people. If there was an election during the war most soldiers wouldn't be able to vote. Women soon realised that this could be their chance to pressurize the government to let them vote. There were no demonstrations, however there were many meetings between women's leaders and politicians and telegrams and letters were sent to MPs. In 1918 Parliament passed a new law, which allowed women over the age of 30 to be able to vote. From my knowledge of what happened, I believe that the war was a big part of Parliament passing a law allowing women to vote. As there may not of been enough males in the country at the time of the war, to vote if there was an election, they needed females. I also think that because most men were away during the war, the women proved themselves to be useful, as they started doing work in factories and so on. Men had never seen females do this before so it may have been a shock to them to see that women could do things just as good as them. In Source J, Herbert Asquith says, â€Å"I will find it impossible to withhold from women the power and the right of making their voices heard.† This proves that women proved themselves by working while the men were away at war. They even convinced an ex prime minister that they were worthy of having a say about what goes on in there life. The war didn't help the French Suffragette women gain the vote. In conclusion I do agree with the statement: â€Å"Without the First World War British women would not have gained the right to vote in 1918.† I also believe that women would not have received as much respect from men as they do today if the war hadn't of happened. Women had a chance to prove to people that they were able to do things just as well as men in this period of time.

Scientific Management Theory and Inefficiencies in Healthcare

Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale. The Scientific Management approach was initially described and theorized by Frederick Winslow Taylor in the in the late nineteenth and early twentieth century. In his book â€Å"Principles of Scientific Management†, first published in 1911, Frederick Taylor formulated a view on management that was highly inspired by engineering principles.As such, the studies of Frederick Taylor can be seen as a culmination of a series of developments occurring in western industrialized countries, in which engineers took the lead in developing manufacturing productivity and in industrializing organizations. Frederick Taylor developed Scientific Management out of the belief that tasks could be optimized scientifically, and that Scientific Management could design the best rational way o f performing any task, which would lead to enhanced productivity and profitability.Enhanced productivity would not only lead to greater profits for the employers, but also for the workers, who would be given the tools and training to perform at optimum performance. The development of best practices should be based on detailed observation of work processes, and on vigorous training and selection of the best-suited workers. The routine that seems to be inefficient in my work place is the procedure of blood transfusion.In my hospital before and after each blood transfusion the nurse has to verify all the papers with a second nurse and the nursing supervisor. This is very time consuming and delay the treatment especially at the time of emergency transfusions. So we notified this issue in the meeting and they changed the policy. Instead of nurse supervisor, nurse manager in each unit can verify the papers before transfusion and after blood transfusion nurse supervisor can review the pape rs.

Types of Cardiac Arrhythmia Resulting From Centrifugal Acceleration

Types of Cardiac Arrhythmia Resulting From Centrifugal Acceleration Abstract Cardiac arrhythmia is one of the many health conditions that form the basis of aviation medicine. The absence of adequate information around the condition necessitates studies to that effect. The current paper sought to determine the types of cardiac arrhythmia that result from aviation related movement.Advertising We will write a custom research paper sample on Types of Cardiac Arrhythmia Resulting From Centrifugal Acceleration specifically for you for only $16.05 $11/page Learn More The study relied on findings made in centrifugal training experiments, where subjects are usually placed in a human centrifuge. The objective was to expose the subjects to +Gz forces, which are similar to the ones in a military jet or a commercial flight. During such exercises, the tolerance level of the subjects was determined relative to the G-forces. It was found that sinus arrhythmia, premature atrial contraction, premature ventricle contraction, and atrial fibrill ation are the common cardiac arrhythmias during such exercises. Introduction Aviation Medicine An Overview There are certain health-related problems that are unique to the aeronautical and aviation industry.[1] Rayman points out that aviation medicine can also be referred to as flight or aerospace therapy.[1] The idea behind this kind of healthcare is the need for a medicinal approach in tackling the wellbeing of people in aerospace industries. Pilots and astronauts are good examples of individuals who are covered by aviation medicine. The principle behind this field is the fact that the patients find themselves physiologically affected by aviation-related factors, such as gravity. Advancement in the aerospace and aviation sectors imply that most of the aforementioned factors will increasingly affect the persons in the industry. Hanada, Hisada, and Koichiro affirm that progress is inevitable in the aviation industry.[2] An example is the case of air force pilots. The need to develop faster and effective jets means that the aerodynamic factors will be modified. Consequently, the pilots end up being affected by some of these forces. The advancements made in aviation medicine rely on its relevance to the world of aerospace. Whinnery indicates this importance by outlining the fact that the United States Air Force (herein referred to as USAF) has a School of Aerospace Medicine.[3] Such institutions justify the reasoning that research in aviation medicine is important. In a study to determine the state of affairs in Singapore in relation to this field, Gan, Low and Singh focus on the military and commercial flight areas.[4] In these fields, there is constant development of new and state-of-the-art machinery. However, as aforementioned, the same comes with consequences like increased arrhythmia.Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Technological in novations in medicine are required in such fields as aviation physiology and performance maximization.[4] Other areas in which advancement is required include the selection of medical standards and protection of aircrew from communicable diseases, which may arise during a flight. However, for the purposes of this paper, discussions will revolve around the physiology aspect of aviation medicine. G-Forces in air planes Airplanes are constructed in such a manner that they respond to the laws of aerodynamics.[1] The operation of these laws relies on gravity and how to overcome it. Whinnery brings out the understanding that gravity, as a force, is observed as acceleration.[2] The implication is that there is motion involved. Going by the arguments made in Newton’s laws of motion, it is evident that gravity is characterized by several forces. The study restricts itself to the forces exerted on an aircraft due to gravity, which is referred to as ‘g-force’. According to Gan et al.,[4] g-forces are considered as accelerations, as previously indicated. As a result, one can determine these forces on the basis of their respective weights. By virtue of the acceleration nature of gravity, the g-forces appear to multiply the weights of a given mass. In the context of an airplane, these factors tend to reproduce the weight of the unit mass of the persons in the jet. To appreciate how a pilot will experience this multiplier effect, one ought to obtain the sum of the non-gravitational forces acting on them. The aforementioned non-gravitational forces are considered as the proper accelerations.[1] Their effects include stress and strain on persons in an aircraft. In their study, Whinnery[3] makes the claim that high amounts of g-forces are destructive to the aircraft and to the people. Effects of g-forces on human anatomy G-forces cause strain and stress on the bodies in an aircraft. In line with this, the elements have a physiological effect on human bodies. [1] Hanada et al.[2] affirm this hypothesis in their study on the effects of g-forces on military pilots. Most of the components of the human anatomy have mass. As such, the effects of stress and strain on them vary. Hanada et al.[2] indicate cerebral perfusion as a major impact of these forces. In such cases, the patients tend to suffer from a condition known as G-induced loss of consciousness (herein referred to as G-LOC). Such conditions are common among military pilots during the maneuvers displayed by the fighter jets. Arrhythmias is another common phenomenon resulting from the g-forces, especially in instances where flight crew are taken through centrifuge training.[4] In such cases, the pilots are subjected to the same conditions as those of a plane in the air. Consequently, the developments tend to alter the rhythmic patterns of an individual’s heartbeat. The effects of g-forces are so serious on the human anatomy to the extent that Hanada et al.[2] propose the presen ce of specialists during centrifuge training.Advertising We will write a custom research paper sample on Types of Cardiac Arrhythmia Resulting From Centrifugal Acceleration specifically for you for only $16.05 $11/page Learn More Effects of G-Forces on the Heart General effects An analysis of g-forces makes it apparent that human anatomy is severely affected by stress and strain, as illustrated in the previous section. Advances in aerospace technology imply that human body will continue to be subjected to such forces to determine its tolerance.[1] For the purposes of this study, it is important to understand the effects of g-forces on the heart as an organ in human anatomy. Cardiac arrhythmia The functioning of the heart is largely attributed to its electrical properties.[1] The stresses and strains brought about by the g-forces tend to affect the organ’s electrical attributes. As a result, the heart beat is altered. Conditions of this nature are wha t are referred to as cardiac arrhythmia. The condition is not age or gender specific. Whinnery[3] points out that the condition if often not fatal. However, studies illustrate that cardiac arrest is associated with arrhythmia.[2] Cardiac arrhythmia can occur in one of the compartments of the heart.[1] The same explains why there are different types of the said condition. Rayman[1] points out the existence of four types of cardiac arrhythmia. The first is supraventricular arrhythmia, which is characterized by a fast heart rate.[1] Secondly, there is bradyyarrhytmias. The condition arises when the heart beat is extremely low. In such cases, the blood hardly reaches the brain. The third type is ventricular arrhythmias. The occurence is associated with the lower chambers of the heart.[1] Finally, there is premature beats. It is a type of arrhythmia associated with the upper atria of the heart. The ‘premature beats’ are an indication of a mild form of arrhythmia, whose sympt oms are not easily noticeable.[5] Cardiac arrhythmia in aviation medicine The aviation industry is a sensitive area, which involves out of space explorations and normal flights. The machines involved are quite complex. The sophistication requires the complete application of the pilot’s cognitive abilities. Within the broad spectrum of aviation medicine, cardiac arrhythmia falls under the physiological effects. The heart plays an important role in human anatomy.[6] As such, studies have been conducted to illustrate how best to overcome the condition. Factors influencing g-force provoked arrhythmia During centrifugal training, the participants are subjected to +Gz forces. The procedure leads to stress that affects human anatomical functions. It is evident that cardiac arrhythmia results from the effects of the G-force on the heart. The rhythms are distorted from their normal patterns.[7] It is important to appreciate the factors that influence the occurrence of arrhythmia due t o the G-forces. Over the years, aviation medicine has relied on centrifugal training to obtain information about cardiac arrhythmia. Such information includes the various types of the condition and their influencing factors.[7] Experiments carried out to determine this rely on the use of human centrifuges, which are found in special units. The most common areas where such apparitions are found include special aviation medical departments in military wings.Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More One of the factors that influence cardiac arrhythmia during centrifugal training is the magnitude of the +Gz. Ewalina and Lech[7] proved this in a study in which they sought to determine hemodynamic changes resulting from centrifugal acceleration and the corresponding cardiovascular responses. The study reveals that an acceleration of 1Gz is responsible of acute hemodynamic changes. The same magnitude of acceleration was found to be an activator of cardiovascular responses, arrhythmia being one of them.[7] Anti-G straining maneuvers (herein referred to as AGSM) are other factors that influence g-force-provoked arrhythmia. Ewalina and Lech[7] point out that the same has a direct effect on the nervous system, which impacts on the heart’s electrical properties. Such measures are seen as an attempt to reduce the effects of g-forces. They limit the impacts of +Gz on the electrical characteristics of the heart. Other factors include the health status of the subject and the duration of exposure. Latent cardiac medical histories give mixed results. Exposure durations increase the chances of cardiac arrhythmia, which further aggravates the severity of the conditions. Materials and Methods Introduction The current study is hinged on the hypothesis that centrifugal acceleration results in cardiac arrhythmia.[1] The research relies on a series of peer reviewed articles, which provide a detailed discussion of the topic. More importantly, the articles relied on address the issue of g-forces and their effects on human subjects. They illustrate the various types of arrhythmia and their relationship with g-forces. +G Acceleration and Corresponding Detection of Cardiovascular Responses In an experiment, Vettes, Viellefond, and Auffret[6] determined that g-forces have a corresponding cardiovascular response from the heart. The researchers deduced this by carrying out detailed studies on the issue. The subjects used were all male and individually volunteered for the exerci se. The studies were carried out in a laboratory in France. The location, known as the Aerospace Medicine Laboratory of the Flight and Test Center, contained the equipment necessary for this research.[6] The male volunteers had an average age of 37 years.[6] After the preliminary medical check-ups were concluded, all the subjects were found to be medically fit for exposure to g-forces. Preliminary tests carried out at the Central Medical Examination Centre for Flying Personnel, which is situated in Paris.[6] Thirteen of the participants did not have prior exposure to centrifugal acceleration. According to Vettes et al.,[6] +Gz g-forces were required for the study. The said forces are attained when a human centrifuge is rotated longitudinally. The specific centrifuge used in this research had a vertical rotating axis, whose arm was six meters.[6] A gondola is attached at the arm’s extreme end. Human subjects occupy this space. The centrifugal acceleration in this regard is obt ained by means of a perpendicular rotation of the arm relative to the gondola. During this rotation, the apparatus moves along the axis, exposing the subject to the +Gz forces arising from acceleration. To ascertain the responses, certain cardiac parameters are taken into account.[6] Such parameters as the subjects’ rate of heartbeat and arterial pressure were are determined. The study by Vettes et al.[6] required the stoke volume and the subjects’ visual fields to be recorded as part of the preliminary medical analysis. Each of the electrocardiographs was analyzed by means of a special electrode. The electrodes are placed on 3 locations on the subjects’ body. The first two are placed on each of the axillae, while the third is placed on the lumbar spine. In so doing, the researchers minimize the noise that would otherwise be present due to the muscle-related contractions. The arterial pressure on the other hand is obtained by means of a syphgamanomter.[6] The sa id machine is normally inflated by means of an electrovalve that is remotely controlled. To obtain the actual pressure in a subject, a curve on the machine is needed.[6] In addition, there is a microphone placed at a strategic point to detect specific noises. In the study, the researchers were able to record their patients’ rates of heartbeat using a phonocardiograph. However, there are exceptions where the heart rate is determined by taking measurements of 10 systoles from the machine. Safety Criterion The study by Hanada et al.[2] sought to develop a safety criterion for centrifugal training. The study relied on pilots from the Japanese Air Self-Defense forces. Each of the subjects was conversant with F-4, F-15 and F-2 fighter jets.[2] Such familiarity was a requirement to be part of the study. It was meant to ensure that the subjects were all familiar with increased G-forces due to the aircrafts’ high rates of acceleration. As expected, there was a preliminary medic al examination carried out on each of the participants.[7] In addition, the subjects were taken through a pre-determined duration of centrifugal acceleration to obtain specified results. The study created several profiles to analyze the effects of different +Gz forces. The data analysis phase was characterized by anonymity. The names of the pilots were not included in the profiles. G-Force Tolerance In their study, Blue et al.[5] examined levels of tolerance associated with g-forces during centrifugal training. The study revolved around subjects with an interest in spaceflight. The participants were part of Virgin Galactica crew and would- be passengers. An equipment referred to as a ‘Space Training Simulator’ was used in the study. The machine operates like a human centrifuge. Prior to the experiment, a medical examination was carried out. Afterwards, the subjects were taken through an anti-G straining procedure. There was a descriptive representation of the data colle cted in the study. Cardiac Arrhythmias in Flight and Centrifuge Simulations In their article, Ewalina and Lech[7] argue that centrifuge acceleration has an effect on cardiac arrhythmia. Consequently, their study analyzed the two scenarios in which such acceleration is achieved. They examined the rhythm balances when the subjects are in centrifuge training and in actual flight. Ewalina and Lech[7] point out that the two instances have similarities and differences. Ultimately, the research sheds more light on cardiac arrhythmia resulting from centrifugal acceleration. In the study, Ewalina and Lech[7] relied on 20 experienced pilots and 20 students. The student pilots were selected from a group of 3rd and 4th year cadets in the Polish Air Force Officers’ College. According to Ewalina and Lech,[7] the average age of the experienced pilots was 35.3 years. There was an allowance of 4.9 years in the positive and negative extremes. The average height was 176.6 cm, while body mass wa s 79.3kg.[7] The average flying hours of the experienced pilots was estimated at 2620. The trainee pilots, on the other hand, had an average age of 21.9 years and median height of 178.2 cm.[7] Their mean body mass was 78.7kg. They had an average of 252 flight hours on their records.[7] One of the requirements for participation in the experiment was that none of the pilots should take any form of medication. Ethical issues were also taken into consideration, where the participants were required to submit a written consent. The approval to conduct the study was granted by an ethics committee constituted by the ‘Polish Air Forces Institute of Aviation Medicine.’[7] The study required the subjects from the two groups to carry out flight protocols in pairs, where one acted as a pilot, and the other as a passenger.[7] Each of the subjects was required to make 2 flights. In the first flight, the subject was required to act as a ‘pilot’ (herein referred to as AF). The second flight demanded that they act as a passenger (herein referred to as PF). According to Ewalina and Lech,[7] the participants were required to take a break in-between the flight schedules. The study gave an allowance of 1 hour as the duration of time that each pilot should take before taking part in the next flight. To attain consistent results, all the subjects made use of the same TS-11 ISKRA Jet.[7] Once all the pilots had made their required flights, the researchers took a break of two days. During the break, the subjects underwent human centrifuge tests. It is important to note that the subjects did not wear G-suits during the study. The omission was meant to allow the +Gz effects to be conclusively examined. The forces were generated from the maneuvers carried out in the flight program. They ranged from 0.57 G.s-1 to 4Gz when the maneuver involved three successive turns.[7] With regards to the split S maneuver, the acceleration was recorded between 1.7G. s-1 and 5.6 G z.7 The ‘two-successive loop’ maneuver was characterized by an acceleration of 1.4G.s-1 to 5.0Gz. The other maneuvers carried out were the immelman and the one turn. The former had an acceleration of 5.6Gz, while the latter gave results identical to all the other maneuvers.[7] The results from the flight protocols were recorded separately. As aforementioned, the study carried out a centrifuge test. The same was realized using a centrifuge with a radius of 10 meters.[7] The equipment was provided by the Acceleration Tolerance Laboratory, which is situated within the Institute of Aviation Medicine. The latter is a department of the Polish Military. At the resting level, the acceleration was +1.4Gz. Thereafter, it was increased by 1G.s-1 to a maximum of 7Gz. When the human centrifuge was involved, the accelerations were set at levels similar to the aerobatic maneuvers.[7] +GZ and the Electrocardiographic Response Whinnery[3] sought to establish that the g-forces experience d during centrifuge training have an effect on an individual’s electrocardiographic (herein referred to as ECG) response system. The study involved a total of 59 subjects. According to Whinnery,[3] the research relied on the responses of the flight surgeons that developed the acceleration profiles of the subjects. The participants were drawn from the United States Air Force and the United States Navy.[3] The two training profiles developed for the study included the gradual and the rapid onsets. According to Whinnery,[3] observation of the subjects was carried out based on their respective ECG dysrhythmias. The first profile was developed when the participants were allowed to put on a standard anti-g suit. Whinnery[3] points out that the suit was not inflated. There various reasons why inflation was omitted. The major objective was to ensure that the subjects were relaxed and that their loss of peripheral vision was gradual. The maximum limit of +Gz was estimated at +9Gz. It is important to note that the tolerance levels during the centrifuge training were recorded from 2 extremes. There was the relaxed and the straining levels of tolerance.[3] In both cases, the aim was to obtain the proficiency of the anti-g element in the experiment.[3] The researchers analyzed the various symptoms exhibited by the subjects. To achieve this, the results were computed in terms of the average, standard deviation, minimum, and maximum.[3] Whinnery[3] used the ages of the subjects to estimate the results. Of particular interest was the comparison between the ectopy occurrences among the subjects. The incidences were analyzed by means of a correlated proportions test referred to as McNemar.[3] An elaborate outline of the results is discussed in the subsequent sections of this paper. The objective, as already mentioned, is to build on the hypothesis of the current study. The discussions will involve results from studies similar to the ones referred to in this section. Resu lts Introduction to the Results From the materials and methods discussed in the previous sections, it is apparent that there is enough evidence to support the hypothesis made in this paper. The evidence suggests that cardiac arrhythmia is caused by g-forces that result from centrifugal acceleration.[5] The results of previous studies conducted in this field highlight the various types of arrhythmias and the effect of centrifugal acceleration on the rate of heartbeat. In addition, the findings made illustrate the various cardiovascular parameters related to arrhythmia. In line with this, analysis of this condition in relation to centrifuge is outlined in this section. Types of Arrhythmias As aforementioned, there are multiple types of arrhythmias. Each of them has unique characteristics that set it apart from the others.[6] In a study to determine the safety measures needed to be put in place during g-flight training, Hanada et al.[2] found out different types of this condition. The findings are illustrated in Table 2 below: Table 1: Types of cardiac arrhythmia Number of Participants Percentage of Occurrence (%) Type of Arrhythmia 114 58.5 Single PVC 95 48.7 Sinus Arrhythmia 63 32.3 Single PAC 19 9.7 Paired PVC 5 2.6 Ventricular tachycardia 3 1.5 Paroxysmal supraventricular tachycardia 3 1.5 Repeated PAC 1 0.5 Paroxysmal Atrial Fibrillation 1 0.5 Ventricular bigeminy or trigeminy Adapted from: Hanada et al.[2] The study by Hanada et al.[2] reveals 9 types of cardiac arrhythmia associated with centrifuge acceleration. The figures listed in table 1 above were obtained from a research conducted by the Japan Air Self-Defense Force (herein referred to as JASDF). The most common condition recorded during the study was single premature ventricular contraction (herein referred to as PVC) at 58.5 percent. The occurrence of both Paroxysmal Atrial Fibrillation and ventricular bigemny or trigemny was recorded at 0.5% in one of the participants, maki ng it the least common of all. Centrifugal Acceleration and its Effects on the Rate of Heartbeat As previously mentioned, centrifugal acceleration has an effect on human anatomy. The effects of this phenomenon on human body vary between different organs. Studies reveal that centrifugal acceleration gives rise to g-forces. As such, it follows that their effects on the heart touches on its rhythms, leading to cardiac arrhythmia.[7] In their study, Whinnery[3] affirms that g-forces affect an individual’s heart rate. Table 2 below illustrates results of the study by Whinnery.[3] The effects of the forces on the human heart are documented in the table. Table 2: G-force exposure and corresponding heart beat rates Lown grade Ectopy Definition Subjects with highest Lown grade 0 Absence of ventricular premature depolarizations 12 1 5 PVC 31 2 5 PVC 3 3 Multiform PVC 1 4A Paired PVC 8 Source: Whinnery[3] In this research, Whinnery[3] relied on one type of cardiac arrhyt hmia. As illustrated in table 2 above, the study examined the rates of heartbeat in relation to the effects of exposure to +Gz forces. The analysis is based on a Lown grading system. Such a system is used to classify heartbeats with regards to cardiac arrhythmia.[8] Whinnery[3] selected a cluster from the known classifications, as shown in table 2. The experiment analyzed results from a total of 59 participants. It was found that +Gz forces affected an average of 11 subjects. The same is inferred from the data in table 2. Cardiovascular Parameters Studies aimed at examining the effects of centrifugal acceleration rely on specified cardiovascular parameters. Vettes et al.[6] posit that the +Gz forces arising from centrifugal acceleration rely on such factors. They determine such responses as cardiac arrhythmia. The said parameters include an electrogram and the visual field of the subject. In addition, the heart rate and humeral arterial pressure of the participants are factored in t he study. They make up the cardiovascular parameters recorded during such experiments.[6] Vettes et al.[6] point out that increased exposure to g-forces was followed by a corresponding increase in the rate of the individual’s heart beats. The results from their experiments illustrated that peripheral loss of vision among the subjects was an indicator of the effects of the +Gz forces. The latter is regarded as a key symptom indicating the onset of cardiac arrhythmia. The study by Vettes et al.[6] revealed that the highest recorded heart beat per minute was 113, whereas the lowest was 84. In terms of pressure, Vettes et al.[6] illustrated that increased exposure to these forces (up to levels of +3 Gz) resulted in a corresponding rise in arterial pressure. To this effect, blood pressure is treated as an essential parameter in understanding cardiac arrhythmia. The same explains the effects of exposure to g-forces. The scenario is similar to electrocardiographic recordings, which vary depending on the accelerations. In their study, Vettes et al.[6] point out that increased heart pressure was the cause of arrhythmia. The reason is that the pressure led to atrio-ventricular dissociation. Effects of Centrifuge Training on the Heart The major focus of this study is centrifugal acceleration and its effects on human anatomy.[9] Aviation regulations require pilots (and in some cases passengers) to undergo some level of centrifugal training. Such trainings simulate the acceleration likely to be experienced in fast moving aircrafts. An example of such instances involves commercial space-crafts.[5] The high acceleration associated with such crafts requires some training to acquaint the persons with the g-forces. Blue et al.[5] carried out a similar study in which occupants of a spaceflight were subjected to centrifugal-stimulated sub-orbital flight. The objective was to create conditions similar to those in a fast moving aircraft. The participants in the study by Blue et al.[5] were all healthy. The simulation was expected to provide information on how g-forces affect the heart. It was also expected to shed light on the influence of the forces on the occurrence of cardiac arrhythmia. Their study used a total of 81 participants[5]. The research by Blue et al.[5] required healthy individuals. As a result, all the participants were subjected to medical screening.[6] Consequently, the initial number was reduced to 77 subjects. Out of this, 65 were men, while 12 were women. Another batch of 21 participants was subjected to cardiac examinations to check for any latent complications. The medical examinations revealed that 16 had histories of hypertension, while 5 had diabetes. Another 5 had undergone a coronary heart bypass. In addition, 17 participants had a history of hyperlipidemia. Prior to the simulation, there were 2 individuals who were found to have severe cases of peripheral vascular disease. The objective of these tests was to obtain exact re sults from the simulations. The aim was to ensure that the findings made were due to g-forces from centrifugal acceleration and not from latent conditions. The participants with medical histories had little complaints from the centrifugal acceleration in comparison to those without backgrounds of medical conditions. However, both sets of participants complained of nausea. The same is common in cases where subjects are exposed to high centrifugal acceleration. Another effect of this development was greyout. To this end, participants complained of incidences of mild greyout. Interestingly, none of the participants experienced any form of G-LOC. There were, however, incidences where the participants would perform head movements with the sole objective of self-inducing sensations similar to coriolis. Discussion Overview From the various experiments highlighted in the current study, it appears that cardiac arrhythmia is caused by g-forces associated with aerodynamics.[10] The various stu dies made reference to centrifugal acceleration. It is not possible to obtain results from the specific aircrafts that the researchers used to generate centrifugal acceleration. As a result, most studies depend on simulations of conditions found in an aircraft.[11] During such instances, the subjects are rotated at speeds that are almost equivalent to those in an aircraft The objective of such simulations is to expose the subjects to g-forces from acceleration.[12] The specific elements observed are the +Gz forces. The designation ‘z’ implies that on a 3 dimensional plane, the said forces act on the z axis. Their effects on the subject are longitudinal. In addition, they are the most common forces that affect the rhythm of an individual’s heart when in flight.[13] The different levels of exposure to g-forces are a contributing factor to the occurrence of the various types of cardiac arrhythmia. The study by Hanada et al.[2] highlighted three types of arrhythmia c ommon among pilots, especially in military jets. The three were identified as PAC, PVC, and sinus arrhythmias. According to Hanada et al.,[2] the three occurred due to the variant levels of exposure to +Gz. For instance, sinus arrhythmia occurs in instances where subjects are exposed to high g-forces. In such cases, the resulting levels of stress are high. The same has an effect on the heart rate. It distorts the rhythm of these rates once the subject comes to rest. It is noted that PVC and PAC are the most common types of arrhythmia that result from interactions with high-G training.[14] Hanada et al.[2] addressed this issue by pointing out that the two are common in normal day-to-day exercises. The researchers found it prudent to do away with centrifuge in cases where subjects exhibited PAC and PVC.[2] The argument is strengthened by the assumption that the two arrhythmias are a normal occurrence among subjects. The study by Hanada et al.[2] introduced the element of grading the r ate of heartbeat rhythms among subjects. The system is essential in determining the degree or severity with which arrhythmia exhibits itself.[15] In this grading system, arrhythmias that are recorded at a grade of three or higher are regarded as severe. It is noted that 10% of the subjects in the study by Hanada et al.[2] exhibited a paired condition of PVC. The researchers argue that the condition is a direct physiological response to the stress experienced during the centrifugal acceleration in training sessions. The Lown grading system for ectopy was developed against the backdrop of the need to characterize the different types of arrhythmia. The same explains why, in the study by Hanada et al.[2], PAC and PVC are graded according to the degree of exposure to +Gz. An example is in the case where there is paired PVC and PAC, while at the same time single cases of PAC and PVC are noted. In both cases, the Lown format becomes vital in highlighting the severity of the different types of arrhythmia. The Lown system is one of the advancements made in aviation medicine. It is used to determine the types of arrhythmias that are permissible in centrifugal training. An example is evident in the study by Hanada et al.[2], where the system is used to sanction centrifugal training in cases where subjects exhibit paired PVC. However, training sessions are terminated in cases where the arrhythmias go beyond a specific threshold.[2] In such cases, the severity of the condition is determined by such factors as proaxysmal atrial fibrillation. Hanada et al.[2] posit that there are certain tachycardiac arrhythmias that reduce tolerance to G-stress resulting from centrifugal acceleration. In such cases, the subjects exhibit PSVT and VT. Their study revealed that PVST is possibly a major cause of loss of consciousness during centrifugal training.[15] The findings made in the current study are best understood from the perspective of a detailed discussion of centrifugal accelerati on and its effects on the heart. In so doing, the researcher aims to prove that cardiac arrhythmia is a result of centrifugal acceleration. In this section, the specific types of this condition are analyzed in detail. Protocols for Centrifugal Acceleration The findings in this study reveal that centrifugal acceleration is an important component of aviation medicine.[16] The process creates an environment that is similar to that experienced in fast moving aircrafts like fighter jets. Such individuals as military pilots and astronauts are the most affected by the G-forces arising from the acceleration of high speed aircrafts. It follows that such individuals require some form of training to acquaint themselves with the strenuous conditions and to help them bear with the stresses brought about by the forces. Centrifugal training, as already indicated, is the process through which pilots and other crew members are subjected to controlled conditions of G-stress. During such sessions, avi ation medical personnel examine individual subjects’ tolerance to G-forces.[2] It is important to take the subjects through certain protocols. Such a move is necessary as it helps in the attainment of accurate results from the exposure to the said forces. Several studies are used to elaborate the importance of these protocols as indicated in the ‘methods’ section of this paper. The first and most important protocol to follow in centrifugal training is preliminary medical check-ups.[1] The procedure is evident in the studies by Hanada et al.[2] and Whinnery[3], where the subjects are screened for heart related complications. The objective of such preliminary medical examinations is to ensure the effects of G-stress exposure are not confused with the symptoms of latent medical conditions. The second protocol during centrifugal studies is the exposure levels.[3] During the training exercises, the subjects must be exposed to varying levels of +Gz so that a proper com parison can be arrived at. For instance, Whinnery and Hickman[8] sought to study mitrial prolapsed and thus relied on centrifugal acceleration. Their subjects were exposed to stress levels of 1G.15s-1 which were gradually increased. There was also another exposure referred to as the rapid onset exposure in which the subjects experienced g-forces of 1 G.s-1. The initial tolerance level is essential in evaluating cardiovascular reflexes.[8] On the other hand the second tolerance level are useful in determining the subjects’ tolerance in terms of the hydraulics. During these exposure levels, in centrifugal training, it is expected that the subjects end up experiencing total loss of their peripheral sight. The aforementioned protocols are key in ensuring that the results are obtained as expected.[8] Arrhythmia Resulting from Centrifugal Training Overview From the findings in this paper, it is apparent that the rhythm of the heart is distorted by the G-stresses during centrifugal training.[17] As previously mentioned, centrifugal training involves rotation of subjects in a contraption referred to as a human centrifuge. The objective is to expose the participants in such exercises to +Gz forces.[3] Consequently, the individuals in such studies are observed to determine how the G-forces affect their human anatomy, of which the heart is a vital component. The contents of the articles referred to in the current paper reveal that there are 4 major types of arrhythmias that result from centrifugal acceleration.[4] The four include sinus arrhythmia, premature arterial contraction, arterial fibrillation, and premature ventricular contraction.[3] In order to categorize each of the mentioned arrhythmias, the author of the current study made observations depending on the levels of +Gz exposure. A detailed discussion is provided in this section. Sinus arrhythmia According to Rayman,[1] the heart has a specific rhythm to which it beats. Consequently, any external force l ike g-stress tends to distort the normal pattern of this organ, resulting in what is now known as cardiac arrhythmia. From the articles reviewed in this study, subjects in centrifugal training experiments were found to exhibit sinus arrhythmia among other complications known in aviation medicine.[9] The study by Hanada et al.[2] revealed that this complication is common during centrifugal training, where the subject’s heart rate normalizes immediately after a rapid heart-beat rhythm. Interestingly, there were subjects who exhibited this particular kind of arrhythmia prior to centrifuge acceleration and the subsequent exposure to the +Gz forces. As illustrated in table 2, the occurrence of the SA in the participants was recorded at 48%. It is important to appreciate that the high occurrence rate is not really due to the centrifugal acceleration. Hanada et al.[2] argue that the condition is a normal occurrence, especially among persons involved in physical training. Studies ill ustrate that the normal rate of a healthy adult lies between 60 to 100 beats every minute.[1] However, some studies indicate that the pattern varies between the genders. A normal female’s heart rate, for instance, is estimated to fall between 47 and 103 beats for every minute.[17] In men, the estimated rhythm is placed at the range of 43 to 102 beats per minute. Alterations in heart beat rhythm due to sinus arrhythmia are not fatal. There are cases where the condition cannot be detected. As such, members of a flying crew who are found to have the condition are not in danger. Premature arterial contraction (PAC) The human heart is fitted with a pace maker that has electrical characteristics.[1] as a result, when this part is exposed to external forces, there are distortions in its normal functioning. Centrifugal acceleration, as aforementioned, has an effect on the organ. The resultant +Gz forces give rise to G-stress. As mentioned earlier, these stressors tend to affect the n ormal workings of the human anatomy. The pacemaker is among the body parts affected. As a cardiac arrhythmia, premature arterial contraction is a phenomenon where the heart’s pacemaker emits signals before the ‘stipulated’ time.[18] The maker is located above the ventricles, meaning that these chambers respond to the distorted signals. As a result, the heart’s rhythm is altered by the ventricle’s ‘irregular’ response. An arrhythmia of this kind is usually common when an individual is stimulated either through exercises or as a result of such beverages as coffee. However, the same is also true when an individual undergoes centrifugal training.[2] In the study by Hanada et al.,[2] PAC exhibited itself in a number of the subjects used in the experiments. Despite the fact that the condition is not lethal, it can present itself in a manner that would require a discontinuation of the training. In such cases, it is considered as clinically sev ere. Hanada et al.[2] point out that repeated PAC is quite severe and advices intermittent discontinuation of centrifugal training among subjects who exhibit the condition. Premature ventricular contraction (PVC) The heart’s functions rely on the electrical impulses of the pacemaker.[19] In cases where +Gz forces are introduced into the human anatomy, the said impulses are interfered with. When such interferences occur, the functioning of some of the compartments of the heart is impeded, resulting in a distorted rhythm of heart beat. As an example of cardiac arrhythmia, PVC is characterized by the contraction of the heart’s ventricles before the expected electrical signal. The name ‘premature’ is sourced from this irregular contraction of the ventricles. The diagram below is an ECG representation of this condition: Graph 1: Premature ventricular beats Source: Vettes et al.[6] The study by Hanada et al.[2] points out that PVC can exhibit itself in differen t degrees. There is the occasional premature ventricular contraction, which is a mild version of the condition. Subjects who present the said condition are allowed to continue with centrifugal training owing to the fact that it is not harmful. The harmful case of PVC involves repeated PVC and Bigeminy, Trigeiny PVC. However, in spite of the fact that it is more harmful in comparison to occasional PVC, the latter case calls for the termination of centrifugal training after some time. A look at the study by Hanada et al.[2] reveals that 19 pilots exhibited the paired PVC condition. The number of subjects who presented the condition in subsequent training sessions kept on decreasing. The same indicates that despite being a common occurrence due to centrifugal training, PVC is only severe when a subject is exposed to High G-Stress over a long period of time without a break. A case in point is a pilot who travels in an aircraft at speeds that result in a stress of 5Gz.s-1 without taking a break. Such an individual is likely to experience a severe case of PVC, which might lead to cardiac arrest.[18] Artrial fibrillation Exposure to +Gz requires some form of tolerance from the persons participating in the centrifugal acceleration exercises.[19] Increased exposure and the resultant stresses affect the heart’s electrical functions. The atrial happens to be another region of the heart that is affected by the G-forces. According to Rayman,[1] the +Gz forces can increase the rate at which the pacemaker emits electrical impulses. When this happens, the ventricles contract in an irregular and erratic manner, leading to arterial fibrillation.[20] Whinnery[3] points out that exposure to G stress in such centrifugal exercises is characterized by atrial ectopy. As is the case with the other arrhythmias mentioned in this paper, this condition can be mild or severe depending on levels of exposure. For instance, Vettes et al.[6] suggest that the complication is regarded as normal when subjects are exposed to +2G for about five minutes. However, the researchers point out that the condition becomes severe in cases where the G-force is increased to +5G and the subjects exposed to the same for a period of more than five minute. Conclusion Vettes et al.[6] point out that centrifugal training, and by extension centrifugal acceleration, has a direct impact on cardiac arrhythmia. In the context of this study, centrifugal acceleration is regarded as an avenue of generating G-forces to create stress on human anatomy. Aviation medicine makes use of centrifugal training to effectively understand cardiac arrhythmia. In essence, this condition is caused by the distortion of the normal heart beat. Whinnery[3] introduced the element of human centrifuge in their study. The contraption is used in aviation medicine to conduct experiments on centrifugal acceleration. During such experiments, two main factors determine how G-forces give rise to cardiac arrhythmia. The two include the degree of +Gz and the duration of exposure. Intensity and duration are crucial elements in explaining the various types of arrhythmias. Hanada et al.[2] point out that centrifugal acceleration in centrifugal training exercises gives rise to 3 main types of arrhythmias. The analysis points out that sinus arrhythmia, premature atrial contraction, and premature ventricular contraction are the most common conditions. Atrial fibrillation is another type of arrhythmia associated with the exercises. 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