Penny in the Dust

Penny in the Dust In the short story â€Å"Penny in the Dust† by Ernest Bucker, we see a father-son relationship. Three points that I will be discussing are: Pete and his qualities, the conflict, and the relationship Pete and his father have. In this story we see a weak father and son relationship in the starting, which becomes better and stronger. First of all, Pete is a 7-year old boy who learns how much his father loves him. Pete is softhearted boy who loves his father more than a 7-year old boy would. Pete is also an inarticulate child who is unable to tell his father his feeling for him.Another quality Pete has is that he is very sensitive person. We see this when he cried after losing the penny. One quote that shows that Pete is inarticulate is when he states, â€Å"Oh thanks† I said. Nothing more. I couldn’t expose any of my eagerness either. † after he receives the penny. This shows Pete wanted to say something, but didn’t know how. Pete is s ofthearted, inarticulate, and sensitive boy who wants to show his love for his dad, but is unable to. In addition, Pete and his father are unable to tell one another how much they love each other.We can see the theme throughout the story; one example is when the father was unable to give the penny to his son. He had to wait till it caught Pete’s attention, and then give it. The conflict affects Pete, because he wants to tell his father everything he imagines, but doesn’t know how. An example of the conflict affecting Pete is when he is unable to tell the whole story about him losing the penny. Also another example is when Pete and his father were farming, he was unable to tell his father his opinions. He couldn’t tell his father if he wanted three rows or four rows, or if he could put him up on the oxen.I think the conflict is believable, because the Father is inarticulate while his son is very imaginative. So it can get awkward when they are talking to each oth er. Both the father and son were affected by the conflict, but in the end they were able to make an emotional connection. Lastly is the theme, which is the relationship between the father and son. The father-son relationship is important, because Pete and his father learn a lot more about each other than before. The relationship starts off weak, but ends up strong. At first Pete was unable to tell his dad how he lost the penny.He said, â€Å"If father hadn’t been there I might have told her the whole story. † In the end when the father finds the penny, Pete is able to tell the whole story to him. Also for the first time, his father had tears in his eyes, and also put his arm around Pete. In fact, the theme can be observed through Pete’s actions. He is always reluctant talking to his dad, and doesn’t really communicate with him. At the outset of the story, Pete doesn’t have much of a relationship with his dad, but upon losing the penny and then look ing for it with his dad, he develops one.Accordingly, he also becomes more open and able to talk to his dad. Finally, Pete discovers that his father does love him. The theme is important for both the father and Pete, because in the beginning they have a weak relationship, but in the end they develop a better one. Now they know each other better and can support one another. Father and son relationships are still important, because if you don’t have a relationship than you will be unable to understand and support one another. Also when you are older you will be able to make a better relationship with you children.In short, the theme and characters are important, because it will impact their life and possibly everyone around them. In conclusion, we should all have a good relationship with our family, so it can benefit us in the future. In this story we see Pete as a softhearted, inarticulate and sensitive boy, he also is timid to sharing his feeling of his dad to him. Also in th e end we see a strong father-son relationship forming. In brief, in the story we see a small relationship between the father and son, but it evolves to become a better and stronger bond. By: Manraj Sangha

Reality TV Influence Youth Behavior

Reality Television and how it can influence the behavior of youth and teens There is no doubt that when it comes to American youth television is one of the biggest influences by far. Many parents would love to say that their child does not watch that much TV but in reality they are spending a lot of time watching television or using media in some way. â€Å"The study by the Kaiser Family foundation shows that children ages 2-8 spend an average of 5 ? hours a day â€Å"consuming media† kids 8 and older spend even more time in front of the tube nearly 6 ? hours a day† (Kaiser Family Foundation, 2005 ). Astonishingly, more time is being spent with media then doing homework, studying or even spending time with family. A child’s retention of what they watch depends on the child’s attention span, how they would process the information and of course their own e experience however limited this may be. Reality television can affect the attitudes and behaviors of children all over the U. S. through its stereotyping, violence and cultivating false perception of reality. This differs from family to family and depends on the values instilled in the child. While media manipulates the minds of youth and teens, the value portrayed on reality television by reinforcing negative stereotypes and idealizes body image to be accepted as the norm. Stereotypes are unavoidable in media especially in reality programming. In my opinion the stereotypes depicted in media can influence the way youth see people in real life. Basing their opinion on what they have viewed on television. Often time’s television tends to stereotype genders and racial groups in a negative way. For example by watching the shows â€Å"Jersey Shore† and â€Å"Jerseylicious† you would think that young Italian people are only interested in partying, excessive drinking, promiscuity, name brand fashions and working out. That’s not the best image to enact to young people. With all the media used by youth in America is there any wonder why children stereotype what they don’t know? Adolescent females are easily swayed when it comes to messages about body image. A show such as â€Å"America’s Next Top Model† demonstrates that in order to be a model a person must be slender. Recent research indicates that there is a marked link between TV and watching, and negative body and eating disorders† (British Journal of Psychiatry) Young people are always concerned with what their peers will say. I went around my neighborhood and asked a few teens some questions about body image and the media. I ran into a group of five girls and asked them do th ey feel that body image is important and if so how important is it. After a few moments one of the girls named Kayla who was 15years old said yes with a smirk. My follow up question was â€Å"Why is it so important? † she answered without a moment of pause â€Å"Because when you see someone who is overweight you automatically think they don’t care about themselves, they have bad BO and I don’t want people to think that about Me. † This conversation went on for almost an hour as she informed of her workout routine. Later, that day I saw some young males at the skate park and asked them the same questions as the girls the answers were the total opposite. A young man named Martin who was14 was the only one willing to answer my questions. He said he didn’t think it mattered about his body image or his friends. He later stated he thought it was dumb but when I asked him if he would ever date a girl that was overweight a little ashamed he replied that he wouldn’t. It is no secret that boys and girls are different but prior to this research I thought that all teenagers had basically the same outlook on how they view their bodies. Unfortunately the shows that children and young people are exposed to are not in a realistic light. Children see that the actors and actresses have perfect bodies, hair, and skin and clothing this is not realistic but the need to be perfect remains prominent in our society. With the desire to be perfect it often leads to eating disorders and death. â€Å"The mortality rate associated with Anorexia Nervosa is 12 times higher than the death rate associated with all causes of death in females15-24 years old. †(American Journal of Psychiatry 1995) Instead of children being taught that beauty comes in all shapes, sizes and colors children are being pumped with the stereotypes that they identify in themselves. This is prominent in the African American community; it is often taught at a young age that if you are of darker complexion or have a curlier hair texture you are not as pretty as the lighter complexioned girl that you might know. It is assumed that the media is to blame for this way of thinking. Youth and teens are self conscious enough without these negative â€Å"airbrushed† and unrealistic images put forth in the media. Media is also being tied to the increasing violence in US children. Children are increasing anti-social and aggressive behavior, become less sensitive to violence and those who suffer from violence, children may view the world as violent and mean fearful of being a victim of violence. Children may desire to see more violence in entertainment and real life, and children will view violence as an acceptable way to settle conflicts. †( Buchanan, A. M. , Gentile, D. A. , Nelson, D. A. ,Walsh, D. A. , Hensel, J. 2002) Astonishingly, more time is being spent on watching television then homework which differ from child to child. A child’s interpretation of what they watch depends on of their attention spans, the way in which they process the information, and their own limited life experiences. Entertainment media exposure can negatively affect attitudes and behaviors of the American child through violence, cultivating false perceptions of reality and stereotyping. Continued concerns researchers are finding exposure to the media violence causes increased levels of aggression and violence in children. Experts even suggest that the evidence linking media violence to aggressive behavior is as strong as the evidence linking smoking to lung cancer. â€Å"Among 10 to 24 year olds, homicide is the leading cause of death for African Americans; the second leading cause of death for Hispanic and third leading cause of death for Asian/ Pacific Islanders, American Indians and Alaska Natives. †(CDC2010a) While most adults realize that media violence is fabricated, children are more vulnerable. A Pre-K student will not know the difference between reality and fantasy. It is suggested that children who identify with an aggressive hero they see on TV are more likely to be aggressive. â€Å"They learn that violence is effective, courageous, and socially except able and rewarded, and they get caught in the aggressive cycle. † (American Academy of Pediatrics, 1995) In a book titled â€Å"Reality TV† in an article Teenagers Identify with the Issues Presented in Reality TV Shows by David Hiltbrand suggests there two reasons why teenagers are able to identify with reality shows are because the shows are â€Å"short† and â€Å"often deal with relationships and rejection. So, with this basic recipe of making reality programming teenagers are being drawn into this toxic TV. Youth can easily relate to the emotions and situations of the reality show stars, like trying to avoid rejection by making friends and/or alliances. Also in the article, David Hiltbrand states that the top shows watched by teens are reality programs. There is lots of evidence that shows the effect of reality television on teenagers and the fact that reality television is greatly consumed by teenagers today. So, there must be something about reality shows that make them able to pull in such a large group of teens, and that would be the fact that they are able to identify with reality show characters which makes the reality show more enjoyable. This goes hand and hand with the cultivation theory. This theory can have a negative effect on teens about the real world. The Cultivation theory put simply suggests that exposure to large amounts of television will over time cultivate viewers perception of reality. A large amount of television watching is seen as â€Å"cultivating† this theory suggests that you would become more engrossed in television programming than in everyday life. The idea is presented to a passive audience, such as children often accept the ideas and therefore influence large groups into conforming behind the ideas. This gives the media a significant influence over youth audiences. †(Cultivation Theory and Research) Children of a young age usually don’t get to experience the world and don’t have many life experiences to refer to, but by the time they do are using the ideas and thoughts that have been given to them through the media. Television can also fill with a wealth of good and educational programming. Having different news stations with different points of view, quality reality shows such as â€Å"Downsized† or a show like â€Å"Too fat for 15†. But are young people rushing home to watch these programs. The teens that I talked to admitted that they had not seen the shows. Although I know the opinion of a few really doesn’t make the majority. Many researchers are telling parents monitor their child’s television and media intake. By monitoring what they watch you can also monitor the amount. In my own experience this message rings true I often monitor the programming my children watch because I know they are young and impressionable. In conclusion watching TV or consuming other forms of media does seem to have replaced dressing up or reading books as the favorite pastime for our youth. Yes, media can alter the thoughts of young impressionable minds if consumed in large amounts but if monitored by parents and by parents steering their children in the right direction media can be a be a powerful tool to gain information about the world. People often refer to reality television as the armpit of entertainment. This may be so but it is just that entertainment and as far as the values portrayed in them I wouldn’t exactly call them that. Television stations have found a â€Å"formula† to make money; it’s not always a positive message behind it but there are a few with a positive message out there. Instilling the values in your children while they are young would be the best way to avoid them wanting to take the messages from TV and applying them to everyday life.

Hawaiian Punch Essay

In July 2004, Kate Hoedebeck was promoted to director of marketing for the Hawaiian Punch brand. The CEO of the parent company, Cadbury Schweppes Americas Beverages, set a goal to create a premier marketing and sales organization that capitalizes on the terrific brand recognition. To reach this goal each brand is required to meet the desires of their customers; bottlers, distributors, retailers, and consumers. When creating the 2005 business marketing plan Kate faced a problem. The Hawaiian Punch brand had two manufacturing, sales, and distrution networks. Her objective was to determine the role each network played in the future sales and profitability of the company. III.Alternate Solutions a. Product Positioning Hawaiian Punch needs to clairify the positioning of its brand. The positioing statement needs to clairify its target markets, and focus on the values of its customers. The majority of the Hawaiian Punch juice drinkers ranged from 6 – 18 years of age. Adolescences purchase the drink most frequently from the soda aisle. Of cosnumers aged 6-12, the majority of the purchases were made in the juice aisle by parental/guardian figures. Including the fun consumption experience, its unique taste, and high viatim C content is the posotion the brand wants to own. To out perform the competitors it is necessary to establish these elements and clearly define where Hawaiian Punch sits. Its more than your normal juice, but healthier than soda. b. Innovations Hawaiian Punch would benefit from launching new sizes and flavors. Retailers believed the potential of market growth hinged on creating new packing and flavors. Hawaiian Punch recently experienced slowed growth due to the decrease in the juice market. Hawaiian Punch maintained market share, and Trade Customers believed the market would rebound. To take advantage of the market portential, Hawaiian Punch should innovate its product size offering. Currently Hawaiian Punch is packaged in 1-gallon bottle, a half-gallon bottle, a 2-liter bottle, a 20-ounce bottle, a 6.75-ounce single serve standup pouch, and 12-ounce cans. According to customer insights, 77% of Hawaiian Punch buyers purchased only size. According to reasearch, 68% of buyers that purchaed the 1-gallon bottle and 53% of buyers that purchased  the half-gallon size were exclusive in their size purchases. The 2-liter and 20-ounce bottle purchasers experienced the least amount of size loyalty. Despite having customer enjoying the different size offerings the numerous amount of sizes caused distribution constraints and shelving issues at numerous locations. By eliminating certain size offerings with low size loyalty and creating new ones while maintaining variety will elliviate contraints and provide new opportunties for customers. The brand would also benefit from new flavor innovation. Hawaiian Punch currently has 11 product flavor offerings. The most popular and original flavor maintains to be fruit Punch. Out of the 11 product offerings there has been a wide variety of success. Hawaiian Punch needs to establish stable products in both their Finished goods and Direct-Store Delivery networks. Products that do not show profitabilty should be elimiated. Introducing new flavors to the Direct-Store Delivery will benefit because of the large market potential and smaller size offerings. c. Allowances and Advertising Hawaiian Punch should increase its advertising budget and allowances for marketing. Currently Hawaiian Punch spends $2.2 Million on advertising a year. This accounts for 1% of advertising by Hawaiian Punch’s competitve juice brands collectively. Their current advertising mix consists of only radio and magazine print ads. The largest amount of advertising dollars spent is in television which currently Hawaiian Punch does not participate. This media outlet accounts for roughly 82% of total media dollars by competitors. Increasing media dollars will help reach new customers, and enforce new flavors to the brand. Of the advertising dollars spent much should be included in recreating the â€Å"Punchy’ Image. Past years have downplayed this aspect of the product brand, but still plays a large part in its recognition. By including Punchy in their advertising they should focus their attention on children between 8-18 years old. Punchys image will play a large role in delivery the benefits of the fruit drink and the position in the market. IV.Selected Solution It is recommended that Hawaiian Punch position their brand and maximize profit by increasing advertising and innovating their products. Having Dual distribution networks it is necessary to establish market segments. The  Finished Goods Network buyer is mainly mothers/guardians. This segment presents the largest amount of repurchasing and brand loyalty. Focusing advertising on the energic times and healthy benefits will persuade mothers ino purchasing the drink because it offers V.Conclusions Entering into a licensing agreement is not a good decision in the European market, the three year agreement is too short and more importantly Baxton is allowing too much of the revenue to go to Bar Maisse, they need an arrangement where they receive a larger portion of the proceeds. At the same time, choosing to enter the European market is too risky and has too many unknowns. The expertise of Bar Maisse is needed for success to be likely; otherwise there are too many unknowns with where operations should be based on what markets are more likely to yield successful sales. While focusing on Europe and entering the market at this time does appear to be the correct decision, it should not be done at the expense of increasing growth in the United States. That market is under developed and is not being capitalized, as it should be.

Write an analytical paper on the influence the media has had on the Research

Write an analytical on the influence the media has had on the political system - Research Paper Example egative aspects of media will be highlighted along with positive aspects so as to have a clear understanding on the influence of media on political system. The entire research study will be based on secondary research as the analysis will be performed on different views or opinions given by experts. At the end of the study a brief conclusion shall outline the major areas of political system which has been influenced by media. The major aim of this research study is to analyze the media influence on political system. This study would outline the past as well as current influences which are caused by media on politics. The objectives of the research study are- The research question for the study is – â€Å"what is the influence the media had or has on political system?† Research findings will be aligned with this particular research question and aim of the study. As per Baumgarten & Voltmer (2010), media effects or media influence are generally used in communication theory, sociology and media studies to refer to appropriate theories highlighting the impact of media culture and mass media on respective audience. The process of agenda setting is an unavoidable component of news that is collected by bigger organizations and it corresponds to maximum percentage of mass media. Media often produces material which is serious and impartial; they are even accorded a greater degree of authority and respect. In real time scenario, the ethics of television and press is related to hegemonic establishment that provides essential support to existing system. â€Å"Seeing is Believing† is a famous article of 1991 which was written by Greg Philo and it described the miner’s strike taking place in United Kingdom was strongly correlated with presentation of media about the event. In this article it was highlighted that media was able to grab atte ntion of millions of people located across the globe so as to contribute their opinion towards the violence occurring in the country

Ping Pong and China Essay Example | Topics and Well Written Essays - 1500 words

Ping Pong and China - Essay Example The game is of low intensity since little physical activity is needed. The game also have become more of men’s championship since 1959. Ping pong became an Olympic sport in 1988 (Hong, 2008). Ping pong grew rapidly in China and became the main game due to several reasons. The main reason as to the popularity of the game was due to its low cost making it affordable to many. There is no professional training that was required and this made everyone being able to participate (Memphis, 2010). The country also contributed much in the popularity with Chairman Mao’s promotion on the game. He loved and played the game and wanted to make sure that the game was recognized. The country also had gold medal rush that was in favor of the game hence the popularity. The country also had glory on the game making it more popular (Griffin, 2004). The game has been the official one to the Chinese since 1950s and has from then has given china a taste of national glory. In national Olympics, china has won twenty three out of the twenty seven medals making it feel like the game has been china’s. China as a nation has focused less on other games rather than ping pong marking it not become a marginal country (Griffin, 2004). The game in china has symbolized and also played a direct role in the fate of the nation. It did this by absorbing the game from the imperial power and then they made it their own. Mao Zedong declared the game, ping pong the national sport for China. In the championships, China won its first victory in 1959 after defeating japan in the final stage. Popularity of the game in China has grown since 1988 (Hong, 2008). In 2008 the China team won both the medals, gold, silver and bronze in both the men and women category singles and again won gold and silver in both doubles. The winning of the medals then became regular for the players. When they first competed they dominated the dominated the world championship. This success made the

Icasualties.Com, Statistics, and Presentation Assignment - 5

Icasualties.Com, Statistics, and Presentation - Assignment Example Specifically, the reporting and graphic presentation of statistics on the website icasualties.com. The website documents casualties in Iraq and Afghanistan since 2003 and 2001 respectively. This analysis will focus only on one aspect of the website, the presentation of statistics relating to Operation Enduring Freedom/Afghanistan. On the left side of the site, a news feed constantly updates on news stories about Operation Enduring Freedom and casualties. The data is presented on the remaining portion of the page. The first set of statistics presented in chart and bar graph format is Coalition Military Fatalities by Year. Both formats clearly depict the rising coalition fatality rate and the fact that 2010 is on track to become the deadliest year in the operation. The accuracy of the figures is incontestable. In this day and age, the U.S. military (as well as those of other nations operating in Afghanistan) cannot hide casualties. As the graph on the following page illustrates (making allowances for this year only being halfway through) the graph presents a minor decline to 2003, and an increasing number of fatalities steadily since. The site then presents charted data of coalition fatalities by year and month. The charts indicate the ebb and flow of fighting throughout the year. Fighting increases when the weather improves and the poppy harvest ends in May. It declines again in the fall as the weather deteriorates. Additionally, a pie chart identifies the nationality of coalition fatalities by country and provides links to the name, unit, date of death and cause of death of each individual. The charting of fatalities for all countries is identical and facilitates comparisons between countries. Finally, a map provides data on all coalition fatalities by province and, again, links to the name, unit, date of death and cause of death of each individual. As with the data sorted by nationality the charting of fatalities for all provinces is identical and facilitates comparisons between provinces.  Ã‚  

Dream job specification Essay Example | Topics and Well Written Essays - 1500 words

Dream job specification - Essay Example The must allow flexible working hour so that the employees may easily maintain the balance in their professional and personal life. The employees must be granted vacation days, which they must ask for without any reprimand. Design compensation and benefits package related to your dream job. My dream job must provide me with different compensations and benefits. The salary must be enough to pay back my student loan and to fulfill all the basic, social and self esteem needs of my life. The firm must also give accommodation as well as transport facility to all its employees. The compensation packages must include other firm investment in the retirement funds for all the employees. The organization must provide Health care benefits for the employees and their family. The organization must finance an annual vacation of the employees along with limited number of family members, to the location of their choice. This would give a break to the employees from all the business activities and th ey would relax their mind. The organization must also offer the productive employees compensation according to the level of their productivity this would help to foster the growth of an organization. The employee must also be given share in the profit of the organization according to their level of performance; this would encourage the employees to be more productive and would contribute towards the profitability of the organization. Rationalize your compensation and benefits package. Be sure to indicate the research and considerations that went into the design of the compensation and benefits package. Employees’ compensation does not only include the salary of the employees but all the extra rewards and benefits that employees get while working with the... The essay makes sure you rationalize your compensation and benefits package. Be sure to indicate the research and considerations that went into the design of the compensation and benefits package. Employees’ compensation does not only include the salary of the employees but all the extra rewards and benefits that employees get while working with the organization. It is the responsibility of every organization to design benefits and compensation packages for their employees. When an organization has a balanced set of salary, wages, benefits and compensation, so they remain competitive in the respective industry they are operating in. Then the essay makes you imagine this is the only position of its kind in the organization. As an architect there are various factors that may affect my performance in the organization. It is the responsibility of the human resource manager to observe, the external factors that are affecting the performance of the employees. There are several facto rs that may be held responsible for affecting my performance in an organization; these factors may be; dissatisfaction in the working environment, work overload, etc. In the conclution, the essay makes you rationalize your performance appraisal program. Be sure to indicate the research and considerations that went into the design of the performance appraisal program. Performance appraisal is an important aspect of HRM. Performance appraisal is of great importance in the theoretical studies as well as in the practical life.

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

Sustainability - Essay Example A second reason was the strategy could become a guide to encourage infrastructure investment. A third reason was to encourage nature conservation by. Lastly the process could help encourage new entrants into tourism rather than into sectors which could destroy the long term prospects of tourism. The second section deals with what a sustainable tourism strategy is and how it differs from a conventional tourism plan. Conventional plans more closely resemble traditional marketing plans as it is designed to increase visitor numbers, turnover etc. through community resources. Sustainable tourism plans rely on wider regional analysis whose hallmarks include analysis of current tourism assets and future tourism development and a discussion of how tourism could be used for social benefits and probably most importantly strategies should be long term in their approach. The next section identifies how these strategies are produced. Firstly the strategy makers should have a number of objectives in the tourism, economic, ecological, and social sectors. Secondly, consultation with affected parties should be wide ranging and strategies should be an evolving/long term enterprise. In this regard the focus of this paper was wide ranging. It was a well laid out argument which identifies what the problem is, why strategy formulation should be paramount, how the strategy should be developed and the effect that strategy formulation has had in real world experiences. The only critique would be that in order to reinforce the importance of strategy development, perhaps examples of how not adhering to this sort of strategy should produce negative

Global marketing Essay Example | Topics and Well Written Essays - 3000 words

Global marketing - Essay Example Foreign direct investment is simply direct investments across national boundaries† (Dicken, 2007, p.36). Earlier, countries were bit reluctant in welcoming foreign direct investment because of the concerns about the negative impacts upon domestic firms caused by the intrusion of foreign firms. However, world has realised that these concerns are nothing in front of the huge benefits and advantages brought by foreign direct investment. It should be noted that communist China is the number one exploiter of globalization and foreign direct investments at presents. In other words, China has no hesitation in allowing foreign companies to function in its soil now. In short, global marketing has gained lot of relevance and importance in the heavily globalized world at present. Even though globalization is believed to be the brain child of capitalist countries such as America and UK, it is fact that these countries failed to exploit the opportunities of it properly. For example, recent recession affected UK immensely. At the same time Asian countries such as India, China, Japan and Korea escaped from the negative effect if recession. This is because of the fact that these countries exploited globalization to their advantages. It should be noted that Indian automobile manufacturer TATA has recently acquired prestigious British automobile manufacturers such as Jaguar and Land Rover. Even then, many prominent British companies are currently working in overseas countries. For example, British telecommunication giant, Vodafone is one of the major telecommunications company in India now. In short British companies have lot of opportunities in overseas market. Established in 1995 in Dorset, England by Dutch millionaire Klaas Zwart, Ascari Cars is one of the major automobile manufacturers in Britain now. Even though Ascari is more interested in the making of sports cars, it is making luxurious passenger cars also. Even though many of the British cars manufacturers have al ready established business units in India, Ascari failed to do so until now. This paper analyses the opportunities of Ascari Cars in Indian market. Reason for choosing Ascari cars   â€Å"Ascari cars† is one of the most rapidly growing British companies now. Even though it was established only in 1995, it has already succeeded in informing its presence in the market. â€Å"Ascari cars is a medium sized organization. Many people have the illusion that only prominent or huge organizations might be able to establish business units in overseas countries as part of their global marketing strategies. However, it is already proved that the size of the company is irrelevant as far as the success and failures of global marketing are concerned. â€Å"In 2006 the Ascari KZ1-R was built to compete in GT championships around the world with ultimately scooping the British GT Championship in 2009†(Ascari race resort, n.d.). Until recent times, car racing was not a popular sport in India. However, recent statistics shows that the interests of Indian people in formula one competitions or car racing is slowly increasing. In others words, Indians started to love sports cars in recent times. So, the opportunities for Ascari in Indian market are tremendous. Even though call for energy efficient or

Animal Symmetry Essay Example for Free

Animal Symmetry Essay 1. Animals with radial symmetry function differently than animals with bilateral symmetry. Unlike animals with bilateral symmetry, these organisms use their appendages, usually tentacles, to bring in food to its mouth, which is located at its center. Also, animals with radial symmetry have less complicated systems than animals with bilateral symmetry. The radial symmetry body plan involves appendages radiating out from the center of the organism, this means that most systems are not included in these animals. Since the radial symmetry body plan has little to no systems, this makes the animals less intelligent than the bilateral symmetry body plan. This means animals with radial symmetry cannot react as well as other animals. This also means the organism cannot, see, taste, smell, or think as well, as bilateral symmetry animals. Due to this disability, any animal that follows this body plan has adapted to be able to react without these senses. Though this makes it harder for the animal to function, by using a different life style it can survive. The cnidarian eats by pulling food in with its tentacles. This lack of senses means that the cnidarian relies on prey swimming into its tentacles. After eating, the waste then exists the way it entered, through the mouth. These animals have limited motion, relying mainly on currents to move, or not even moving at all. Cnidarians also reproduce fairly simply. When they reproduce asexually, they bud. This means that a new cnidarian grows off of an existing one. When they reproduce sexually, the female makes an abundance of eggs, and the male secretes sperm in the hope of fertilizing the eggs. That is the lifestyle of the cnidarian.

Study On Hand Hygiene In Optometry Nursing Essay

Study On Hand Hygiene In Optometry Nursing Essay Hand hygiene is a term used to describe any act of hand cleansing. There are various methods of decontamination each with their own level of efficacy (Lucet et al., 2002; Kampf, Là ¶ffler and Gastmeier, 2009). It is an essential practice among health care workers (HCWs) to prevent the transmission of microorganisms and spread of nosocomial infections in a clinical setting. Despite this knowledge, compliance among HCWs remains low averaging 40% which increases the risk of patients contracting hospital acquired infections (Boyce and Pittet, 2002). The World Health Organisation (2005) recognise hospital acquired infections as being a major cause of death and mortality in hospital bound patients, averaging 5000 deaths a year in England. Improving hand hygiene practice among HCWs is the cornerstone in reducing nosocomial infections such as methicillin-resistant Staphylococcis aureus (MRSA) and Clostridium difficile (C. diff.). However, implementing this change in behaviour is complex and difficult to achieve. An integral factor for improved hand hygiene compliance relies on HCWs educational training and the introduction of motivational programmes designed specifically to influence behaviour. Monitoring and encouragement will be necessary for these procedures to be successful (Boyce, 2008; Saint et al., 2009). 1.2 Hand hygiene in Optometry There is an apparent lack of research into hand hygiene practice in a primary and community care setting; optometric practice included. Currently there are no evidence based studies directly linked with Optometry to support the recommended guidelines set out by The College of Optometrists. Instead these guidelines are based on expert opinion with little conclusive evidence of efficacy in primary care. The importance of effective hand hygiene in the prevention and control of infection is stressed. They have adopted recommendations set by The National Institute for Health and Clinical Excellence (NICE 2003), which are for the use of professionals in primary and community care. A minimum standard of hand hygiene practice would be to decontaminate hands before each and every episode of patient contact and after any procedure or contact that would cause hands to become contaminated. The College of Optometrists (2009) expand upon this stipulating that there is no set regularity in hand was hing episodes and that instead it should be adhered to in circumstances such as contact lens insertion and removal, after going to the toilet, when hands appear visibly unclean, before and after contact with ocular surfaces or the adnexa, before and after administering topical ointments or drops, after any possible microbial contamination, after handling soiled or contaminated materials and before wearing and after removing gloves. Furthermore, an instruction of appropriate hand hygiene technique in clinical practice is suggested: Wet hands under running water. Dispense soap/antiseptic into cupped hand (N.B. bar soap should not be used). Rub hands vigorously and thoroughly for 10-15 seconds without adding more water. Ensure all surfaces of the hands are covered. Rinse hands thoroughly under warm running water. Dry hands with a disposable paper towel. The use of non disposable towels is not good practice. Advisory recommendations for optometrists regarding hand hygiene in the community setting remains at a robust level. To improve standards, further research must be conducted as it is widely regarded that sound clinical practice requires conclusive clinical evidence (Smith, 2009). Optometrists in a primary care setting could benefit from adopting higher standards of hygiene expected in hospital environments. 1.3 Hand hygiene guidelines and technique Due to the clinical and economic implications of health-care associated infection the World Health Organisation (WHO) and the US Centers for Disease Control and Prevention (CDC) have formulated guidelines to promote improved hand hygiene adherence among health care workers (Boyce and Pittet, 2002; Pittet, Allegranzi and Boyce, 2009; Sax et al., 2009). These guidelines include specific indications for hand washing and hand antisepsis episodes. A detailed description of appropriate hand hygiene technique is also included. The recommendations are categorised on the basis of published scientific data, theoretical knowledge, applicability in a clinical setting and economic involvement. The CDC/HICPAC created a system for categorising hand hygiene recommendations. These categories are shown in Table 1 Table 1 showing the CDC/ HICPAC categorisation of guidelines (Boyce and Pittet, 2002) Category Criteria IA Strongly recommended for implementation and strongly supported by well-designed experimental, clinical or epidemiologic studies IB Strongly recommended for implementation and strongly supported by certain experimental, clinical, or epidemiologic studies and a strong theoretical rationale. IC Required for implementation, as mandated by federal or state regulation or standard II Suggested for implementation and supported by suggestive clinical or epidemiological studies or a theoretical rationale or a consensus by a panel of experts. No recommendation Unresolved issue. Practices for which insufficient evidence or no concensus regarding efficicacy exist. Sections 1, 2 and 6 of the CDC/HICPAC recommendations advise specifically on handwashing and hand antisepsis indications, hand-hygiene technique and other aspects of hand hygiene. Each guideline is given a classification category relevant to Table 1. These recommendations are as follows: 1. Indications for handwashing and hand antisepsis A. When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids, wash hands with either a nonantimicrobial soap and water or an antimicrobial soap and water (IA). B. If hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands in all other clinical situations described in items 1C-J (IA). Alternatively, wash hands with an antimicrobial soap and water in all clinical situations described in items1C-J (IB). C. Decontaminate hands before having direct contact with patients (IB). D. Decontaminate hands before donning sterile gloves when inserting a central intravascular catheter (IB). E. Decontaminate hands before inserting urinary catheters, peripheral vascular catheters, or other invasive devices that do not require a surgical procedure (IB). F. Decontaminate hands after contact with a patients intact skin (e.g., when taking a pulse or blood pressure, and lifting a patient) (IB). G. Decontaminate hands after contact with body fluids or excretions, mucous membranes, nonintact skin, and wound dressings if hands are not visibly soiled (IA). H. Decontaminate hands if moving from a contaminated-body site to a clean-body site during patient care (II. I. Decontaminate hands after contact with inanimate objects (including medical equipment) in the immediate vicinity of the patient (II). J. Decontaminate hands after removing gloves (IB). K. Before eating and after using a restroom, wash hands with a non-antimicrobial soap and water or with an antimicrobial soap and water (IB). L. Antimicrobial-impregnated wipes (i.e., towelettes) may be considered as an alternative to washing hands with non-antimicrobial soap and water. Because they are not as effective as alcohol-based hand rubs or washing hands with an antimicrobial soap and water for reducing bacterial counts on the hands of HCWs, they are not a substitute for using an alcohol-based hand rub or antimicrobial soap (IB). M. Wash hands with non-antimicrobial soap and water or with antimicrobial soap and water if exposure to Bacillus anthracis is suspected or proven. The physical action of washing and rinsing hands under such circumstances is recommended because alcohols, chlorhexidine, iodophors, and other antiseptic agents have poor activity against spores (II). N. No recommendation can be made regarding the routine use of nonalcohol-based hand rubs for hand hygiene in health-care settings.(Unresolved issue). 2. Hand-hygiene technique A. When decontaminating hands with an alcohol-based hand rub, apply product to palm of one hand and rub hands together, covering all surfaces of hands and fingers, until hands are dry (IB). Follow the manufacturers recommendations regarding the volume of product to use. B. When washing hands with soap and water, wet hands first with water, apply an amount of product recommended by the manufacturer to hands, and rub hands together vigorously for at least 15 seconds, covering all surfaces of the hands and fingers. Rinse hands with water and dry thoroughly with a disposable towel. Use towel to turn off the faucet (IB). Avoid using hot water, because repeated exposure to hot water may increase the risk of dermatitis (IB). C. Liquid, bar, leaflet or powdered forms of plain soap are acceptable when washing hands with a nonantimicrobial soap and water. When bar soap is used, soap racks that facilitate drainage and small bars of soap should be used (II). D. Multiple-use cloth towels of the hanging or roll type are not recommended for use in health-care settings (II). 6. Other Aspects of Hand Hygiene A. Do not wear artificial fingernails or extenders when having direct contact with patients at high risk (e.g., those in intensive-care units or operating rooms) (IA). B. Keep natural nails tips less than 1/4-inch long (II). C. Wear gloves when contact with blood or other potentially infectious materials, mucous membranes, and nonintact skin could occur (IC). D. Remove gloves after caring for a patient. Do not wear the same pair of gloves for the care of more than one patient, and do not was gloves between uses with different patients (IB). E. Change gloves during patient care if moving from a contaminated body site to a clean body site (II). F. No recommendation can be made regarding wearing rings in health-care settings. Unresolved issue. These guidelines were developed for the use of health care professionals in a clinical setting and were not specifically designed with optometric practice in mind. However, many of these recommendations remain highly relevant when adopted to an optometric environment and are strongly supported by The College of Optometrists. The World Health Organisation have extended the recommendations on hand-hygiene technique and produced a visual publication poster detailing the hand hygiene technique for use with alcohol-based formulations and the handwashing technique for use with soap and water. These are shown in Figures 1 and 2 respectively. Figure 1 showing recommended hand hygiene technique with an alcohol-based formulation (World Health Organisation 2006) ***online access reference 2 Figure 2 showing recommended handwashing technique using soap and water (World Health Organisation 2006) **online access reference 1.4 Hand hygiene practices among health care workers Hand hygiene practice among health care workers is poor with many observational studies reporting low compliance rates in a number of indicative areas. Hence, understanding current trends among health care workers is critical in planning and implementing the necessary modification in behaviour (Allegranzi and Pittet, 2009). Hand hygiene adherence can be investigated over a range of parameters such as duration spent cleansing or disinfecting, frequency of hand washing episodes over a given time and observing the variations in performance with regard to clinical setting, physician status and gender (Boyce and Pittet, 2002). Employing the appropriate hand hygiene technique is essential. Consider the situation in which hand hygiene episodes per hour compliance is high. If insufficient hand hygiene technique is being performed e.g. inadequate coverage of hand surfaces and a short cleansing time, then the overall standard of compliance will decrease. This confirms that hand hygiene practic es among health care practitioners involves both multimodal strategies and multidisciplinary approaches to improve adherence (Pittet, 2001; Dierssen-Sotos et al., 2009). Multiple factors are associated with the suboptimal hand hygiene performance among health care practitioners and they vary in relation to resources available and the setting involved. For example, the lack of appropriate infrastructure, equipment and materials will hinder good hand hygiene practice, the cultural background and perhaps even religious beliefs can also affect performance (Ahmed et al., 2006; Allegranzi et al., 2009). The most commonly reported causes of poor hand hygiene compliance are: (i) physician or nursing status, (ii) clinical care setting e.g. ICU, AE, surgery units (iii) understaffing and overcrowding (iv) male (rather than female) gender and (v) inaccessible hand hygiene supplies (Pittet, 2000). (Erasmus et al., 2010) conducted a systematic literature review of studies based on observed or self-reported hand hygiene compliance rates in hospital practice, mainly intensive care units. The median compliance rate was low at 40%. Physician status was found to be a factor affecting adherence, lower among doctors (32%) than nurses (48%). In general, a lower compliance rate was found in physicians reporting a high level of activity in clinical practice. Compliance rates improved in situations whereby physicians or nurses associated the task as being visibly dirty or unhygienic, alcohol-based hand rubs or gels were available, feedback performance was introduced and when materials and facilities were easily accessible. Hand hygiene compliance among optometric practitioners is an area yet to be investigated. Opticians are encouraged to follow the recommended guidelines set by organisational bodies such as the World Health Organisation and The College of Optometrists. 1.5 Hand hygiene behaviour Hand hygiene behaviour can be investigated in relation to factors such as social cognitive determinants. A number of situations trigger a hand cleansing episode to occur and therefore affect compliance e.g. knowledge and perception of the risks associated with cross contamination, social expectations for adequate hygiene, self evaluation of the perceived advantages against the existing hindrances and the initial motivation to perform the hand hygiene action (Pittet, 2004; Whitby et al., 2007). This cognitive behavioural response falls into two categories (Whitby, McLaws and Ross, 2006). Inherent hand hygiene behaviour arises in circumstances when individuals deem hands to be visibly soiled, sticky or gritty. This type of intrinsic hand washing behaviour is initiated when a task is recognised as being unhygienic or has a potential risk factor involved to the individual concerned. The other component of hand hygiene behaviour is denoted as elective hand hygiene behaviour. This type of behaviour is represented in situations such as tactile social contact e.g. shaking hands to greet someone. This will not induce a response for many individuals to wash their hands and instead it becomes an elective response. Similarly, health care workers may partake in non-invasive impersonal contact with patients when taking pulses or touching inanimate objects in their surroundings. This type of social contact is not perceived to be a danger and does not drive a hand cleansing episode to take place. Instead an elective response has to be made. However, hand cleansing or disinfection after such contact in a hospital setting is crucial, because failure to do so may lead to microbial hand contamination, with the increased risk of cross-infection. 1.6 Relation of hand hygiene with the acquisition of nosocomial infections Hand hygiene reduces the transmission of microbial contamination and the spread of health-care associated pathogens from one patient to another via the hands of health care workers (Pessoa-Silva et al., 2007; Pittet et al., 2007; Allegranzi et al., 2010). Hand hygiene is the cornerstone in securing adequate patient safety. Failure to comply with this standard prolongs duration of hospitalisation, causes unnecessary suffering, increases costs as well as mortality rates (World Health Organisation, 2009). Thus, to raise awareness and combat the problem of health care associated infections, (Sax et al., 2007) produced an evidence-based, user-centred design to promote improved hand hygiene adherence termed My Five Moments for Hand Hygiene, shown in Fig.3. This highlights the five most common routes of transmission which HCWs are exposed to in daily clinical practice. The model is based on the World Health Organisations hand hygiene guidelines. It recommends hand washing episodes to occur before touching a patient, before clean/aseptic procedures, after a body fluid exposure risk, after patient contact and after touching patient surroundings. Although designed specifically for HCWs in a clinical setting, this model could be adopted for use in community practice to include an optometric environment. Optometrists should be aware of the risks of cross contamination and demonstrate an understanding of appropriate infection control methods (Lakkis et al., 2007). Figure 3- My 5 moments for hand hygiene model 1.7 Infection control in optometry Modern optometric practitioners are offering an expanding area of services and care with regards to the treatment and management of eye diseases and eye injuries. Therefore, more specialised procedures and techniques are being carried out in the primary care setting which have the potential to spread infection and disease via blood borne and air borne transmission. Hence, practitioners have an obligation to carry out adequate infection control measures to ensure a high standard of patient safety and protection (Tyhurst and Hettler, 2009). The majority of optometric procedures are considered low risk for the spread of disease and infection. However, in a few occasions the risk increases e.g. when instruments come in direct contact with an infected patient and when blood, cuts or abrasions are exposed (AOA Primary Care and Ocular Disease Committee, (1993). Other procedures which have the potential for infection include the collection of eye culture samples, foreign body removal, contac t lens fitting, lacrimal lavage and the treatment of patients exhibiting ocular trauma. 1.7.1 Hand hygiene and protective barriers to infection A basic measure of infection control begins with effective hand hygiene. Many eye diseases and infections are spread manually, and it is the responsibility of the optometrist to minimise this transmission to patients by adhering to appropriate hand washing techniques before and after examinations and procedures. Appropriate hand hygiene technique refers to the standard described in section 1.2. In addition, the use of protective barriers such as disposable medical gloves, gowns, masks and protective eyewear has been suggested in specialised circumstances as a precautionary control to minimise the transmission of microorganisms (Lakkis et al., 2007). 1.7.2 HIV, Hepatitis B and Hepatitis C Diseases can be spread by direct contact between individuals, via blood or other bodily fluids and as a result of airborne transmission. Considerable awareness has been directed towards the transmission of the human immunodeficiency virus (HIV) and the Hepatitis B and C viruses, (HBV) and (HBC). HIV has been isolated from tears, contact lenses and ocular tissues, but there is no evidence to support transmission of the disease through these medians (Cantrill et al., 1988; Tillman, Klotz and Maino, 1992). Studies have reported the detection of the hepatitis B surface antigen in tears and aqueous humour, suggesting that optometrists must take all necessary precautions in clinical practice (Temel, Seber and Gunay, 1990; Tsai et al., 2009). Although these are areas of concern, the risk of transmission in an optometric setting is remote. 1.7.3 Influenza A (H1N1) virus In 2009, the emergence of the influenza A (H1N1) virus in humans has led to the first global pandemic in 41 years. It is more commonly referred to as swine flu and is made up of porcine, avian and human genes. Although a potentially fatal disease, the mortality rate is expected to be less than previously known influenza pandemics and is more likely to cause harm to young people and individuals with compromised health (CDC 2009). In order to contain the spread of this infection, health care personnel were advised to heighten infection control measures. (Kiely et al., 2009) discussed specific infection control guidelines applicable in an optometric environment. A basic measure of infection control begins with frequent handwashing. Due to the close proximity to patients throughout the eye examination, in a more extreme guideline, it was recommended that optometrists should wear personal protective equipment such as surgical masks, goggles, gowns and gloves when treating a suspected infe ctious individual. It was indicated that influenza A (H1N1) should be treated like any other form of influenza. 1.7.4 Creutzfeldt Jacob Disease The theoretical transmission of prions, implicated in Creutzfeldt Jacob Disease (CJD) and variant Creutzfeldt Jacob Disease (vCJD) is an area of concern in optometric practice (Lakkis et al., 2007). These diseases are degenerative neurological conditions that are incurable and invariably fatal. Reusing ophthalmic devices such as RGP trial lenses and contact tonometer heads has been identified as a possible risk factor in spreading this disease from one patient to another but has been described as highly improbable (Armstrong, 2006). 1.7.5 Summary of infection control in optometric practice Due to the potential risk factors in an optometric environment, practitioners must abide by the recommended guidelines in order to control the spread of infection and disease. Lack of motivation and insufficient knowledge of expected protocol will lead to non-compliance among optometrists. Hence eye care personnel are advised to develop and implement a suitable infection control policy within practice (Seewoodhary and Stevens, 1999; Stevens, 2008). 2.0 Aim The purpose of this survey was to examine the typical hand hygiene practice among optometrists in a primary care setting. It investigates the level of compliance among practitioners to include the type of hand products used, hand hygiene technique and the hand hygiene facilities available in various optometric environments. 3. 0 Method 3.1 Survey design In order to determine the role of hand hygiene in optometric practice, a questionnaire was designed to gain an insight into hand hygiene product use, hand hygiene technique, facilities and general compliance among practitioners. The questionnaire was split up into three sections, All About You, Facilities and Hand Hygiene Technique. It consisted of 28 questions, the majority being mandatory to answer. The format of questions was either on a yes-no basis, multiple choice, tick box and rating of answers using a scale based response. Questions were designed on the basis of international guidelines regarding hand hygiene. A detailed literature review was conducted to ascertain appropriate hand hygiene technique, hand hygiene facilities and reported barriers to hand washing. The questions from the survey are shown in the Appendix. 3.2 Survey circulation The questionnaire was launched using Bristol Online Surveys. This is a site used by over 200 UK organisations in order to develop, distribute and analyse web-based surveys. It was sent to volunteers via e-mail using a webpage link. 3.3 Volunteers A total of 124 individuals responded to the survey which included optometrists working in university, hospital, multiple, franchise and independent optometric practice around the UK. If an individual worked in a combination of practices, they were instructed to answer questions based on the place they worked most of the time. All participants were asked to answer honestly as the survey would remain anonymous. 3.3 Survey analysis Results were recorded online within the Bristol Online Surveys (BOS) site. Key features of the BOS results section included the option of statistical investigation, cross tabulation of answers, looking at individual responses and the export of data to a spreadsheet document on Microsoft Excel. The data was analysed and arranged into a variety of tables, graphs and pie charts for easier interpretation of results. 4.0 Results 4.1 All about you A total of 124 optometric practitioners took part in the study. An almost even distribution of gender was found totalling 61 males and 63 females, with an average age  ± SD of 41.4  ± 15.5. The majority of individuals who responded to the questionnaire were Cardiff University graduates totalling 26%, followed by City University, Aston University , The University of Bradford , The University of Manchester and Glasgow Caledonian. The remaining sector of individuals were grouped in the category other and included graduates from Auckland University, Bradford College, Dublin Institute of Technology, Northampton Polytechnic, Rand Afrikaans University, Southern College of Optometry, University of Durban and the University of Ulster. This is shown in Figure 4. Figure 4. University attended by each participant The number of years qualified as an optometrist was investigated and is shown in Fig. 5. Most respondents have been qualified for 21-30 years, followed by participants who have been practicing for less than 5 years. A small minority of individuals have been qualified for more than 40 years. Figure 5. Years qualified as an optometrist Over half of respondents work in independent practice, with a smaller proportion working in a variety of practices such as multiples, hospital based settings, a combination of practices and franchises. The minority fall into the category named other e.g. domiciliary practitioners, retired optometrists and University based optometrists who no longer practice. This is shown in Fig. 6. Figure 6. Type of practice participants work in Figure 7. Gender related response regarding hand washing or disinfection between each patient episode Fig. 7 illustrates that more females than males wash or disinfect hands between each patient episode. 71.1% of the male and female optometrists who wash or disinfect hands between each patient episode, do so in front of the client. Table 2. Reasons for not washing or disinfecting hands between each patient episode Reasons Male response as a % Female response as a % Busy clinic 24 57 Forget 20 43 Unnecessary 48 76 Lack of facilities 4 5 Sore skin 8 19 Other 12 14 Practitioners who do not wash or disinfect hands between each patient episode (25 males and 21 females) were asked their reasons for not doing so. More than one answer could be selected and is shown in table 2. The majority of these individuals deemed hand washing or disinfection an unnecessary practise. Twice as many females compared to males report that the busy clinic prevents such behaviour occurring, they forget or blame sore skin as reasons for not washing hand between each patient episode. Refer to Table 3 for Other responses. Table 3. Other reasons for not washing or disinfecting between each patient episode Other responses from optometric practitioners: Never been part of routine Was never stressed during University or Pre-reg Only recently became an issue Wash hands for each contact lens patient, but not all refraction patients Hand wash during the appointment and not between Figure 8. Practitioner response as a percentage regarding patient greeting with a handshake Fig. 8 illustrates that just under half of respondents do not greet patients with a handshake. The remaining individuals answered yes or sometimes to this form of patient contact. 39.5% of male optometrists and 44% of female optometrists who greet patients with a handshake, wash or disinfect their hands after this contact. Figure 9. Satisfaction of hand hygiene practises The vast majority of individuals have a high level of satisfaction with the hand hygiene practices currently employed at the practice where they work. Collectively, 8.9% of individuals are fairly unsatisfied or unsatisfied with current hand hygiene practises. Results are illustrated in Fig. 9. 4.2 Practice facilities and structure The questionnaire investigated the number of staff members in each individual practice to include optometrists, locum optometrists, dispensing opticians, optical assistants and receptionists. These results were calculated as a median function to include the range and are shown in Table 4. The frequency of patient appointments in an average working day were investigated and appointment duration. Practice facilities were reported upon such as number of consulting rooms and number of bathrooms. Results were averaged or calculated as a median function to include the range and are illustrated in Table 5. Table 4. Number of staff members in practice Position held (Median, range) Optometrist (1, 1-20) Locum Optometrist (0, 0-5) Dispensing Optician (1, 0-6) Optical assistant (1, 0-35) Receptionist (2, 0-8) Table 5. General practice statistics and available facilities Average ±SD (Median, range) Number of patients seen per day per optometrist 13.8 ±3.74 (14, 10-25) Appointment length (in minutes) 30.7 ±6.21 (25, 15-60) Number of consulting rooms (2, 1-12) Number of bathrooms (1,1-5) In regard to practice facilities, greater than half of all participants are assigned to their own personal consulting room and report that the hand washing facility is separate from the toilet Three quarters of individuals said that there is at least one wash basin in each consulting room. Fig. 10 illustrates these findings. A large proportion of individuals reported that the practice they worked in did not display a poster detailing official recommendations on the hand washing and hand rubbing technique. Just under half of participants were aware of the poster being displayed in practice. The minority were unsure and this is shown in Fig. 11. Figure 10. Practice facilities Figure 11. Guidance poster detailing the advised handwashing and hand rubbing technique 3.3 Hand hygiene products Figure 12: The gender related practitioner response as a function of hand hygiene product use. A variety of hand hygiene products were listed. Participants rated how often they used each product in relation to the scale provided (always, most of the time, occasionally, very rarely or never). Results were plotted as a function of gender. Fig. 12(a) illustrates that the majority of male

How Andy Goldsworthy Expresses His Feelings through His Works Essay

How Andy Goldsworthy Expresses His Feelings through His Works Andy Goldsworthy was born in Cheshire in 1956 and was brought up in Yorkshire. He studied at Bradford College of Art (1974-75) and Preston Polytechnic (1975-78). After leaving college Goldsworthy lived in Yorkshire, Lancashire and Cumbria. He moved over the border to Langholm, Dumfriesshire in 1985 and to Penpont one year later. This gradual drift northwards was due to a way of life over which he did not have complete control. However, contributing factors were opportunities and desires to work in these areas and reasons of economy. Throughout his career most of Goldsworthy's work has been made in the open air, in places as diverse as the Yorkshire Dales, the Lake District, Grize Fiord in the Northern Territories of Canada, the North Pole, Japan, the Australian outback, St Louis, Missouri and Dumfriesshire. He collaborates with nature to make his creations. The materials he uses are those you find in the remote locations he visits: twigs, leaves, stones, snow and ice, reeds and thorns. Most works are ephemeral (don't last/live long), but demonstrate in their short life, Goldsworthy's extraordinary sense of play and of place. The works are recorded as photographs. Book publication is an important aspect of Andy Goldsworthy's work: showing all aspects of the production of a given work, each publication is a work of art in its own right. Some recent sculpture has a more permanent natur...

Pride And Prejudice :: essays research papers

Prejudice The first sentence of the novel, Pride and Prejudice, by Jane Austin, foreshadows the end of the book. She writes, "It is a truth universally acknowledged, that a single man in possession of a good fortune, must be in want of a good wife". At first, readers would understand this in one way. However, in the second half of the novel it takes on a whole new meaning. At first this sentence takes on an ironic meaning, because it is commonly understood that it is the woman who is in pursuit of a wealthy gentleman (and not the man pursuing the woman as stated). Austin also seems to prove this understanding of the quotation in the first half of the novel in her use of Mr. Collins and Charlotte Lucas. In the novel, Mr. Collins has established himself by working for Lady Catherine de Bourgh, an extremely wealthy woman. Also, once Mr. Bennet dies, Mr. Collins is due to inherit his entire estate. Therefore, a man who is supported by that amount of money would seem to be quite a catch, to someone with less money. However, after listening to him talk, it is quickly revealed that he is utterly ignorant. On the other hand, Charlotte is his complete opposite. Charlotte is an extremely sensible and intelligent girl, but she has little money. Although Mr. Collins could obviously never satisfy Charlotte as a husband, Charllote agrees to marry him for his money. Hence the original understanding of the quotation at the start of the novel seems to be justified. Mr. Darcy also seems to follow this quotation. He believes that woman would marry him for his wealth and status no matter what. Therefore, when he falls in love with Elizabeth he does not treat her with the preferential treatment with which one would normally treat his beloved. Instead he treated her with the same condescending and proud manner as he would any other person. Afterall, all good wives are in want of a wealthy man. Darcy soon changes his philosophy (and hence one must understand the quotation d ifferently) after Elizabeth refuses his proposal. This incident proves that a woman does not necessarily need to find a rich man to marry. Afterall, this is now the second time that Elizabeth has rejected the proposal of a man with more wealth than she. It is clear that Darcy changes his whole philosophy on the subject after this rejection.

john keats :: essays research papers

John’s mother took her husbands’ death very hard. She could no longer run the stable business that her husband ran for so many years. With these facts in place, Frances then looks to remarry to help run the business. Barely two months after her husbands’ death, she remarried a minor bank clerk named William Rawlings on June 27, 1804. William was a fortune hunter and the children did not like him at all. Mr. Rawlings did not care about anything but money during their marriage, which made the marriage an indefinite disaster. Upon the end of their ill-fated marriage John, along with his other siblings were sent to live with their grand parents, months later Frances moved in also. Frances also left Mr. Rawlings with the stables she inherited from her late husband Thomas, and from that day forward Frances health began to dwindle away.   Ã‚  Ã‚  Ã‚  Ã‚  The times up until know have been very hard on the Keats family, especially hard on the children, they only get worse as time goes on. The children loved being around their grandparents and living with them, they cared very deeply about them. On March 8, 1805, John Keats grandfather died of natural causes. With his death not only did grief and sorrow fill the families heart; his death also brought on a financial burden, which will seem to consume John for the rest of his life.   Ã‚  Ã‚  Ã‚  Ã‚  This issue of money all began when Mr. Jennings, being the gullible person he was, hired a land surveyor, not a lawyer to write his will. The sneaky land developer intentionally made John’s grandfathers’ will to be extremely vague and ill written. Mr. Jennings real wishes were obscured and open to interpretation.   Ã‚  Ã‚  Ã‚  Ã‚  The fight over shares in the estate began shortly after his death (and ended long after John Keats’ death).

Financial Markets in Pakistan Essay

A financial market is a place for buying and selling of financial securities such as stocks and bonds. It facilitates: * The raising of capital (in the capital markets) * The transfer of risk (in the derivatives markets * In matching those who want capital to those who have it. Financial Market in Pakistan consists of (i) Money Market which provides short term funds and (ii) Capital Market which makes long terms funds available to businesses and industries. The Financial market can be reclassified into (i) Primary Market in which new shares or bonds are issued and (ii) Secondary Market in which securities previously issued are traded such as Shares, Bonds, Commercial Papers, Options and Mutual Fund. Of this, the banking sectors and non-banking sectors are regulated by the central bank, State Bank of Pakistan. While rest of the market (lease, stock exchanges, modarba, mutual funds and insurance) is regulaled by Secruities and Exchange Commission of Pakistan. FINANCIAL MARKETS AND THEIR ROLES: COMMERCIAL BANKS A type of bank providing checking and saving accounts, credit cards and business loans. Such a bank induces general public to deposit their savings in the banks and offers a wide range of services such as: * Deposit Mobilization * Money transfer * Financing Working Capital * Financing other trade related mode (import and export) * Investing in government securities * Call money operations These banks are of three categories (i) Public Sector Banks, (ii) Private Bank and (iii) Foreign Banks. LEASE -FINANCE EQUIPMENT INVESTMENT BANKS Investment banks perform a variety of functions. Primarily, they assist corporations to raise equity-capital by underwriting the public issues. They also assist companies desiring of mergers and acquisition and derivatives. In addition, they provide services like trading of derivative, foreign exchange, fixed income instruments and shares listed on the stock exchanges. Such banks cannot take deposits. They manage their affairs by charging fees such as (i) retainer fee, (ii) advisory fees based on the transactions, (iii) commission on underwriting and (iv) other financial services. PICIC was once a premier development in Pakitan but has merged with a commerical bank. BOND MARKET OUTLOOK DEVELOPMENT BANKS These banks provide guidance in selection of industrial units and extend direct financial assistance to partly cover their financial requirements. Also, they engage themselves in promotional activities to attract investors towards neglected sectors through publishing brochures and research papers. Besides, they help in assessing feasibility of potential projects. Such banks are responsible for speeding up the pace of economic growth in the country in conformity with the national objectives, plans and priorities. Their core functions are: * Direct financial assistance * Catalytic function * Mobilization of domestic savings * Ensuring balance regional and industrial growth * Expanding entrepreneurial base by encourage new comers At one time, there were 14 Development Banks in Pakistan. However, most of them have been closed one after another as their bad debts mounted up. It is natural as they take substantial risks in promoting new types of industrial projects in underdeveloped areas sponsored preferably by new-comers. Nevertheless, their contribution brings fruits to the economy in the shape of successful industrial units and transfer of technology. At present, 8 development banks are operating which mostly are joint-venture with other Islamic Countries. MICROFINANCE BANK A microfinance bank would cater to the credit needs of poor households and their small enterprises. Thus microfinance bank provide credit to those poor who are not considered creditworthy by the commercial banks and other financial institutions. On the other hand, the microfinance bands recognize every single human being as a potential and creditworthy entrepreneur. In addition, they provide basic training in start of a small business, simple book-keeping and accounting. The main aim of microfinance institutions is alleviation of poverty through helping poor persons to earn some money especially the women. ISLAMIC BANKS In Islam, it is prohibited to charge interest on any loan. However, it is acceptable to pass on funds to a needy person or corporation for trade purpose in which case profit could be shared on an agreed basis whereas loss should be shared according to the funds invested. Besides, there are certain businesses where any form of deal is forbidden like alcohols and pork. Accordingly, Islamic bank refer to a banking activity which is consistent with the Sharia, the Islamic Laws. Otherwise, there is no difference between the traditional banks and the Islamic bank. DISCOUNT HOUSES These are firms which buys and discounts bills of exchange, banker’ acceptance, commercial paper, etc. Discount houses also tender for treasury bills, deal in short-dated government bonds, and are an important part of the short-term money markets. INSURANCE COMPANIES Insurance is a hedge against the risk of a contingent and uncertain loss. In other words, it is the equitable transfer of the risk of a loss, from one entity to another, in exchange for payment. For this service, the insurer charges a fee called premium depending upon the risk involved. Besides traditional insurance companies, there are many Islamic insurance companies in Pakistan known as Takaful operators. Takaful is an Islamic insurance concept based on mutual co-operation, responsibility, assurance, protection and assistance between groups of participants. These companies believe in promoting the cause of Takaful as well as promoting the insurance business in a Shariah Compliant i.e. halal and absolutely Riba-Free insurance. STOCK EXCHANGES Stock exchange is a place where securities are bought and sold. Such securities include shares, derivative, unit trusts and bonds. It also provides facilities for the issue and redemption of securities. Prices of shares and bonds are influenced by their demand and supply like in other commodities. In order to list a security on the stock exchange, there are certain requirements. Transactions in the stock exchange are conducted by members only. Stock exchange serves both as a primary market for the initial public offerings and as a secondary market for their subsequent buying and selling Investors are not bound to sell stock or bond through the stock exchange. They can directly deal with the seller. Similarly, there is no compulsion that stock must be traded on the exchange. The securities can change ownership out of the exchange which is called ‘over the counter† or â€Å"curb dealings.† LEASING It is a contract where owner of an asset agrees to allow someone to use it for a fixed rental. It can be for fixed or indefinite period of time. It is a binding contract which sets out terms of lease agreement between the owner and the user. Leases are of various types mainly (i) a financial lease and (ii) an operating lease. The financial lease is long-term and non-cancellable contract where the user assumes some of the risks of ownership and has the right to keep the assets or get it transferred to its own name after fulfilling the necessary conditions. In operating lease, the owner transfer only the right to use the assets which is returned back at the end of the lease. There are some other types especially in the aircraft industry like wet lease and dry-lease and. In wet lease, a company agrees to provide an aircraft along with pilot and crew and would be responsible for the maintenance of the aircraft. Dry lease, on the other hand, refers to leasing only the aircraft. MODARBA If is a form of partnership which has two distinct parties: (i) the financier and (ii) the manager. The financer takes no part of management of the business. The profits are distributed among the subscriber while the manager is paid the usual salary. Modarba is one the modes of Islamic finance. It is like mutual fund minus its un-Islamic features. Not only in Pakistan, the Islamic financial services industry has witnessed a phenomenal growth all over the Islamic world. In particuar, the Modaraba Sector has been able to create a market niche for itself in the corporate sector. This model is enjoying a unique recognition due to its well designed structure with proper rules and regulations defined by the regulators. It has proved its resilience in this time of global financial turmoil. MUTUAL FUND It is a professionally managed type of pooled investment for acquiring securities like stocks, bonds, marketable securities and commodities. The profit is distributed by way of dividend to all investors. Financial market in Pakistan experienced boom conditions in1991 due to liberalization policies of the government. There was a manifold increase in the number of listed companies; number of commercial banks, local and foreign and financial instruments like commercial paper. But it has still to develop and a number of suggestions have been made: * The public sector should reduce its dependence on State Bank of Pakistan. * The infrastructure projects should be financed through domestic bonds of longer maturities (10-20 years). * The financial sectors (capital markets, micro credit, banking and non-banking sector) should have a better and more clearly delineated division of responsibilities. * Foreign institutional investors should be encouraged to take up (i) private equity funds, (ii) private pension funds, (iii) provident and gratuity funds and (iv) Real Estate Investment Trusts. * Mortgage financing should be encouraged.

Student from Myanmar

When I was a grade 10 transferee student from Myanmar to Philippines in 2008, I saw how different our education system and the atmosphere of learning from other country. My experiences during these high school years in the Philippines inspired me to become an educator in Myanmar. My first step in preparing for my goal to become an effective educator was when I enrolled Bachelor of Secondary Education major in English at University of the Cordilleras in Baguio City, Philippines in 2011. I understood that education course would equip me with the necessary knowledge and skills to be an effective teacher and leader. I took advantage of all the lessons taught in the classes, I was studying my best in understanding the lessons from my lecturers, professors and classmates knowing that I would return to my mother land, share and apply what goods I have learned in abroad. When, I graduated my bachelor degree in 2015, I came back to my country and started working as a full time English teacher in Yangon, Myanmar. As a teacher my passion is to instill and encourage an inquiring mind to my students. Teaching allows me to work on hearts and minds, to guide people in becoming empowered, creative, liberated human beings who are interested to make a better place for all of us. Secondly, for about three years of teaching, my passion for education reform in Myanmar grow, I have realized that investment must be made in creating education that meets the need of building peace in the country especially with ethnic minority groups, the needs of Myanmar's growing economy and industry growth. It is also vital to enrich the country's academic offerings as I believe education is the ultimate to development of a country and the growth of its people mind. This teaching journey have led me to dream a bigger part of change agent, a desire to improve the education system in my country Myanmar, provide individuals free and quality education, inspire students to strive with the right mindset and creativity, because with the right mindset, it's possible to make all developments from private sectors to public administrations in the country and its citizens' potential. The more I realized it the more I am encouraged to pursue Master Degree in Education. So that I can work for educational reform, and with ample experience I will be able to work with ministry of education in Myanmar, AND VARIOUS NGOs which focus on the improvement of education system, I hope that students are aware of information regarding their chances of becoming their dream person, by running campaigns to inform students about scholarship programs all around the world, giving them guide how to achieve the scholarship, even work for students to achieve their dreams. Eventually I will like launch my own organization that focus on quality education as a whole particularly training teachers all around the country, who would reach out to their individual places and educate children, who are the hope and backbone of our country's development. It is important that students are given many choices and opportunities to complete their bachelor degree without having to struggle so much with their financial crisis and geographical dispersal.

Sports Psychology

Sport Psychology Athletes in today’s society are bigger, stronger, and faster than ever before but they still share the same goals as their predecessors, climb to the top of their sport and be crowned champion. Unlike in previous generations, the â€Å"game† is no longer just a game, it’s a booming business. Major League Baseball alone boasts a three point seven billion dollar a year industry.In this new generation of big business, how do athletes cope with the pressure of grossing fifteen million dollars a year and performing in front of twenty thousand screaming fans packed into Madison Square Garden or seventy-two thousand fanatical â€Å"Cheese Heads† at Lambeau Field? One of those answers is with sport psychology. But one answer leads us down a convoluted path with many other unanswered questions. This paper will define sport psychology and identify where it come from. It will also discuss the objectives of sport psychology and how are they applied.Th e final topic will describe sport psychologists do. According to the sport psychology program at San Diego State University, sport psychology can be defined as â€Å"the study of people and their behavior in sport and exercise contexts†, or â€Å"the effect of sport itself on human behavior†, or â€Å"a field of study in which the principles of psychology are applied in a sports setting. †(SDSU, web para. 1) How did we arrive at this definition? The history of sport psychology can be divided into five periods dating as early as 1895 to the present.The first period is from 1895-1920. Norman Triplett, a psychology professor at Indiana University, was the first researcher to confirm that bicyclists sometimes rode faster when they raced in groups or pairs than when they rode alone. Following Triplett’s work in 1899 is E. W. Scripture of Yale. Scripture believed that a certain set of personality traits could be fostered through participation in sports. In 1903 , G. T. W Patrick wrote an article for the â€Å"American Journal of Psychology† that stated attending sporting events allowed fans to release pent-up emotions.We wrap up the early era with Coleman Griffith. Griffith began informal research of basketball and football players in 1918. His research led to the second period of sport psychology named in his honor, the Griffith era. The Griffith era of sport psychology begins in 1921 and runs into 1938. Coleman Griffith is considered the grandfather of North American Sport Psychology due to his contributions during this period. Between 1921 and 1931, Griffith published over twenty five research articles relating to sport psychology.Griffith was also appointed as the director of research in athletics at the University of Illinois in 1925. The focus of the department was psychomotor skills, learning, and personality. The largest accomplishments of Griffith come in 1926 and 1928 when he wrote Psychology of Coaching and Psychology of Athletics respectively. We close the Griffith era when Phillip Wrigley hires him as sport psychologist for the Chicago Cubs in 1938. The third and fourth periods of sport psychology are by far the slowest developing time for the new science.This portion begins in 1938 when Franklin Henry of the University of California, Berkeley established the psychology of physical activity graduate program. The forties and fifties were rather stagnant but we arrive in Rome, Italy for the first World Congress of Sport Psychology in 1965. Following the World Congress gathering is the first annual North American Society for the Psychology of Sport and Physical Activity (NASPSPA) conference in 1967. NASPSPA closed the door on the fourth period in 1974 when they published the proceedings of their conference for the first time.Our current period in sport psychology is considered the contemporary period. The first event of the contemporary period was the establishment of the â€Å"Journal of Sport Psyc hology†, which is now known as â€Å"Sport and Exercise Psychology†. One of the most monumental steps was during the 1984 Olympic Games when American television emphasized the role that sport psychology played in premier athletic training. The US Olympic Team hired its first full-time sport psychologist in 1985. The trend continued in 1986 as The Association for the Advancement of Applied Sport Psychology (AAASP) is established.The AAASP began to publish their official journal in 1989. Finally, the AAASP began to award the â€Å"certified consultant† designation in 1991. Now that we know what sport psychology is and where it began, we can attempt to determine the objectives of sport psychology. The first basic objective in sport psychology is to learn how psychological factors shape a person’s physical performance. The second objective is to comprehend how participation in athletics affects a person’s psychological health, development, and well-bein g. With those two objectives in mind, how do we actually apply them?First off, there are a number of reasons for sport psychology, and for every reason, there is a distinct group of people who are using sport psychology to their advantage. With that said, let’s move on to those reasons. The first reason for sport psychology is probably the most obvious, the pursuit of excellence by athletes. Simply put, sport psychology plays a vital role in how athletes train. Next is the enormous salaries paid in professional sports today. A 24 year old college graduate being drafted by a professional sports team is suddenly a very wealthy person overnight.Most people need assistance in transitioning to that kind of lifestyle. Our third reason is the undisputable fact that the recognition gained by athletic competition is huge. Most children cannot tell you that the current Vice President of the United Sates is Dick Cheney but could tell you who Alex Rodriguez or Ron James are, who they pla y for, and what position they play. The final reason for sports psychology is what is known as the fitness movement. The phenomena can be dated back to the fifties where fitness was beginning to be sold as a way of life.It is safe to say that fitness is a way of life. The television can confirm this as it is filled with ads that include sports drinks and home exercise equipment. What groups is sport psychology for? We can start with our children when we let them play tee ball and pee wee football and work all the way through senior citizens taking aerobics classes at the nearest community center. We can also include our novice intramural softball leagues on the weekends all the way to our elite professionals and Olympians competing on the world stage.Applying sport psychology techniques to most of the different groups in sports is very basic. The most popular group for sport psychologists are coaches, teachers, fitness trainers, and elite athletes. Coaches, teachers, and fitness tra iners receive basic reinforcement and motivation training to help them get their teams to perform. Our elite athletes however have a full scope of services offered to them. Most professionally owned sports teams have a team of three to four sport psychologists assisting the organization. It can be considered a type of insurance policy on their investment.Let’s discuss how this â€Å"insurance policy† work for the pros. Sports psychologists handle many issues depending on the sub area of sport psychology in which they certified. The two basic areas are clinical sport psychology and educational sport psychology. The less traveled path of these is the clinical approach. These specialists are licensed psychologists and primarily deal with severe emotional disorders. Examples of these are athletes with eating disorders and substance abuse. The most common area of sport psychology is the educational side.Educational sport psychologists have been trained with a sport science background. This type of psychology is considered the mental coach approach. The goal of these psychologists is to assist coaches and athletes with shortcomings in their confidence level, dealing with performance anxiety, and improving concentration skills. Educational sport psychologists are typically employed by professional sports teams. These psychologists are not certified in clinical psychology and usually refer athletes with more sever disorders to a clinical psychologist.With sports and exercise such a big part of today’s society, there comes a need for a field dedicated to the psychological aspects of sports and exercise. Sport psychology has grown from an accidental study of cyclists to a science that can identify what athlete performs better and why. This paper has defined what sport psychology is and where it started. I have also covered the objectives of sport psychology and how they are applied. Finally, I covered what sport psychologists do. The next time you s it down to watch a professional sports contest you can ask yourself if this athlete is mentally prepared to perform today.WORKS SITED American Board of Sport Psychology. http://www. americanboardofsportpsychology. org/ Association for the Advancement of Applied Sport Psychology. http://www. aaasponline. org/ Martin, Scott. http://www. coe. unt. edu/martin/KINE5121/5121intr. htm University of North Texas. 2004 SDSU sport psychology http://www-rohan. sdsu. edu/~psyched/index. html Street and Smith. â€Å"For a handful of sport psychologists serving teams, a mind is a terrible thing to overlook†. Street and Smith’s Sports Business Journal. http://www. mwiop. com/perf_consult/articles/sport_a. html December 1999.

Bilingual special education

According to Figueroa, January 1999 combination of bilingual education with special education offers an interesting example on what should not happen in educational evolution and reform. In United States there is inconsistent interface between bilingual and special education offering basis for unique form of significant dialogue between United States, Latin America and Mexico on children education that didn’t not thrive in general education programs and who later wind up in special education or remedial classrooms.The main arguments of this article are on psychological and medical underpinnings on current bilingual special education modus in Western Hemisphere that has survived its usefulness. Educational paradigms are the main focus to guide behavior of special educators in achieving learning needs of students with disabilities.Figueroa argues that, this is the time for diminution of the functions of regulations, with significance given on diagnostic and predictive evaluation , stressing on ritualized and detailed system for establishing Individualized Educational Programs with belief on power of drills, contingent reinforcement, skills and enough conditions for actuating high-order mental processes (Figueroa, 324).Figueroa, January 1999 argued that, for the underachievers a different vision and a new skepticism is required for current beliefs and practices in bilingual and special education. For bilingual and special education, educators should increase use of presentations which is recommended as â€Å"do more† principle. Increased use of tests and state-based regulatory edifices should be used. Bilingual and special education offer more interesting strategy on educational reformation.Despite the importance and strength of bilingual special education in United States, it lacks crucial components. There is no theoretical grounding that would serve in explaining and guiding bilingual special education with clear acknowledgment on the thirty year o ld literature and that questions the diagnostic, regulatory, pedagogical and structural foundations of bilingual special education (Figueroa, 326).The article, Critical pedagogy in a Bilingual Special Education Classroom by Goldstein, 1995 explains application of critical pedagogical principles in first and second grade of bilingual special class for Latino children with limited proficiency in English. Teachers of bilingual special education face difficult challenges especially in evaluating learning disabilities. Those ESL students with disabilities are deprived intervention because teachers are reluctant in categorizing them with learning disability.Teachers really struggle with question of examining ESL students and they have to understand the link between ESL students and evaluation for special education. According to Goldstein, 1995 teacher’s assessment on ESL students is wrong. Many students are miscategorized having learning disabilities because of their failure to res pond to instructions they get from teachers (Goldstein, 463). The problem is that skill-based instructions don’t work in most cases and they even result in establishment of learned learning disability.Goldstein argued that, bicultural and bilingual students have signs of learning disabilities not because they have cognitive abnormalities but because of difficulties to adjust to the dominant school culture. Teachers use innovative approach in educating bilingual students which is known as critical pedagogy based on theoretical work. This focuses more on the style of whole-language in teaching literacy. Teachers tailor their lessons on personal lives of students more so on social and economic difficulties they have experienced.She concludes that many students in ESL have no learning disabilities and they negatively respond to instructions they get from their teachers in classroom based on the dominant school culture. The strength of this article is that bilingual students can n ot be evaluated in same way as those native English speaking students. The best way of evaluated ESL students with learning disabilities is by use of wide array of evaluation approaches like standardized testing on phonological awareness with close observation on students in multiple contexts.The weakness part of it is that, this article doesn’t give full information on what should be done to the student thus more research should be done to find most cost-effective and accurate ways of evaluating ESL students. This problem is facing many schools and will continue to grow within United States in those non English Speaking populations (Goldstein, 467). The article, school-based bilingual special education teacher assistance teams by Harris, 1995 discusses establishment of school-based bilingual special education teams mainly on Hispanic school situation located in urban southwest city.Intervention and preferred screening involves identification of problems which students experi ence regularly in classroom, they identify the source of the problem either from teachers, students, environment or curriculum and finds ways of dealing with the problem in regular classroom. This eliminates unsuitable and unnecessary referrals to bilingual special education. Implementation of pre-referral intervention process in which teachers are helped in remediation of the problems should be avoided and help teacher remediate problems experienced by children in classroom.This achieved through team of teachers, other colleagues and school support personnel. Teacher Assistance Teams should be used in selecting peers to facilitate pre-referral problem solving. This team discusses problems facing students and think of any possible solution they develop plan of action which is implemented by referring teachers (Harris, 418). This team decides whether students should be referred to bilingual special education or not.To minimize cases of students being referred to bilingual special edu cation, this pre-referral procedure helps teachers in designing and implementing educational interventions which is effective in the least restrictive environment and regular classroom. For the teachers to ensure that special programs by not using special education as a dumping ground for students with limited-English-proficient it is an imperative that LEP students be thoroughly tested. In each possible formal and informal evaluation process should be applied in determining functioning level of students who are handicapped.There should be more research on development of language and acquisition of second language should be considered with research on cognitive development, neurolinguistic, psychological functioning and bilinguistic (Harris, 424). The article bilingual special education teachers shifting paradigms: complex responses to educational reform by Ruiz and Robert argues on nature and procedure of change among the five main bilingual special education teachers which are att empted in order to transform already existing instructional practices.Change process is affected by three factors namely; more special education training of teachers in teachers’ background with their strong reductionism orientation, change which involves shift in instructional practices and shift in beliefs and they don’t obvious go hand in hand and at the start of stages of collaboration change is most facilitated including practicing members of teachers’ occupational community as agents of change (Ruiz and Robert, 624).Paradigm of shift is a radical change in education system to cater for all students even those with learning disabilities. This helps in transforming people with severe disabilities academically. Programs and service systems which are more responsive to education of people with disabilities are used. Training methodologies and materials for those people with disabilities are used. Joining bilingual special education of those students with disab ilities offer an interesting example on what should not be done in terms of educational evolution and reforms.This article argues mostly on the psychological and medical reinforcement of bilingual special education with teachers shift paradigm to cater for students with learning disabilities. Education paradigm shift is used by teachers to meet needs of these students (Ruiz and Robert, 631). Works Cited Figueroa, Richard, â€Å"Special Education for Latino Students in the United States,† Bilingual Review, Vol. 24, No. 1, 324-327, January, 1999Goldstein, Barbara, â€Å"Critical pedagogy in a Bilingual Special Education Classroom,† Journal of Learning Disabilities, Vol. 28, No. 8, pp. 463-475, October, 1995 Harris, Kathleen, â€Å"School-Based Bilingual Special Education Teacher Assistance Teams,† Remedial & Special Education, Vol. 16, No. 6, pp. 419-425, November, 1995 Ruiz, Nadeen T. , and Robert Rueda, â€Å"Bilingual Special Education Teachers Shifting Paradi gms: Complex Responses To Educational Reform,† Journal of Learning Disabilities, Vol. 28, No. 10, 622-635, December, 1995