The Causes of Teen Pregnancy, Violence, and Drug Abuse Essay

The Causes of Teen Pregnancy, Violence, and Drug Abuse The headlines proclaimed the controversial news: race, poverty, and single-parents were NOT the irrevocable harbingers of drug abuse, teen pregnancy, and violence. Instead, researchers were claiming that behaviors that parents and teens could influence -- such as problems at school and the amount of time spent hanging out with friends and the type of friends they chose -- could predict trouble. Some cynics speculated that this was a right-wing conspiracy to justify abolishing federal programs for the poor. Some assumed that the media, always keen for a dog bites man story, had oversimplified research results to get a newsworthy sound bite. On the other hand, some†¦show more content†¦For example: Smoking: teens that live in a single-parent home are more likely to smoke, regardless of age (middle school or high school), income, or race/ethnicity. Whites are more likely to smoke than Blacks or Hispanics, regardless of income, family structure, or age, although the differences were greater among the older teens. Teens from higher income homes were somewhat less likely to smoke, but among the high school students, neither income nor gender was related to smoking. Alcohol: Students living in single-parent homes were more likely to drink, regardless of age, income, or race/ethnicity. Among high school students, those from more affluent families tended to drink more, regardless of family structure or race/ethnicity. Weapon-related violence: Teens from more affluent homes were less involved with weapon-related violence regardless of family structure or race/ethnicity. Teens who lived with one parent and who were Black or Hispanic were more likely to be involved with weapons regardless of income. Girls were less likely to be involved in violence than boys, in middle school or high school. Suicide Risk: More affluent students, Black students, and those in two-parent homes were slightly less likely to consider or attempt suicide. Girls were more likely to have suicidal thoughts or attempts, in middle school and in high school. Sex: Teens from lower income families were more likely to report having sexual intercourse,Show MoreRelatedEssay on Factors that Lead to Teen Pregnancy1363 Words   |  6 PagesFactors that Lead to Teen Pregnancy Although the overall rate of teen pregnancy has been declining, the rates have remained high for teens that are most vulnerable. The great majority of Americans believe that teen pregnancies are a serious national problem, indeed a problem that is the major component of what is thought to be national moral decline. However, what causes these teens to become pregnant at such a young age? A large body of research has identified a number of factoresRead MoreHigh School Dating : A Not So Cinderella Story1077 Words   |  5 Pagesdistraction of relationship drama causes teenagers to focus less on things like school. This in turn will cause their grades to suffer. Lower grades mean a smaller chance of getting accepted into colleges, or receiving scholarships. Another problem is the emotional impacts of an ugly breakup. Impacts are long lasting at any age, but especially so in high school. This is because students are still developing. The Center for Disease Control and Prevention reports that affected teens have a higher risk for eatingRead MoreTeen Pregnancy : A Social Issue1371 Words   |  6 PagesTeen pregnancy is a very controversial social issue and the vast majority of Americans consider the outrageous rate of teen pregnancies a severe issue, certainly a problematic occurrence that is believed to be a moral decline in our country. Teenagers are physiological ly capable of reproducing but not emotionally or financially prepared to be parents at such a tender age. Through various research studies a plethora of determinants has pin pointed teens unprecedented pregnancies. One cause of thisRead MoreDrug Abuse Essay1546 Words   |  7 PagesThesis: Drug abuse, also known as substance abuse, is a patterned use of a drug in which the user consumes the substance in amounts or with methods which are harmful to themselves or others. Many teens turn to marijuana, prescription drugs, club drugs, alcohol, or other substances as a means of coping with stress, peer influence, and failure of parents to prevent their children from making unreasonable decisions. According to the yearly â€Å"Monitoring the Future† survey of high school age teenagersRead MoreCauses Of Teen Pregnancy1232 Words   |  5 Pagescitizens. There is crime and violence everywhere, although it may not always be reported. The United States is no exception to this. They are number one for many issues. Among these is the U.S. has the highest teen pregnancy rates. The causes of teen pregnancy in the United States today include substance abuse; broken homes; changes in society; and poor sexual education. For the most part, substance abuse is a leading cause of teen pregnancy. Those who abuse substances like drugs and alcohol do not haveRead MoreThe Negative Effects of Teenage Dating1512 Words   |  7 Pagessustaining a relationship over a period of time. Therefore, frequent break ups and arguments lead to attempts of suicide, teenage pregnancy, STD’s, teen violence, and substance abuse. This happens due to lack of experience and a broader understanding of what relationships are (Dasgupta, 2011). The problems of teen dating involving violence, sex, drug and alcohol abuse, and suicide are primarily caused by stressful life events, peer influence, and failure of parents to take their children away fromRead MoreA Review of Three Articles on Domestic Violence Essay examples885 Words   |  4 PagesOne of the most overlooked forms of violence in today’s society is domestic violence. Domestic violence is most likely to occur behind closed doors, which is one of the main reasons why domestic violence is not given that much attention. In most cases domestic violence is the silent, ugly side of dating and people do not like to talk about it. Due to the fact that domestic violence is becoming more common over the years warrants more and more research to help with the ongoing problem. nbsp;nbsp;nbsp;nbsp;nbsp;WhyRead MoreTeen Pregnancy947 Words   |  4 PagesFACT SHEET WORLD POPULATION DAY 11 JULY 2008 Young People and Family Planning: Teenage Pregnancy DEFINITION Teenage pregnancy is defined as a teenage girl, usually within the ages of 13-19, becoming pregnant. The term in everyday speech usually refers to girls who have not reached legal adulthood, which varies across the world, who become pregnant. THE CURRENT SITUATION †¢ †¢ †¢ †¢ †¢ Half of the world’s population are under 25. Some 1.8 billion are aged 10-25, history’s largest generationRead MoreThe Epidemic of Teenagers Using Drugs1687 Words   |  7 PagesEpidemic of Teenagers Abusing Drugs Krystyn Romualdo COM/156 November 18, 2012 Jackie Hudspeth Jr The Epidemic of Teenagers Abusing Drugs To have known so many people that have struggled with drug addiction in their teenage years it has become very apparent what a vital time in one’s life it is to know the dangers of abusing drugs as a teenager. Even though not all teens abuse drugs, it is an epidemic in the United States because more teens are turning to drugs to escape or use out of boredomRead MoreTeenage Pregnancy And Teen Pregnancy1341 Words   |  6 PagesTeenage pregnancy is a prominent dilemma in our nation because it continues to place adolescents into delinquency. According to the United States Health and Human Services, three out of ten American teen girls will become pregnant at least once before they reach the age of twenty. That is nearly 750,000 teen pregnancies in a year (1) (HHS Pg.2 2014). Also according to U.S. Department of State, teen pregnancy budgets the United States and tax payers approximately seven billion dollars annually (2)

Do you agree with the statement that America has no culture Free Essays

Nowadays the world is a really small place compared to what it used to be before. Twenty first century brought many changes for our society and it had been marked by the rise of a global economy, the rise of the consumerism, mistrust in government, deepening concern of over terrorism and an increase in the power of private enterprise. With the fall of the Soviet Union the USA became the sole superpower, and although it is suffering from many domestic and foreign problems, it still has a huge influence on the world‘s matters . We will write a custom essay sample on Do you agree with the statement that America has no culture? or any similar topic only for you Order Now The same thing is with the culture. The term Americanisation has been used since 1907 for the American impact on other countries. I will write about negative and positive aspects of America’s culture and how it affects our world and how it was formed. One of the main things which form society is a culture. If we are talking about the USA, it is primarily Western, but influenced by the Native American, African, Asian, Polynesian and Latin American cultures too. Despite certain consistent ideological principles (e.g. individualism, egalitarianism, and faith in freedom and democracy), American culture has a variety of expressions due to its geographical scale and demographic diversity. The United States has often been thought of as a melting pot, but now it trends towards cultural diversity, pluralism and the image of a salad bowl. Many American cultural elements, especially from popular culture, have spread across the globe through modern mass media .For example, Hollywood dominates most of the world’s media markets. It is the chief medium by which people across the globe see American fashions, customs, scenery and way of life. The same is with music industry. Many U.S.-based artists, such as Elvis Presley and Michael Jackson are recognized worldwide and have sold over 500 million albums each. Moreover, America‘s corporate business is selling the ideas of freedom, choice, competition for all the world. Cocacola is the most recognised brand in the world and it is a symbol of Americanization and it‘s culture. Furthermore, fast food companies are also often viewed as being a symbol of U.S. marketing dominance. Companies such as Starbucks, McDonald‘s, Burger King and KFC have numerous outlets around the world. Finally, the USA had a lot of really influential poets, such as M.Twain or E.Hemingway whose works continue to be popular to this day. However, all  these things poses quite a few problems if we really want to understand if such thing as „American cultureâ€Å" exists. First of all, the global presence of America‘s influence in business, politics and economy. Multinational food corporations are „killingâ€Å" small business by having less expenses and hiring workers for a lower salary. Speaking about politics, the USA in the last 20 years has participated in more wars or conflicts more than any other nation. Secondly ,the globalisation, which America brings to our homes ,imposes some laws or certain ideas on citizens which might be harmful in the long term for nation‘s economy or it’s standings of values, and customs, which can not be changed if we want to have society with moral standarts. Finally, most of the media and production created by the USA has a really low art value or lack a deeper meaning, because the reason they are created is profit. And if you want to have a profit, you have to sell your merchandise, you don’t need anything really mind provoking. To sum up, I believe that American culture exists ,and there are many great things which were made or created in the USA, such as music or modern technology ,which we use everyday, but we shouldn‘t forget that this country also invented things like weapons of mass destruction and started many wars, because the USA is „the world‘s policeâ€Å" and they have to make sure there is peace in the world. How to cite Do you agree with the statement that America has no culture?, Papers

H and M Enterprise Agreement System †Free Samples to Students

Question: Discuss about the H and M Enterprise Agreement. Answer: Introduction The current labour landscape in Australia is characterised by high wages that are n many cases not sustainable by the businesses which are supposed to support them. The labour market has for long been moderated by bargained agreements, which were put to the test by the BOOT, which ensured that they were better for the workers they were to apply to. In recent years, the focus on the BOOT has not always led to the positive results that it was meant to have. Besides increased attention to the compliance of awards as agreed, the sector is also rapidly changing. Additionally, enterprise bargaining has ground to a halt as uncertainty mounts over the issue of penalties. The effects of this situation are not localised on the hospitality and retail markets, or on a particular sector of the economy. Rather, the effects have been felt far beyond, as unemployment rates soar. In particular, the rates have affected youth who are just graduating from college, with up to 18% of them going for more than a year without fulltime employment. Many others are underutilised. One of the solutions to the problem, according to Watson (2017), is the cutting of salaries to a level that will enable the long term unemployed to secure gainful employment, without having to jeopardise the survival of the employers. At the same time, there is a need to ensure that the BOOT does not act as an impediment to the labour market, but rather, acts as a catalyst for improved labour relations and better employment prospects, especially for the youth. This report aims to provide a framework that the Fair Work Commission can use to institute changes to the BOOT. The president as the commissions former vice president implies, may be in need of a way that would make the labour market more adaptive to changes in the economy, and in particular to the rate of unemployment. The report will cover the BOOTs advantages and disadvantages, current issues, as well as other issues. At the same time, the report will look at the challenges which currently face it, with the objective of ensuring that the test is better suited to work in the current situation. The BOOT What and why The Better off overall test is an aspect of the Fair Work Act that was passed in 2009 to better safeguard the compensation rights of employees. Under the Act, the agreement must convince the FWA that the agreement will lead modern and prospective award covered employees better off if it applied, as compared to the relevant modern award applicable. In case this is not the case, the agreement must leave the class to which the employee belongs in a better condition than it would have been under the said relevant award. The FWA makes the test without any consideration to individual agreements agreed to between the employer and the employees. The precursor to the BOOT was the no disadvantage, which also provided that employees should not be left disadvantaged under the agreement. However, it did not give as strong safeguards to this as the BOOT does (McPhail, Jerrard Southcombe, 2015). The FWA may still approve deals that do not meet the BOOT criteria. However, this will only succeed if the deal does not run contrary to any other provision under the FWA. At the same time, the deal may be approved if it does not cause any financial injury to the employee covered (McPhail, Jerrard Southcombe, 2015) The BOOT was a mechanism adopted to better protect workers. The Australian legal system has historically been aimed at ensuring that the more vulnerable in society were taken care of. This involved initiative such as the no disadvantage and among the most recent, the BOOT. The BOOT guarantees the protection of workers in the enterprise bargaining setup, especially by ensuring that there are comprehensive equal pay provisions, and ensuring that all employees are able to enjoy at least the minimum pay standards. Employees who are most likely to be protected by the BOOT are low income earners who have minimal or no bargaining power with their employers. This means that the retail and hospitality industries workers are among the highest beneficiaries (Naughton Pitard, 2013) According to the Fair Work Act, the FW authority has the mandate to determine what constitutes modern award, which will then be considered for the test benchmarking. The modern award may indeed become confusing if there is more than one. In such instances, the authority will allow for flexibility, such that employers and employees can choose what best covers them. The agreement in question must be well understood by the affected employees, who must also be willing to adopt it. This is usually done by way of a vote, where the agreement is backed by the majority (McPhail, Jerrard Southcombe, 2015). Application of BOOT HM, one of the largest clothing designers in the country had come up with a national enterprise agreement which would allow lower weekend and public holiday rates for employees, in return for higher weekday rates. In addition, the agreement committed to a number of undertakings which would enable workers who were adversely affected by the deal to gain respite, and not be disadvantaged by the agreement. The agreement was however rejected. The FWC felt that the agreement left casual workers in many instances in worse off situation than they would be under the existing agreement that was signed in 2010 (Desir, 2017). The FWC came up with several reasons for rejecting the deal on the basis of the test. The company had not provided enough undertakings to show that casual employees especially those who consistently worked on Sundays for an extended amount of time would not be worse off under the new agreement. While HM had agreed to pay casual employees $0.65 per hour, it limited their hours of work to 65%. This meant that their earnings would be more limited than would have been the case under the existing agreement, which did not have such provisions. Additionally, the store had tried to reduce employees salaries by up to $5,000, in order to accommodate budget costs and expansion drives (Marin-Guzman, 2017). The retail giant, Coles, had reached an agreement with workers unions, which had aimed at increasing the hourly rate for employees during weekdays, but cut them during the weekends. The deal also provided for some added benefits, such as blood donor and emergency services leave. It also provided for an extra five minutes meal break for employees who worked for more than 4 hours shifts (Hanan, Coles Workers may Lose Pay Rise after Fair Work Veto, 2016). The agreement has been found by the Fair Work Commission to be deficient in terms of the criteria set by the BOOT test. The agreement had come up with higher rates for weekdays. However, it cut rates for weekended and nights. This meant that employees who were working at night and weekends consistently were likely to be disadvantaged, than would have been the case before (Clarke, Taylor Oakes, 2016). While the company and union suggested this only affected a small number of people, the BOOT requires all employees to be left better off with the deal, which was clearly not the case. Additionally, the decision to give the other benefits as some sort of compensation was found to be insufficient, since the said benefits were overvalued. The companys decision is said to likely impact other retail chains in the country adversely, as retail chains try to expand while making their wage bill more sustainable for this (Hanan, Fair Work Ruling Could hurt Coles Staff, 2016). Strengths and weaknesses of the BOOT Test The Better off Overall test has been instrumental in safeguarding the interests of employees. It has gone further than the no disadvantage agreement, in ensuring that an enterprise bargain has to ensure that all employees are better off that they are under the relevant award. The BOOT also makes it possible for companies and workers to agree on non monetary awards which ultimately leave the employees in a position better off than the current arrangement would be able to (FWC, 2017). On the other hand, the test has complicated the enterprise bargain system, making it increasingly difficult for organizations to reach agreements with their employees on sustainable agreements. For instance, the agreement between HM and the workers union had been backed even by the employees and for a while, by the FWC. However, the need to ensure everyone was better off as a result of the agreement meant that it could not apply. As Watson (2017) notes in his article, it is increasingly necessary to consider wage cuts, with the understanding that it is not unethical, and that it could ultimately mean more jobs. The BOOT system however prevents this. Improving the BOOT The BOOT can be improved by redefining the process. The best approach would be to consider that the best deal may not always involve improving the monetary improvement of the offer, as well as corresponding benefits that may constitute better overall. Rather, the approach may consider the wider industry needs, which include economic sustainability, job creation and equity. As the number of young unemployed graduates rises, the retail and hospitality industries, which traditionally have helped absorb them before they chart more definite career paths. They are currently unable to do this, since they cannot afford the associated wages and benefits as prescribed under BOOT, which even anticipates the potential employees in its tests. This should be reviewed and if necessary, scrapped (Watson, 2017). Conclusion As the decisions regarding Coles and HM, as well as the industry analysis by Watson show, the labour market is in a crisis. This crisis is however not a result of under or oversupply of labour or skills. Instead, it is the result of unsustainable wage regulations which continue to drive up the wage bills for companies. While the BOOT background is positive, since it ensures that the lowest paid are catered for, it has simultaneously made it harder for other workers to access the job market. Analysis of the industry suggests that since the test was implemented in 2010, the rate of unemployment has drastically gone up among the youth, a factor that threatens to harm the community, rather than help it. The implementation of the BOOT regulation has been improved the fortunes of existing workers, but has dimmed the hopes of prospective ones, who have to look further and longer to secure jobs. Recommendations The president should consider some improvements to make the system more receptive to the current atmosphere. The measures should consider the special status of the retail and hospitality industries as first job industries. In light of the soaring unemployment and the attendant social issues, the president should consider changes to the test that will leave not just employees, but also the whole community better off. This will include incentives that enable businesses to hire new employees, by scrapping the provision which also covers potential employees. The will of employees affected in deals should be considered too. The BOOT in the case of Coles did not consider the will of the employees, expressed though the union. References Watson, G, 2017, The entire Fair Work Act awards system is failing the 'better off overall' test, available at URL: https://www.afr.com/opinion/the-entire-fair-work-act-awards-system-is-failing-the-better-off-overall-test-20170327-gv7580 [Accessed 9 May 2017]. Angwin, M 2017, EBAs are now just a blockage to productivity, Australian Financial Review, 14 February, p. 39. Desir, B 2017, HM enterprise agreement fails BOOT, National Retail Association, 29 January. Available at URL: https://www.nra.net.au/hm-enterprise-agreement-fails-boot/ [Accessed 2 March 2017]. Hannan, E 2016, Fair Work ruling could hurt Coles staff, Australian Financial Review, 1 June, p. 3. Hannan, E 2016, Coles workers may lose pay rise after Fair Work veto, Australian Financial Review, 10 June, p. 7. Naughton, R., Pittard, M. 2013. The Voices of the Low Paid and Workers Reliant On Minimum Employment Standards. Adelaide Law Review, 34(1), 120 139. Marin-Guzman, D 2017, Fair Work takes swipe at H M over failing to disclose pay cuts, Australian Financial Review, 18 January, p. 3. McPhail, R, Jerrard, MSouthcombe, A 2015, Employment relations: an integrated approach, Cengage Learning Australia, South Melbourne. Clark, S, Taylor, J Oakes, D 2016, Coles could be forced to renegotiate pay deal with thousands of workers after Fair Work ruling, ABC News, 31 May. Available at URL: https://www.abc.net.au/news/2016-05-31/part-time-coles-worker-wins-fair-case-against-supermarket-giant/7463132 [Accessed 28 February 2017].

Women in Prison Issues and Challenges Faced by Female Inmates

Introduction The correctional facilities offered by the Criminal Justice System are of immense importance for the effective running of the society. This is because it is through these avenues that those members or the society who do not abide by the laws and codes of conduct established can be punished and effectively rehabilitated.Advertising We will write a custom research paper sample on Women in Prison: Issues and Challenges Faced by Female Inmates specifically for you for only $16.05 $11/page Learn More Even so, the United States has a phenomenal number of inmates serving in her state correctional facilities. While men traditionally make up the bulk of the inmates in US correctional facilities, women are the fastest growing group of incarcerated persons in US (Hutchinson 440). Women therefore make up a significant percentage of incarcerated persons and their unique needs and realities are they serve their terms has gained more prominence. This paper shall set out to give an informative analysis on the issue of women in prison. The paper shall especially concentrate on the issues that are peculiar to women; abortion, Psychological functioning during Pregnancy and child birth. The paper shall also look at the alarming of rates of suicides of women in prison and how women can best be reintegrated back to society after serving their sentences. Issues Affecting Women in Prison Incarcerated Women and Abortion One of the rights that women have championed and gained in the 21st century is the right to access abortion services. While this are services that free women have access to fairly easily, the same cannot be said for women prisoners. This is a big issue considering the fact that 6-10% of women in custody at any particular time are pregnant (Sufrin, Creinin and Chang 6). While abortion is deemed a â€Å"reasonable, appropriate and constitutional measure† and it is the right of a woman to request for one regardless of her b eing incarcerated, research by the renowned political scientist Rachel Roth indicated that correctional facilities’ abortion policies are inconsistent and lack any form of standardization (Sufrin, Creinin and Chang 7). As a result of this, incarcerated women are faced with various barriers in their quest to obtain pregnancy termination. Research conducted by Sufrin, Creinin and Chang on the provision of abortion services for incarcerated women revealed that while majority of health care providers for incarcerated women asserted that abortion services were provided for prisoners, there was lack of well established procedures for arranging for such procedures (9). The lack of a written policy on prisoners who request abortion means that prisoners are at the mercy of prison officers who may deny their abortion requests at will. Women who request for elective abortions can therefore be denied by facilities which make distinctions between â€Å"medically necessary† and â₠¬Å"elective abortions†.Advertising Looking for research paper on criminal law? Let's see if we can help you! Get your first paper with 15% OFF Learn More Abortion services for incarcerated women are also greatly dependent on the political trends of the particular state. Research indicated that states dominated by Republican legislatures were less likely to help imprisoned women obtain abortion as compared to states dominated by Democratic legislatures (Sufrin, Creinin and Chang 10). This political influence on correctional health system is detrimental to prisoner’s who seek elective abortions. Denying women the right to an abortion is tantamount to violating the Eight Amendment which guarantees all prisoners the right to health care. Women’s right to choose for an abortion is guaranteed by the law regardless of incarceration. Even so, the Abortion policies employed by some prisons greatly limit the prisoners’ access to health care. Sufrin, Cr einin and Chang propose that correctional health system should strive to come up with written policies on abortion that clearly articulate the pregnancy termination provisions available to the prisoners (10). This can help achieve quality service for the incarcerated women with positive outcomes. Psychological functioning during Pregnancy As a matter of fact, the pregnancy phase is an especially challenging period in a woman’s life as she undergoes various physical and psychological changes. Considering the fact that an estimated 6-10% of women are pregnant as of the time when they are getting into prison, a significant number of women prisoners experience the various challenges that are inherent in pregnancy. A common condition experienced by the pregnant women is depression and anxiety. Research indicates that incarcerated mothers face more stressors than other inmates as a result of visitation concerns and separation from their families. Pregnant inmates in particular stan d the risk of elevated levels of anxiety and depression. This anxiety and depression experienced by the mother can have negative effects for infant development by increasing the infant’s susceptibility to psychopathology. A reality that pregnant women in prison face is the impeding separation from their newborns. Women who deliver while in prison spend about 1 or 2 days with their newborns after which the babies are taken away from them (Hutchinson et al. 441). Hutchinson et al. reveal that this separation and loss is â€Å"likely to be emotionally demanding and may even be a traumatic experience for many women† (441). This initial trauma may make it impossible for the mother to reconnect with their baby when they are reunited. This assertion is corroborated by a study by Sajaniemi et al. which revealed that the disruption in the initial bonding process of child and mother as a result of separation significantly affects the development of secure attachments. In additio n to this, the stress that comes from this separation may result in violent outbursts that result in the disciplinary action being taken against the incarcerated new mother.Advertising We will write a custom research paper sample on Women in Prison: Issues and Challenges Faced by Female Inmates specifically for you for only $16.05 $11/page Learn More Pregnant incarcerated women are more predisposed to hostilities and angry outbursts as a result of their condition. While studies reveal that all pregnant women are likely to exhibit anger and hostility as a result of the hormonal changes they are undergoing, the hostile and angry reactions are higher in pregnant incarcerate women(Hutchinson et al. 441). This combined with situations such as lack of enough food for the mother and baby only serve to escalate tempers. This condition places the incarcerated women at great risk of interpersonal violence and infractions in prison. Such behaviors not only endange r the unborn child but they lead in disciplinary action being taken against the pregnant prisoner. In times of pregnancy and childbirth, social support is highlighted as one of the most important care practices. While incarcerated pregnant women are surrounded by their peers in prison, research indicates that majority of them do not use their prison peers as a source of social support (Hutchinson et al. 447). Instead, the women mostly rely on their own mothers and/or the baby’s fathers. However, incarcerated women encounter significant barriers in their attempt to receive the much needed support. Incarceration results in limited visitation and access to telephones. Considering the fact that regular visits with children and maintenance of regular family relationships during incarceration significantly reduces the likelihood of the inmate reverting to crime after release, Hutchinson et al propose that correctional facilities should promote visitations (450). The women may also be imprisoned at facilities that are considerable distances from their homes therefore limiting the number of visits that their families’ can afford. In addition, many prisons do not allow family and friends during labor and delivery. This causes significant psychological distress to the pregnant women. After having their babies’, women are required to make plans for placement of the infant’s for the interim period between birth and the mother’s release from the correctional facility.Advertising Looking for research paper on criminal law? Let's see if we can help you! Get your first paper with 15% OFF Learn More Hutchinson et al revealed that women who could not find a good potential caregiver expressed significant distress since the infant would have to be taken into the custody of the Department of Social Services and likely placed into foster care (447). Even the women who find potential caregivers problems related to the interim caregiver to whom they relinquish the care of their infants. The women experience a wide range of emotions ranging from jealousy, concern for child’s well being to appreciation for the care provided to the child on their behalf. Hutchinson et al reveals that most of the interim caregivers are the inmates own mother and these results to concern if the mother has a history of neglectful or abusive parenting (442). This results in the incarcerated mother having high levels of stress due to concern for their children. Prisoners giving Birth Approximately 1400 women give birth while under incarceration every year. This places them in a precarious position sinc e giving birth even in the best of circumstances is an involving process. Incarcerated pregnant women face unique issues in addition to the issues that are common to mothers in general. The unique issues mostly revolve around discomforts exacerbated by pregnancies and the stress brought about by the impending birth. Hutchinson proposes that correctional institutes establish specific interventions geared towards addressing the unique needs of pregnant inmates (450). A particularly novel support tool for women giving birth is the Birth Companions which was formed in 1996 with the primary aim of offering support for prisoners giving birth (Marshall 225). Birth Companions in essence provides experienced birth partners who offer support to women who are about to give birth. The Birth Companions visit the prison and offer birth plans for pregnant women as well as provide the much needed support during labor. This assists reduce the anxiety that women in prison are predisposed to and assis ts the women focus on their babies’. Support during pregnancy results in positive experience by the pregnant inmates and research indicates that the support of an experienced birth companion significantly improves the outcomes for mother and baby. Marshall documents that in a study involving over 1300 pregnant women, it was fount that â€Å"women who received continuous labor support were more likely to give birth virginally, needed less interventions, and had higher satisfaction rates and slightly shorter labors (225). Bearing in mind these positive results, it would be beneficial to have birth support services provided for every pregnant woman, incarcerated or not. Suicides of women in Prison Recent reports have called to attention the escalating rates of suicide among incarcerated women. Thomas documents that the suicide rate among female prisoners is a phenomenal 20times more common than among females in the general population. In any context, these are very troubling re velations and they point to a profound problems experienced by women in the correctional system. The first major problem that females encounter is despair. While many female prisoners experience despair as a result of their incarceration, the prison environment is not conducive to an open express of this despair (Liebling 384). This is because of over-medicalization of the problem of suicide which results in hospitalization in cases of suspected suicide risk. Hospitalization results in segregation of the prisoner therefore leading to an escalation of the situation as a result of loneliness. As such, women who are at risk of suicide opt to keep their despair hidden instead of seeking help. Research indicates that younger women are especially at risk of attempting suicide than any other group due. The reasons for this include the fact that young inmates are susceptible to threats and attacks from others and generally have less resources and skills to avert such behaviors. This bullyin g and victimization in young offenders results in higher likelihood of committing situation specific suicides by the young female prisoners. Research by Liebling noted that prisoners who had committed suicide were more likely to have spent sometime in seclusion or protective custody while in the correctional facility (392). As such, being bullied and victimized by the other inmates is a common precursor to the prisoner attempting suicide. Most of the women who commit in suicide have pre-existing issues with depression and these conditions are escalated as a result of the prison conditions. One study revealed that those who committed or attempted suicide were currently seeing the visiting psychiatrist or had a history of mental health issues before incarceration (Liebling 393). From these findings, it is clear that there is a link between the mental health of the prisoner and suicide rates. Liebling asserts that the significance of drug abuse in suicide prison remains as potent as ev ery and particularly among the suicides that occur during the early periods of custody (384). Research indicates that a significant number of female prisoners are incarcerated as a result of drug related offenses. Thomas articulates that more women are entering prison because of drug-related crimes and many of them are addict (353). While in prison, they lack access to their drugs of choice and hence experience withdrawals without the support facilities that they would have on the outside. Social justice and women leaving prison One of the core goals of correctional facilities is to rehabilitate people for successful reintegration into the society. Fortune et al. state that while the goal of women’s correction is for women to leave correctional institutes stronger than when they went in, the stigma associated with incarceration results in women returning to the communities feeling even more powerless (19). Being accepted back into the community or being rejected from it after release from prison has a major implication on a woman’s ability to reintegrate. Re-entry into community is mostly hampered by the stigma which results in offenders being perceived as bad. Stigma may result in the ex-convict isolating themselves from the community. This social isolation greatly reduces the opportunities for women to establish supportive relationships that are a prerequisite to post-prison empowerment. Social justice and shared responsibility are two of the principles which if effectively employed can assist in the effective reintegration of ex-convicted women into the society. The principle of shared responsibility sees the entire society as being responsible for the creation and implementation of services for the incarcerated women (Fortune et al. 24). Dispelling the myths and negative perceptions about which are propagated by the media about incarcerated women, the negative connotation associated with ex-convicted women can be dispelled. By use of programs such as â€Å"Stride Night† which provide a platform for interaction between incarcerated women and community volunteers, a better understanding is borne and the volunteers can help dispel the stigma associated with incarcerated women (Fortune et al. 25). Brown and Stuart confirm that mentoring has become a popular and effective tool for reintegrating and resettling ex-prisoners. Mentoring offers the woman prisoner a nonjudgmental ear and a person who is not connected with the former criminal world that the ex-prisoner may have been involved in. The first days following release, women are especially prone to falling back to old detrimental habits such as substance abuse, criminal activities and abusive relationships (Fortune et al. 23). By having a mentor, the former prisoner stands a better chance of leading a changed life. Brown and Stuart reveal that the value of mentors to the ex-convict mentee is greet since mentors could act as character references for employment and h ousing for the ex-prisoners and even attend court for child custody hearings (42). This social capital that the mentors can provide to the female ex-convict is of great importance since most women live in isolation after being released from prison either in an attempt to make a clean start from their turbulent past or due to issues of personal safety. Discussion and Conclusion Correctional facilities are a necessary aspect for the administrative component of a country to function efficiently. From this paper, it is clear that there are a number of major issues that women prisoners face during incarceration. These issues have a negative impact on the women and decrease the likelihood of them. Marshall reports that the health issues of women have been overlooked by the correctional system which was designed primarily for men (227). This is especially true when dealing with pregnancy of inmates. As it currently stands, handling of pregnant women in prison varies from prison to prison. For example, while shackling of pregnant incarcerated women is generally condemned, only six states have laws expressly condemning the practice (National NOW Times). As such, prisons in the states which do not have explicit laws against this practice can engage in this practice without fear of legal redress. There have been calls for the establishment of a set standard for how pregnant women should be treated during pregnancy and birth in all prisons. As has been noted, conditions such as overcrowding, a lack of access to medical care and increased assault against the prisoner exacerbate problems that result in suicide risks among the inmates. The prison administration can therefore alleviate suicide rates by improving the living conditions of the inmates. In addition to this, protection of younger prisoners from victimization and bullying can reduce the amount of distress they experience therefore reducing their risk of committing suicide. The ultimate goal of correctional faciliti es is to mold convicts for future reintegration into the society. Through social justice and mentoring programs, ex-convicts can be successful reintegrated into society and allowed to make a meaningful living and consequently play a part in the noble task of building the nation. By accepting the ex-prisoner women into the community, the society will demonstrate its faith in the rehabilitative property of the prison systems and absolve the ex-felon since they have already repaid their debt to society by serving time. While the role played by the criminal justice system is imperative for the well being of the society, the human rights of the prisoner must be respected and conditions made as humane as possible. As it currently stands, incarcerated women’s access to abortion services is not guaranteed and support during pregnancy is inadequate. Women are also susceptible to suicide and psychological trauma in pregnancy. Correctional service institutes must strive to address these problems so as to make women’s stay at prisons less traumatic. Works Cited Brown, Mark, and Stuart Ross. â€Å"Mentoring, Social Capital and Desistance: A Study of Women Released from Prison.† Australian New Zealand Journal of Criminology 43.1 (2010): 31-50. Felice Yuen, et al. â€Å"Social justice and women leaving prison: beyond punishment and exclusion.† Contemporary Justice Review 13.1 (2010): 19-33. Liebling, ALison. â€Å"Suicides in young prisoners†. Death Studies, Sep/Oct93, Vol. 17 Issue 5, p381, 29p Mariaskin, Amy et al. â€Å"incarcerated women’s psychological functioning during pregnancy.† Psychology of Women Quarterly 32.4 (2008): 440-453. Marshall, Denise. â€Å"Birth Companions: working with women in prison giving birth.† British Journal of Midwifery 18.4 (2010): 225-228. National NOW Times. â€Å"Anti-Abortion Terrorism Threatens Lives, Women’s Rights.† National NOW Times 42.1 (2010): 2. Sufrin, Carolyn , B., Mitchell D. Creinin, and Judy C. Chang. â€Å"Incarcerated Women and Abortion Provision: A Survey of Correctional Health Providers.† Perspectives on Sexual Reproductive Health 41.1 (2009): 6-11. Thomas, Sandra P. â€Å"Suicides of Women in Prison.† Issues in Mental Health Nursing June 2009: 353. This research paper on Women in Prison: Issues and Challenges Faced by Female Inmates was written and submitted by user Mackenzie Bush to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on Assyrians a Brief Description

The Assyrians are the indigenous people of Mesopotamia and have a history spanning over 6700 years. Today, the Assyrians are the descendants of the ancient Assyrian Empire and one of the earliest civilizations emerging in Mesopotamia. Although the Assyrian empire ended in 612 B.C., history is replete with recorded details of the continuous persistence of the Assyrian people till the present time. Assyrian civilization at one time incorporated the entire Near East, most notably the area of the Fertile Crescent. The heartland of Assyria lies in present day Northern Iraq. The remains of the ancient capital of Assyria, Nineveh, lie next to Mosul in Northern Iraq. The world’s 4.5 million Assyrians are currently dispersed with members of the Diaspora comprising nearly one-third of the population. Most of the Assyrians in the Diaspora live in North America, Europe, and Australia. The remaining Assyrians reside primarily in Iraq, Syria, Iran, Lebanon, and Turkey. The Assyrians are not to be confused with Syrians. Although the name of Syria is directly derived from Assyria and the land was once a part of Assyria the people of Syria currently maintain a separate Arab identity. The Assyrians are not Arabs, but rather have maintained a continuous and separate identity, language, and culture that predates the Arabization of the Near East. Until today, the Assyrians speak a distinct language, Syriac, the language spoken by Jesus Christ. As a Semitic language, the Assyrian language is related to Hebrew and Arabic but predates both. The Assyrians were the first to accept Christianity in the first century A.D. Despite the subsequent Islamic conquest of the region, the Assyrian Church flourished and its adherents at one time numbered 80,000,000. Assyrian missionary zeal was unmatched and led to the first Christian missions to China and Japan. Today, the Assyrians belong to three major Christian sects: the Church of the East, the Chaldean Churc... Free Essays on Assyrians a Brief Description Free Essays on Assyrians a Brief Description The Assyrians are the indigenous people of Mesopotamia and have a history spanning over 6700 years. Today, the Assyrians are the descendants of the ancient Assyrian Empire and one of the earliest civilizations emerging in Mesopotamia. Although the Assyrian empire ended in 612 B.C., history is replete with recorded details of the continuous persistence of the Assyrian people till the present time. Assyrian civilization at one time incorporated the entire Near East, most notably the area of the Fertile Crescent. The heartland of Assyria lies in present day Northern Iraq. The remains of the ancient capital of Assyria, Nineveh, lie next to Mosul in Northern Iraq. The world’s 4.5 million Assyrians are currently dispersed with members of the Diaspora comprising nearly one-third of the population. Most of the Assyrians in the Diaspora live in North America, Europe, and Australia. The remaining Assyrians reside primarily in Iraq, Syria, Iran, Lebanon, and Turkey. The Assyrians are not to be confused with Syrians. Although the name of Syria is directly derived from Assyria and the land was once a part of Assyria the people of Syria currently maintain a separate Arab identity. The Assyrians are not Arabs, but rather have maintained a continuous and separate identity, language, and culture that predates the Arabization of the Near East. Until today, the Assyrians speak a distinct language, Syriac, the language spoken by Jesus Christ. As a Semitic language, the Assyrian language is related to Hebrew and Arabic but predates both. The Assyrians were the first to accept Christianity in the first century A.D. Despite the subsequent Islamic conquest of the region, the Assyrian Church flourished and its adherents at one time numbered 80,000,000. Assyrian missionary zeal was unmatched and led to the first Christian missions to China and Japan. Today, the Assyrians belong to three major Christian sects: the Church of the East, the Chaldean Churc...

A Tragic Heroine

Tragic Heroine that Triumph Margaret Edison’s play Wit is about Vivian Bearing, a professor of seventeenth century poetry, specializing in John Donne. She is a strong willed intellectual being treated for ovarian cancer. Vivian lives a very secluded life and avoids human emotional contact. Just like any tragic hero, Vivian has flaws that prevent her from human kindness, which leads to her downfall. Her treatment of cancer causes her to realize that she needs emotional connection, which she has missed her whole life. Although her flaws are her intellect and wit that cause her an inability to connect emotionally with people around her, she becomes noble because she begins to express her emotions and accept kindness. Vivian Bearing has lived an intellectual rather than emotional life. As a child, education was very important to her family. On her fifth birthday which she recalls as her best birthday she read a book (Edson 41). She would rather read a book than have a party, cake or even having friends over. Reading a book during her birthday is very ironic because she claims this to be her best birthday which is really unique, because this is horrible as any standard for a fifth birthday. Most five year olds want a party and cake. Vivian takes the book and she reads its spine intently. Reading a book attentively on her birthday proves Vivian’s obsession with learning and expanding her horizons. She is only interested in learning, not worried about connecting with people her own age or even her family. While she is reading her book, her father sits on his chair â€Å"disinterested but tolerant† (Edson 41). Since her father does not pay any attention to her, Vivian is emotionally detached from her father. She only knows education and learning. She never mentions receiving any affection as a child. This is the only time she mentions her childhood. One can only assume that because of this the character’s own remote personality reflects that of her father’s. It is very likely that she never received the gentle touch of affection from her dad, the way she probably would have from her mother, if the mother had been in the picture. We know that her mother died at the age of forty, but other than that, nothing else is either mentioned or displayed regarding her. Vivian’s intellect and crave for knowledge continues to prevent her from human emotional connections. We meet Vivian as a student in a flashback. Her scholarship was her consuming and unrelenting passion, blinding her to other concerns of life like making friends. Despite being advised by her professor to enjoy life, she resorts to withdrawing into the library instead of going out (Edson 15). Her toughness and strictness towards her education blinds her treatment of humanity. She remains lonely and uses her education to cover her need for showing and needing emotional attachment. She does not enjoy her college life like most students do. Her intellect refuses her to show a need of emotional connection with students her own age. Her emotional detachment is apparent when she is told that she has ovarian cancer. Instead of crying and being afraid of death, she begins to analyze and think. â€Å"Must read something about cancer. Must get some books, articles. Assemble a bibliography,† she explains (Edson 8). The character’s excessive need for knowledge, which can be perceived as her tragic flaw, causes her to be oblivious to the reality of her diagnosis. Vivian is consumed with learning that she is unable to grasp with the reality that she has a disease that is slowly killing her. Her need for knowledge can be seen as a flaw because this prevents her from becoming psychologically attached to anything or anyone. Vivian thrives on knowledge and her ability to learn and understand things and uses her intellect to avoid human contact. The character’s addiction to intellect has shut down her need for any human emotions. Vivian’s wit appears as rude and uncaring when she uses her wit to push people away. Vivian’s smart remarks to everything cause people around her and also people that meet her to be unable to create a relationship with Vivian. When Vivian is diagnosed with ovarian cancer, Dr. Kelekian uses the word â€Å"insidious† and defines it as â€Å"undetectable† (Edson 8). Vivian is unable to control her witty comments and could not resist the urge and decides to tell him the correct definition saying â€Å"treacherous†. Dr. Kelekian has a negative attitude towards her because of these corrections. Instead of treating her cancer, he decides to use her as research. Dr. Kelekian is unable to feel any compassion for her because she is rude. Vivian’s wittiness also appears as being uncaring. She is not liked very much by others, due to her unkindness. Previously, when a student asked for an extension on his paper, Professor Bearing rejects his request with a heartless comment. â€Å"Don’t tell me, your grandmother died† (Edson 63). Then she goes on to say, â€Å"Do what you will, but the paper is due when it is due† (Edson 63). Instead of showing some sentiment for the student, she is inconsiderate and cold-hearted towards him. She is so evil towards the student that no other student is able to feel comfortable around her and even speak to her as a person. She terrorizes her students inconsiderately and dispassionately. Vivian Bearing uses her wittiness to push people away so she does create an emotional attachment. Being put in hospital causes Vivian to reflect on her life and to realize how much she needs kindness. She even admits to craving kindness. She wants Susie to come see her to the point where she creates an emergency (Edson 64). She begins as an intellect, witty professor who is lonely, but now she is thirsty for a drop of kindness. Vivian’s hunger for kindness becomes apparent when she allows her nurse to call her sweetheart† (Edson 64) or honey(Edson 65). These are words Vivian has never been referred to in her life and she is comfortable with them. She realizes that it is acceptable to allow people to treat her like a person and be kind to her. Vivian starts to open up and shows her emotions without any problem or hesitation. At the end of the play when Vivian is lying in her deathbed, alone, shivering scared, and in pain, E. M. comes to her side. When her college professor Ashford comes to visit her, she asks Vivian if she wanted her to recite Donne, she replies â€Å"nooooo† (Edson 79). Vivian is finally realizing that her need for intellect and wit is not what she needs because she has received kindness. The emotional part of life is what she needs and not the complicated poems by Donne. As her time draws to a close, a sea change begins to work in the way Vivian thinks about life. As mentioned in the above paragraphs, Vivian has devoted her life to education and it is only through suffering that she learns that being extremely smart is not enough. It takes our heroine fifty years, and an insidious cancer to realize that it does not matter in the end how much you know since knowledge cannot possibly comfort you in death. Vivian says this line in the play â€Å"And death shall be no more, death thou shalt die (Edson 72-73). By these words she learns that death is nothing but a breath, a comma that separates life from life everlasting, Vivian’s last breath was nothing but a comma† and she has now moved on where she will live not by her knowledge, but by her heart. Though her body has died, her soul is awakened. Before Vivian’s final moments of life, she receives the attention and affection that she never had. She dies with a sense of peacefulness. Vivian Bearing is a very intellectual and witty individual who is dedicated to her love for know ledge. But because she is consumed by her incredible love for knowledge she lives a secluded life. Her downfall is that she is incapable of showing any emotions to another person. The play did not leave the audience with a sense of sadness or remorse, but with hope and respect for Vivian Bearing. She lived the final eight months of her life in extreme pain so doctors could gain more knowledge for future cancer patients. In the process, she learns that life is about humanity. This is what brings the audience to believe that this individual is a tragic hero who triumph and leaves one not with a sense of pity but one of empathy for her suffering.

Religion Essay Example | Topics and Well Written Essays - 750 words - 2

Religion - Essay Example â€Å"All civilizations were founded with religious underpinnings. Of course, religions, like civilizations, grow and sometimes die; forming an intellectual and ontological compost from which new civilizations often sprout. Often, these new civilizations are more complex and take root in earlier ideas while expanding them to meet new conditions† says awaretek.com Every individual is bound by his society and customs, each society has its own religion, rituals are conducted according to their religious instructions, and as far as the myth related to related to religion is concerned, we could trace out the starting point of our belief to have a basic influence by the myths. For example, we have been told by our ancestors the story of Jesus Christ and his birth, we believe that the star that shines during the month of December indicates the birth of Christ, and similarly when we consider other religious beliefs such as Hindu or Muslims, they too have their own rituals having a background story form the myth. could understand that majority of people accept a moral standard on the basis of their brought up and values that were taught to them by their elders. So religion is said to have a constructed meaning, ethics, rituals and myths, all are found in a society in a combined form, the influence of each could be felt in every aspect of the society. The argument that If we start analyse what the universe mean to us, we should take into account the contribution of man. It is an accepted and universal statement that God created every thing. Man is the most intelligent of all his creations as he possesses the additional sense of reasoning and speaking. He is still in the process of finding out the meaning behind every aspect of God’s creation. Though some might argue this as scientific, the fact that science is an expression of God’s creation needed to be accepted. Man can only analyse the reason for any natural calamity but he could not

Global warming - new business challenges Essay Example | Topics and Well Written Essays - 1000 words

Global warming - new business challenges - Essay Example These losses are elevated in pollution and other devastating factors depleting the richness of these natural resources. Over exploiting will result in the extinct of these resources and loss of many diversified species. A flood, deludge whether is something which runs any business entitew into huge losses. heat wave like the one that gripped Britain in 1995 led to losses of 1.5 billion pounds1(Swiss Re, Business week) A business entity which ignores the basic external factors will lead to failure. Environment consiousness should be considered along with the development Global warming does reflect its adverse effects at places even far from places of pollution origin. Thus it reveals that the global warming issue is a concern for entire world but not for particular region. Business entities has to look into diversified and complex situations where in it will necessary to look in to issues like1 the demographic, economic conditions and the atmospheric conditions. The main challenges put in front of any organization would be the investment into non-revenue generating entities, high initial investments, the business planning complexities, extra employees benefits, safety and security systems. Non revenue generating entities are the features added in a production or manufacturing unit to make the ambience more secure like the alarm and security systems, the greenery maintaining. High initial investments are required to install these specialized devices in an work environment and complex to maintain as th equipments and devices are specially configured. The employee benefits are necessary to put into to safe the employee interests and to avoid turnover frequently. The employee benefits include high insurance payments, compensation, rehabilitation, pensions and medical allowances etc. Chapter-04: Case example-China coal industry The devices like the solar energy systems are costly as the market for the devices is limited and the technicians are to be maintained separately for operating these devices. China a rapidly developing Asian country has enhanced its energy utility base to nearly three times. The usage of home appliances has pressurized the domestic power consumption. The main raw material for power generation is coal extracted from earth crust. Depending upon the quality of th2e coal extracted the efficiency of energy produced would alter. The coal as a raw material has extremely polluted which spreads far to the neighboring countries. The increase in global-warming gases from China's coal use will probably exceed that for all industrialized countries combined over the next 25 years, surpassing by five times the reduction in such emissions that the Kyoto Protocol seeksNew York times2. The carbon dioxide emanating from Chinese coal plants will last for decades, with a cumulative warming effect that w ill eventually overwhelm the cooling from sulfur and deliver another large kick to global warming. China being a the worlds most populous country needs huge energy resources, however the huge expanse of china has provided with some gifted reources which were squised to the extreems by the business entities. The utilization of coal has risen to an alarming concern effecting china and its neighboring count

Worlds cheap products Essay Example for Free

Worlds cheap products Essay This shows that he is expressing his anger for the worlds cheap products through his work, repressing it as a statue, called Ogun. The form of this poem is very simple with short sharp sentences and two lined stanzas, that give a cold feeling of wanting to put his point across more than anything else. The tone of the poem is mostly anger of the writers uncle because of the fact no one will buy his goods. The world just wants cheap, soulless things, and his tradition and identity suffer as a result. In Nothings Changed the main message put across is that although racism has changed with laws and such, the feelings that remain are exactly the same. This fits in with the suffering of identity because even when laws have been passed and it says you can be a certain place, or do a certain thing, you still feel like you cant and that you are treated the same, because of the colour of your skin. The message of this is brought across with several techniques. The imagery gives a feeling of hurt and deceit, and of a gut feeling of everything being the same it makes you think of pain that has happened, and that will continue to happen. The reader gets a feeling that the place is wasteland with rubbish and rubble everywhere, like a ghost town deserted and quiet. The language of the poem is thoughtful and heartfelt. The first part of the poem tells us that the man in the poem is breathing heavily, scared, frightened because of the terrain he is walking through.  And the soft labouring of my lungs, and the hot, white, inwards turning anger of my eyes  This tells us he is bottling up his feelings about the place and that he is angry because of what had gone on there before. He cannot get the anger out of his system nor does he feel welcome in this place; he feels a connection with the weeds on the floor, both unwanted and uncared for. As the poem goes on it tells you he is more angry and powerless because nothing has changed from when he was a child: I back from the glass, boy again  He tells us that he still feels a victim of apartheid, weak, small and powerless, because everything is the same as when he was a child. Even though things have physically changed, things will never mentally change. Some of the words in the poem such as haute cuisine gives an effect of expense and exoticness so that only rich people could afford it, which lets you know that things are strange to the writer. The form of this poem is put across in short simple words. The first stanza tries to imitate footsteps.  Small round hard stones click, under my heels  The tone of the poem is angry, upset, hurt and very serious this is put across by the whole feel of the poem to show that he feels out of place, in the place he was brought up. This inevitably causes pain and inner suffering The poets want to put across the fact that readers should learn and understand that just because something is different, it may be a lot better than what you thought, and that you should treat people as you wish to be treated and not discriminate. They also show that poets from other cultures and traditions show suffering because of their identity because people are prejudiced and feel threatened by something that is different. The poets suffer because they do not feel as if they can fit in, as people treat them differently or are not so easy to get on with as someone from the same sort of background.

Essay --

Loneliness: We all know that every one becomes lonely once in a while. But in Steinbeck's novella "Of Mice and Men† it shows the loneliness of ranch life in the early 1930's. It also shows how people are trying to find friendship with other ranchers in order to escape from loneliness. Imagine if you had nobody to talk to. Loneliness is the basic message here in this story. Steinbeck uses different type of names and words such as the town near the ranch called â€Å"Soledad†. Which means loneliness in Spanish. Another word Steinbeck uses is the card game called "Solitaire" which means by ones self. George would normally play this card game by himself or either with Carlson and Slim. All men on the ranch are lonely including Curley’s wife even though she has Curely as his husband. But they have no communication at all. She is controlled by Curley making her lonely. He doesn’t let her speak to anybody. The men on the ranch are not afraid to talk to her, the reason they don’t talk to her is because Curley will start a fight because of jealousy. â€Å"Go back to the house† said Curley (pg. 78). She has no female friends on the ranch leading her only option to talking to men on the ranch. Curley is an aggressive guy and doesn’t like the fact that his wife is out of the house all the time. In the beginning of the boo k, Steinbeck introduces the idea of loneliness by how men work on ranches living temporary lives, with no goal in life. Although Lennie’s and George’s goal is to have their own land and have all different types of animals and of course â€Å"how I get to tend the rabbits† says Lennie (pg. 14). â€Å"Over each bunk there was nailed an apple box with the opening forward so that it made two shelves for personal belongings of the occupant of th... ...I couldn’t do that. I had’ im too long†(pg.45). It shows that Candy was upset to kill his old dog that he had for a long time. He felt he should have shot his dog himself, not a stranger. When George shoot Lennie he felt terrible because it was his true friend and the only one he trusted. Because of this, he has to live the rest of his life alone and knowing that he killed his only friend he trusted. But I think he did the right thing. I think it shows their strong friendship. George did what was best for himself and for Lennie, which stopped all the trouble Lennie caused. Each character in the book is affected by loneliness in one way or another. Everybody needs to talk to someone in order to survive the loneliness. Each of the characters died due to loneliness. The message the book is giving out is every body needs a friend to talk to, no matter what race or sex.

Mission and Vision Statement

We are a casino entertainment company established with the aim of providing gaming options for the people of America. We offer effective services and we put our customers first in what we do. With branches in Illinois, Indiana, Louisiana, Mississippi, New Jersey, we remain one of the premier casino entertainment corporations to be established in America. In our company, we always put a smile on the faces of our customer. With over 46 years experience in the industry, we appreciate our successes and positively projects into the future. Our primary goal still remains to maintain our public image by remaining the best in the industry.We know our employees are pivotal to the achievement of this goal so we place much value on our employees. As we enthusiastically approach a new century of opportunity, we are quipped with the resources that will ensure our integrity, effective management and staff and provision of quality products and services. Our philosophy remains the same, our vision c learly, our horizons broader and our business strategies stronger. Our company is strategically placed and we aim at maximizing value for our shareholders, our employees and our communities.

Health Care Workers Needlestick Injuries Health And Social Care Essay

A needlestick hurt is a transdermal piercing lesion typically set by a hollow-borne acerate leaf or crisp instrument, including, but non limited to, acerate leafs, lancets, scalpels, and contaminated broken glass. This type of hurt can happen at the clip people use, disassemble, or dispose of acerate leafs. In the health care work topographic point, needlestick hurt has become a major concern to wellness attention workers in the decennaries. The Centers for Disease Control estimates that, in the United States, about 600,000 to one million needlestick hurts occur each twelvemonth. Unfortunately, about half of these needlestick hurts go unreported ( CDC, 2007 ) . In Canada, hurts from needlesticks and other sharps remain a major concern in the healthcare field with the figure around 70,000 per twelvemonth, or norm of 192 per twenty-four hours. [ 2 ] Health attention worker exposures to bloodborne pathogens as a consequence of hurts caused by acerate leafs and other crisp devices are a important societal concern these yearss. The bloodborne pathogens related to needlestick hurt are more than 30 species including human immunodeficiency virus ( HIV ) , hepatitis B virus ( HBV ) , and hepatitis C virus ( HCV ) and others. Needlestick hurts expose workers to bloodborne pathogens that can do infection such as AIDS, hepatitis B, hepatitis C and so on. The first instance of occupationally acquired human immunodeficiency virus ( HIV ) infection was reported in 1984 and highlighted the hazard of occupational exposure to HIV and hepatitis. [ 3 ] Center for Disease Control and Prevention reported that over 1400 wellness attention worker infection to Hepatitis B occurred due to needlestick hurts In 1993. [ 4 ] To minimise the hazard of occupational exposure to the bloodborne pathogens through transdermal hurts, the US federal statute law has been acted with the beginning of OSHA Bloodboren Pathogens criterion in 1991 [ 5 ] and culminating in the Needlestick Safety and Prevention Act of 2000 [ 6 ] . From the ordinance, the cardinal constituent is the usage of safety-engineered devices, which are medical sharps that have been designed to include safety characteristics or mechanisms, including design characteristics to extinguish the crisp wholly, to extinguish or minimise the hazard of hurt to the user or others. [ 7 ] Pugliese found that about 80 % of sharps hurts are preventable through either a procedural alteration or the debut of a safety device. [ 8 ] During the past decennary, the Occupational Safety and Health Administration ( OSHA ) of the U.S. Department of Labor has led authorities attempts to diminish the hazard of exposure through needlestick hurts. [ 3 ] The US Occupational Safety and Health Agency monitors the usage of acerate leafs and sharps and mandates the usage and rating of inactive safety systems for sharps without respect to cost. Contrary to the United States, Canada'sA occupational safety and wellness plans are organized and administered at the provincial degree. In Alberta, the authorities had passed ordinances to include demands for the usage of safety-engineered devices to cut down sharps hurts and exposure to blood and organic structure fluids in November 2003 which set criterions for protecting the wellness and safety of workers. ( OHS Code )C. Study Design and MethodsDatabase from infirmaries ( see Appendix A ) comparison before and after the SEN, underreport [ 9 ] and interview with RN E. Study Population – ( Gender and Minority Inclusions ) : 1. Describe the features of the capable population, include the awaited figure of normal voluntaries, age scopes, sex, cultural background, and wellness position. Identify the standards for inclusion or exclusion ( particularly adult females and/or minorities ) . Explain the principle for the usage of particular categories of topics, such as foetuss, pregnant adult females, or others who are likely to be vulnerable, particularly those whose ability to give voluntary informed consent may be questionable.F. Plan of Statistical Analysis1. Analysiss will be performed utilizing Microsoft Access, Excel and State 10 package. 2. Describe plans for enlisting of topics and the consent processs to be followed ; including the fortunes under which consent will be sought and obtained, who will seek it, who will give degree CelsiusG. Ethical IssuesAll research will be conducted following verbal and written consent of the participants. Approval will be obtained by the University of Alberta research moralss board ( REB ) prior to the beginning of the survey.H. Timetable:Completion of proposal for research February 31, 2010 Completion of questionnaire April 31, 2010 Edmonton Part July-August, 2010 Data Import and Analysis Septemper 31, 2010 Writing Up November 31, 2010I. References & A ; Literature CitedAppendix A: Edmonton infirmaries information University of Alberta Hospital 8440 – 112 Street, Edmonton Ph 780-407-8822 Medical Education Office 1F1.08 WMC Ph 407-7455 Royal Alexandra Hospital 10240 – Kingsway Avenue, Edmonton Ph 780-735-4111 Medical Education Office Room 1108H Ph 735-5239 Alberta Hospital Edmonton 17480 Fort Road, Edmonton Ph 780-472-5555 Cross Cancer Institute 11560 University Avenue, Edmonton Ph 780-432-8771 Edmonton General Continuing Care 11111 – Jasper Avenue, Edmonton Ph 780-482-8111 Glenrose Rehabilitation Hospital 10230 – 111 Avenue, Edmonton Ph 780-735-7999 Grey Nuns Community Hospital and Health Centre 1100 Youville Drive W, Edmonton Ph 780-735-7000 Medical Education Office Room 1712 Ph 780-735-7434 Misericordia Community Hospital and Health Centre 16940 – 87 Avenue, Edmonton Ph 780-735-5611 Medical Education Office Room 1N98 Ph 780-735-2991 Northeast Community Health Centre 14007 – 50 Street, Edmonton Ph 780-472-5000 Queen Elizabeth II Hospital 10409 – 98 Street, Grande Prairie Ph 780-538-7100 Red Deer Regional Hospital Centre 3942 – 50 A Avenue, Red Deer Ph 403-343-4422 Stollery Children ‘s Hospital Administrative Offices 4H2.36 WMC 8440 – 112 Street, Edmonton Ph 780-407-8655 Sturgeon Community Hospital and Heath Centre 201 Boudreau Road, St Albert Ph 780-418-8200OCCUPATIONAL HEALTH, SAFETY & A ; WELLNESS ( OHS & A ; W )Report all blood/body fluid and needle stick exposures to: RAH/UAH/SCH/GRH/LCH/FSHC/RHC/WHC/DGH – Alberta Health Services LINK at 780-401-2669. MIS/Caritas – 780-735-2806 GNH/Caritas – 780-735-7310

The Death of a Salesman essays

The Death of a Salesman essays Throughout life a person may hold ideals that represent a false way of living but this person does not know any other way to live. This lack of knowledge toward life goals will eventually lead to failures in that persons life. In Arthur Millers play Death of a Salesman, the use of motifs, or reoccurring events, such as the silk stockings, Biffs compulsive stealing, and the idea of being well liked show the Loman families false standards in life that lead to their failures. The silk stockings are a reoccurring event in the book that represents Willys act of adultery with another women where he promised this woman silk stockings if she would do sexual favors for him. Every time Willy thinks of or is reminded of silk stockings he hears the mocking laugh of the women he cheated with. This laugh illustrates the deep guilt that Willy holds for committing such an act on his sweet wife. When his wife, Linda, is mending the stockings he begs her to stop mending them because his guilt rises each time he sees her struggle. Will you stop mending stockings? At least while Im in the house. It gets me nervous. I cant tell you. Please. Knowing that his wife is struggling in life to save money by mending the stockings Willy wishes that she would just buy new ones because he gave the woman free stockings and not didnt give his own wife some. His mistress is an example of his immorality and dishonesty. He cheats on Linda, his adoring and supportive wife, with some secretary, so that he has a contact with the buyers in Boston. Willy, feeling guilty about betraying Linda with adultery, gets anxious and upset any time he sees her mending her silk stockings; stockings were the gift he always gave the Woman when they met. While Linda had to mend her stockings because they were so expensive, Willy's mistress got two pair every time she and Willy had their little fling in Boston. This reoccur...

Animals Essay Example | Topics and Well Written Essays - 1000 words

Animals - Essay Example Mostly compared in the debate on the best pet are cats, dogs, reptiles (turtle, tortoise, and fish). The other point worth noting is that each kind of pet has its own advantages and disadvantages and it depends on what its owner expects of it. In addition, the nature and behavior of a pet also determines whether it is the best or the most appropriate (Radford 24). For an illustration, a dog may be quite laid back by nature while one may acquire and keep a cat which has uncharacteristically high energy. Similarly, if one wants a pet to take a stroll, play, and go places with, then a dog would come highly recommended. On the other hand, cats are easier to care for and are thus recommended for pet owners interested in a more relaxed atmosphere while dogs are for fun and outdoor people. The comparison is however not always about dogs and cats; sometimes dogs and cats are compared with other kinds of pets such as reptiles and fish. In these comparisons, a good pet is defined on the basis of characteristics such as temperament and the ease of care and upkeep (Radford 43). Many pet lovers also concur that the best pet is not only gentle but also good natured and easy to take care of. This paper compares dogs and cats on one side and fish and reptiles on the other. Cats and Dogs versus Fish and Reptiles There are several advantages that dogs and cats have over reptiles, which make them better pets over the latter. Among the positive aspects of cats and dogs are loyalty, easy to manage, simple feeding/diet, easy to find feed, they are playful, and are fun to be with. However, there are several bad aspects of keeping cats and dogs as pets. For instance, they need medications/shots for diseases such as rabies, mange, cough, worms, and they must be licensed. In addition, dogs and cats need to be neutered and are costly. The main advantage of fish and reptiles such as lizards, tortoise, turtles, snakes, and fish is that they are kept in cages hence easy to keep and manage. Moreover kid, especially boys love reptiles. Since they are mostly in cages, they require little attention from their owners once they are fed and have few problems of running away from home. Nonetheless, there are several problems that make reptile pets a bit difficult to keep. That is, they may cause salmonella-related infections, more so to kids, who should always be kept away from such pets. The second problem with reptiles is that they require specialized diets and costly tanks and cages for fish, snakes, lizards, and turtles. These cages must also be cleaned as regularly as possible since reptiles, more so fish are rather delicate. The other pets often compared with cats, dogs, and reptiles are bunnies, which happen to be fun to play with for a lot of people. In addition, bunnies are easy to feed, smart, social, and play a lot, thus entertaining and easy to bond with. A rather boring aspect of keeping bunnies is that one cannot walk and play games such as â€Å"catch† o r swim with them. Further bunnies do not like being held a lot and are rather frail. From the mentioned advantages and disadvantages of cats, dogs, reptiles, and bunnies, it is clear that each pet has its own good and bad sides. As mentioned earlier, what determines the best pet is the owner’s personality, lifestyle, the nature of the pet, and the expected role of the said pet in the owner’s life. In fact, some people have compared pets to children. For example, for someone always working, with little or no time to take care of a pet, a cat would be highly recommended instead of a dog since cats are mostly indoors. This scenario presented by a cat is quite unlike the case of a dog,

Evaluate the argument that global crime has grown significantly over Essay

Evaluate the argument that global crime has grown significantly over the last two decades, and outline any impact of globalisation process - Essay Example These include drugs such cocaine which is harvested in the jungles of Columbia before it makes its way to the cities of London, New York and Paris. In Afghanistan, the poppies of this country are harvested, sent to heroin processing plants in Eastern Europe before they find their home in the veins of Western Europeans and North Americans. In addition to the globalisation of drugs and the internationalisation of narcotics, globalisation has increased the incidents of piracy, counterfeit goods and organ trafficking. Perhaps most insidiously, globalisation has paved the way for an international traffic in people which involves the smuggling of refugees in addition to the international traffic of women. While some women are trafficked to work as domestic servants or as migrant laborers, the majority are sold into sexual slavery and exist as 21st century slaves. While international piracy, the spread of international counterfeit goods and organ trafficking are all interesting subjects the study from a sociological perspective in light of the internationalisation of crime, due to the limited scope of this analysis the following will focus upon the international traffic of women as well as the internationalization of drugs. Since the global traffic of women for sexual servitude is perhaps one of the most insidious byproducts of the globalisation movement, the following will begin with an overview of this exploitative trade. The transnationalisation of crime has increased in the 21st century. Complex economic interdependence has increased the avenues for criminals seeking to exploit the international economic system and create networks for their criminal endeavors. To say that the transnationalisation of crime exists today is not to say that it did not exist previously. Many of the crimes which are being carried out each and every day existed a century ago in Western Europe and the wealthy countries in

Gun Control Synthesis and Paraphrase Research Paper

Gun Control Synthesis and Paraphrase - Research Paper Example A recent Los Angeles Times article stated ‘active compliance’ is the surest way to survive a robbery. â€Å"Victims who engage in active resistance...have the best odds of hanging on to their property. Unfortunately, they also have much better odds of winding up dead." The data provided from 1979 to 1987 by the Department of Justices National Crime Victimization Survey, Lawrence Southwick of SUNY, Buffalo found that it is better to resist attack with a gun but if no gun is available, it is better to offer no resistance than to fight. (Press, 2013) It is a different issue altogether when it involves criminals with guns. This is because it is assumed that criminals shoot haphazardly. Criminals are seen to be about self preservation thus making possession of a handgun to be less than likely. Further, convicted felons are more afraid of armed victims than running into the police. In such situations where deterrence is more important to the criminal because of the fear of getting shot, the criminals prey on the weaker members of society. This is known as the ‘substitute effect.’ ‘Third party effects’ or ‘external benefits’ is the process through which people who are not directly involved in deterring the criminals through gun carrying are also protected as a result of the fearfulness of the criminals. Victims have also not been left behind with the ‘open-carry’ gun law. (Krouse, 2012) The question now arises; why would someone travel across state lines to shoot another in a different state after buying the gun in a different state? Is it the policies that are in place that are wrong? (Lott, 1998) According to The Numbers Debate and Crime, there are a lot of misconceptions that are being thrown around as causes of gun related fatalities, key among them being that most people are killed by people they know. This is a misconception because being someone’s acquaintance does

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History and Theory 2 - buildings in context - Essay Example How are they influenced by the society and how do they respond to social upheavals? The types of architecture reflect the concrete expression of changes in social, cultural, political and economic context over time. As new types are put in place and the existing types are modified, we see a pattern which proves that this is being done to accommodate changing social practices, technologies, political or cultural values. When we emphasize the contextual influence on the architecture of the buildings, we tend to ignore the role played by architect and the style he has adopted in designing the structure. What is important here is to consider the role of individual architect and his broader stylistic movements and also examine the contextual issues that he has taken into consideration for designing a particular structure. These contextual issues have a great impact on the form and meaning of architecture. There is a definite relationship between an architect and the society or the period of history in which they live, design and construct the buildings. The user of the architecture also has a definite role to play in the architecture because buildings are not always used for the purpose for which they are designed. For example a building might have been designed for educational purposes but ultimately may end up being used for recreation activities. The architect who has designed the structure may feel hurt with the findings. Text In this context the Palace of Westminster as a building shall be examined by carrying out study of its form, function, its aesthetic features and uses. We shall also examine the importance of the Big Ben and its location Vis a Vis the Palace of Westminster. Construction of the Palace of Westminster was one of the major accomplishments of the mid- western Victorian period. The palace of Westminster houses the British parliament. It was built as per the design of the architect Charles Barry. The job was entrusted to some of the prominent con tractors of the time (middle of the nineteenth century).They used the latest techniques and machinery available at that point of time. Services of skilled craftsmen and several hundred laborers were utilized for construction in a record time (Morton, 2002). The building became a benchmark of excellent construction and is considered a symbol of pride for Britain. The Gothic style used in the design, gives a feeling of the past. It does not have a futuristic look but still it is a symbol of power and glory. As a token of appreciation, the Queen bestowed knighthood to Barry. During the construction of the Palace of Westminster its architect and builder had to face a lot of problems. The cost of the building, which was initially estimated to be 700000 Pounds Sterling, went up to 2 million Pound Sterling! It took close to 30 years to complete the building instead of the original estimated time of 6 years. There were several areas of dispute which came up much before the actual constructi on took place. These were related to initial design, fees of the architects, estimates, problems with supply of raw material etc. The workers also went on a strike which halted the work for almost thirty weeks. No wonder, the entire project was fraught with problems and difficulties, right from the start to completion of the project. However, the end result was so beautiful that it was admired by all, its users and

Mulligan Vs Maitland Talar Glide Health And Social Care Essay

Mulligan Vs Maitland Talar Glide Health And Social Care Essay Does Mulligans anterior-to-posterior talar glide is effective in improving dorsiflexion in subjects with acute ankle inversion sprain than Maitlands anterior-to-posterior talar glide mobilization. Design: Experimental, Comparative, Randomized Controlled Trail-single blinded study. Participants: 90 samples with acute ankle inversion sprain diagnosed by radiologist through X-Ray imaging will be collected with convenience sampling. Intervention: Based on inclusion and exclusion criteria subjects randomly allocated to 3 groups of intervention- Group I Mulligans anterior-to-posterior talar glide along with RICE, Group II Maitlands anterior-to-posterior talar glide along with RICE, Group III RICE (control group) for 2 weeks. Outcome Measures: Pre and Post session, measurement of dorsiflexion range of motion will be taken with Modified Lidcombe templates. Duration: The expected duration of study is considered 8months for ethical clearance, data collection and analysis, editing and publis hing. Budget: An estimation of Rs 30,000 is made including the investigation, instruments, materials and refreshments. BACKGROUND Ankle is a complex joint which is categorized as a hinge joint. It is one of the important component for ambulation in humans. Ankle sprains are one of the commonest injuries in athletics. It accounts for 20% of all sports injuries (Bergfeld J; 2004).In India, incidence rate of ankle sprain accounts for 0.31% of the population and the chances of re-injury is seen as high as 78-80% despite the continued research in this field (Statistics for ankle sprain; 2003). The pathomechanics for ankle inversion injury is inversion and plantar flexion of the ankle joint. There is loss of dorsiflexion and inversion range of motion which is attributed to pain and swelling (Denegar CR et al; 2002), (Collins et al; 2004).According to Denegar C et al (2002) the loss of dorsiflexion range of motion is due to restriction of posterior talar glide. This suggests that in an acute ankle inversion sprain the loss of dorsiflexion range of motion could be due to mechanical dysfunction in talocrural joint. The conventional treatment for acute ankle sprain is RICE (rest, ice, compression, elevation).The main aim of conventional treatment (RICE) is primarily to reduce pain and inflammation (Starkey JA; 1976), (Slatyer MA et al; 1997). The conventional treatment (RICE) with early movement is found to be more effective for reducing pain, swelling and improving mobility (Dettori et al; 1994). Because of the ineffectiveness of conventional treatment for treating the positional dysfunction caused due to acute ankle inversion injury the joint becomes more susceptible to injury (Hertel J et al, 1999). Manual Therapy focuses on reduction of pain and correction of the postural and movement dysfunction due to ankle sprain. According to Maitland grades of mobilization grade I and II mobilization is used in acute condition and grade II mobilization is seem effective in reducing pain and improving dorsiflexion range of movement in acute musculoskeletal conditions. Maitland grades of mobilization improves the ankle dorsiflexion in acute ankle inversion sprain (Green et al; 2001) and reduces pain by modulation of nervous tissue (Vincenzino B et al; 1998). According to Maitland GD (1986), passive joint mobilization improves the range of movement by gentle oscillatory movement of the articular surfaces that creates movement of the mobile segments by a means other than the muscles .According to Collins et al (2004), Mulligans mobilization with movement technique is effective in reducing pain and improves dorsiflexion of ankle joint. A single case study done by O Brien, B.Vincenzino (1998) sh owed that Mulligan Mobilization with movement technique on acute ankle sprain improved the range of movement (dorsiflexion and inversion), functional outcome and reduced the pain. According to pilot study conducted by John-Mark Chesney, Erin Morris, Mulligans mobilization with movement technique and taping had significant effect on temporal and spatial parameters of gait. Immediate decrease in pain and an early return to function are claimed to be result of Mulligans mobilization with movement Mulligan 1995; Vincenzino Wright 1995; Hetherington 1996). However, the lack of adequate evidence in literature for the effectiveness of Mulligans anterior-to-posterior talar glide with movement technique in acute ankle inversion sprain failed to prove its clinical and statistical significance in research methods. The above literature also shows lack of studies done to compare the effects of Maitland and Mulligan mobilization technique in treatment of acute ankle inversion sprain. Hence, the aim of the study is to find the immediate effect of Mulligans anterior-to-posterior talar mobilization with movement technique in acute ankle inversion sprain with RICE and compare the results with that of Maitland anterior-to-posterior talar glide mobilization with RICE for treatment of acute ankle inversion sprain. REVIEW OF LITERATURE Ankle joint is a complex joint due to its articular, ligamentous and tendinous anatomy. The anterior talofibular ligament restricts anterior translation and internal rotation of talus inside the mortise. The coupled motion during plantar flexion happens as internal rotation and anterior translation of talus aided by deltoid ligament. The calcaneofibular ligament restricts inversion of the talocrural and subtalar joint. The posterior talofibular ligament restricts inversion and internal rotation after calcaneofibular ligament and anterior talofibular ligament undergo injury. According to Konradsen and Voight (2002) an inversion torque was produced on loading a cadaveric leg, when the unloaded foot was positioned in 30 degree inversion, full plantar flexion and 10 degree internal tibial rotation. The collision with 20 degree inverted foot in swing phase follow through forced the foot into full limit of inversion, plantar flexion and internal tibial rotation. According to Denegar CR et al (2002) in normal biomechanics the instantaneous axis of rotation of talocrural joint translates posteriorly during dorsiflexion, but in anterior malaligned talus or with restricted posterior talar glide the axis of rotation is shifted anteriorly leading to joint dysfunction. According to Baumhauer JF et al (1995) previous history of sprain, limited range of motion and reduced dorsiflexor and plantar flexor strength ratio, elevated eversion to inversion ratio have been attributed to predisposing to inversion injury. According to Eren OT et al (2003) high malleolar index (posteriorly positioned fibula) is attributed to predisposing factor to sprain. Average malleolar index was +11.5 degree in subjects with ankle sprain and +5.85 degree in normal controls. Green T in 2001 used a Modified Lidcombe Template to measure the pain free dorsiflexion range of motion occurring in talocrural joint. The template consisted of 2 boards joined by an adjustable hinge. One board served as a footplate and other was placed under the subjects calf. The adjustable hinge served as the axis of rotation of template in vertical plane and the board placed under the subjects calf allowed for adjustment in horizontal plane. The measurement was standardized by measuring both force applied and the angle of dorsiflexion at which the subject first experienced the pain (Matyas T, Bach T; 1985). The force applied was standardized throughout the trail by spring balance and the direction of force was standardized by spirit level attached to the spring. The device showed high intrarater and interrater reliability of which 29% were in exact agreement and 84.5% were within 2 degrees, ICC=0.94. The conventional management of ankle sprain is RICE in acute stage of injury. The functional treatment procedures with early initiation of weight bearing as tolerated, early mobilization, proprioceptive training, balance training has been advocated to provide early functional rehabilitation to subjects. According to Bahr R (2004) and Bruce Beynnon B, (2004) the management of sprain concentrates on static and dynamic stability, gaining normal ankle range of motion, optimal strength of peroneal, dorsiflexors, plantar flexors, and invertor muscles of ankle and retraining ankle strategy. According to Kerkhoffs et al (2002) functional treatment is superior to immobilization and surgical intervention in areas of pain on activity, quality of performance on return to sport/work, objectives instability on x-ray views and patient satisfaction. Manual therapy in ankle inversion sprain Maitlands Mobilization Green et al (2001) conducted a randomized controlled trial of passive accessory joint mobilization on acute ankle inversion sprain. The study included 38 subjects with acute ankle inversion sprain( Elizabeth L et al (2008) conducted a study in which 10 subjects were taken with immobilized ankle for at least 14 days and presented with at least 5 degree of dorsiflexion deficit compared to contralateral ankle. A crossover design was employed and subjects received Maitlands grade 3 mobilization in one group and control intervention (no treatment) in other group. Results showed that joint mobilization led to a reduction in pain and improvements in pain-free dorsiflexion. Mulligan mobilization with movement technique Collins et al (2004) conducted a double-blinded randomized controlled trial with a crossover design approach. In this study 14 subjects with grade 2 ankle sprain were taken. The dorsiflexion in weight-bearing and thermal pain threshold were calculated. All the subjects undergo 3 treatment conditions-Mulligans mobilization with movement technique for dorsiflexion, placebo group and control group (no treatment).Results showed that the talar anterior-to-posterior glide improved the recovery rate in treatment with Mulligans mobilization with movement technique. The study conducted by Collins N was done on subjects with sub acute ankle sprain. T OBrien, B.Vincenzino (1998) conducted a single case study to investigate the effects of Mulligans with movement technique mobilization for acute lateral ankle sprain. The technique used in this study was posterior glide to distal fibular while patient actively inverted the ankle. In the study 2 subjects with acute ankle sprain were used to control for natural resolution of ankle sprain. Subject I underwent ABAC protocol while subject II BABAC protocol where A was no treatment phase B was treatment phase and C was post treatment return to sport phase. The outcome measures Modified Kaikkonen test functional outcome, VAS for pain and range of dorsiflexion and inversion were measured pre and post of each intervention session. Results showed rapid improvement of range of motion (inversion and dorsiflexion) and immediate decrease in pain. Hence from the above studies we can infer that anterior-to-posterior talar glide technique in both Maitland and Mulligan mobilization is effective in treating ankle inversion sprain than the RICE protocol alone. The above studies also infer that Maitlands grades of mobilization is significantly effective in improving dorsiflexion range in acute ankle sprain. However, Mulligans mobilization had shown effective results in treating ankle sprain in subacute condition. The study done by T OBrien, B.Vincenzino (1998) shows the effectiveness of Mulligans mobilization with movement technique in improving dorsiflexion range of motion in acute ankle sprain but the study design leads to limitation of generalization of its findings. However, it does provide the knowledge to conduct a random clinical trail in utility of Mulligans mobilization with movement technique in the treatment of acute ankle inversion sprain and to compare the results with Maitlands grades of mobilization to find the best e ffective treatment method for improving the recovery rate in acute ankle inversion sprain. IDENTIFICATION OF RESEARCH PROPOSAL QUESTION Does Mulligans anterior-to-posterior talar glide is effective in improving dorsiflexion in subjects with acute ankle inversion sprain than Maitlands anterior-to-posterior talar glide mobilization. ALTERNATE HYPOTHESIS Mulligans anterior-to-posterior talar glide is effective than Maitlands grades of mobilization in improving dorsiflexion range of motion in subjects with acute ankle inversion sprain. NULL HYPOTHESIS Mulligans anterior-to-posterior talar glide is not effective than Maitlands grades of mobilization in improving dorsiflexion range of motion in subjects with acute ankle inversion sprain. METHODOLOGY Design An Experimental, Comparative, Randomized Controlled Trail design. The study will be single blinded to avoid any possible bias. The subjects will be allocated to 3 group of interventions-Mulligans anterior-to-posterior talar glide with movement technique with RICE, Maitlands anterior-to-posterior talar glide mobilization with RICE, and third group RICE alone .Outcome measure will measure the degree of dorsiflexion pre and post to each session which will be measured by the assessor blinded to the allocation of subjects to the groups. Subjects The study will be conducted by recruiting 90 samples through convenience sampling by giving advertisements and notices to orthopaedic and physiotherapy department in MS Ramaiah Memorial hospital and the hospitals nearby its surrounding areas. The subjects recruited will be diagnosed for acute ankle inversion sprain and referred by radiologist through X-Ray imaging. To maintain the homogeneity of the groups all the subjects will be recruited based on Inclusion and exclusion criteria. Inclusion criteria-All subjects of age group 20-30years of age, History of ankle inversion injury with pain over lateral aspect of ankle ( ETHICAL APPROVAL The ethical approval will be taken from Ethical Board of MS Ramaiah Memorial Hospital along with the permission of other hospitals near by its surroundings. Subjects will be given a copy of informed consent with the details of the study and the confidentiality of patients personnel information and data obtained after the study will be maintained. Subjects can withdraw from study at any given point of time. VENUE/LOCATION OF THE STUDY The study will be conducted in MS Ramaiah Memorial Hospital Physiotherapy Department, Bangalore. A RANDOMIZED CONTROLLED TRAIL STUDY An experimental randomized controlled trail -single blinded study will be conducted on 90 subjects with acute ankle inversion sprain. The technique of the interventions will be finalized during the study and side-effects or any error in the intervention will be noted and rectified. RESEARCH METHOD AND EXPERIMENTAL INTERVENTION 90 samples will be recruited by convenience sampling. The samples will be assessed for acute ankle inversion sprain by X-Ray imaging done by the radiologist in radiology department of MS Ramaiah Memorial Hospital. The subjects will be randomly assigned to 3 groups by chit method. Each group will be assigned 30 subjects. The researcher who will conduct the study is a qualified physiotherapist who specializes in manual therapy. After the allocation of the group the experimental group I will receive Mulligans anterior to posterior talar glide along with active dorsiflexion of ankle which will be followed by RICE application. The mobilization will be performed in weight bearing in which the therapist applies a postero-anterior force to distal leg through a treatment belt while stabilizing the foot and talus (Mulligan; 1999).The experimental group II will receive Maitlands anterior-to-posterior talar glide (Grade II) followed by RICE application. The mobilization will be performed with subject lying supine and the ankle will be positioned over the edge of plinth with proximal hand of therapist stabilizing the distal tibia and fibula while the distal hand will mobilize the talus with posteriorly directed oscillation(Maitland;1977).Group III will receive RICE treatm ent for maximum of 2 weeks. Subjects in experimental group I and II will be treated every second day for maximum of 2 weeks. Therefore 6 sessions of treatment over 14 days will be done. Three sets of 10 repetitions will be applied with 1 minute between sets (Exelby, 1996) in both mobilization technique. Pain experienced during treatment will result in immediate cessation of technique and exclusion of the subject from study. OUTCOME MEASURES Dorsiflexion range of motion will be measured by Modified Lidcombe template. The template enabled standardized measurement of dorsiflexion range of movement. The axis of rotation of ankle was aligned with adjustable axis of rotation of template. The spring balance attached to the footplate measure the force applied in the standardized direction. A hydrogoniometer placed on the footplate measures the range of dorsiflexion in degrees. The template have a high intrarater and interrater reliability of which 29% were in exact agreement and 84.5% were within 2 degrees, ICC=0.94. Hydrogoniometer have high intraclass coefficients (0.84-0.99) which revealed high agreement between the raters (Lex D.De jong et al; 2007) RESULTS AND DATA ANALYSIS The dorsiflexion range of movement measured will be in degrees which represent a parametric data. The data collected pre and post of each 6 session in group I and group II will be analyzed by related t test (i.e. within the group) and unrelated t test will be done to compare between the group I and group II for dependent variable. One way ANOVA will be used for analysis of data from all the 3 groups along with Scheffe test to find the most effective group for treatment of acute ankle inversion sprain. The level of significance will be set at 0.5; the probability will be calculated based on the t value with degree of freedom table. The confidence interval will be kept to 95%. ANNEXURE PROJECT TIMELINE The overall estimated time required for the completion of the study is 8months i.e. 1 month for ethical clearance, 4 months for the randomized controlled trail, data collection and data analysis, 1 month for writing up and presenting results and 2 months for publishing results. Tasks 1 2 3 4 5 6 7 8 Ethical clearance + Randomized controlled trail amend data collection tools + Data collection + + + Data analysis + + Writing up presenting results + Publishing results + + BUDGET The overall estimation of the budget is Rs30, 000 which includes X-RAY imaging Rs20, 000 (90 subjects) Modified Lidcombe Template and hydrogoniometer Rs5000 Stationary Rs1000 Transportation and refreshments Rs4000 INFORMED CONSENT Introduction This is an informed consent given to a subject who wishes to participate in research study. Please red the informed consent carefully or you can ask anyone of your relative who you trust can read this informed consent for you in your language by translating it. Please feel free to ask any questions you have about this informed consent or research study in your mind. Please sign the consent form only after you have no doubts about the research study or consent form. Do not sign the consent form under any kind of pressure. Title of Research Project Immediate effects of Mulligans anterior-to-posterior talar glide with movement technique versus Maitlands anterior-to-posterior talar glide for pain free dorsiflexion in acute ankle inversion sprain. Investigator SUMIT KIMOTHI M. Sc in Clinical Physiotherapy. Purpose Of Study Acute ankle sprain has high percentage re-injury. Mulligans mobilization with movement technique helps in improving dorsiflexion range of motion by correction of positional dysfunction of joint. This study is to find the effect of Mulligans mobilization with movement technique and compare it with effects of Maitlands grades of mobilization in treatment of acute ankle inversion sprain. Description of Study After being diagnosed with acute ankle inversion sprain you will be sent to the physiotherapy department in physiotherapy department. The researcher will explain you about the treatment technique and the study and an informed consent will be given to you based on your decision your participation will be decided. If you wish to participate a treatment technique selected for the respective group in which you will allocated will be performed on you and the assessment will be taken before and after the treatment session. The duration of treatment is 2 weeks and if there is any changes, you will be informed prior. Possible Risks or Complication The treatment technique itself has no side-effects or complication and it will be performed by a qualified physiotherapist in Manual Therapy. Treatment Alternative If the therapy is not effective to you, you will be provided with an alternative treatment with free of cost. Financial Implications All the expenses regarding the research work including the investigation, transportation, food expenses and treatment will be free of cost. Potential Benefits The study may be beneficial to society and individuals of similar condition. You can benefit by improving you condition with help of this treatment. Participation Participation in this research study is voluntary. If the participant wants to withdraw he/she can withdraw at any given point of time. CONSENT FORM I have read the foregoing information, or it has been read to me. I have had the opportunity to ask questions about it and any questions that I have asked have been answered to my satisfaction. I consent voluntarily to participate as a participant in this research and understand that I have the right to withdraw from the research at any time without in any way affecting my medical care. Name of the participant _____________________ Signature of participant _____________________ Date: _____________________ Day/month/year ___________________ If illiterate A literate witness must sign (if possible, this person should be selected by the participant and should have no connection to the research team). I have witnessed the accurate reading of the consent form to the potential participant, and the individual has had the opportunity to ask questions. I confirm that the individual has given consent freely. Name of witness ___________________ AND Thumb print of participant Signature of witness ___________________ Date: ______________ Day/month/year ______________ I have accurately read or witnessed the accurate reading of the consent form to the potential participant, and the individual has had the opportunity to ask questions. I confirm that the individual has given consent freely. Print Name of Researcher _________________ Signature of Researcher ___________________ Date __________ Day/month/year ____________ A copy of this Informed Consent Form has been provided to participant ____________ (initialed by the researcher/assistant) For more information contact: Sumit Kimothi M. Sc in clinical physiotherapy, MS Ramaiah Memorial Hospital, Bangalore. 9916261101 ASSESSMENT CHART Name : Age : Sex : Site of Disorder : Mode of Treatment : Measurement : Parameters Before Treatment After Treatment Dorsiflexion range of motion Signature of Clinician : Signature of Chief Physiotherapist :