Wednesday, October 30, 2019

What is football hooliganism and what social factors underlie it Essay

What is football hooliganism and what social factors underlie it - Essay Example â€Å"Football hooliganism is seen by most to mean violence and/or disorder involving football fans. However there are two very specific types of disorder that have been labeled hooliganism: (a) Spontaneous and usually low level disorder caused by fans at or around football matches (the type that typically occurs at England away matches), and (b) Deliberate and intentional violence involving organized gangs (or firms) who attach themselves to football clubs and fight firms from other clubs, sometimes a long way in time and space from a match.† (Pearson, 2007) Media has always been actively involved in covering disruptions at football matches and tournaments. Media has played a vital rule in making the general public aware of the concept football hooliganism. Media also takes particular interest in reporting events of football hooliganism as these sensational stories are what the audience really wants to hear. Theses events give tabloids exciting happening events involving violence to report about and such stories increases their magazine or newspapers circulation. Therefore, media has been criticized time and again for playing an integral part in provoking football hooliganism. â€Å"Many researchers, and many non-academic observers, have argued that this sensationalism, together with a predictive approach whereby violence at certain matches is anticipated by the media, has actually contributed to the problem.† (SIRC) â€Å"Hooligan formations provide their members with a sense of belonging, mutual solidarity and friendship. Narratives of hooligans reveal how group members claim to ‘look after one another’ and stick together through thick and thin†. (Spaaij, 2006) â€Å"Higher the emotional involvement (represented by high score on the emotionality subscale) the person has with the team, the more likely the individual will cause or participate in incidents.† (Petrà ³czi et al., n.d) â€Å"There are several theories, but most sociologists maintain that

Monday, October 28, 2019

Effectiveness of a Country’s Educational Provision Essay Example for Free

Effectiveness of a Country’s Educational Provision Essay Introduction In the last quarter of the twentieth century, an increasing consensus developed concerning the link between economic prosperity and effectiveness of a country’s educational provision. As globalization gathered pace dramatically in the 1980’s and 199’s, this link became more overt as the comparison and competitiveness between nations inevitably increases. At the heart of the argument for the link, is the need for an educational workforce, without which a country’s economy will not keep pace.1 In the World Conference on Education For All, which assembled Jomtien, Thailand, it was recognized that the current provision of education seriously deficient and that it must be made relevant, qualitatively improve and made universally available to enable every person, child, and adult to meet the basic learning needs. These needs comprise both essential earning tools such as __________________ 1 David Middle Wood and Carlo Cardno, â€Å"Managing Teacher Performance. and the learning content (such as knowledge, skills, values and attitudes) required by human beings to be able to survive, to develop to their full capacities to live and work with dignity, to participate fully in development, to improve the quality of lives, to make informed decisions and to continue learning. 2 Education is the vital key to national development. More important is the training and development of human resources of teachers who are the frontiers of our educative pursuit. American may continue to lead the word of science and technology but its record of educating its citizens in those subjects is fairly dismal. An NSF panel has spent 128 months examining the state of Science, Mathematics,  Engineering and Technology (SME) and at the undergraduate level and reviewing hundreds of comments from academic. The overwhelming consensus is that most of the SME courses acts as filters. They screen out all but the promising students- those embarking on __________________ careers, leaving majority of the graduates with litters understanding of how science works. This worries the policy makers because many disgruntled students become teachers with little enthusiasm for the subject perpetuating a cycle of scientific and technological.4 Ana Marie Pamintuan, in her column entitled â€Å"Sketches†, in the December 12, 2000 issue of the Philippines Start stated: â€Å"In a season of bad news, there was one item I found particularly depressing. Filipino first year high school students ranked 36th among 38 countries in the Third International Mathematics and Science Studies (TIMSS). According to result, in the latest TIMSS, Japan ran fifth in Mathematics and fourth in Science. It can be expected that many people will really blame the education system for the Filipino students’ dismal performance. Although the schools along with the curriculum, teacher, supervisor, administrators and other elements that comprise the input components of the school as a social system, should take part of the blame. 5 __________________ 4 National Science Foundation, 1999). 5 Aquino, G. Effective Teaching. EDCOM reports that teacher is poorly trained. Many teachers at all levels do not have the optimum qualification for teaching. The proportion of high school teachers of science and mathematics, for example, do not have even  the minimal preparation for the teaching ranges from 54.6 percent to 5 percent. IN the 1991 DOST test given to both teachers and students in first year of the Second Education Program (SEDP), the total mean percentage score (54.08) of the first year high school teachers was only 8.79 points higher than those of the students (42.29). This deplorable performance can be traced to poor teacher training and the low quality of students enrolled in the teacher training.6 To further upgrade the standard of science education in the Philippines, the Department of science and Technology (DOST), University of the Philippines Science and Mathematics Education (UP-SMED) now National Institute for Science and Mathematics Education (NISMED), the Department of Education (DepEd) and the Japan International Cooperation Agency (JICA) have launched a joint project, the purpose of which is to __________________ 6 (EDOM: 1995). develop human resources which would ultimately enhance and upgrade the capabilities of science and mathematics teachers. The core program was the development of thinking skills through practical work and laboratory experiment.7 These are challenging times for the country’s educational system Cooperative efforts at all levels of instruction are directed towards common goal to improve the quality of education. Much more evident are such efforts aimed at reform in Science Education. Varied approaches and techniques have been pioneered to make classroom filled with fruitful investigations to uncover new and useful informations. A great variety of instructional materials and facts intended for daily classroom instruction have been assembled utilizing the indigenous resources of the community. Innovative procedures of presenting learning tasks have been tried to make every teaching-learning situation, encounter more exciting and hallenging.8 Of the 50 schools tested, ___________________  it was revealed what students from 20 schools did not master the topic taught, 27 schools nearing mastery, and only 1 school reported mastery level.9 The low performance of students in science also became the justification for the formulation and launching of the Science and Technology Education Plan (STEP) with Project RISE (Rescue Initiative for Science Education) as one of its project under the manpower development component. One of the major problems cited in the Accomplishment Report prepared by STEP stated, â€Å"every little was done about following up the trainees on in their use of their acquired skills.10  The problem reported b the STEP, prompted the researcher, being one of the trainors of the program, Project RISE, at the Regional Science and Teaching Center (RSTC-UEP) to assess the accomplishment of Project RISE, as to whether it achieved the goal and objectives set for – the training of science teachers to ___________________ improve their teaching competencies and raise the performance levels of the students in General Science. Statement of the Problem This study will try to assess the effectiveness of Project RISE in the Secondary Schools in the Division of Northern Samar, using the DOST-SET Monitoring and Evaluation Forms from its implantation in 1998. Specifically, this study will try to answer at the following questions. 1. What is the extent of accomplishment of Project RISE in terms of: 1. Objective of the program 2. Course content 3. Participants’ profile 4. Trainers profile 2. What is the status of the processing variables such as the following: 1. Teachers 1. Attitude towards teaching General Science 2. Content knowledge and laboratory skills 3. Classroom management 4. Time management 5. Teaching strategies 6. Skills in the utilization of instructional material 7. Skills maintaining classroom discussion 8. Skills in motivating 2. Administrators 1. Administrative support 3. Student 1. Attitudes towards General Science 3. What is the status of Project RISE on the following: 1. Teaching competencies of the teacher-participants as observed and evaluated by the principal. 2. Teacher’s perception on how the training improved their competencies. 3. Student’s performance in General Science/ Theoretical Framework The framework for the evaluation of Project RISE in the Division of Northern Samar particularly in General Science, will make use of the system theory propounded by Millilin. System theory engages a process of examining a school system or educational system (for a program or project), not by piecemeal approach where every element of the system stand independent of the others, but as an organic group of elements, as a system with interaction subsystems inside the school system (social, economic, cultural, political and technological), a system that contributes to society through its outputs the same society from which the school received its inputs, and  layer on as a system that receive feedbacks from the society as to the defined â€Å"value added† through outputs.11 Moreover, that the system theory gives a holistic view of advocating its internal efficiency as well as its external productivity: it calls for an interdisciplinary approach which mean that I considers how all the various system are interrelated, and it is a _________________  self-connective approach because it considers and profits from feedbacks received from its environs.12 The appraisal process using the system theory is hinged on the input, throughput and output concepts. The input includes the setting of verifiable objectives that become standards: the throughputs refers to the actually performance of the organization that is being evaluated; the outputs include the measuring of performance against standards such as the formal type of comprehensive review. A build in feedback mechanism pinpoint the flaws or errors in program implementation. Then corrective actions for undesirable deviation from standards are formulated. The system of evaluation is cyclical in nature consistent of formulation, implementation, monitoring and feedback pointing to the continuous assessment for program revision and improvement. Whichever is pinpointed as error implementation become the focus corrective decisions and actions and for program revisions. The advantage of the system evaluation concept lie in its ability to correct program errors at their earliest stages. Early direction and correction of ____________________ 12 Ibid. program implementation errors diminish the possibilities of incurring financial losses and unnecessary waste of efforts by the personnel implementing the program.  Therefore, assessing Project RISE, specially those having bearing on its accomplishments and innovations achieved by the teacher trainees in General  Science six year after might be a sound decision. This study is also supported by Bautista’s theory on evaluation, which shed light to the program design, assesses the implementation in terms of results of long effects. It is evaluation that provides timely and realistic feedback to the change agents, making the maximization of fiscal manpower resources possible. Programs are not evaluated attend to maintain a status quo to stagnate subsequently. One type of evaluation is the ex-post evaluation or impact evaluation. This is undertaken to determine whether the program or project merits expansion or replication in other areas and ascertain what aspects can be modified to improve implementation in other area. This study is then called an impact evaluation because it with try to assess the _________________  status of Project RISE teachers’ train on their overall performance as General Science Teachers. Carino’s theory, also sustains that accountability is a central problem of the government. The activities of civil servants and public agencies must follow the will of the people to whom they are ultimately responsible. The public ness of their employment and goals therefore prescribe their behavior and circumscribe their choice. Therefore, all individuals and office continue to have a range of options as to how they would act. The evaluation of whether such action would be within the bounds of their authority is referent to the concepts of accountability. Accountability focuses on the following: 1) regularity of fiscal transactions and the faithful compliance as well as adherence to legal requirements and administrative policies; 2) efficiency and economy in the use of public funds, prosperity manpower and other resources; 3) concerned with the results of government operation; 4) human resources accounting and the __________________  analogies of economics and social impacts of programs, and 5) emphasizes  procedures and methods operation and on the transformation of inputs to outputs.15 This study is an assessment of a project, which derives its finances from government funds, therefore projects implementers and all those involved in it are accountable to the people and the society. Another theory to support other variables identified in this study, such as attitudes and values of teachers, is that one advocated by Thorndike. The connectionist theory or the Stimulus-Organism-Response (SOR) theory. This view was based on the concept that bonds or connections are formed between situations and suppose. Thordike advocates the idea that learning results from translating sense impressions and impulses to action learning occurs through change in connection between particular stimulus and a response, hence, connections are the key to understanding a learning task. ___________________ 15 Carino, Ledevina, â€Å"Administrative Accountability: A Review of the Evolution, Meaning and Operationa-lization of a Key Concept in Public Administration). 16 Gregorio, Hernan, â€Å"Principles and Methods of Teaching†. In the same manner, the personal attitudes and values of the teachers may have much to do with their teaching effectiveness because they could be the basis for their behavior, decisions and choice. This is so because â€Å"values are deep-rooted motivations of behavior. They defined what is important to the individual.16 In this study, it may be stated that the attitudes and values of the General Science teachers will have bearing with their work as teachers. What they believe in and what they consider important will influence their decisions and choices. Conceptual Framework The framework for the evaluation process has three components: inputs, throughputs and outputs. A built-in-feedback mechanism is the place to  derived information for project revision or improvement. Following the evaluation process, the inputs of Project RISE in Region VIII in general and in the Division of Northern Samar in particular are the objective of the program, course content, participants, trainers, and training ___________________  procedures. The actual performance in the implementation of Project RISE will be expresses in terms the throughout or processes. These consists of the teachers’ attitude towards teaching General Science, the General Science content knowledge and skills, classroom management, time management, appropriateness of teaching strategies, skills in the utilization of instructional materials, and skills in maintaining classroom discussions and skill in motivating. It will also include the teachers’ teaching competencies in teaching General Science as perceived by the principles, the teachers’ own perceptions on how the Project RISE training improved the competencies as observes by their principles and the students’ performance in General science as measured by a test in General Science.

Saturday, October 26, 2019

Heracles as a Paradox in Women of Trachis Essay -- Women of Trachis Es

Heracles as a Paradox in Women of Trachis Using the portrayal of Hercules in Sophocles' tragedy Women of Trachis, a puzzling image of the Greek hero emerges. Most of the myths of Heracles portray him as a fierce warrior, tamer of beasts and a master of everything he attempts. This myth however, shows honorable traits juxtaposed with very negative aspects of the same man. Heracles is a paradox because even though he is a very great man and ideal hero, in some ways he is savage, highly emotional and even vulnerable. Sophocles' version of Heracles' life, or at least part of it, made Heracles look less like a Greek hero and more like an ordinary Greek warrior. There are a few exceptions though. For one, Zeus was his father. Not many of the children of gods were thought of as ordinary. All of them had some terrific power or ability like Hercules. Secondly, his ability to fulfill his assigned tasks in the way in which he does shows in no uncertain terms, he is more than a common man is. Lastly, Hercules is granted immortality as a reward for impressing the gods on Mount Olympus. This final item is of special importance because it itself is a paradox. Was Hercules a Greek hero or was he a God? These things all lead me to see Hercules the man clearly but his relationships to things outside his heroic motif are a puzzle. Let us start by identifying the purpose of identifying Hercules as a hero. There are eight identifiable traits that must be present in order to declare somebody a Greek hero. The first point is divine birth. Hercules being a son of Zeus meets this requirement. He is threatened almost immediately by a jealous Hera but saved by his own strength and fearless valor. His up bringing was by an outsider, actually ... ...ignity but Heracles refused to admit his end was coming. All the times he left for a task he went in search of fame but "not to die." (Sophocles, Women, l 159-60) Then why did he think to leave his will with Deianira? It was obvious the tablet described the way his land should be divided up amongst his children so why was he still not ready for his fate? It is because Heracles thought of himself as a hero and could not imagine the gods fate him to death. All these contradicting sides of Heracles makes him a more interesting figure in ancient texts but they also create quite confusion. Why after all the evil, horrid things he did would the gods make him immortal? Heracles truly is a paradox. Works Cited: Sophocles. The Women of Trachis. Trans. Michael Jameson. Sophocles II. Ed. David Grene and Richmond Lattimore. Chicago: University of Chicago Press, 1957.

Thursday, October 24, 2019

Odysseuss Qualities in The Odyssey :: Homer

In the Odyssey by Homer, Odysseus must face many obstacles on his journey. He is only able to conquer them because of his wonderful qualities. He meets, a Cyclopes, Sirens, a six-headed monster, a regurgitating whirlpool, and a group of greedy, lovesick men. Some Odysseus's more important qualities are, determination, cunning, and protecting. One of Odysseus's many qualities is determination. He remains determined throughout the entire saga to get back to his family. During Odysseus's Odyssey he encounters many obstacles, beast, god, and nature. Odysseus must get through all of these hardships before he can make it back to his family and home. On his way back Odysseus is next to Charybdis and she swallows his boat. He must holds on to the branches of a fig tree to survive, "But I clung grimly, thinking my mast and keel would come back to the surface when she spouted. And ah! How long, with what desiree, I waited! Till, at the twilight hour...the long poles at last reared from the sea"(12.560-64). Odysseus shows his determination to get home, because it would be easy for him to just let go and drown, but no Odysseus hangs on so he can see his wife again. Once he is at home he finds suitors at his house. Odysseus kills one of them and the others beg for mercy, ??Not for the whole treasure of your fathers, all you enjoy, la nds, flocks, or any gold put up by others, would I hold my hand??(22.65-67). Odysseus is determined to get revenge on all of the suitors and he will not be satisfied until they are all dead. Without his strong will and determination Odysseus would not have made it through his trials. Although determination is a must for a journey such as Odysseus?s cunning is also just as essential. Odysseus?s cunning is cardinal to his survival and that of his men. He uses his cunning to get them out of several unpleasant situations. When they are captured by the Cyclops, he can not use the strength of his men to escape, so he must use his cunning to free them. He lies and tricks the Cyclops to get out, ??My name is Nohbdy: mother, father, and friends, everyone calls me Nohbdy?? (9.397-99). This clever deception stops the other Cyclops from helping Polyphemos helping them to escape. Odysseus also shows his cleverness when he returns to Ithaca.

Wednesday, October 23, 2019

Way to Wealth

Evan Harrison EN 209 31 January 2012 The Way to Wealth The Way to Wealth has exceeded not only the expectations of the colonial people for it provides the audience with an abundance of advice based on the themes of work ethic and economics, but also exceeded the expectations of Franklin for he found â€Å"his works respectfully quoted by other learned authors. † Through is works it is evident that Franklin understands â€Å"the way to wealth† is achieved not only through financial habits but also achieved through the self-improvements made in our daily lives.In addition to the ideals of the Almanac, Franklin was most influential through his insights on how to revise one’s self in becoming successful throughout their daily actions. The idea of dedication and persistence stands out most as he states, â€Å"early to bed, and early to rise, makes a man healthy, wealthy and wise. † This is one of many statements made that underlines the assertiveness one must o btain to become successful in life. This theme of assertiveness is exemplified once again when Franklin says, â€Å"One today is worth two tomorrows. This quote by Franklin exemplifies the importance of what activities you engage in to better ones self in the present day, for you are not promised tomorrow. But in addition to his advice, Franklin also warns the people of behaviors that obstruct one’s path to wealth. One way Franklin warns the reader is by preaching, â€Å"There are no gains without pains. † This quote serves as a warning to the people that obstacles are common in the pursuit to wealth, as there are obstacles that must be overcome for all things great.The underlying themes of this essay such as: persistence and hard work were the focal point in the defining the way to wealth. Not only the themes but as well as the manner in which Franklin made his work relatable and useful to the common person made him so influential to the colonial people during that t ime period. Through the techniques Franklin has administered, he has provided the colonial people with useful insights in becoming proficient and future authors with useful quotes.

Tuesday, October 22, 2019

Self Identity essays

Self Identity essays The better which a person develops an understanding of themselves and of the other people around them, the better able they will be able to develop intimate relationships. A person who has a negative model of self and has a negative model of others , otherwise known as Fearful, is going to shy away from attachment and be socially avoidant which obviously is going to affect the crisis of intimacy versus isolation. The example describes a person who is hesitant to make long term commitments and resists urges to display intimacy, but is capable of forming a dependency on him by the other in the relationship. A Preoccupied person has a negative self model and a positive model of others. They often tend to be overly dependent and ambivalent. The example suggests a person who might be shy and conservative but is capable of not displaying their awkward feelings to the other person. A Secure individual has a positive model of self and others. They are comfortable with intimacy and autonomy and often do not have a difficult time in forming intimate relationships. The example describes this person as someone who is very capable of healthy relationships and good communication skills. It seems like a secure person has all the good qualities that any relationship requires. And finally, a Dismissing person has a positive model of self but a negative model of others. They are characterized by denying attachment and their counter dependency. All of the differences among the different models result from past experiences in the individuals life. How they were raised in terms of different parenting styles and methods of child raising affect an individuals internal working models of self and others. Attachment styles of Secure individuals are described as passionate and selfless. They have high levels of intimacy, passion and are very committed and able to be trusted. This reminds me of the perfect girlfri ...

Monday, October 21, 2019

Effect of atenolol on contractile function Essays

Effect of atenolol on contractile function Essays Effect of atenolol on contractile function Essay Effect of atenolol on contractile function Essay Consequence of Tenormin on contractile map during ischaemia and reperfusion in the rat isolated perfused bosom Purpose:?-blockers are thought to exercise good effects on the ischaemic bosom. We examine the consequence of Tenormin, a selective ?1 adversary, on contractile map at low ( 10 µM ) and high ( 50 µM ) concentrations in the stray rat Black Marias. Methods:Isolated rat Black Marias ( n=8 in each group ) were perfused with Krebs solution for 5-min. They were so perfused with test solution: controls incorporating Krebs, or selective Tenormin ( 10 µM ) or high concentration of Tenormin ( 50 µM ) . After 10-min, the Black Marias were subjected to 30-min of planetary ischaemia ( zero-flow ) followed by reperfusion with the same trial solution as earlier. The starling curves were constructed prior to and after ischemia. Consequences:No important alterations in maximal ischemic contracture and clip to half maximum contracture were seen in Black Marias pre-treated with test solutions. LVEDP was increased by 4-fold in control for Tenormin ( 10 µM ) and by 12-fold in Black Marias treated with control for Tenormin ( 50 µM ) , 5-min after reperfusion, comparing to pre-ischemic values ( P lt ; 0.05 for control for atenolol 10 µM vs. control for atenolol 50 µM ) . No alterations in coronary flow or bosom rate were observed between groups at baseline and during reperfusion. LVEDP was quickly increased from 2.6 ±1.3 mmHg to 28.6 ±9.0 mmHg in control for Tenormin ( 50 µM ) and from 4.0 ±1.6 mmHg to 27.3 ±7.6 mmHg with Tenormin ( 50 µM ) , in the starling curves constructed with 60 µl of increase in the balloon, prior to the ischemia and after reperfusion ( P lt ; 0.05 for pre-ischaemic perfusion vs. post-ischaemic reperfusion ) . Decisions:The present survey shows that Tenormin has no cardioprotective effects on contractile map during ischemia and reperfusion in stray rat Black Marias. Introduction ?-blockers have been widely shown to hold cardioprotective effects on ischaemia and hypoxic Black Marias, including betterment in ventricular map, and ensuing in a reduced mortality rate in ischaemic bosom disease patients ( Wallace et al. , 1998 ) . Although, the exact mechanisms by which cardioprotective agents act are non yet to the full understood, ? blockers are thought to exercise good effects on the ischaemic bosom by take downing myocardial O ingestion as a effect of decreased contractility and bosom rate ( HR ) . The consequence of ?-adrenergic receptor adversary, Tenormin, on the contractile map in the stray bosom is still a controversial subject of research. Several surveies have shown that Tenormin does non protect against ischaemia-reperfusion in a theoretical account of an stray perfused bosom exposed to planetary or no-flow ischemia ( Singh et al. , 1995 ; Harada et al. , 1981 ) . However, on the other terminal of the spectrum there have been studies bespeaking that an ischemic period of longer than 3-4 min induces important release ( 2700pmol/g bosom ) of endogenous catelchoamines ( norepinephrine ) in the stray rate bosom ( Wollenberger and Shabab, 1965 ) . In add-on, an flood of catecholamines during the reperfusion period has besides been reported, which is thought to be a consequence of washout of norepinephrine antecedently released from the sympathetic nervousnesss or due to a reperfsion activated release ( SchSmig et al. , 1984 ; Carlsson et Al 1985 ) . It is suggested that cate cholamines mediates contractility of the cardiac musculus. These agents work by triping ?-adrenergic receptors, taking to the activation of adenylyl cyclase, which so elevates the degrees of a secondary courier camp. Increased camp activates protein kinase A ( PKA ) , which causes increased entry of Ca into the cell, ensuing in positive inotropy ( increased contractility ) in the cardiac musculus. The positive inotropic consequence due to high degrees of endogenous catecholamine should be hence attenuated by the usage of selective concentration of ?1-adrenoceptor adversary, Tenormin. In order to prove the counter consequence of Tenormin, we use a selective concentration of Tenormin ( 10 µM ) on a normal operation rat bosom and in a theoretical account in of 30-min of globally ischemic induced rat bosom followed by 10-min of reperfusion. Since the release of endogenous catecholamines upon ischaemia is controversial, we besides used a high concentration of Tenormin ( 50 µM ) to find counter action of non-selective atenolol dose on receptors other than ?1-adrenoceptors, and to see if it enhances recovery in contractile map upon ischemia. The Langendorff scenes were used in this experiment as it is a widely used readying which provides valuable information on left ventricular systolic and diastolic force per unit areas and their derived functions in Black Marias, subjected to ischemia ( Skrzypiec-Spring et al. , 2007 ) Methods Anaesthesia, bosom deletion and perfusion All experiments were carried out in understanding with the United Kingdom Home Office Guide on the Operation of the Animals ( Scientific Procedures ) Act 1986. Rats ( male Wistar strain ; Sigma chemicals U.K. , 230-280g ; n=8 in each group ) were anaesthetised with Nembutal by an intraperitoneal injection ( 60mg/kg ) . An endovenous injection of Lipo-Hepin ( 300 I.U ) , an decoagulant, was given to forestall the formation of thrombi. Heartss were so excised: foremost, the stop was accessed by a transabdominal scratch and cut carefully to expose the thoracic pit. The thorax was opened by a bilateral scratch along the lower border of the last to first ribs and the pectoral coop was so reflected over the animate being s caput, thereby exposing the bosom. The bosom was so cupped between the fingers ( in order to avoid bruise hurt ) and lifted somewhat before incising the aorta, vena cava and pneumonic vass. To avoid any ischaemic hurt, after deletion, Black Marias were instantly immersed in ice-cold perfusion solution ( 4 °C ) incorporating following composing ( in millimeter ) : NaClA 118.5, NaHCO3 25.0, KCl 3.0, MgSO4 1.2, NaH2PO4 1.2, gluc ose 11.1, CaCl2 1.4, followed by the canulation of the aorta and the bosom was so perfused retrogradely down the aorta, harmonizing to the Langendorff manner ( 1895 ) with a changeless hydrostatic force per unit area equivalent to 100 cmH2O, and perfusion solutions aerated with a gas mixture of 95 % O2 + 5 % CO2, delivered at pH of 7.4 at 37 °C. A changeless temperature 37 °C of the perfusate was maintained with a heat money changer ( Techne Circulators C85-A, UK ) . Perfusion solutions were non recirculated. Measurement of left ventricular force per unit area utilizing intraventricular balloons After remotion of the left atrial extremity, a fluid-filled compliant balloon was attached via a blunt-ended acerate leaf ( 21 gage ) and a catheter to a force per unit area transducer, which was carefully inserted into the left ventricular pit via the mitral valve. The balloon was used to find the contractile activity of the bosom: the measuring of left ventricular systolic ( LVEDP ) and diastolic force per unit areas and ( by difference ) left ventricular developed force per unit area ( LVDP ) and the bosom rate. The balloon was ab initio inflated with H2O from a microsyringe until a developed force per unit area of 100 mmHg was obtained so farther volume was added to bring forth starling curve. The force per unit area transducer was connected to a biological recording system equipped with amplifier ( PowerLab 4/25, AD Instruments ) . Experimental protocol The stableness and duplicability of each readying was monitored by mensurating the baseline contractile map during the first 15-min of aerophilic perfusion. Heartss were perfused for an initial 5-min with a standard Krebs solution, followed by another 10-min perfusion with one of the several trial solutions, which were perfusion solutions incorporating Tenormin ( 10 µM ) , control for Tenormin ( 10 µM ) , atenolol ( 50 µM ) and control for Tenormin ( 50 µM ) . Standard Krebs solution was switched to one of the trial solution in a randomized blinded mode, in order to avoid prejudice. Blinding was achieved by coding the solutions, with the codification unknown to the person. Ethanol ( 0.05 % v/v ) was moving as a drug vehicle for Krebs solution, and added to all the perfusion solutions to extinguish vehicle as a beginning of discrepancy. The relationship between the intraventricular volume and the force per unit area was studied as described by Otto Frank in 1895, the Frank-Starling jurisprudence of the bosom ( Frank et al. , 1895 ) . The balloon was deflated to the nothing volume, prior to the building of starling curves, and so increasingly inflated by adding 0.02ml increases to the balloon ( 30s at each increase ) , until a diastolic force per unit area of 20 mmHg could be observed, during which clip systolic, diastolic, and developed force per unit area, bosom rate and coronary flow were monitored. The balloon was deflated back to zero volume. After baseline experiments, the Black Marias were made globally ischemic ( zero-flow ischemia ) for 30-min by clamping off the aortal flow. During ischemia, Black Marias were immersed in Krebs solution and temperature was recorded with a thermometer. Heartss were so reperfused for 10-min under the same conditions of baseline ; therefore the intraventricular balloon was deflated sufficiently to re-establish a developed force per unit area of 100 mmHg. Another starling curve was so constructed via the same intraventricular balloon method and the appropriate measurings were recorded. Measurement of coronary flow The measuring of coronary flow was performed by mensurating timed volumes of perfusate run outing out of the right atrium. Flow was calculated as ml/min/g of wet tissue, therefore taking into history any differences in weight between single Black Marias. Drugs All the drugs were obtained from Sigma Chemical Co. ( Dorset, UK ) . Atenolol was diluted in Krebs solution, in order to accomplish appropriate concentrations ( 10 µM and 50 µM ) . Statisticss Datas are expressed as mean ±SEM. Two-tailed t-test was performed presuming two-sample equal discrepancy ( homoscedastic ) . A difference was considered to be statistically important when P lt ; 0.05. Consequences Development of ischaemic contracture during 30 min of planetary Ischemia Maximal ischemic contracture was determined by mensurating the maximal rise in diastolic force per unit area from the baseline point. Time to onset 50 % of the maximum contracture was besides found, which is an accurate step to measure ischemia-induced diastolic disfunction ( Fig.1 ) . Conventional representation of development of ischemic contracture ( during 30 min of planetary ischemia ) for an single hint of Tenormin ( 10 µM ) in the rat isolated bosom. A rapid rise in LVEDP was noticed shortly after the initiation of planetary ischemia. Owing to the fact that volume in the balloon was kept changeless therefore any addition in LVEDP was stand foring contracture of the stray rat bosom. Function during the ischemia was non the Centre of attending here and merely certain effects of the intercessions were noted. There were no important differences, in footings of the maximum contracture and clip to achieve 50 % of maximal contracture, between the two control groups and the comparative values of Tenormin ( 10 µM ) and Tenormin ( 50 µM ) group ( Fig.2 ) . The clip to half-maximal contracture was 20.8 ±4.3 min with a peak contracture of 30.8 ±6.1 mmHg in the Black Marias treated with control for Tenormin ( 10 µM ) . No important consequence of planetary ischaemic on contracture development was seen in Black Marias treated with Tenormin ( 10 µM ) i.e. , the clip to half maximal contracture occurred at 16.0 ±2.7 min and peak contracture at 38 ±7.2 mmHg. This was besides the instance for Black Marias perfused with high concentration of Tenormin ( 50 µM ) , ensuing in peak contracture of 41.3 ±4.5 mmHg and the clip to half maximum contracture of 14.4 ±2.2 min, in comparing to the matching values of control for high concentration in which peak contracture and half-maximal contracture were delayed to 43.0 ±7.6 mmHg and 15.8 ±2.4 min, severally. Consequence of Tenormin ( 10 µM ) and Tenormin ( 50 µM ) on extremum ischaemic contracture development and clip to half-maximal ischemic contracture. Datas are mean ±S.E.M. There were no important differences between groups. n=8 in each group. Postischaemic profile for: ( a ) terminal diastolic force per unit area, ( B ) developed force per unit area, ( degree Celsius ) bosom rate and ( vitamin D ) coronary flow in stray rate Black Marias treated with Tenormin ( 10 µM ) , control for Tenormin ( 10 µM ) , atenolol ( 50 µM ) and control for Tenormin ( 50 µM ) . Baseline represents values taken 1-min anterior to the ischemia ; 5 and 9 min represents reperfusion clip points after 30-min of planetary ischemia. Valuess are average  ± SEM ; n=8 in each group. *P lt ; 0.05 ( control for atenolol 10 µM vs. control for atenolol 50 µM ) . Postischaemic recovery of terminal diastolic force per unit area, developed force per unit area, bosom rate and coronary flow LVEDP rose by 4-fold in control for Tenormin ( 10 µM ) 5-min after reperfusion comparing with the values before the oncoming of ischemia ( Fig.2 ) . In contrast, a rapid addition by 12-folds was noticed in Black Marias treated with control for Tenormin ( 50 µM ) ( P lt ; 0.05 control for atenolol 10 µM vs. control for atenolol 50 µM ) . LVDP fell down by 21 % and 57 % in Black Marias treated with controls for Tenormin ( 10 µM and 50 µM, severally ) 5-min after the oncoming of reperfusion comparing with the values before the oncoming of ischemia. This clearly shows that post-ischaemic recovery of LVDP was hapless in Black Marias treated with control solutions. The corresponding decrease in LVDP by a little border of 4 % and 13 % in Black Marias treated Tenormin ( 10 µM ) and Tenormin ( 50 µM ) severally, may be a small surprising but such values are non extremely important in comparing to the controls, hence no important betterment in post-ischaemic LVDP recovery is observed. No important alterations in coronary flow were seen between groups at baseline. During reperfusion, no damage in the coronary flow was apparent in the Black Marias treated with Tenormin ( 10 µM ) and high Tenormin ( 50 µM ) in comparing to the comparative values for control groups. Besides, no important difference in the bosom rate was found at the baseline and at the terminal of 10-min reperfusion between any of the groups. With 60 µM of increase in the balloon, there was a significant rise in the diastolic force per unit area for the starling curve taken prior to the oncoming of ischemic in comparing with values taken 30-min after the ischemia, for Black Marias treated with Tenormin ( 50 µM ) , and control for Tenormin ( 50 µM ) . The diastolic force per unit area drastically increased from 2.6 ±1.3 mmHg to 28.6 ±9.0 mmHg ( P lt ; 0.05 ) for Black Marias treated with control for Tenormin ( 50 µM ) and a corresponding rise from 4.0 ±1.6 mmHg to 27.3 ±7.6 mmHg ( P lt ; 0.05 ) in Tenormin ( 50 µM ) treated Black Marias. This clearly indicates a presence of diastolic disfunction. No important rise in diastolic force per unit area was seen in Black Marias treated with control for Tenormin ( 10 µM ) and Tenormin ( 10 µM ) . Relationship between diastolic force per unit areas obtained with 60 µM of increase in the balloon prior to the oncoming of 30 min ischemic and postischaemia in the rat isolated bosom treated perused with the trial solutions. Datas are mean ±S.E.M. ( *P lt ; 0.05 pre-ischaemic perfusion vs. post-ischaemic reperfusion ) . n=8 in each group. Developed force per unit area dropped down by 21 % and 28 % in Black Marias treated with Tenormin ( 10 µM ) and Tenormin ( 50 µM ) , severally, for the values taken before the oncoming of ischemia and after 30 min of ishaemic period with 60 µM of increase in the balloon. In contrast, a little rise in developed force per unit area by 9 % and 24 % in Black Marias treated with control for Tenormin ( 10 µM ) and control for Tenormin ( 50 µM ) . In both instances, an addition or lessening in developed force per unit area was non extremely important. Discussions A rise in ischaemic contracture was noticed in the current survey, which is thought to be due to depletion of ATP production via glycolytic tract ( anaerobiotic glycolysis ) instead than entire cellular ATP content ( Kingsley et al. , 1991 ) . It is besides believed that an early contracture may hold Ca constituent as intracellular free Ca ions are reported as a cardinal go-between of ischemic hurt ( Tani M. , 1990 ) . In order to understate ischaemic hurt we used a recommended concentration of Ca ( 1.4mmol/L ) in the perfused solutions ( Fiona et al. , 2003 ) . No decrease in the maximal-ischemic contracture was seen in Black Marias pre-treated with atenolol therefore Tenormin did non hold any contraceptive consequence on ischemic contracture development. This was farther apparent by no protraction of the clip to half maximum contracture, in the presence of Tenormin, proposing that ischaemic hurt was non reversed in this instance. An expected ague rise in ventricular diastolic force per unit area and a diminution in developed force per unit area was detected in all ischemic-subjected Black Marias ( Porter T. , 1895 ) . Atenolol did non do important postischaemic recovery in LVPD and LVEDP during reperfusion. Although, Black Marias treated with control for Tenormin ( 50 µM ) had a rapid rise in LVEDP in comparing to the Black Marias treated with control for Tenormin ( 10 µM ) such difference could be due to variableness in the consequences as experiment was carried out in two different yearss and environmental conditions may hold influenced consequences to a certain extent. In add-on, the dependability of consequences is besides questionable as few values could non be taken during the experiments due to an oncoming of ventricular fibrillation taking to inaccurate average values. No major alterations in bosom rate and coronary flow were seen between groups at baseline and 10 min after reperfusion in Black Marias subjected to ischaemia. Changes in coronary flow are usually accompanied by alterations in LVDP ; hence no important alterations in coronary flow confirm the cogency of LVDP step as antecedently described. There was a mark of diastolic disfunction as evident in the starling curve constructed prior to the oncoming of ischemic in comparing to the values taken after reperfusion. This diastolic disfunction further indicates no mediated cardioprotective effects of Tenormin as preconditioning, and reperfusion with Tenormin did non rarefy contractile disfunction. In drumhead the present survey shows that both low ( 10 µM ) and high ( 50 µM ) doses of Tenormin did non hold any cardioprotective effects on ischaemic/reperfusion hurt in stray rat Black Marias. The effectivity of ?-adrenoceptor encirclement in the ischaemic reperfused stray Black Marias has been demonstrated in the past surveies. Lu et al reported that pretreatment with Tenormin did non demo betterment in postischemic recovery in the stray coney Black Marias ( Lu et al. , 1990 ) . They used 10 mg/l of Tenormin in the Black Marias subjected to 25-min ischemia, followed by 30 min of reperfusion. The average functional recovery of aortal flow was merely 6 % in Black Marias treated with a control solution and no important rise in aortal flow recovery could be observed with Tenormin treated Black Marias. In the bosom, ?-adrenergic responses to catecholamines are most normally associated with the activation of ?1-adrenergic receptors. Nevertheless, cardiac musculus besides possesses a important population of ?2-adrenergic receptors ( Brodde. , 1991 ; Kaumann et al. , 1987 ) and a infinitesimal population of a1-adrenoceptors ( Lutz et al. , 2003 ) . In this survey, we used a selective concentration of Tenormin, which has antecedently shown to hinder the positive ionotrophic consequence of catecholamines. The selective concentration of the Tenormin ( 10 µM ) was chosen to be 1  ± 2 orders of magnitude above its several pA2 ( Borje J. , 1979 ; Kenakin. , 1993 ) . No consequence of selective Tenormin on cardiac recovery was seen, which could be due to two grounds: a ) there was no endogenous release of catecholamine B ) an increased contractility was a consequence of catecholamine moving on receptors other than ?1-adrenoceptors ( ?2 and a1 receptors ) , which are non antagonised by selective concentration of Tenormin. If latter was the instance, should we have observed a recovery in contractile map with higher concentration of Tenormin? Well, no discernible recovery in cardiac map was seen with higher doses of Tenormin ( 50 µM ) . For case, if atenolol ( 50 µM ) was moving on ?2-adrenoreceptors so it would hold caused a diminution in bosom rate, which was non the instance in this survey. It could besides intend that 5-fold higher concentration of Tenormin ( 50 µM ) . used in this survey, was non powerful plenty to move on receptors other than ?1-adrenoceptors ( ?2 or a1 receptors ) . On the footing of our consequences, we conclude that Tenormin did non hold a cardioprotective consequence, which could be due to really low concentration of catecholamines present in the nervus terminations. However, the dependability of our decision is so problematic as there was a batch of variableness in the consequences which made it complicated to construe. Study restrictions Perfusion force per unit area was provided by adding appropriate sum of trial solution to the reservoir. In some instances, reservoir was non topped up and this would hold led to low hydrostatic force per unit area, therefore a low coronary flow the latter is thought to be straight relative to perfusion force per unit area ( Fiona et al. , 2003 ) . It is hence of import to utilize a changeless perfusion force per unit area of 60-100 mmHg utilizing a perfusion force per unit area transducer, connected to a tripartite pat instantly above the aortal cannula ( Fiona et al. , 1999 ) . In this survey we merely controlled temperature of perfusion solution utilizing a heat money changer. Surveies have shown that alterations in tissue temperature are associated with LVDP and bosom rate steps ( Fiona et al. , 2003 ) . A alteration could be made by environing the bosom with a thermostatically controlled water-jacked chamber to keep its temperature at 37.0 ±0.2 °C throughout the experiment. In add-on, Black Marias could besides be maintained at 37 °C during ischaemic period. For better reading of consequences, one could utilize another ?-adrenoceptor adversary, such as propranolol, which acts on both ?1 and ?2-adrenoceptors. This would bespeak drug action on ?2-adrenoceptors, therefore giving us a clearer image of the presence of catecholamines, if any. On the other manus, catecholamine could be added exogenously, in the presence or absence of Tenormin, to detect any differential effects. Other possible betterments include widening the reperfusion clip from 10-min to 1hr, in order to detect farther alterations in cardiac map. Furthermore, the whole experiment could be done in one twenty-four hours clip to minimise influences of environmental conditions. Mentions: 1. Brodde, O.-E. ?1- and ?2-Adrenoceptors in the human bosom: belongingss, map, and changes in chronic bosom failure. Pharmacol. Rev. 43: 203-242, 1991 2. Frank O. Zur Dynamik des Herzmuskels.Z Biol32: 370-437, 1895. 3. Harada S, Ban T, Fujita T, Koshiro A. Negative inotropic effects and the hydrophobicity of beta-adrenergic barricading agents. Arch Int Pharmacodyn 1981 ; 252:262-71. 4. Hein A ; Schmitt, 2003. L. Hein and J.P. Schmitt, a1-Adrenoceptors in the bosom: friend or foe? . J Mol Cell Cardiol 35 ( 2003 ) , pp. 1183-1185. 5. Johansson B. Effectss of Tenormin, metroprolol, and pamatolol on cardiac and vascular ?-adrenoceptorsA in the rat.J Cardiovasc Pharmacol 1979 ; 1:287-98 6. Kaumann, A. J. , and H. Lemoine. ?2-adrenoceptor-mediated positive inotropic consequence of epinephrine in human ventricular myocardium. Quantitative disagreements with binding and adenylate cyclase stimulation. Naunyn Schmiedebergs Arch. Pharmacol. 335: 403-411, 1987 7. KENAKIN, T. ( 1993 ) . Pharmacological Analysis of Drug-Receptor Interaction. pp. 376- 378. New York: Raven Imperativeness 8. Kingsley PB, Sako EY, Yang MQ, Zimmer SD, Ugurbil K, Foker JE, From AH. Ischemic contracture begins when anaerobiotic glycolysis Michigans: a 31P-NMR survey of stray rat Black Marias. Am J Physiol. 1991 ; 261: H469-H478. 9. L. Carlsson, T. Abrahamsson and O. Almgren, Local release of myocardial noradrenaline during acute-ischemia an experimental-study in the stray perfused rat-heart, J. Cardiovasc. Pharm. 7 ( 1985 ) , pp. 791-798. 10. Lu HR, Vandeplassche G, Wouters L, Flameng W, Borgers M. Effects of /3-adrenoceptor adversaries on cardiac map in ischemic-reperfused myocardium of the stray on the job coney bosom. Eur J Pharmacol. 1990 ; 184:65-74. 11. Porter T. On the consequences of ligation of the coronary arterias. J Physiol ( London ) 1895 ; 15:121. 12. Schomig A, Dart AM, Dietz R, Mayer E, KObler W. Release of endogenous catecholamines in the ischaemic myocardium of the rat. Separate A: Locally mediated release. Circ Res 1984 ; 55: 689-701. 13. Singh N, Seneviratne CK, Singal PK. Propranolol protection against ischaemic hurt is accompanied by addition in antioxidant activities without any alteration in messenger RNA. FASEB J 9 ( 1995 ) 14. Skrzypiec-Spring M, Grotthus B, Szelag A, Schulz R, Isolated bosom perfusion harmonizing to Langendorff still feasible in the new millenary, J. Pharmacol. Toxicol. Methods 55 ( 2007 ) , pp. 113-126. 15. Sutherland FJ, Hearse DJ. The stray blood and perfusion fluid perfused bosom. Pharmacol Res 2000 ; 41:613-27. 16. Sutherland, F. , Shattock, M. , Baker, K. , and Hearse, D. 2003a. Mouse isolated perfused bosom: features and cautiousnesss. Clin. Exp. Pharmacol. Physiol. 30: 867-878. 17. Tani M. Mechanisms of Ca2+ overload in reperfused ischaemic myocardium. Annu Rev Physiol 1990 ; 52: 543-59. 18. Wallace A, Layug B, Tateo I, et Al. Contraceptive Tenormin reduces postoperative myocardial ischaemia. McSPI Research Group. Anesthesiology 1998 ; 88: 7-17. 19. Wollenberger and Shabab, 1965. A Wollenberger and L Shabab, Anoxia-induced releases of norepinephrine from isolated perfused bosom. Nature 207 ( 1965 ) , pp. 88-89.

Sunday, October 20, 2019

Teaching the Compare and Contrast Essay

Teaching the Compare and Contrast Essay The compare/contrast essay is easy and rewarding to teach for several reasons: Its easy to convince students there is a reason for learning it.You can teach it effectively in a few steps.You can see students critical thinking skills improve as they learn to write the essay.Once mastered, students feel proud of their ability to systematically compare and contrast two subjects. Below are the steps you can use to teach the compare/contrast essay. They have been used in regular high school classes where reading levels ranged from fourth to twelfth grade. Step 1 Discuss practical reasons for comparing and contrasting.Discuss reasons for learning to write about similarities and differences. Selecting subjects that matter to students is critical for this step. For example, one might be to compare two models of cars and then write a letter to a benefactor who might buy them one. Another would be a store manager writing to a buyer about two products. Academic topics such as comparing two organisms, two wars, two approaches to solving a math problem may also be useful. Step 2 Show a model compare/contrast essay. Explain that there are two ways to write the essay but dont go into any detail on how to do it just yet. Step 3 Explain compare/contrast cue words. Explain that when comparing, students should mention differences but focus on similarities. Conversely, when contrasting they should mention similarities but focus on differences. Step 4 Teach students how to use  compare/contrast charts. You should plan to spend a few classes on this. Although it seems simple, students doing it for the first time perform better if they arent rushed through this step. Working in teams, with a partner, or in a group is helpful. Step 5 List and model the Writing Dens  cue words  to show similarities and differences. Many tenth graders have difficulty thinking of these words if this step is skipped. Provide model sentences with these words which they can use until they become comfortable with them. Step 6 Explain charts showing how to organize compare/contrast  paragraphs  and  essays. Have students write the block style first since it is easier. Students should be told that the block is better to show similarities and the feature-by-feature is better to show differences. Step 7 Provide guided practice in writing the  first draft. Guide students through their first essay providing help with an introduction and transition sentences. It is helpful to allow students to use a chart they have completed as a class or one that they have done independently and  that you have checked. Do not assume they understand the chart until they have done one correctly. Step 8 Provide in-class writing time. By giving in-class writing time, many more students will work on the assignment. Without it, students with little motivation may not write the essay. Walk around asking who needs a little help to get more participation from reluctant learners. Step 9 Review the steps in the  writing process.Review editing suggestions and give time for  revision. Explain that after writing their essay, students should edit and revise. They should continue the cycle of editing and revising until they are satisfied with the quality of their essay. Explain the advantages of revising on the computer. For  editing  tips, check  these suggestions for revising drafts  from the University of North Carolina Writing Center. Step 10 Review the  SWAPS Proofreading Guide  and give students time to proofread their essays. Step 11 Have students evaluate their peers essays using a  Compare/Contrast Rubric. Staple a rubric to each essay and have students evaluate them. Be sure to check off on a roster the names of students who turn in essays because they could be stolen during the peer evaluation activity. Consider requiring students who have not finished to submit their essay for peer evaluation after writing  Not Finished  at the top of their papers. This helps peers recognize that the essay is incomplete. More importantly, taking their paper forces them to participate in the evaluation activity rather than trying to finish the essay in class. Consider giving 25 points each for evaluating three essays and another 25 points for quiet participation. Step 12 Review the proofreading guide briefly and then devote half a period to proofread one anothers essays. Tell students to read their essay aloud or to have someone else read it to them to catch any errors. Have students proofread several essays and sign their names at the top of the paper: Proofread by ________.

Saturday, October 19, 2019

Procter and Gamble Case Study Example | Topics and Well Written Essays - 1000 words

Procter and Gamble - Case Study Example Jaeger also let the existing brands sideslip while introducing expensive new brands that never caught on. One of the Jaeger's shortcomings was lack of understanding of P&G's culture, having come from abroad and having worked his way up he failed to imbibe the true spirit that P&G was built upon and tried to do away with the very identity and brand imaging P&G worked on. It was under Jaeger's leadership strategic focus and direction became fuzzy and not only did the company's profits decreased P&G became saddled with excess baggage that threatened to squeeze P&G's life blood. (Jamal Shamsie 2005) Jamal (2005) mentions that Lafley is focusing on existing strengths in brands that have strong following and following these brands to make them into super brands - empowering his work force, delegating responsibility and ownership into employees, and recognition of the efforts. He also focused on opening channels and reducing hierarchical layers so that ideas and suggestions are heard quickly and acted upon quickly. He believed in the motto that key assets of P&G are its employees and brands. Lafley is also focusing on focusing on P&G's strong cultural values and on reclaiming the heritage through aggressive measures whilst taking employees into complete confidence. He has focused on building goodwill, strengthening of key areas and opening of communication channels. (Jamal Shamsie 2005) Jamal ... Jamal (2005) believes that some of his major steps have been to trim down the work force, especially the leadership team, realigned responsibilities, reducing multiple layers, changing traditional hierarchy at P&G, making P&G customer focused rather than other way round. He has instituted regular meetings with all of his 12 top executives every start of week, sitting at a round table, letting them thrash out ideas while acting only as a moderator. He has focused more on women giving to them more key positions then before. He has recreated existing brands with new outlook to make product usage an experience that users would want to enjoy. He has complemented beauty line with acquisitions of Clairol and Wella. He has been of the opinion that P&G should build up on its strengths and should not be diversifying and loosing focus on areas which are not its key strengths. He has revamped its existing 200 brands adding extensions that complement on existing brands that add value to existing brands by providing additional features that would enhance the brands existing functions - Tide stain brush, a battery powered brush for removing stains, while washing with Tide! (Jamal Shamsie 2005) Some of the ethical issues he has had to face with is bringing people from outside where P&G earlier only promoted from within - giving multiple promotions to promising P&G 3 staff members, giving women higher responsibilities and more decision making roles. Another difficult decision had been to outsource any product or service that was not value adding inside the firm. He has to a large extent shifted the surplus workforce from his own premises to the outsourced company's premises. (Jamal Shamsie 2005) What is Lafley hoping to achieve with his

Friday, October 18, 2019

HR Management in McDonald Essay Example | Topics and Well Written Essays - 1750 words

HR Management in McDonald - Essay Example When the McDonald’s first restaurant was opened in America, it was a unique type of business that offered a novelty concept at that time. The items on the McDonalds menu were beef or pork burgers, fries and drinks. Their restaurant presented a different kind of lay out at that time. The open kitchens for the customer view presented a uniqueness and novelty to the viewers and visiting customers. With track record of successful emergence on the global scene, McDonald today a huge network of restaurants spread across in more than 90 countries in the world and it has achieved an unparalleled success and a top position in the fast food Industry during the last more than half a century period. McDonald has always pursued a growth strategy and it present success is reflective of the keen sense of market and customer focus that it has so successfully maintained. As Ray Kroce who is the on of the building blocks and architect of modern McDonalds opened the first McDonalds restaurant in America in 1955, his served good quality meals in moderate prices and clean seating environment. He could not have imagined the super success that McDonalds would earn in the years to come. But he did see that phenomenal success that was delivered by a superior strategy pursued not only in managing its business but also in managing its people internally. HRM at McDonalds: People are a key ingredient of any organization and HRM is the key focus of a fast food industry which is characterized by high degree of customer service. McDonalds owns and runs a business strategy that is highly interactive and dependent on a highly competent HRM team. The back office food technologist and the front office customer services staff have no room for mistakes at all. What is more important is that McDonalds has to look after its long term strategy of HRM so that it keeps the best of the people in food technology and fast food industry. At the overall level what drives an HR strategy and its context . What is the main thrust of McDonald’s strategic HR policy? (Harris & John 2009) point out that the MD of McDonalds remarked that â€Å"maintaining a diverse and inclusive and inclusive workforce is certainly the right and proper thing to do, but we have long maintained that it is the smart thing to do.† This depicts that McDonalds maintains a very diverse and inclusive workforce on purpose as it supports it growth. Diversity is one dimension of the HR of the McDonalds. For the back office production and quality control, it hires skilled staff, mostly high tech food technologist and experts in their field and look after the back office production and quality control. For the front office, McDonald’s hires customer services staff that are mostly unskilled and have to go through rigorous on-job trainings. The labour market that McDonald’s addresses for the front office staff is really unstructured and unskilled labour is preferred with younger lads and gir ls who are at or below the graduate level. The composition is based on mostly on migrant workers who are in need for work. The age bands are really 16-30 makes and females who are daily / weekly wage earners doing hardcore labour with no strings attached. They are mostly available for part time and full time jobs with low to moderate skills levels. They are taken through rigorous in-house on-job training by McDonalds. The legal framework permits part

Statistical Analysis in Nursing Essay Example | Topics and Well Written Essays - 1250 words

Statistical Analysis in Nursing - Essay Example 2.Non parametric tests like Chi square tests and Fischer’s test (as used in this study) are used when the sample size is small and does not represent the population in totality and also when the variables are ordinal, nominal and discrete variables( variables which cannot be measured and even if measured cannot be extrapolated to decimal places). Chi square value evaluates the association or independence between the two variables. If the probability value (p value) for null hypothesis for a particular value of chi square exceeds the critical chi square value then it is inferred that the two variables are not independent and the two variables are significantly associated with each other. ... ean importance values for each factor for the group of 21 nurses studied which were likely to influence decision making patterns were- future health status, 39%; family input, 19%; person's age, 13%; extra cost to agency, 12%; functional status, 10%; and mental competence, 6%. There were three other decision-making patterns, each exhibited by one nurse: One nurse relied heavily on mental competence (43%) and person's age (52%), another emphasized mental competence (43%) and functional status (29%), and the third used extra cost to agency (66%) supplemented by person's age (18%) for treatment of ID. Nurse's work site, age, education, and years of experience did not discriminate among these decision making patterns in this small pilot study sample.(These factors were not associated or correlated with decision making ) 3. Parametric tests like Student’s t test and ANOVA wee not suitable for this study as because the variables in question were not quantitative variables(measuremen t variables) and also because the sample size was too small. 4. The strengths of the study was rather than a prescriptive or normative perspective on decision making the method revealed how actually a decision making happens in a real life simulated situation. The measurements were appropriate in relation to chi square, Pearson’s r and Fischer’s test considering small and non-representative sample of the total population. The study design included all the appropriate variables that could have affected decision making process. The limitations were the sample size which needed to be more to have a correct extrapolation to the ID population treated at the ED on totality. Real-world decision making may depart from what was found in this study because simulation provides only an approximation of

Thursday, October 17, 2019

New York fashion week Essay Example | Topics and Well Written Essays - 1250 words

New York fashion week - Essay Example Designers came up with events and conferences that were economical and aimed at reaching the people in the crucial time of the economic drop, giving them options that would help save. Further, they took to options that would help them cut out on runway costs or other organizing costs. Some of the events that have been part of the New York fashion week aimed at cutting down on costs, economizing and bringing to their audience what they are sure to receive with delight, technology. The costs of the show that would usually go up to $750,000 had been cut down and designers have gone economy friendly, however, not forsaking the striking patters, designs and beauty of the clothing range. In the current fashion scenario, simple and breathtaking are the two words often complimenting each other in collections that have been popular and sought after. The collections that are more wearable and simple in design still contain the glam and beauty that a more expensive and complicated array of fash ion clothing would hold. The birds collection by Andrew Holdes turned out to be a combination of just this. The colors were solid, the designs simple, angled and interesting. The collection included clothes with modern silhouettes that combined classic British tailoring with enduring American work wear, the most sought after style in the current season. Green jackets were cropped, corduroy vests with shawl collars paired with huge scarves as leather trimming and epaulets were added to other pieces.

Prepare a SOSE unit of work with rationale Essay

Prepare a SOSE unit of work with rationale - Essay Example In this case, they build up their capacity for participating in the community and provide meaningful rejoinder to environmental and social matters. Through this curriculum, learners get to understand global ideas of Torres Strait Islanders and Aboriginal people with their connectivity to other groups and places. They are able to apply their understanding to their connections to places and people in the world. Students are able to use essential ways of working to create and demonstrate their understanding of knowledge. Inquiry in this process is very important. It offers an opportunity to students to investigate a range issues locally and globally. They converse by use of different kinds of texts for precise purposes and audiences. This makes them participate actively in groups or individually in their villages in making enterprises while responding to issues creatively. Students have the ability to select precise tools and technologies to use which involves ICTs to carry out inquirie s and communicate within environmental and social context (Stage & Quiroz, 2008). There are different methods used in teaching. They are categorized into two groups. Teacher-centred and learner-cantered. Teacher-centred methods take the teacher to be the creator of all learning practices and procedures. An example is the lecture method. On the other hand, learner-centred methods identify the learner as the core creator of the learning process while the instructor or the teacher becomes controller of the learning procedure according to piagates theory of learning (Suai & Homer, 2006). It is the view of this paper that the lessons prepared will guide learners to acquire the desired skills, attitudes and knowledge to exist in the current globe. The methods also provide the chance for the society to learn new ideas from one another. The paper substantiates learner-centred methods through broad examination of environment as a topic in teaching of science. The method applied in this paper is Constructionism. It enables the learners to participate fully in the lessons investigating new ideas while the teacher guides through the process. The paper has singled out environment as a topic to examine different aspects of teaching and learning process. It is an interesting topic in a school setting. This will enable learners to participate fully in their classrooms during the lesson (Siebert, 2005). Some of the skills needed in a science lesson are supposed to help the learner with literally skills for writing reading and communicating orally about science principles and concepts. All these skills are incorporated into the topic â€Å"environment† Reasons for choosing the topic Environment is what surrounds an organism. There are two types of organisms, living and non-living organisms. Learners being one of the organisms in the environment require understanding how to live in it. This is important to help them acquire knowledge and skills to deal with different situ ations in life. Learning about environment is quite interesting and maintains learners’ interest to desire to know more about their surroundings. In this unit, learners undergo different real life experiences. This is important since they can easily relate what they are learning in class to what is happening out of their classrooms. For instance recycling of plastic is carried out by several industries (Siebert, 2005). It is possible for the

Wednesday, October 16, 2019

New York fashion week Essay Example | Topics and Well Written Essays - 1250 words

New York fashion week - Essay Example Designers came up with events and conferences that were economical and aimed at reaching the people in the crucial time of the economic drop, giving them options that would help save. Further, they took to options that would help them cut out on runway costs or other organizing costs. Some of the events that have been part of the New York fashion week aimed at cutting down on costs, economizing and bringing to their audience what they are sure to receive with delight, technology. The costs of the show that would usually go up to $750,000 had been cut down and designers have gone economy friendly, however, not forsaking the striking patters, designs and beauty of the clothing range. In the current fashion scenario, simple and breathtaking are the two words often complimenting each other in collections that have been popular and sought after. The collections that are more wearable and simple in design still contain the glam and beauty that a more expensive and complicated array of fash ion clothing would hold. The birds collection by Andrew Holdes turned out to be a combination of just this. The colors were solid, the designs simple, angled and interesting. The collection included clothes with modern silhouettes that combined classic British tailoring with enduring American work wear, the most sought after style in the current season. Green jackets were cropped, corduroy vests with shawl collars paired with huge scarves as leather trimming and epaulets were added to other pieces.

Tuesday, October 15, 2019

Report performance management (base pay & benefit) Essay

Report performance management (base pay & benefit) - Essay Example Performance management is a developing subject area. Not many current and up to date books are available. Journal articles are more helpful providing to the point and current research material. The material used is basically based on material printed in last five or six years. Material related to the Performance Management mostly depicts diverse direction of thinking by different practitioner and the theories stated by them. Findings: There is a big room for improvement, which is required for the company to improve its performance management process. It is also noticed from the previous research that the activities related to performance management process in the company were not synchronized with the organisational culture of the company. Limitation of the study: - There is a vast area related to the topic addressed, which needs to be researched and analyzed. The comparative study of performance management practices in different countries could also be undertaken. Practical implications: The study is a fair effort to help the individuals and the professionals attached to the field to understand the benefits attached to the right performance management process in the development of a company. Mullins (1998) defined motivation is a complex subject and is influenced by many variables. Individuals have a variety of changing, which they attempt to satisfy in a number of different ways. Motivation at work operates in two ways. First, people can motivate themselves by seeking, finding and doing work which leads them to expect that their goals will be achieved. Second, people might be motivated by management through such methods as pay, promotion and praise. These two ways can be described into two types of motivation (Armstrong, 1999): Intrinsic motivation- It can be described as the process of motivation by the work itself in so far as it satisfies people's needs or at least leads them to expect that their goals will be achieved. It is self-generated factors which influence people to behave in a particular way or to move in a particular direction. Intrinsic motivation refers to the intrinsic attractiveness of work itself (Child, 1994; Jackson & Bak, 1998; Tung, 1991). Extrinsic motivation- This includes rewards such as increased pay, praise or promotion. It is crude, easy and often effective. Money is individual basic need. As Duall (1999) said that when individuals are able to satisfy their perceived needs, they see themselves as being successful. In this view, the desire to achieve personal success is a natural phenomenon, and people are self-motivated to achieve, grow, and develop in positive ways (Greenberg, 1986a & b). Herzberg Motivator Hygiene Theory Herzberg (1966) proposes that all individuals have two sets of needs hygiene and motivator. Hygiene factor affect job dissatisfaction, these include such things as quality of supervision, pay, company policies, physical working conditions, interpersonal relations and job security. Job satisfaction appeared to be caused by motivator factors; these include promotional opportunities, opportunities for personal growth, recognition, a sense of achievement and responsibility. Most of the employees prefer to be recognized and appreciated through increment in pay

Post-Traumatic Stress Disorder in the Military Essay Example for Free

Post-Traumatic Stress Disorder in the Military Essay I.  Ã‚  Ã‚   Abstract Stoked by an adversarial media and the run-up to Presidential elections next year, the trauma afflicting our body politic often seems more important than the deaths, physical disability and post-trauma stress disorder that afflict servicemen on the frontlines. In this paper, I review the historical origins and verify the prevalence of what was whimsically called â€Å"soldier’s heart† in the Civil War and â€Å"disordered action of the heart† (DAH) or neurasthenia at the turn of the century and has now gained cognizance as â€Å"battlefield fatigue† or PSTD.    The etiology is vast, since combat stress seems to provoke a great many physical, physiological and anxiety-related disorders.   Lastly, I investigate the treatment options.   War is ever a violent business.   If the North-South Civil War shocked Americans with unheard-of casualty counts and the violence of battles waged at the dawn of the industrial age, World War I traumatized the world with the unremitting violence brought to bear in hopes of breaking the stalemate that was the Western front.   Poison gas, the machine gun, barbed wire, and massed artillery bombardment sent casualty counts sky high.   Besides the United States, 17 other countries on both sides of the â€Å"war to end all wars† suffered no less than 5.7 million soldiers killed and another 12.8 million wounded. Soldiers at the frontline were brutalized by the sheer violence of artillery bombardments, the random deaths these caused and the experience of seeing an unceasing number of their fellow soldiers slaughtered by gas or machine gun fire.   It was then that the nervous condition first termed â€Å"war neurosis† or â€Å"neurasthenia† manifested in great numbers.   Eventually, the equivalent term â€Å"shell shock† came into wider use. Combat stress reactions first came to the attention of the medical establishment (psychiatry was in an embryonic stage then) in the second half of the 19th century and early in the 20th when physicians came to recognize adverse reactions that had more to do with sustained exposure to battle conditions than any physical injury.   In retrospect, the Civil War condition then termed â€Å"soldier’s heart† was really a form of â€Å"combat stress reaction†. During the Boer War waged by the British in South Africa (1899-1902), due notice had already been given to either â€Å"disordered action of the heart† (DAH) or neurasthenia/shellshock.   Retrospective analysis of British soldiers who had been pensioned off for these conditions (Jones, Vermaas, Beech, Palmer, et al. 2003) found no especially significant difference in mortality compared to comrades who filed for disability owing to bullet or shrapnel wounds. The Russia-Japanese War of 1904 and 1905 gave Russian physicians their first reported exposure to, and the opportunity to try and treat, nervous breakdowns owing to the stress of warfare, compounded by the demoralization of losing to the Japanese. Later in the 20th century, the evolving nature of the battlefield and the enemy – World War II, the Vietnam War, the Iraq and Afghan occupations being the more prominent examples – created unexpected new sources of stress that complicated the combat fatigue syndrome and led to the broader â€Å"post-traumatic stress disorder† coming into wide use.   So whereas â€Å"combat fatigue† referred to â€Å"a mental disorder caused by the stress of active warfare†, â€Å"PTSD† revolved on post-combat â€Å"fatigue, shock or neurosis†. V.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Statement of the Problem: In this research paper, we review the available authoritative sources to assess: The continuing prevalence of PSTD in the varied conditions of modern warfare. Short- and long-term therapy employed to resolve the disorder. The extent to which familial and community support ameliorates PSTD and improves patient outlook. For a world that has experienced unremitting conflict since World War II, whether orthodox warfare, low-intensity conflict or insurgency, chances are that anticipating and providing therapy for stress disorders will be a continuing concern. VI.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Literature Review A.  Ã‚   The Character of Modern Conflict In the aftermath of the Great War many people believed that they had seen the most terrible war the world will ever see. History would prove them wrong. In the century that followed, war became even more traumatic and horrifying in its brutality. From the Russian civil war to the present conflict in Iraq, war took an ever-heavier toll on the human psyche. Technology improved the methods by which death might be delivered but it has done nothing to strengthen the minds of those who had to bear it. The Russian civil war that succeeded until after World War I was a horror to behold. Thousands died in the fighting between the White Russians and Red Russians. Thousands more froze in the winter for lack of appropriate gear. Worse, many civilians were murdered by both sides on mere suspicion of being collaborators. World War II was a litany of terrors. Whole societies were brainwashed into supporting the war from an ideological standpoint. Millions of Jews were gassed and burned in the holocaust simply being Jews. The SS, the KGB and the Kempetai would murder anyone at whim. Thousands of women were kidnapped and raped as â€Å"comfort women† by the Imperial Japanese Army. More than the individual or large-scale slaughter of men, the true horror of WWII was the torture it inflicted on societies. Entire cities were razed to the ground in terror bombing. Cities became prison cells where starving denizens were forced to labor endlessly. Men went off to war leaving women to tend the factories and leaving no one to care for the children. Then there was the Atomic Bomb. A scant few scores of thousands died. Both cities were leveled to the ground. The radioactive damaged would endure for years. Even those who tried to help the victims were themselves victimized by the radiation. In Korea and Vietnam, millions were fielded in grueling civil wars. Korean fought against Korean backed by Communist and Imperialist masters. The same would be true for Vietnam but with the inclusion of terrible chemical weapons that defoliated forests and would cause harm for generations to come.   In turn, the Viet Cong and Khmer Rouge executed savage campaigns against their own people. The Arab-Israeli and Iraq-Iran wars would institutionalize child-soldiery. Israel had a scant 4 million citizens to oppose over 200 million Arabs. When attacked by the Arabs, Israel would be forced to deploy all its manpower, along with women, to help fight off the invaders. Chemical weapons were also used. The Israelites were left to defend their small nation against all their neighbors. Iraq and Iran would field child soldiers in countless thousands. They would be given rifles then thrown into battle against hardened veterans in the hope of at least slowing down the enemy. Muslim killed each other over essentially religious disputes. But perhaps the worst war of the 20th century would be the War on Terror. In the past the enemy was a specific country or group of countries. If they bomb our territory we can bomb theirs. But today, the enemy is not a nation. Today, servicemen in Iraq or Afghanistan do not know where or when the enemy will strike. All they know is that the enemy is out there lurking amongst a hostile population. The war on terror also has another unsavory aspect. The ‘enemy’ resort to bombing civilian targets back home. Worse, the soldiers know that their victories will only make the enemy more desperate and make them retaliate more against innocent civilians. As if the violence of outright warfare and low-intensity conflict were not enough, American and British forces of occupation as well as the soldiers of every nation that serve in U.N. peacekeeping forces confront at least equal prospects of PTSD.   Whether in the Korean DMZ, the former Yugoslavia, Iraq, Afghanistan, Somalia, Lebanon, Ireland, or Timor, every soldier on such assignments faces a multitude of perils. In many cases, peacekeeping forces are in a low-intensity-conflict situation but hampered by rules of engagement that deny them the right to shoot first and shrug it off as a mistake.   The potential for battlefield fatigue climbs higher with alien cultures and religions, a seemingly ungrateful, resentful and even hostile native population, suicide attacks, well-armed guerillas, booby traps, mortar and improvised missile attacks.   Such occupying forces are also apt to lose the public relations war for being unable to stop factions from slaughtering each other such as happened in Iraq, Afghanistan, Israel, Lebanon, East Timor and Rwanda.   And perhaps the unkindest cut of all is when their own country’s media deliberately distort the casualty count from fratricidal or genocidal conflict as having been caused by the occupying or peacekeeping forces! B.  Ã‚   Incidence of â€Å"Shell Shock†, PTSD and Precipitating Events When â€Å"shell shock† came to be widely recognized in World War I, the initial hypothesis was that it was induced by an inordinate number of fatal casualties.   In fact, about 10% of all military forces then engaged succumbed on the battlefield, double the rate in World War II (less than 5%, in great part because the wide availability of sulfanilamide averted more deaths from battlefield infection).   Later came the realization that it was total casualty count that really mattered.   Historical research shows that around 56% of soldiers on the Western Front were either killed or wounded.   When every other fellow in one’s platoon gets hit, fatally or not, it is no wonder that stress casualties were as numerous as battle casualties. The term itself, â€Å"shell shock† reveals the ingrained belief that psychiatric casualties from the horrors of the battles of the Somme, Marne, Ypres, etc. had suffered concussion (physical trauma to the head or brain) from a close call with an exploding artillery shell.   Nearly a decade elapsed before a British War Office Committee realized (Military History Companion, 2004) that battle exhaustion and other varieties of war neuroses accounted for a far greater proportion of cases than concussion did. Great Britain having entered the fray early, the numbers of servicemen afflicted with â€Å"shell shock† and assorted neuroses were significant. By 1939, some 120,000 British ex-servicemen had received final awards for primary psychiatric disability or were still drawing pensions – about 15% of all pensioned disabilities – and another 44,000 or so †¦ were getting pensions for ‘soldier’s heart’ or Effort Syndrome. (Shephard, 2000) In the post-World War II era, the Vietnam war can be counted the most traumatic for the U.S. military, not least because of the failure to achieve a clear-cut victory and the dissatisfaction of the American public with a war that dragged on so long.   Since the fall of Saigon in 1975, estimates of the long-term incidence of â€Å"post-Vietnam syndrome† (now recognized as PTSD) among veterans varied from a high of 30% in 1989 and a slightly lower 21% in 1996 (Allis, 2005). The most authoritative review in recent years, by researchers from Columbia University and other institutions, suggested that the lower end of the range was the more realistic figure: nearly 19 percent of Vietnam War veterans succumbed to PTSD as a direct result of military combat.   In addition, The more severe the exposure to war zone stresses, the greater the likelihood of developing post-traumatic stress disorder and having it persist for many years, said Bruce P. Dohrenwend, an epidemiologist at Columbia University. (McKenna, 2006). Fast forward to the current occupation of Iraq.   The Defense Department reports, based on a sample survey of over 1,600 Army soldiers and Marines, that around one-third (30 percent) of those who had been in â€Å"intense combat† were diagnosed with such mental health problems as PTSD and depression.   Incidence appeared higher among soldiers deployed to Iraq at least twice and for more than six months at a time (Bookman, 2007).   So distressing is the occupation, according to an Army study, that one in six of close 1 million soldiers â€Å"surged† to Afghanistan and Iraq will very likely be afflicted with PTSD (Allis, op. cit.). The reality turned out to be worse.   Even more appalling estimates of incidence were reported by what has to be the most thorough accounting of the prevalence of post-traumatic stress disorder (PTSD) and conditions resembling chronic fatigue syndrome (CFS), a survey by Kang, Natelson, Mahan, Lee, Murphy (2003) on the entire population of 15,000 Gulf War and 15,000 non-Gulf-War veterans.   Information was gathered in 1995-97. Gulf War veterans reported significantly higher incidence of PTSD (adjusted odds ratio = 3.1, 95% confidence interval: 2.7, 3.4) and CFS (adjusted odds ratio = 4.8, 95% confidence interval: 3.9, 5.9). Furthermore, â€Å"the prevalence of PTSD increased monotonically across six levels of deployment-related stress intensity (test for trend: p 0.01). Back home, the Department of Veterans Affairs reported on an investigation of principally Persian Gulf War veterans (79%) who had availed of the National Referral Program (NRP) and visited war-related illness and injury study centers meant for combat veterans with unexplained illnesses . Over the period from January 2002 to March 2004†¦ The more common diagnoses were chronic fatigue syndrome (n = 23, 43%), neurotic depression (n = 21, 40%), and post-traumatic stress disorder (n = 20, 38%). Self-reported exposures related to weaponry†¦ environmental hazards, stress†¦A small increase in mean SF-36V mental component scores (2.8 points, p = 0.009) and use of rehabilitation therapies (1.6 additional visits, p = 0.018) followed the NRP referral (Lincoln, Helmer, Schneiderman, Li, et al. 2006). The political furor over U.S. deployment in the Middle East has led to permutations, including what Baker (2001) refers to as â€Å"Gulf War Illness†.   The more combat exposure they had had, the greater the likelihood that veterans manifest depression, PTSD, fibromyalgia, anxiety, and have generally poorer â€Å"health-related quality of life†. For the British, a more sanguine view about involvement in Iraq may explain a finding that deployment to that strife-torn arena does not necessarily lead to increased risk of PTSD. Simon Wessely of the Kings Centre for Military Health Research at Kings College London reports that there is no evidence of anything like an Iraq war syndrome and that British troops returning from deployment were no more likely than U.K.-based soldiers to succumb to PTSD, anxiety or depression (New Scientist, 2006).   Wessely seemed heartened by the fact that PTSD casualties this time around were significantly lower than during the earlier, even less controversial Persian Gulf War of 1991. He also explained the advantage vis-à  -vis incidence of around 20% for U.S. troops on three facts.   First of all, British troops are more battle-hardened. Two-thirds of British troops have been in deployments elsewhere, compared with only 10 per cent of US troops.   Secondly the US also uses more reservists (in the form of National Guard units) and has responsibility for the worst of the hostile combat zones.   To an outside observer, the adversarial stance of the U.S. press and the inability of the American public to withstand sustained conflicts not amenable to victory over a visible enemy also count as contributing factors. It would take an Englishman to look into the topic but tongue-in-cheek analysis by Ismail et al. (2000) of U.K. Gulf War veterans revealed that the chances of falling prey to PTSD are greater with lower rank (and, presumably, lower social status) and if one leaves the service. Some research has shown that, far from being a steady state or amenable to permanent remission, PTSD has a way of recurring with the re-occurrence of the original precipitating factors or other less specific pressures, such as with serious illness or the sudden lifestyle change of retirement.   In Israel, reactivation is a constant possibility owing to the fact the nation is always in a state of war with recalcitrant enemies so this potential trigger has come under scrutiny (Nachshoni Singer, 2006).   Case studies suggested that PTSD can recur even when the call to duty is for a family member. C.  Ã‚   Symptomatology In World War I, â€Å"shell shock† was observed principally as nervous fatigue.   The famous photograph (see Figure 1, above) of a patient manifesting the â€Å"thousand-yard stare† became the enduring image of intolerable combat stress: glassy-eyed fatigue, slow reactions, indecisiveness, being detached from one’s immediate surroundings, and a certain vagueness about that needed doing first. So great were the numbers afflicted and so vividly did the novel phenomenon manifest itself that even the popular press in the U.K. could accurately report the symptoms of battle trauma: â€Å"Something was wrong. They put on civilian clothes again and looked to their mothers and wives very much like the young men who had gone to business in the peaceful days before August 1914. But they had not come back the same men. Something had altered in them. They were subject to sudden moods, and queer tempers, fits of profound depression alternating with a restless desire for pleasure. Many were easily moved to passion where they lost control of themselves, many were bitter in their speech, violent in opinion, frightening. (Shephard, op. cit.) The unfortunate circumstance of decades of unending small-scale conflict and insurgency campaigns post-World War II have enabled military psychiatrists to more fully define three key facets of combat neurosis and PTSD: fatigue, psychosomatic manifestations and neurotic symptoms. Fatigue is the common denominator behind indecision and inability to concentrate, memory loss, constant waffling about priorities, little initiative, significantly slowed reaction time, seriously downgraded alertness and thought processes, taking refuge in obsessing and nitpicking unimportant details, and, most telling of all, difficulty with even routine tasks. The element of neurosis crops up as fearfulness, anxiety, irritability, depression, confusion, paranoiac tendencies, fear of loss of control, and self-destructive behavior such as substance abuse or suicide. Consequently, PTSD patients manifest the entire spectrum of somatically-induced disorders: headaches, backaches, (see also Mayor, 2000) being constantly high-strung, shaking and tremors, sweating, nausea and vomiting, loss of appetite, abdominal distress, frequency of urination, urinary incontinence, palpitations, hyperventilation, dizziness, muscle and joint pain (see also Ricks, 1997),   insomnia and other sleep disorders.   Barrett et al. (2002) found this psychosomatic explanation incomplete.    In a telephone survey of 3,682 Gulf War veterans and control subjects of the same era, the authors revealed that â€Å"Veterans screening positive for PTSD reported significantly more physical health symptoms and medical conditions than did veterans without PTSD. They were also more likely to rate their health status as fair or poor and to report lower levels of health-related quality of life.† D.  Ã‚   Long-term Effects No doubt, psychosomatic disorders are of a piece with another syndrome physicians like to point to chronic multisymptom illness (CMI).   Building on earlier studies that demonstrated CMI being more common among veterans who deployed to Saudi Arabia and Kuwait in contrast with those who had never participated in that campaign, Blanchard, Eisen, Alpern, Karlinsky, Toomey, Reda, Murphy, Jackson and Kang (2006) set out to assess the situation ten years after deployment and found that veterans were twice as likely to develop CMI: Cross-sectional data collected from 1,061 deployed veterans and 1,128 nondeployed veterans examined between 1999 and 2001 were analyzed. CMI prevalence was 28.9% among deployed veterans and 15.8% among nondeployed veterans (odds ratio = 2.16, 95% confidence interval: 1.61, 2.90). Blanchard et al. noted that those who did suffer from CMI had already been diagnosed for anxiety and depression unrelated to PTSD prior to 1991.   Common CMI manifestations comprised frank medical symptoms, metabolic and psychiatric disorders.   And those afflicted were more likely to smoke, besides reporting distinctly inferior quality of life. M Hotopf, Anthony S David, Lisa Hull, Vasilis Nikalaou, et al. (2003) carried out one of the more comprehensive and authoritative studies of long-term effects, a two-stage cohort study on British soldiers who had deployed during the 1991 Persian Gulf War or on peacekeeping duties in Bosnia. The study relied on four instruments: â€Å"self reported fatigue measured on the Chalder fatigue scale; psychological distress measured on the general health questionnaire, physical functioning and health perception on the SF-36; and a count of physical symptoms.†Ã‚   Military personnel who had been deployed elsewhere served as control group. Table 1 Prevalence of Categorical   Outcomes (Values are percentages [.95 CL] unless otherwise indicated) Gulf Bosnia Era Stage 1 Stage 2 Ratio* (new cases/recovered cases) Stage 1 Stage 2 Ratio* (new cases/recovered cases) Stage 1 Stage 2 Ratio* (new cases/recovered cases) Fatigue cases 48.8 (45.4 to 52.2) 43.4 (39.9 to 46.8) 0.65 (0.45 to 0.85) 29.0 (25.6 to 32.4) 32.7 (28.6 to 36.8) 1.21 (0.83 to 1.59) 22.8 (20.0 to 25.6) 22.0 (18.6 to 25.4) 0.91 (0.56-1.26) Post-traumatic stress reaction cases 12.4 (10.7 to 14.2) 10.8 (9.1 to 12.5) 0.73 (0.47 to 0.99) 5.7 (4.0 to 7.4) 6.0 (4.2 to 7.8) 1.07 (0.49 to 1.65) 4.0 (2.6 to 5.3) 6.6 (4.8 to 8.4) 2.45 (0.88-4.02) General health questionnaire cases 40.0 (36.8 to 43.2) 37.1 (33.8 to 40.4) 0.79 (0.59 to 1.00) 29.2 (25.5 to 32.9) 31.5 (27.4 to 35.6) 1.25 (0.84 to 1.67) 25.3 (21.7 to 28.9) 23.8 (20.1 to 27.6) 0.88 (0.56-1.20) Self reported Gulf war syndrome 18.6 (16.2 to 21.1) 15.8 (13.3 to 18.2) 0.58 (0.25 to 0.90) All prevalence estimates are weighted for sampling. * Values of 1 indicate declining prevalence. Ratios are weighted for sampling. Gulf veterans evinced a higher prevalence of fatigue, post-traumatic stress reaction, self-reported Gulf War syndrome and general health compared to the other two cohorts. The difference is consistent throughout stages 1 and 2. However, the veterans in question did show some improvement on all four measures over time. Table 2 Scores (.95 CL) for Continuous Measures, by Cohort and Stage Gulf Bosnia Era Stage 1 Stage 2 Difference Stage 1 Stage 2 Difference Stage 1 Stage 2 Difference SF-36* physical function 90.3 (88.3 to 91.3) 88.7 (87.6 to 89.9) -1.6 (-2.5 to -0.7) 95.4 (94.4 to 96.4) 92.9 (91.6 to 94.1) -2.6 (-3.8 to -1.3) 92.1 (90.6 to 93.6) 90.8 (89.2 to 92.3) -1.3 (-2.7 to 0.1) SF-36* health perception 65.8 (64.1 to 67.5) 65.9 (64.2 to 67.6) 0.1 (-1.2 to 1.4) 76.2 (74.4 to 77.9) 72.9 (71.0 to 74.8) -3.3 (-5.1 to -1.6) 76.8 (75.0 to 78.6) 74.4 (72.4 to 76.4) -2.4 (-4.2 to -0.6) General health questionnaire 14.5 (14.1 to 14.9) 14.2 (13.8 to 14.5) -0.3 (0.1, -0.6) 13.1 (12.7 to 13.6) 13.2 (12.7 to 13.7) 0.1 (-0.4 to 0.6) 12.4 (12.0 to 12.8) 12.9 (12.5 to 13.3) 0.5 (0.05 to 1.0) Fatigue 17.8 (17.4 to 18.1) 16.9 (16.5 to 17.2) -0.9 (-1.2 to -0.6) 15.6 (15.2 to 16.0) 15.3 (14.9 to 15.7) -0.3 (-0.7 to 0.2) 14.7 (14.3 to 15.0) 14.9 (14.5 to 15.3) 0.2 (-0.2 to 0.6) Total symptoms 11.0 (10.4 to 11.6) 10.7 (10.1 to 11.3) -0.3 (-0.8 to 0.1) 6.2 (5.6 to 6.8) 7.9 (7.3 to 8.5) 1.7 (1.2 to 2.3) 5.3 (4.8 to 5.8) 6.4 (5.8 to 7.0) 1.1 (0.6 to 1.6) All scores are weighted for sampling. For SF-36 scores, negative differences in mean indicate a worsening in health. For other scales, negative scores indicate an improvement in health. * SF-36 scales range from 0-100, with higher scores indicating better health.   Table 3- Incidence and Persistence of Outcomes. (Values presented with 0.95 CLs) Incidence Persistence Cohort Risk Crude odds ratio Corrected odds ratio* Risk Crude odds ratio Corrected odds ratio* General health questionnaire cases: Gulf 20.2 (16.4 to 24.0) 1.0 1.0 61.8 (57.3 to 66.3) 1.0 1.0 Bosnia 21.2 (16.7 to 25.8) 1.1 (0.7 to 1.5) 0.9 (0.6 to 1.4) 58.9 (51.9 to 65.8) 0.9 (0.6 to 1.1) 1.1 (0.7 to 1.6) Era 15.4 (11.4 to 19.4) 0.7 (0.5 to 1.1) 0.7 (0.5 to 1.1) 48.4 (41.0 to 55.9) 0.8 (0.6 to 1.1) 0.6 (0.4 to 0.8) Fatigue cases: Gulf 18.8 (14.4 to 23.1) 1.0 1.0 69.7 (66.4 to 73.0) 1.0 1.0 Bosnia 19.8 (15.1 to 24.4) 1.1 (0.7 to 1.6) 0.9 (0.6 to 1.5) 59.9 (54.2 to 65.6) 0.6 (0.5 to 0.9) 0.7 (0.5 to 1.0) Era 11.2 (7.5 to 15.0) 0.6 (0.3 to 0.9) 0.5 (0.3 to 0.9) 58.2 (53.1 to 63.4) 0.6 (0.5 to 0.8) 0.7 (0.5 to 0.9) Post-traumatic stress reaction cases: Gulf 5.0 (3.6 to 6.4) 1.0 1.0 51.8 (44.8 to 58.9) 1.0 1.0 Bosnia 4.0 (2.5 to 5.5) 0.8 (0.5 to 1.3) 0.8 (0.4 to 1.5) 38.9 (24.3 to 53.3) 0.6 (0.3 to 1.2) 0.8 (0.4 to 1.8) Era 4.6 (3.0 to 6.2) 0.9 (0.6 to 1.5) 0.9 (0.5 to 1.5) 54.8 (37.8 to 71.9) 1.1 (0.5 to 2.4) 1.2 (0.6 to 2.7) * Controlled for demographic variables (age, sex, rank, marital status). Comparing scores for continuous measures, one sees that Gulf War veterans were less healthy at both stages of the longitudinal study, though they were stable as far as health perceptions were concerned and reported a statistically-significant, if slight, reduction in fatigue. One concedes that physical functioning declined for all three cohorts. Additionally, Gulf veterans were more likely to experience persistent fatigue compared with the Era and Bosnia cohorts, a finding that remained significant after controlling for potential confounders (P = 0.009). Overall, despite being less likely to manifest less fatigue (48.8% at stage 1, 43.4% at stage 2) and a lower prevalence of psychological distress (40.0% stage 1, 37.1% stage 2) over time, veterans of the Gulf War reported a decline in physical function on the SF-36 (90.3 stage 1, 88.7 stage 2).   By all measures used, this group also attested to worse health indicators: a higher incidence of illness and more persistent symptoms. Twelve years after helping smash the Iraqi incursion into Kuwait, the authors concluded, â€Å"Gulf war veterans continue to experience symptoms that are considerably worse than would be expected in an equivalent cohort of military personnel. However, Gulf war veterans are not deteriorating and do not have a higher incidence of new illnesses† (Hotopf et al., op. cit.) E.  Ã‚   Treatment Recommendations and Best Practice 1.  Ã‚  Ã‚  Ã‚  Ã‚   World War I Since little is known about the methods Russians used to treat their shock casualties during the Russo-Japanese War, the noted English psychologist Charles Myers – first University Lecturer in Cambridge (for the course Experimental Psychology) and appointed Consulting Psychologist to the Army in 1916 – is generally credited with the first systematic effort to treat PTSD (Bartlett, 1937). While espousing the benefits of a congenial environment, psychotherapeutic regimens and even hypnosis, Myers was very emphatic about the value of providing succor as promptly as possible.   Key to his proposals, therefore, was the establishment of special centers and rest homes close to the frontlines. By Christmas 1916, two developments led to modifications of Myers’ preferred regimen.   First, the British Adjutant General resisted physicians’ opinions that a soldier was a shock casualty and insisted on obtaining a certification from the victim’s commanding officer to the effect that the trauma was due to physical causes.   This attitude was shared by the eminent British neurologist Sir Gordon Morgan Holmes, CMG CBE FRS, who was put in charge of the very active northern part of the front in December.   Physicians reacted to the delays in committing victims to neurological centers by sending the men back to their units and urging their superiors to both monitor and engage with them. By 1917, therefore, treatment for â€Å"not yet diagnosed nervous† (NYDN) had evolved to embrace the so-called â€Å"PIE principles†: Proximity – treatment close to the front and within earshot of the fighting to convince the soldier there was nothing wrong with him; Immediacy treat without delay and give equal priority with wounded casualties; and, Expectancy – assure all victims of their return to the front after due rest and recovery. Reviewing the CSR toll after the war, the British War Office saw fit to recommend treatment programs that included: Physical therapy – baths, application of mild electric current (recall that medicine has advanced greatly in the eight decades since then), massage rest and general recuperation; Psychotherapy emphasizing â€Å"explanation, persuasion and suggestion†; and, Crafts and hobbies; Hypnotherapy in selected cases for inducing deep sleep and evoking repressed memories. As a rule, the British view of the time was weighted toward returning the afflicted soldier to useful employment in civilian life.   For the military establishment was gravely concerned about the battlefield dangers of patients who manifested severe anxiety neuroses, other neuroses that required confinement in a mental institution or expert treatment back in the U.K itself. Exhaustive research on combat stress reactions in the intervening years failed to prove conclusively that PIE-based programs were effective in forestalling PTSD (U.S. Dept of Veterans Affairs, n.d.).   Hence, American Armed Forces are now more likely to be administered some variation of the BICEPS model: Brevity Immediacy Centrality or Contact Expectancy Proximity Simplicity 2.  Ã‚  Ã‚  Ã‚  Ã‚   World War II The catastrophic experiences of World War I did not   seem to adequately inform or pervasively improve Allied preparations as war clouds loomed in Europe.   A generation had passed and British army doctors had generally served in France in the earlier conflict.   Still, Shephard notes (op. cit.), they initially floundered about and it was not until 1942 that the first psychiatric hospital was even set up (for the then-beleaguered Middle East Force).   When the time came to invade Normandy in June 1944, British army physicians quickly forsook the expectancy principle and routinely returned battle trauma patients home over the Channel. For their part, the Americans initially imposed rigid screening pressures for mental ability in the rush of patriotic fervor that followed Pearl Harbor.   Soon enough, this was abandoned for having no validity.   Too many who tested well succumbed to â€Å"battlefield exhaustion†.   In late 1943, the U.S. military approved a plan to add a psychiatrist to the T.O. E. of every Army division shipping overseas but it was not implemented until March 1944, when the drive up the Italian â€Å"boot† was well underway. This late in the war, nonetheless, the Allies made an important discovery: camaraderie and unit cohesion were effective shields against â€Å"exhaustion†.   This finding naturally enough placed a premium on strong, effective leadership. The Germans were more unequivocal in placing great reliance on the quality of the officer corps.   In their view, the â€Å"war neuroses† that sapped the will of their fighting men was tantamount to cowardice and deserved to be treated as such.   Beginning in 1942, however, when the Allies started the counterattack and the Afrika Korps was stymied, hospitalizations owing to battlefield trauma became too numerous to ignore (Belenky, 1987). 3.  Ã‚  Ã‚  Ã‚  Ã‚   New approaches in the Post-War Period Among other developments, the Israelis simplified PIE procedures by heightening the degree of support administered but keeping therapeutic confinement short.   That this works at all is testimony to a nation of citizen-soldiers who must keep the economy working while perpetually staying on a war footing. F.  Ã‚  Ã‚   Treatment Success Rates There is some evidence that proximal treatment is successful   Despite the dual stress of fighting another occupying force, the Syrian Army, and Palestinian â€Å"refugees†, nine in ten CSR were reported fit to return to their units within three days but only 40% for those evacuated to a hospital ship cruising the eastern Mediterranean or back home (Gabriel, 1986).   In turn, the U.S. Army claims in its manual â€Å"Combat Stress Control in a Theater of Operations† a similar success rate for proximate treatment (85%) in the Korean War (U.S. Army, Combat Stress Control in a Theater of Operations, n.d.).   However, neither source tracked the long-term mental health of these soldiers, precisely the context in which one would expect PTSD to manifest. A ray of hope is, however, cast by an authoritative Columbia University study (McKenna, op. cit.) suggesting that the majority of Vietnam war veterans spontaneously recovered from PTSD over time, frequently without having recourse to treatment from mental health professionals. VII.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Conclusions This review of the literature affirms that the advent of combat stress went hand-in-hand with the advent of industrial-era weaponry (in the Civil War) and mechanized warfare in succeeding conflicts.   PTSD has many manifestations, can recur without warning and is certainly debilitating. Even with the advent of psychotherapy, occupational therapy and tranquilizers, treatment centers still purvey variations on the BICEPS and PIE theoretical models, the latter developed by British physicians during World War I.   There remains a great deal of uncertainty about the proximity component of the PIE model – returning the soldier to combat – after suffering CSR.   It seems battlefront physicians take â€Å"successful cure† to mean being able to return warm bodies to the frontlines.   Critics assert that re-exposure to combat is likely to aggravate matters in the future and perhaps even precipitate PTSD altogether.   Though the longest available cohort study spanned just 10 years, there is no question now that PSTD has long-term effects. Future researchers need to investigate more thoroughly the psychosocial, military, and environmental risk factors that stimulate onset or, on the other hand, recovery.   One factor that bears investigation in-depth is the impact of victory or setbacks in a campaign. To the extent that high morale and good leadership have been shown to have a moderating or even protective effect, one wonders what are the effects of fighting for survival (e.g. Israel), of community and country united behind a war effort (the Korean War, the Malayan emergency), of service in prior conflicts (the British SAS), of guilt and angst over being the globe’s last remaining policeman, and of coping with feudal cultures whose people are just as willing to apply savage tactics against U.S. servicemen as against each other.   At the very least, further research might seek to determine the impact of attainable victory in sharp contrast with the ennui and self-destructive impatience over protracted conflict that mark American discourse today.   VIII.  Ã‚  Ã‚   References Allis, S. Globe Staff (2005). â€Å"Frontline† examines wars psychological toll  :[THIRD Edition]. Boston Globe, p .E.5. Baker, D. G. (2001). 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