Gender Wage Discrimination in Pakistan

| Gender Wage Discrimination in Pakistan| Evidence from Pakistan 2008/09 and 2010/11| | | | Table of Contents Introduction2 Literature Review2 Methodology3 Variables Used – Characteristics of Workers5 Results7 Discussion7 Bibliography8 Appendix A9 Selectivity Bias Logit Regression Results:9 Introduction This paper explores the dynamics of gender wage discrimination in Pakistan for two data sets; Labour Force Survey for the year 2008/09 and 2010/11. We will explore whether or not women are discriminated against, as it has been suggested for a predominantly Islamic country like Pakistan.Labour theory addresses many reasons for wage discrimination. For the purposes of this research we will concentrate on ‘employer wage discrimination’. Following this our research will be aimed at discovering if women are paid less than their male counter-parts especially with the same set of characteristics. For this purpose we will use the Oaxaca-Blinder method to calculate the coef ficient for discrimination across genders. Literature Review The basis of this paper is the work done by Oaxaca and Blinder in 1973 about wage discrimination models.In the paper ‘Interpreting the Decomposition of the Gender Earnings Gap’ (Giaimo R. 2007) this method has been applied to find out how different characteristics change the discriminatory behaviour of employers in Italy. Oaxaca’s method for calculating discrimination was further adapted in the paper ‘Gender Wage Discrimination at Quantiles’ (Javier Gardeazabal 2005), and was used to calculate discrimination coefficients for quintiles. In a study conducted in India (Tilak 1980), it was found that the incidence of unemployment was higher for women than for men with the same characteristics.In this study the only characteristic that was taken was education. This is a different angle to look at discrimination from what this paper will do. Rather than looking at the unemployed, this paper will see the women in the labour force and if they face discrimination with respect to their wages. However, the underlying aim and also the hypothesis formed are the same. The paper ‘Wage Differentials and Gender Discrimination: Changes in Sweden 1981-98’ (Mats Johansson 2005) explored the wage gaps between men and women in Sweden.They found that the wage gap was 14%-18% during the 1990’s. Their study also indicated that this difference could not be explained by applying the job requirements and qualifications to women’s wage function. The conclusion was that there is undoubtedly some other factors other than the characteristics of the workers that determined the wages in the Labour Market. Methodology This paper calculated a coefficient for Gender Wage Discrimination from the Oaxaca-Blinder decomposition. D= Xf? m-Bf+ ? m(Xm-Xf) Here ‘? ’ is a vector of characteristics of workers.Therefore, the first part of the equation shows the wage differenti al between males and females on the basis of characteristics. Second part of the equation normalizes characteristics, for females in this instance, and then subtracts the wage differential based on characteristics, to give us the overall differential based on discrimination. As a control, we also work out the converse of this Oaxaca Blinder Decomposition as follows; D= Xm? m-Bf+ ? f(Xm-Xf) To control for selectivity bias, we have also used the ‘Heckman Procedure’.A multi-variable Logit model was run and three variables (Lambda1, Lambda 2 and Lambda3) were calculated to act as control for variables missed in our model. This discrimination coefficient has been calculated for two data sets using characteristics such as age, marital status, education level, province, region, professional trainings and status in the family. These characteristics have been selected after being shown significant as the determinant of wage. Natural log of wages was the dependant variable in the following regression; Table [ 1 ]: Wage Determinants – LFS 2008/09Table [ 2 ]: Wage Determinants – LFS 2010/11 Our results are much better for the data set of 2010/11. The signs of education are expected. For the data set of 2008/09, signs for education are positive which does not support theory. Even after efforts to remove multi-colinearity, they still show positive signs. Most of the variables in the regression are also insignificant. However, when we take the data for LFS 2010/11, and correct it for selectivity bias, we get much better results. Most of the variables are significant as well as show the correct signs. The same algorithm was applied to both the data sets, and the same variables have been taken). Results of Logit models for correcting selectivity bias are attached in Appendix A. Variables Used – Characteristics of Workers Summary tables from LFS 2010/11 1. Age * Theory suggests that this is one of the most important determinants of peopleâ€⠄¢s decision to work. 2. Marital Status * This variable was taken as a dummy variable in the regression. * It is a significant variable in the decision to work, especially in developing economies like Pakistan. 3. Province This is also taken as a dummy. The Baluchistan province was omitted from this analysis. However, the calculations of the Oaxaca Blinder method take this omitted variable into account. This is because the method takes the vectors of the estimated regression equation. 4. Region * Whether a person is from a Rural or urban background has impact on the opportunities and the job growth pattern. 5. Education Level * This is linked directly with the variable wage. * This is again taken as a dummy variable, and higher education was omitted from the regression. 6. Migration (Rural-Urban) Although not a very significant variable in our regression, there are other empirical studies that have shown how the migrated families have better opportunities for work than those who do not. 7. Literacy * This is a dummy variable, and is significant in our analysis. 8. Selectivity Bias Variables * These are Lambda’s in the model. And have been calculated using the Heckman Procedure for controlling selectivity bias. Results To find the discrimination coefficient a matrix exercise was done in Stata using the data from LFS 2007/08. This presented the following equation; D= Xf? m-Bf+ ? Xm-Xf D=10. 030812+-7. 4166332 D= 2. 614212 The discrimination coefficient for LFS 2010/11 was calculated as follows: D= Xm? m-Bf+ ? fXm-Xf D=0. 11964462+0. 31341527 D= 0. 43305989 Just looking at the numbers we can say that discrimination have gone down significantly over the last two years. Whether this is actually the case, or this is just due to the problems in the data, we cannot be sure. However, we think that the result for 2010/11 is a better estimate overall. The results show that women are at a significant disadvantage in Pakistan’s Labour Force. These results are quite expected.However, we also need to take the problems in data collection and measurement into account. Many of the cottage and small scale industries are not counted in the LFS and they are a prime source of employment for women in Pakistan. Discussion There are many limitations of this study. First of all this can be made more powerful if panel data is used, however, there are no sources of such data. Secondly, an easy method of expanding this study would be to do an inter year comparative study. There are more limitations that are related directly to the data that we have used.Many questions have been raised about the methodology and the authenticity of the data in Labour Force Survey of Pakistan. However, this limitation is beyond our control. There have also been questions raised about the Oaxaca-Blinder method of calculating wage discrimination. While we have attempted to review paper that have used this technique and have achieved good results, there are still many questi ons about the technique, still. There are few policy implications that we can derive from these results, especially if we look at the significance levels in the data for 2008/09.However, this paper does prove to some extent that there is a problem of gender wage discrimination is Pakistan. We can attribute a lot of this to social factors as well; women do not want to work in most professions, so we can also argue that there may be a case for discrimination by the employees rather than the employers. Bibliography Giaimo R. , Bono F. , Lo Magno G. L. â€Å"Interpreting the Decomposition of the Gender Earning Gap. † University of Palermo Journal, 2007. International Standard Industrial Classification of all Economic Activities (ISIC-Rev. 2, 1968). ILO. 2012. http://laborsta. lo. org/applv8/data/isic2e. html (accessed 2012). Javier Gardeazabal, Arantza Ugidos. â€Å"Gender Wage Discrimination at Quantiles. † Journal of Population Economics, 2005. Mats Johansson, Katarina K atz, Hakan Nyman. â€Å"Wage Differentials and Gender Discrimination: Changes in Sweden 1981-98. † Acta Sociologica, 2005. Stat. Stata. 2012. http://www. stata. com/meeting/5german/SINNING_stata_presentation. pdf. Tilak, Jandhyala B. G. â€Å"Education and Labour Market Discrimination. † Indian Journal of Industrial Relations , 1980. Appendix A Selectivity Bias Logit Regression Results: LFS 2008/09 LFS 2010/11

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Introduction of smaller packs targeted towards  small quantity consumers andmiddle/ low income customers. Price Range Small Rs 5/- Medium Rs 10/- Large Rs 20/ Rs.3 packs encourage consumers in rural areas. Sales Positioning Kurkure is also positioning itself on the basis of its usage. Its promotional campaigns urgeconsumers to use it on. Daily basis At lunch Dinner Anytime, anywhere Servings With Chaat With tea With Raita With drinks Occasions Parties and celebrations Unique Selling Preposition Desi brand nam: Easy to identify with Kurkure is a synonym of a crunchy food stuff. Infact a brand by the name TakaTak : tried to imitate it but failed miserably. Launching its product in indian flavours, which differentiated it from their competitor itsunique advertisements which features the bubbly Juhi Chawla. Innovative flavor, affordable price and continuous communication to consumers Kurkure’s success in the Indian market is mainlyfor three reasons namely innovative flavor, affordable price and continuous communication toconsumer. To meet the regional requirements Kurkure is launched in various flavors like Masala,chilli, green chutney etc. Special (Limited) Edition Pujo Special:Jhajhalo Hit – Released in West Bengal for Durga Puja, 2007 Ganeshotsav Special:Usal Pao – Relesed in Maharashtera for Ganesh Utsav PACKAGING Style and design matter a lot on the outcome and response of the product. ‘Kurkure’ as the product(inside the pack and outside wrapper) has much attractive and catchy colors style and design whichattracts the customers alot.Kurkure is available in the market in 3 different packing. Kurkure comes in the air tight packingand packing material of Kurkure is of high quality so that product will remain fresh and its tastekeeps secure up to more than four months. Kurkure has different flavors in the market so the eachflavor has its own unique packaging color combination according to its taste. Basic color combinations are in green and red colors which all are eye catching.Kurkure is available to the consumer only in primary packing. No secondary packing is using.However they are delivered in container packing from production plant to shopkeepers or retailers,which carries 48 packs. Kurkure is available in three different sizes 19 gm 38 gm 75 gm Promotion Strategy Kurkure – Tedha Hai Par Mera Hai Slogan: â€Å"Chai time masti time† Named after the Hindiword for â€Å"crunchy†, Kurkure is acheeto-like snack and is the flagship of Frito Lay’sIndian division. It is marketed by Hirani Industries Corp. (USA incorporatedcompany) inKenya. It is one of the most popular food products in Indiatoday.In November 2006,Frito Lay announced plans to release Kurkure to American markets sometimein 2007. This decision was made after analysts showed increasing interest in Indian spices in theUSA. Also the introduction in other markets with a non-resident Indian population such as the UK was planned.In India, actor-celebrity Juhi Chawlaadvertises Kurkure. Range â€Å"Kurkure Flavors† Masala Munch Naughty Tomato Chilli Chatka Green Chutney Rajasthani Style Hyderabadi Hungama â€Å"Kurkure Desi Beats† Deewana Tamatar Dildaar Masala To mark 10 years of its existence, Kurkure, FritoLay’s Indian innovation in the salted snack market,is changing tracks, says Sayantani Kar.It came out in December with a print campaign which told readers how Kurkure is made from whatcan be found in any Indian kitchen, underlining that the ingredients are as wholesome as what goesinto home-made food FritoLay Marketing Director Deepika Warrier says: â€Å"We wanted to demystify Kurkure for the consumers. That meant building trust and connection by informing them of the authenticingredients that go into the product. We will have more surprising and untried ingredients in our product this year.† She says the print ad has already generated a positive response, and expects sales to go up 20 per cent. The†Kurkure Chai Time Achievers† campaign: This was the first of its kind campaign in India, launched in May 2007 aiming at promoting versatile usage of Kurkure. Powered by an exciting commercial showcasing crazy consumers trying to grab the ‘Kurkure frame’ – their ticket to famedom, this campaign truly gives consumers a taste of Kurkure in the most innovative way!! Leading to replacement of Juhi on the Kurkure packs with pictures of their own and their near and dear ones, it gave the consumers chance to become celebrity overnight by printing their photographs and recipes on a million Kurkure packs. The company claims to have received an overwhelming response, with over 100,000 recipes pouring in ,within just 6 weeks. For a brand holding out the reward of instant fame to its  consumers, Kurkure has indeed delivered on its promise. Volumes shot by 20% in just one month. Sales have increased by 19% over last year. KURKURE TELEVISION ADVERTISEMENTS In 2004 it launched the â€Å"Kahani mein Kurkure† (â€Å"Crispiness in the Story†) campaign, which was atake on Indian popular culture. The advertising campaign spoofed popular Indian TV shows likeJassi Jaissi Koi Nahin and Kyu ki saas bhi kabhi bahu thi, to appeal to Indian housewives, thelargest target audience to watch these programs.In addition to targeting housewives, who play a significant role in making purchase decisions, the brand appeals to the Indian family as a whole. The â€Å"Kurkure Chai Time Achiever’s Award† was acontest launched by the brand where families were invited to submit interesting recipes made withKurkure. 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Distributorsgenerally have small vans (rickshaws) and employ salesmen on commission basis who loads the products from the distributor’s storage and distributes it amongst the retailers. It services one-lakhretail counters across the country by employing a total strength of 300 sales personnel anddistributors nationwide. HOW TO IMPROVE FUTURE GROWTH The company can occupy a huge number of customers by keeping in mind about the preferences and needs of customers regarding tastes and flavors, By introducing new tastes, flavors and retaining the quality standards can attract consumers of other brands and pull them towards itself by leaving other competitors far behind and getadvantage over them. By delivering valued trade promotions to wholesalers and retailers, company can capture this huge segment. This will allow Kurkure to stay in market effectively and people will order more quantity due to its increased demand by customers The company should try to expand its wings to cover towns, villages, cities; making it available to everybody The entire unorganized Farsan sector, Dhokla, Khaman, Kachoris, & all the eatables thatcould be had as snacks in Parties, while watching Movies, Cricket matches are substitutes to KURKURE SO kurkure can bring up flavours which can match the taste of all these items to boost up the sales.

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H.W - Essay Example He further oversees the training and creating of awareness to other employees. 3. The control perimeters and the isolation zones need to well aerated and spacious to enable the affected victims gain fresh air as well as enough space to rest before they are taken for further medical check-up. 4. The process used by my department in the establishment of initial command and operations at a hazmat incident include on-scene response by the hazmat management officers through provision of technical help and advice on further treatment of the situation. The officers are able to conduct offensive-control actions such as hot-zone entry for stabilization and confinement of the products. 5. The shape of the container defines the type of risk that is associated with a given product. Different ranges of chemicals are contained in different types of container so as to avoid any form of confusion that may arise thus minimizing the risks that may arise careless handling of the product. Silhouetting exposes the characteristics of the material and not its contents. 7. The department has devised several means of handling unknown substances which include proper identification of the nature of the substances as well as handling them with necessary precautions. Factors that will assist in accurate determination is to consider substance qualities such as density, color smell and the melting and boiling points. The density, color and smell of the unknown substance can then be compared with other known substance. 8. The hazard and risk assessment is performed by first of all assuming that any mixture of chemicals is more toxic in comparison to other chemicals. All new components and unknown substances need to be considered as toxic before they are subjected to any form of tests. The manner in which the chemical is put into use must also be taken into consideration. 9. The department’s respiratory

Case Scenario, Final Discussion Study Example | Topics and Well Written Essays - 1250 words

Scenario, Final Discussion - Case Study Example These include social aspects of people. For example, there are people who are difficult to deal with. People who are non-compliant. In text books and literature, it is assumed that all patients are compliant.This means that what is taught in text books is enhanced by the actual practice. Therefore one cannot fully rely on the knowledge in schools when they get to the actual practice. This however does not mean that it should be ignored. There are also hospitals and procedures that govern a health facility. There are the standards set to regulate the actual in the work place. They can be different from what the nursing text books say and other forms of literature. This is because every facility is unique with its own set of rules. A nurse should therefore know when to apply the books knowledge and when to apply knowledge gained from experience (Ramsden, 1992). A culture of safety is when an organization priorities the safety of patients. Elements of culture safety include making safety a priority across the organization, Training of on going assessment of safety, clear safety goals for patients and policies. The only way the culture of safety can be attained is by speaking up. Many health workers witness cases of rules being broken among their colleagues, but they do not report. Drew’s case is not different. He should speak up without feeling intimidated in order to uphold the culture of safety. He should approach the RN with those concerns and should not be intimidated by the fact that he is an inexperienced fresh graduate. Drew should also air his concerns in writing to the relevant authority.He should stand up for what is right and this will even earn him respect from his colleagues. The hospital environment should set an atmosphere where health workers can speak up openly. Patient safety can be defined as liberty from accidental harm due to medical care or medical error. If Drew speaks up, he will prevent patients from getting infections and

Jail and Prison Comparison Paper Essay Example for Free

Jail and Prison Comparison Paper Essay Jail is usually the first place a person is taken after being arrested by police officers. The authority of states to build, operate, and fill jails can be found in the Tenth Amendment, which has been construed to grant to states the power to pass their own laws to preserve the safety, health, and welfare of their communities. Jail is to protect the public and citizens of county by providing a wide range of constructive, professional correctional services for pre-trial and convicted detainees. Jail is also ensure the safety and welfare of staff, visitors, and offenders by operating facilities and programs in a secure, humane environment which meets professional and standards and constitutional requirements. It reduces the rate to reincarceration by providing offenders with the opportunity for self improvement and the inner resources necessary to make a successful adjustment within the community. An act of 1790 brought about sweeping reforms in the prison and authorized a penitentiary house with 16 cells to be built in the yard of the jail to carry out solitary confinement with labor for hardened atrocious offenders. Jails are run by the county of a state and serve as locally-operated holding places, usually for brief periods of incarceration or as a detention place before and during trial and other legal matters. For example, someone convicted of a misdemeanor crime would be jail. In addition, the sentence must be less than a year. Jails are especially for someone being he ld in custody for trail, or they couldn’t afford bail, or they were just arrested will be held in the county jail, not prison. As such, jails are impermanent county residences, and lack many of the amenities and programs that the large prisons have. Jails are usually run by the sheriff or the local government. According to the Department of Justice, there are approximately 3,600 jails in the United States. On the hand, prisons are federal or state-run. Prisons are generally much bigger and much more high-security levels. Inmates convicted of federal felonies usually go to federal prison, and those convicted of state felonies go to state prison. Prisons often have very elaborate education and vocational training programs, halfway house service, work-release programs, and recreational and entertainment facilities. The original history of the federal prison system started back in the 1890s but it was not until 1930 that president Hoover signed a bill establishing a federal prison system that would actually start the building of actual federal facilities. The federal system had been relying on the state and local levels of government to house their prisoners. The Federal Bureau of Prisons was established within the Department of Justice and charged with the management and regulation of all Federal penal and correctional institutions. This responsibility covered the administration of the 11 Federal prisons in operation at the time. As time has passed and laws have changed, the Bureaus responsibilities have grown, as has the prison population. At the end of 1930, the agency operated 14 facilities for just over 13,000 inmates. By 1940, the Bureau had grown to 24 facilities with 24,360 inmates. Except for a few fluctuations, the number of inmates did not change significantly between 1940 and 1980, when the population was 24,252, according to Federal Bureau of Prison. However, the number of facilities almost doubled from 24 to 44 as the Bureau gradually moved from operating large facilities confining inmates of many security levels to operating smaller facilities that each confined inmates with similar security needs. The federal prison incarcerated for longer time and associated with White Collar criminals. Some of the crimes that fall under federal crimes are drug dealer, political person, false insurance, bank robbery, and many more. On the other hand, the state prison system has been in existence since the early 1800s with the building of Sing Sing state prison. Sing Sing state prison is one of the oldest state penitentiaries in existence today and is still in use. The state prisons also refer to blue collar criminals. The state prison system is devised of a network of small prisons that hold most of the United States prison populations. Since the beginning of penitentiaries in each state growth has been a rising issue. Many states have to provide millions of dollars to their prison systems. Those who commit state or break the state roles, they will automatically be sent to state prison and wait for federal if there is any. Some crimes that can be incarcerated within a state prison such as habitual offender, sex offender, drug user , and other violent crime offender. In the State Prison, there are five security level have been established for correctional facilities and inmates are low security, medium security, high security, and maximum security. Inmates have been conditionally released into the community but remain under the supervision of the Department of Corrections. Low security includes Work Farms, Boot Camps, Forestry Camps, etc. Basically these are either first time low-risk offenders or inmates who have worked themselves up in the system and are possibly on their way out of prison. Being considered low risk, affords the inmate to better living conditions and a few more freedoms. They have earned the trust of the institution. This is why we believe it’s imperative to tell your family member to steer clear of any trouble during their incarceration. Minimum security categorize for inmates coming up in their time or those inmates that have committed a less severe crime. This level of inmate can be trusted and is usually designated as a form of trustee or in a trusted work detail. Medium security, 3 inmates are typical of any placement for someone headed to prison. You must earn the trust from the staff at all levels to work your way up. This level of inmate has some rights and freedoms, but not many. Finally, maximum security is typically in lockdown most of their time and are usually the more violent or feared members of the population. To be housed at this level the inmate must have performed an extremely violent crime. There are basically no freedoms unless the Max inmate is housed with other max inmates, and they are only allowed out for one hour per day. This is not always the case with every prison, jail or detention facility. Some offer multiple programs and allow limited movement, classes, details and freedom for all inmates. According to the Department of Justice, there are minimum security, low security, medium security, and high security in the Federal Prison system. Minimum security institution is also known as Federal Prison Camps have dormitory housing, a relatively low staff-to-inmate ratio, and limited or no perimeter fencing. These institutions are work- and program-oriented; and many are located adjacent to larger institutions or on military bases, where inmates help serve the labor needs of the larger institution or base. Low ecurity Federal Correctional Institutions have double-fenced perimeters, mostly dormitory or cubicle housing, and strong work and program components. The staff-to-inmate ratio in these institutions is higher than in minimum security facilities. Medium security have strengthened perimeters (often double fences with electronic detection systems), mostly cell-type housing, a wide variety of work and treatment programs, an even higher staff-to-inmate ratio than low security FC Is, and even greater internal controls. Finally, High security institutions know as United States Penitentiaries have highly secured perimeters (featuring walls or reinforced fences), multiple- and single-occupant cell housing, the highest staff-to-inmate ratio, and close control of inmate movement. Some of the factors influencing the growth in jail are drug offenders sex offenders, violent offenders, increase in time served women offenders. The corrections system does four fundamental things. The first three, basic life care for offenders, risk identification and risk management, cover the bases of managing offenders. However, only risk reduction â€Å"hits a home run† to significantly affect offender outcomes and community safety. According to the National Institute of Corrections, appropriate treatment reduces recidivism by 30%. In recent years community-based corrections has been trained in and begun implementing evidence-based practices. In recent years community-based corrections has been trained in and begun implementing evidence-based practices.

Investigation of Sphincter Muscle Complex

Investigation of Sphincter Muscle Complex Abstract Background: The exact anus reconstruction is the critical in patients with imperforate anus  which is related to the correct diagnosis of sphincter complex. Objectives: The aim of this study  is exact investigation of the prineal region for ultrasound detection of place and pathway of  sphincter muscle complex. Patients and Methods: This descriptive cross-sectional study was performed at Mashhad  medical university during 2016. Transperineal sonography was done in ten patients (6-12 week  age, 8 male and 2 female) with imperforate anus. Results: The shortest distance between rectal pouch and skin was between 8 to 20 mm, but the  distance between rectal pouch and skin via the anal sphincter path was longer (11 to 23 mm). The multi-layer view of anal tubercle was seen in all patients except one. It had a curved and  occasionally parasagittal path and eccentric than muscle complex. Anal muscle sphincter  complex could be seen in all patients with 2- 3.6 mm, occasionally asymmetric. Conclusion: The multi-layer view of anal tubercle and the anal sphincter complex are the two  important sonographic findings, which can better differentiated the level of anal malformation  and act as an indicator for the location of pull through. Keywords: Anal sphincter muscle complex; Anorectal malformation (ARM); Imperforate anus  (IA); Child 1. Background Colon cancer is a Imperforate anus is one of the anorectal malformations (ARM) which is  characterized with abnormal termination of the hindgut. The anus reconstruction and fecal  continence is one of the critical aspects of treatment and surgery of these patients which is  related to the correct diagnosis of sphincter complex position and the anus reconstruction in the  appropriate place within the sphincter muscle complex . There are various surgical approaches and procedures for anus reconstruction, including the use  of preoperative MRI for diagnosis of type and level of anorectal malformation . In addition, there  are some articles about the use of MRI in the detection of sphincter complex and the anus path  guidance . However, later technique has some limitations and no available in all pediatric surgery  centers. In Imperforate anus (IA) patients, sonography is used to determine the level of disorder (low,  intermediate, high), which may be divided to three groups according to the distance between  perineal skin surface and rectal pouch. However, there isnt an exact cut off for their  differentiation and there is some diagnostic overlap . Some articles consider above 15mm as high  type and below 10 mm as low type ARM , although another numbers between 5- 25 mm are also  considered as cut off point in articles. The passage of rectum from levator ani muscle in  transverse view of infra-coccygeal plan is another method that can help in differentiation  between high and low groups. Furthermore, it is also used for diagnosis of internal fistula  (rectourethral, rectovaginal and etc) which can be helpful in determining level of disorder .   However in practice, these criteria have a little value for operation protocols and the surgical  planning is mostly according to clinical criteria and intraoperative findings.   The exact localization of anal tubercle and muscle sphincter complex with preoperative  sonography can help the surgeon to select the less invasive surgical technique and improve  surgical results. 2. Objectives The aims of this study is exact investigation of the prineal region for detection ultrasonic criteria  of place and pathway of muscle complex and anal sphincter in the children with Imperforate  anus. 3. Patients and Methods This descriptive cross-sectional study was performed at Dr. Sheikh pediatric Hospital during  2016 after being approved by the Institutional Review Board of Mashhad University of Medical  Sciences, Iran and with its grant. In this study, ten patients (6-12 week age) with imperforate anus were selected after obtaining  informed consent from their parents. Nine patients had previous colostomy within the two days  of life and in another remaining one with rectovestibular fistula didnt previously performed it.   Patients were also evaluated for associated congenital anomalies (VACTERL-H and etc.).   The children were placed in lithotomy position and Foley catheter was passed from distal limb of  colostomy to the rectum and the balloon was inflated and retracted backward and fixed. For  better visualization of rectal pouch, normal saline was injected through fixed Foley catheter in  rectum. After prep drape as the first step, transperineal sonography was done by an  experienced pediatric radiologist. Sterile gel and Betadine were used for sonographic window.   The ultrasound devices used in this study was sonosite Model S Nerve with a 12 MHz linear  superficial probe. The sonographic criteria such as shorten distance of rectal pouch from the surface of skin,  distance of rectal pouch from the surface of skin in anal sphincter complex pathway , the  presence of internal fistula, multi-layered view of anal tubercle, state of anal sphincter complex  were evaluated in both sagittal and coronal planes. The Distance between rectal pouch from the  surface of skin in the shortest path and this distance in correlation with sphincter complex were  separately measured. The distance between the rectal pouch and the surface of the skin and the presence of internal  fistula were evaluated in the sagittal sonographic plane. Internal fistulas can be identified by changing of the rout the echogenic mucus of the rectum  toward urethra or vagina. The multi-layered view of anal tubercle is exactly similar to gut signature, and visualized as a  peripheral hypoechoic layer with two central parallel echogenic lines just below the skin  (dermis). It has vertical position than to anal pit (Fig. 1A) and is visible only in coronal plan.   Anal sphincter complex is noticeable as circular muscular tissue in the depth of the subcutaneous  perineal area and is visible in coronal plan (Fig. 1B). 4. Results Table 1 showed the demographic and sonographic findings of ten imperforate anus patients with  were selected for this study. Eight patients were male and other two were female.   The shortest distance between the rectal pouch and the skin surface was between 8 to 20 mm, but  the distance between the rectal pouch and the surface of skin via the anal sphincter path was  longer and between 11 to 23 mm, that it was 3- 8 mm. (4.7 mm mean) longer.   There were rectourethral fistula in 7, rectovaginal fistula in 1, rectovestibular fistula in 1, and in  another one patient no fistula was detected. In patient with rectovestibular fistula, anal sphincter  complex was pushed back toward the coccygeal tip due to fecal material pressure.   The multi-layer view of anal tubercle was seen in all patients except one (rectovestibular fistula  patient). The maximum outside diameter was 3-4 mm, but in patient with cloacal anomaly, it had  about 10 mm in sagittal plan on the posterior of prineal orifice. In often patients, the anal  tubercle path until center of muscle complex had a curved and occasionally parasagittal path and  it wasnt straight (Fig. 1C). The visible length of multi-layer view of anal tubercle was 5-8 mm,  and it attaches to the mucus of muscle complex eccentric or concentric (Fig. 1D).   Anal muscle sphincter complex could be seen in all patients. The muscle complex thickness had  2- 3.6 mm which occasionally was asymmetric (Fig. 1E). 5. Discussion Imperforate anus is a congenital disease with abnormal termination of hindgut which have a wide  spectrum of muscle sphincter complex development (from near-normal muscles to complete  absence of the sphincter muscle). Routinely, depending on the level of the obstruction in above,  middle and below of muscle sphincter, this anomaly is categorized into three groups (High,  intermediate, low type) . The numerous factors especially the fecal continence after the surgery  related to the diagnosis of the exact place of sphincter muscle complex . There are many articles about the role of preoperative MRI in the determining of the type and  level of anorectal malformation which can be helpful in planning and the prediction of the  prognosis and also investigation of the spinal and urethral anomalies which indirectly effect on  the management of disease and operation . MRI has also a role in these patients for  demonstration of the status of sphincter muscle complex, the symmetry of the sphincter, the  perirectal fibrosis . The post-operative MRI is use to evaluate surgical results and the passage of  pulled-through bowel from the center of sphincter complex . Recently, there are some few  articles about the use of MRI in the localization of sphincter complex and the anus pathway as a  guidance instrument . The sonography is usually used to determine the level of disorder (low, intermediate, high)  indirectly basis on the distance between perineal skin surface to the rectal pouch and the internal  fistulae visualization. Although, this approach isnt very determinative and there are a lot of  diagnostic overlap in this field .   In review article, we find only one paper about the detection of the passage of rectum from  levator ani muscle in transverse view of infra-coccygeal plan that can be helpful for  differentiation of high and low groups . The pre-operative exact localization of anal tubercle and especially sphincter muscle complex  with sonography can be helpful for surgeons to select less invasive approaches that determines  the future fecal continence of patient. In this study, with exact ultrasound investigation of prineal region, we noticed two sonographic  findings which can be helpful in patients with imperforate anus to determine the proper path of  anal canal for pull-through operation. These findings were multi-layered view of anal tubercle  and sphincter muscle complex. Multi-layered view of anal tubercle is exactly similar to gut signature and was determined as a  peripheral hypoechoic layer with two central parallel echogenic lines. This view was probably  the result of fetal anal tubercle as a result non-ruptured anal membrane and non recanalized anal  canal. This view wasnt seen in patient with recto-vestibular fistula. Although it had 3-4 mm  diameter, in Cloacal anomaly patient, it had about 10 mm anterior-posterior diameters in sagittal  plan that probably due to fetal merge of anal and vaginal orifices. In most of patients anal tubercle wasnt straight and had parasagittal position and slightly  curvature with eccentric attachment to center of sphincter muscle complex. These can explain  pathophysiology of disease. Anal sphincter and muscle complex was seen as a circular muscular tissue bulk that surrounds  the echogenic mucus of gastrointestinal tract. It was visible on the coronal plane at depth of  subcutaneous fat of the perineal area with 2-3.6 mm thickness. This complex was visible in all of  our 10 patients. In a patient with rectovestibular fistula, this complex pushed backward to the near of coccyx  probably due to fecal retention. Although most patients with Imperforate anus and recto-perineal  fistula categorized as low type, but this patient had high type malformation because the sphincter  complex has been pushed backward and tract of fistula lie above of muscle complex. In this  patient, based on the distance of rectal pouch to the skin (9 mm) and based on clinical findings  alone and without attention to muscle sphincter, the probability of successful surgery was too  low without sonography guide. Then, visualization of the sphincter muscle complex and rectal  pouch is an important sonoghraphic findings in imperforate anus patients that can differentiate  better the patients to the high and low malformation.   In addition, the result of this study shows that the distance between rectal pouch and skin without  attention to muscle sphincter is unreliable and can make a serious pitfalls and unaware  complications. In all patients, the distance between rectal pouch and skin through anal tubercle  and muscle complex (11mm) was longer than shorten distance between rectal pouch and skin (3-8 mm mean: 4.7 mm). In lithotomy position, it is important to notice that multi-layered view of anal tubercle and anal  sphincter complex was only visible in coronal view and was invisible in routine sagittal and  transverse view, then it may be ignored and didnt notice to it in literatures. In the review of  articles, we did not encounter a similar publication about the use of this findings in patients with  imperforate anus, although there are many articles about the use of sonography to determine the  anal sphincter complex in adults in various diseases .   This is a preliminary cross sectional study with the low number of patients. In addition, the  frequency of the ultrasonic probe device were our study limitations. Exact examination of  perineal region with high-frequency probes (14 to 20 MHz) with high amount of the patients can  provide better and more reliable results. Conclusion: The multi-layer view of anal tubercle and the muscular bulk of anal sphincter complex are the  two important sonographic findings, which can better differentiated the level of anal  malformation and act as an indicator for the location of anal sphincter pull through in patients  with Imperforate anus.

Arab Israeli Conflict Essay -- Israel v Palestine, Jew v Arab

The Arab-Israeli conflict is a struggle between the Jewish state of Israel and the Arabs of the Middle East concerning the area known as Palestine. The term Palestine has been associated variously and sometimes controversially with this small region. Both the geographic area designated by and the political status of the name have changed over the course of some three millennia. The region, or a part of it, is also known as the Holy Land and is held sacred among Jews, Christians, and Muslims. In the twentieth century it has been the object of conflicting claims of Jewish and Arab national movements, and the conflict has led to prolonged violence and in several instances open warfare opposing Israel's existence. These wars, which occurred during the years of nineteen forty-eight to nineteen forty-nine, nineteen fifty-six, nineteen sixty-seven, nineteen seventy-three to nineteen seventy-four, and nineteen eighty-two were complicated and heightened by the political, strategic, and econo mic interests in the area of the great powers. This fight is the continuation of an Arab-Jewish struggle that began in the early 1900's for control of Palestine. The historic and desirable region, which has varied greatly since ancient times, is situated on the eastern coast of the Mediterranean in southwestern Asia. The strategic importance of the area is immense. Through it pass the main roads from Egypt to Syria and from the Mediterranean to the hills beyond the Jordan River. Palestine is now largely divided between Israel and the Israeli-occupied territories, parts of which are self-administered by Palestinians. The ongoing feud is and was based around competing land claims and the two opposing viewpoints are that the Palestinians lived in the region long before Jews began moving there in large numbers in the late 1800's and that Jews believed they were justified by Zionism. â€Å"Chiefly, today’s Palestine question has to do with Jews and Arabs. Over the centuries, both groups have developed deep historical roots in a place both regard as a Holy Land. Both have strong emotional ties to it.† (Carrol, 3) This paper will discuss how discrimination against Arab-Palestinians is justified by Zionism and the results of these actions, the origins, purposes, and effects of the Arab â€Å"Intifada,† and what the future holds for the Arabs and Jews living in a race/religion biased land.   Ã‚  Ã‚  Ã‚  Ã‚  In... ...ng violated and it must terminate. From this paper, it is clear to see that discrimination against Arab-Palestinians is harmfully justified by Jewish Zionism, the Intifada is not a meaningless attack on the Jews, however, Arabs are quite hypocritical by reciprocating violence, and that the future may or may not hold peace in divided Israel because it, more or less, depends on Arab-Israeli compromises. As it is known, these compromises always tend to include conflicting agendas. Peace, surely, can be reached. It is merely decision regarding which side will initiate and negotiate first. Taking a look at peace talks today, this does not appear to be happening in the near future. It is amazing to bear witness to the incredible amount of violence and hate in a so-called â€Å"Holy Land.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Works Cited Binur, Yoram. My Enemy, Myself. London: Doubleday, 1989. Carroll, Raymond. The Palestine Question. New York: Franklin Watts, 1983. Cheshin, Amir S. Separate and Unequal, the Inside Story of Israel Rule in East Jerusalem. Cambridge, Massachusetts: Harvard University Press, 1999. Ya’ari, Ehud. Intifada. New York: Simon and Schuster, 1989.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  

Intervention Essay -- essays research papers

This intervention has to deal with trying to increase my total weight and number of repetitions for weight lifting. The main problem I have been having, mostly with my bench press, has to do with being stuck at one weight at times and not being able to increase the maximum lift or get any more reps out of the workout. I have tried to "shock my system" by increasing the weights to a weight that I could only do one or two times. I have also tried building up my endurance through using less weight for more reps at times. No matter which I have tried, I always seem to get stuck at one point or another. The reason that I chose this form of intervention was because I have tried to talk to many people about why this occurs, but they all seem to agree that it happens to everyone and there is no way to get around it. If I could find a way to avoid this, it would improve my workout a great deal and I would be able to progress at a quicker rate. Besides with the bench, I will occasionally run into problems with any of the power exercises that I do. The military press, front and back, and 21's cause the most problems next to the bench presses. Since separating both shoulders in a skiing accident, I tend to have pains in my shoulders if I work them too hard. Hopefully, by using imagery and setting some short-term goals I would be able to increase the weight much easier than without. I believe that when I visually see the weights on the bar, intimidation may set in and there may be some doubt. If I am able to switch that to positive thought, it may effect how well I am able to lift the desired weight. Besides these exercises, I also chose to track the progress of my push up counts based on sets of three and two other forms of curls. On the bench that I used, I used a bar for one form of curls and I also used the bench curl attachment. I tracked these two not because I was having trouble, but because I wanted to see if either one made a difference in the type of progress that was being made. Subject Age: 22 Gender: Male Major: Sports Management History of Concerns: I discovered this problem when I first began to train in high school. Once I began I made quick and effective progress, but fell into a sort of "slump" for a few weeks on my bench press when I could... ...time of lift, the order of the exercises, type of music, and other factors, lifts on one day vary from those on another. If I were to have recorded these factors at the times of the workouts, there could have been a more accurate conclusion. The weight did increase overall, but that could be just do to the fact that I kept a steady workout regimen and I was able to produce more effectively. That happens regardless of the situations. Most articles believe that imagery and setting goals have a strong impact on the final results. I am not convinced, but I feel that with more research and more accurate record keeping, the relationship could be discovered. Work Cited 1. Schlosberg, Suzanne, "Let's Get Visual", Men's Fitness, August 1998, vol. 14, p. 1-2. 2. www.sover.net/~timw.mental.htm (Strength and Conditioning Coach, Sport Nutrition Consultant, Houston, TX) 3. Buchanan, Dale, "Setting Goals for Fast Results", Lift for Life, September 1, 2000, p.90 4. Lester, Scott, "Weighing the Options", Recreation Resources, November, 1999, p. 17-21

Analysis of British Airways Essay -- British Airways Case Study

TABLE OF CONTENTS PAGE 1. British Airways: Overview 4 2. Key stakeholders 4 3. Mission and objectives 5 4. Market structure 6 5. Managing diverse cultures 7 6. Economic changes, fiscal and monetary policy 8 7. Regulation 11 8. Conclusion and Recommendations 12 9. References 14 Executive Summary British Airways has focused its mission and objectives towards satisfying its key stakeholders that include employees, customers, Government and the British public. The company has been successful in dealing with cultural differences that arise between the UK and foreign countries, adopting a geocentric approach to hiring workers. The airline has also created a flexible organisation that responds quickly to the changing needs of its consumers. However, poor industrial relations and crisis management imply that there is a greater need to focus on building strong relations with employees, enabling them to internalise the vision of the company. Given intense competition in the industry and continuous changes in regulations from the EU and international regulatory bodies, British Airways needs to introduce cost-effective methods of complying with regulatory standards. The firm should also avoid illegal practices that can harm its corporate image. 1. British Airways: Overview British Airways commenced business in 1935 as a small airline that was privately owned, offering services restricted to the United Kingdom. Due to poor performance, the company was nationalised in 1939 with the state providing the required investment and resources necessary for growth (Brooks & Cullinane, 2007). The emergence of neo-classical economists claiming government ownership to be unproductive and inefficient, paved the way for privatisa... ...om http://www.theguardian.com/business/2012/apr/19/ba-fuel-surcharge-fine-oft# Murphy, E. King, E. (2014). Environmental noise pollution. California: Elsevier. Sitkin, A. Bowen, N. (2010). International business 2nd edition. Oxford: Oxford University Press. Stabler, M.J. Papatheodorou, A. Sinclair, M.T. (2010). The economics of tourism 2nd edition. New York: Routledge. The Telegraph. (2010). EU clears British Airways’ trans-Atlantic alliance, merger with Iberia. Telegraph. Retrieved on 15th May, 2014 from http://www.telegraph.co.uk/finance/newsbysector/transport/7889982/EU-clears-British-Airways-trans-Atlantic-alliance-merger-with-Iberia.html Winfield, P. Bishop, R. Porter, P. (2013). Core management for HR students and practitioners. Oxford: Elsevier. Yahoo Finance. (2014). British Airways. Retrieved on 14th May, 2014 from https://uk.finance.yahoo.com/q/ks?s=BA

Marketing Plan Laser Eye Surgery

Laser XY, Inc. Marketing Plan Week 3 Assignment 1 MKT500 July 22, 2012 Executive Summary Laser XY is preparing to open up Clinics in predominantly Afro-American areas. It will be using promotional tools directed at Afro-Americans with Glaucoma. The strategy of Laser XY is to assist the Afro-American communities due to this groups high-risk for eye diseases. Thus, the company creates communications that conveys a positive concern for the eye health of the Afro-American communities.Laser XY has completed the initial market research to evaluate the potential sales opportunity in the United States (â€Å"Glaucoma health guide,† 2012). If successful, Laser XY is prepared to launch clinics in the Canadian markets as well in order to address the customer needs. As part of the preliminary research, Laser XY identified the market and target segments for its services and completed a Strengths, Weaknesses, Opportunities, and Threats analysis to evaluate business fit. In addition, Laser X Y created and effectively communicated its position statement for the clinic lunch. â€Å"Glaucoma health guide,† 2012) Laser XY background Laser XY is a specialty clinic that performs Laser correction for African Americans with Glaucoma. Laser XY is an exciting, life-enriching procedure. Laser XY understands that each patient must feel fully comfortable with his or her decision to have the treatment, as well as with the vision care team who will supervise each step of the process. That's why Laser XY combines proven, state-of-the-art, FDA-approved technology with a professional team that specializes in Glaucoma correction. Strategic mission statementLaser XY â€Å"Healthy Vision for Life: Focus on African-American Eyes† is the latest aspect of its ethnical marketing platform to raise awareness of the eye health needs of at-risk group. The initiative started with the fast-growing African American market at higher risk for many eye health issues, in 2013. In addition to superior experience, Laser XY ensures the utmost success and safety during laser vision correction involves using state-of-the-art equipment and highly trained personnel. This is translated into a higher cost compared to the so-called â€Å"discount Lasik chains†. We believe that our patients understand that a compromise on quality is unacceptable when it comes to one's vision. It is our commitment to best service and technology. † Marketing plan Determine and decide upon at least one (1) foreign market for the product and service. Provide your rationale for this market. Canada is a world leader in laser eye surgery and every year almost 40-50% of the laser eye surgery-taking place in Canada is conducted by a number of companies. The cost of laser eye surgery in Canada is more reasonable and affordable.This is due to a favorable exchange rate on the Canadian dollar, the lack of laser royalty fees in Canada, and the cost-effective economies of scale that are achieved in a sub-specialized center with many patients. According to the 2006 Census by Statistic Canada, 783,795 Canadians identified themselves as black, constituting 2. 5% of the entire Canadian population * About 30% of Black Canadians have Jamaican heritage. * An additional 32% have heritage elsewhere in the Caribbean or Bermuda. * 60% of Black Canadians are under the age of 35. 60% of Black Canadians live in the province of Ontario. * 97% of Black Canadians live in urban areas. There are 32,000 more black women than black men in Canada (â€Å"Why chose Canada,† 2012) Discuss the potential audiences for a marketing plan and the needs of those potential audiences. Worldwide, Glaucoma is the second leading cause of blindness. It is also the first leading cause of blindness among African Americans. It is not clear why people of African ancestry have higher rates of glaucoma and subsequent blindness than Caucasians.One factor may be that African-Americans are more susceptible to devel oping elevated eye pressure (IOP) earlier in life, which is thought to contribute to optic nerve damage and eventual vision loss. Another reason may be that patients of African descent are less likely than Caucasians to have early eye examinations that may detect and treat glaucoma. Glaucoma affects 1 in 200 people aged fifty and younger, and 1 in 10 over the age of eighty. If the condition is detected early enough it is possible to arrest the development or slow the progression with medical and surgical means. Glaucoma Treatment, 2012) Marketing Strategy: ? Target Market: Low to Middle Income consumer’s ? between the age of 18-up 1) Positioning: To create and increase buyer awareness of the Laser XY services and brand. To attract new customers, resulting in increase in sales and market share for Laser XY insurance in the private health insurance industry along with encouraging long-term relationships with the existing and new customer through advertisement and media. It is e ssential that this target segment use all the marketing variables.In particular a judicious use of pricing policy can lead to excellent growth in sales revenues. 2) Product Line: Laser XY provides members with clear vision and freedom at a lower expense. Augmented services include care booth before and after the Lasik laser eye surgery, with four years free of charge guarantee, and customer support. 3) Price: Below competitors. Interest Free special for 12 or 24 months! Spread the cost of laser eye surgery over 12 or 24 months and pay no interest if you repay the total cost within the agreed timeframe. No deposit required. 2, 36, or 24 convenient monthly payments No early settlement fees or penalties. Laser Cost for One Eye – $1500, Laser Surgery Cost for Two Eyes – $3000. 4) Promotion: Laser XY will establish outlets and free vision screening booths in localities that have a high Afro-American population. Special outlets to be organized and price-offs to be offered fo r limited time period. This will allow the members to expand benefits with a lesser payment. Major newspapers, trade magazines and other health periodicals will be used to promote the service.Along with brochures describing the benefits of Laser XY surgery insurance will be made available in all services outlets. In addition, Laser XY, Inc. will promote the service via the Internet, providing a large amount of information, using banner exchange, and contacting particular user groups. (Glaucoma Treatment, 2012) Discuss the target market and provide a rationale for this target market. Consider the strategy of Laser XY. It declares the Afro-American communities as a high-risk group for eye diseases and creates communications that conveys a positive concern for the eye health of the Afro-American ommunities. For instance, Laser XY will open booths for checking eyes. This is a strong marketing strategy. When the potential customer presents herself for a check-up a need for service is rev ealed and the customer is directed to Laser XY. ? Laser XY sends communications targeted at the Afro-American community. It shows concern for the members of the communities, communicates that the Afro-American communities are at a far greater risk with a detection of Glaucoma, and so they need Laser XY services.The valuable education that they give is a disguised marketing communication targeted at this potentially lucrative segment. From the perspective of Laser XY, the Afro-American communities are a potentially attractive and lucrative segment. Perform a SWOT analysis (strengths, weakness, opportunities, and threats) for the company. The use of SWOT analysis is important to identify ways to minimize the effect of Laser XY Inc. weaknesses while trying to maximize its strengths and at the same time recognize ways to exploit its opportunities and respond to its threats.Strengths: * Afro-American communities as a high risk group for eye Glaucoma causes this a potentially attractive a nd lucrative segment * Unique offering with little or no competition in the market. ? * Locating Laser XY Inc. stores in Afro-American predominant areas and using promotional tools directed at Afro-Americans will go a long way in increasing the market share of Laser XY, Inc. Weaknesses: * Lack of brand name and reputation in the marketplace as compared to existing clinics. ? * Laser treatment does not give a surety of a 20/20 eye vision.However, it allows the patient to have a proper vision in absence of any glasses or corrective lenses. Such improvement encourages the patient to take a chance with the complication associated to laser eye surgery. Being a startup company, there is lack of strong financial base for spending on advertising or promotions compared to established clinics. Opportunities: ? * Strong growth opportunities in emerging markets in US, as well as strong potential in developed markets in Canada * The development of this service especially for Afro-American commun ities opens up new opportunities or Laser XY Inc. to maximize its revenues from the Afro-American segment. * Laser XY Inc. will show concern for the members of the communities, communicates that the Afro-American communities are at a far greater risk of Glaucoma, and so they need Laser XY, Inc. Threat * Threat of competition from established clinics as well as new potential entrants in the market due to low barriers of entry. ? * Major threats are potential imitation from other competitors and need to offer new products regularly in order to maintain competitiveness. Clients choosing more economical vision correction choices, such as prescribe eye drops, eyeglasses, and contact lenses. * Cost of LASIK eye surgery cost differs widely from one provider to another and depends on many factors. African American is a high risk of vision loss from this disease. With the commitment of our professional management team and enthusiastic staff, the culture of the organization driven by Laser XY , Inc. has been created to make a difference to this targeted group.Our marketing segment is to exploit our services for both men and women from low to middle segments of the society that are willing to use our services. Our target customers will not only have optional payment plans, it will also encounter superior experience, safety laser vision correction. This involves using state-of-the-art equipment and highly trained personnel. Furthermore, locating Laser XY, Inc. stores in Afro-American predominant areas and using promotional tools directed at Afro-Americans will go a long way in increasing the market share of Laser XY, Inc.References Glaucoma /treatment. (2012, June). Retrieved from http://www. glaucoma. org/treatment/laser-surgery. php http://adam. about. net/reports/000025_8. htm African-Americans' glaucoma risk http://outlook. wustl. edu/2011/dec/glaucoma-risk Glaucoma health guide. (2012, July). Retrieved from Glaucoma http://health. nytimes. com/health/guides/disease/gl aucoma/risk-factors. html Why chose canada. (2012, July). Retrieved from Why choose Canada–http://www. lasikmd. com/north-york/corporate-information/why-choose-canada

School Does Not Prepare You for Life

It is argued that school is designed to teach individuals how to teach themselves, but many scholars who study the state of academia would argue this is not the case. It is a common belief that the western private schools and universities are industrialized markets more focused on their profit margins, and pleasing parents, than preparing their students for the real world. The public school system is even worse off in that their infrastructure and supplies are largely dependent on the average income tax of their local communities, which in most urban areas barely makes the grade. Not often considered to be a home for organizations, the schooling industry in the United Kingdom has become a major source of profitable income. A national curriculum is mandatory in all state schools in England, Wales and Northern Ireland and for virtually every student up to the age of 16. It is organized by the Qualifications and Curriculum Authority (QCA) and its partner authorities, the Qualifications, Curriculum and Assessment Authority for Wales and the Northern Ireland Council for Curriculum, Examinations and Assessment (CCEA) (HayGroup, 2006). The main aim of the national curriculum is to raise standards, making sure all children have a broad and balanced education up to the age of 16. In the past, many students dropped important subjects like modern language or science at 13 or 14 (Boone, 2006). If these mergers become successful, no different from major corporations, they mean expanded profit margins for whoever holds the asset. These schools are already considered financial assets, through the increase in property value around them, whether the property is owned by the government or privately owned (Boone, 2006). This is not a major issue for public schools, but when you consider privately owned schools, or Universities, the profitability of these corporations pedaling degrees must be realized. More often than not, these Universities are considered to be doing a common good, and therefore held in the charitable status tax bracket, where they are to very minimally taxed. This leads to more profit gains, and less reason to complicate the curriculum even if it fails to serve its purpose. In her essay, From Social Class and the Hidden Curriculum of Work Jean Anyon identifies the hypocrisies in the education system. One of her major points is that in the higher income classrooms the majority of the students’ parents are executives, and only 10% are minorities. A common finding in her research is that the working class schools lack the necessary materials, or faculty, to be considered equal with the other school systems. Anyon also argues that the curriculums are different. students in different social-class backgrounds are rewarded for classroom behaviors that correspond to personality traits allegedly rewarded in the different occupational strata – the working classes for docility and obedience, the managerial classes for initiative and personal assertiveness. (Anyon, 1980) The defining line of the difference between what Anyon considers to be the executive curriculum and the working class is that the use of efficient learning methods verses inefficient forms. Historically, the most efficient form of learning used in the west, more so than textbooks, is the field trip; this is also known as project based learning (B. I. E. , 2002). It is also a very expensive learning tool, which is why most lower class curriculums are deprived of it. Project based learning has a long lived tradition of learning through the use of field trips, labs, investigations and other projects. It is considered to be a substantial method of teaching. The belief that drives this form of instructions revolves around the idea that students will be more liable to gain interest in curriculum that they can connect to their surroundings. Just studying the work in a text can grow to be mundane. When she analyzes elementary and secondary classroom curriculums, she finds a methodology very different from what is inherent in Project based education. Anyon discovers that the majority of contemporary textbook instruction is designed for the working class. PBL programs are usually not supported in public schools because they are too expensive. This difference is usually applicable to public schools and whether one is located near high income housing or low income housing. In sum, the school system in the U. K. suffers from capitalist interests, so much so that it fails to prepare its students for the real world. A lack of project based learning in lower income schools deprives the majority of the U. K. population of having real life instruction. Likewise, the upper class institutions that Anyon refers to, while they prepare students for executive positions, they handicap the students from ever being able to handle manual labor in the real world (Anyon, 1980). The end result is a generation of students that are socioeconomically segregated and that lack the necessary resourcefulness to survive on their own. School systems today produce students who are reliant on major corporations to employ them for skills they were predisposed to having.

Supporting Teaching and Learning Essay

1. Outlie the difference between sequence and rate of develoment. Why might children develop at different rates in different areas? All children are different in sequence of development depending on events of what will happen while growing in age, as like Maslows hierarchy of needs are shown you need all acpects to develop, you need (qouting from Maslows hierarchy of needs) basic needs such as physiological needs (Health,food,sleep), safety needs (shelter, removel, belonging and love needs (love, affection, being a part of groups), esteam needs (self-esteem and esteem from others) to finally you will reach the top to self-actualisation needs (Achieving individual potentail) so for a child to develop they must complete one of the area’s before they move on to the next one. each and every child will develop at a different rate for example Some babies start teething from 6 months and some of them start even at 9 months, some babies can start talking at around about 1 Yrs but in some case’s at the age of 1 yrs some babies will still only babble and point at what they want but it will depend on the individual. milestones of development are given as a broad avarage of which they expect a child to reach but not all children are the same and will develop at their own pace. There are also other different areas of development from physical, social, intellectual and language no matter what the age of the child.. If at all one is skipped or is slow it can be a cause for concern and may lead to a child being given a special recommendation. 2. Discuss two personal factors and external factors that could influence a child or persons development These are some factors for personal and external factors Personal factors of a childs of development Pupils health mother who uses drugs, drinks and smokes what happens during pregnancy Being born premature Disability. Health status. Dyslexia. Learning difficulties External factors of a child of development Housing and education. Play and leisure activities. Culture and language. Aspirations and expectations. Family environment and background. Family choices. Looked after children. (i.e. Foster care, child minder, looked after by relatives) All these influences affect a child in different ways. children with difficulties and health problems don’t like or are less able to participate in some activities and this will affect physical development and will restrict children to not socialize with the other children and there peers. If a pupil has any of the personal factors staff from there school will be aware of what a pupil may need to support them through school and include them in as much activities as they can do. if a child has learning difficulties they will be encouraged to develop in all areas and will need guidance to manage there needs. Pupils will come from a rage of different family environments and go through lots of different changes while at school like family break up, one parent might have a new partner, illness, mooving  house or maybe they are in care which will may change a pupils behaviour and this may affect there time at school and ablity to learn. also Statistics show that children from a deprived backgrounds are less likelyto achieve at school beause there own parents can not meet their needs and this would impact on all areas of development. 3. Explain how theories of development and framework to support development influence current practice There are a range of diffrenent theories of develoment and many psychologists have different ideas on how children learn, some fill that children ability is innate and some say it will depend on the oppertunites that they are given in there life. Piaget’s constructivist theories which look at the way in which children seem to be able to make sense of their world as a result of their experiences and how they are active learners. He also suggested that as children develop so does their thinking. in other word’s children are learning though play. According to Freud’s psychoanalytic theory of personality, there are three elements of personality–the id, the ego and the superego. According to Freud, the key to a healthy personality is a balance between the three elements Id The id is the only component of personality that is present from birth, The id is very important early in life, because it ensures that an infant’s needs are met. If a infant is hungry or uncomfortable, he or she will cry until the demands of the id are met. The ego The ego is the component of personality, a child realises that how they behave may affect how it’s needs are met, he or she will not cry if they are hungery they would just wait untill food comes to them. The superego superego develops later in childs life, it is based on there development of the conscience. alternatively if the ego behaves well the superego will have pride The behaviourist approach to learning suggests that behaviour is learned from environmental factors, rewards and punishments. Watson believed that everyone is born with the same abilities and everyone and anyone can be taught anything. Maslow was originally was interested in behaviourism and he studied the work of Watson, he also looked at other psychologists like freud’s beliefs but Maslow wanted to understand what motivates people. He believed that our own nees were more important and the Hierarchy of Needs theory remains valid today. if you have a look at some of these theories they explain why everyone is capable of achieving the roles they set themselves. Some also help us to understand the driving forces behind our decisions, and that we are governed by inner factors. 4. Outline three different methods of monitoring development. There are many different methods of monitoing development. These are a few; observation standard measurements information from carers and colleagues Observation There are two types of obsevations informal and formal. informal observations are carried out on a daily basis when working with a pupil and overtime a picture can be built of the pupil’s progress and if there are any poblems such as not undetstanding how to use a ruler propley  or not holding a pencil corectly. Any observations are fed back to the teacher daily, however they may not always be recorded and information gathered may not be passed onto others. formal observations, his may be carried out to support the teacher on assessing a pupil’s level of development such as a controlled assessment or a speaking and listening test. Standard measures This is usually carried out by medical practitioners to ensure that a child is growing at the expected rate for their age. Information from carers and collegues Information from carers can be vital if there is a factor that may be influencing the development of a young person an example may be that the pupil is being bullied or they don’t understand the learning objective but are too scared to ask for help. As a colleague if you see a change in the child you must communicate this to the class teacher to help them to assess what assistance may be required. Parents and teachers should share information about pupils to enable them to work together for the childs best intreast. 5.Explain the reasons why children and young peoples’s developmemnt may not follow the expected pattern? There are lots of different reasons why children may not follow the expected pattern. a child may not follow the expected pattern if they have emotional problems, they my feel unsettled for a number of reasons one of which maybe children who may live with there parents that constonaly argue and fight and this will make the child fill withdrawn or could cause stress and make behavoul problems. a child may be at a disadvantage environmentally due to poor housing or area in which they live. If a chid lives in a house that is poory heated, this could mean a child will exprience bad health and this could also cause stress to parents and this could cause a child to develop more later then other children. Some children may have a poor diet, this affects there physical development, There have been many studies on diet and its effects and results have shown that a child who has a nutritious and  healthy diet achieves more in life. If a family are on a low income and cannot give a child a healty diet this could have a child show physical issues. 6. Descibe how disability can affect development. Childen with disabilities will be affected in a number of different ways, depending on on the the pupil needs and disabilities. it may cause a delay in a particular aspect of there develpment. example – Autism Autism is a developmental disability which affects how a person relates and communicates with other people and the world around them. A child with autism will find it difficult to understand facial expressions or the tone of a voice. and it could affect their ability to development or interact in social settings or in the classroom setting. Learnin difficulities Children with learning difficulties find’s difficult to read and may be come frustrated and problems could arise with there behaiour Physical disabities This may affect there social skills where a child will become withdrawn or affect there behaviour if they become frustrated and will become very withdrawn. A child with this disability may only be affected physically with this disability while others could be affected by seizures, epilepsy or difficulties with speech and language. When you are working with children with special educational needs (SEN) it is important that you focus on the pupils disability and needs and some of the children, not all, work will need to be modified and the pupil will need to be supported but not all children with disabilities require extra help and could go on to do GCSE’s and further there education in college and all they will need is a bit of encourgement. 7. identify four different types of professional intervention that could assist a child or young person whose development was not following the expected pattern There are many different types of professional intervention groups that will support pupils who are not progressing at th same rate as others. This is likely to be advised by either SENCO or another professional who links with schools. The four that i will be focusing on will be a social worker, speech and language therapist, physiotherapist and nurse/ health visitor. Social worker A social worker might be involved if there is a cause fo concern or if a parent has asked for help. in a school setting if the school in concerned for a childs well being they will also contact social services diectly. speech and language therapist Speech and language theraist can be based in a school setting or external. They will give the diagnosis of a communication delay or a disorder and will also advise and work with the parents and the school to support the child in the best way they can, with a non verbal child they will use activities and PECS thet will give a child the confidance to comunicate. Physiotherapist this professional help children with their movement especially those who have little or no movement they are trained to get the maximum movement and skill level. They will also give targets and execerise to pupils to work on to development their gross motor skills. Nurse/Health visitor Nurse and heath visitors provides support for the family and child especially if that child suffers from medical conditions that need specialist care Also health visitors come under this title for measuring and assessing a child’s development. 8. Analyse the importance of early identification of speech, language and  communication delays and disorders, and the potential risks of late recognition It very important to find the early identification of speech, language and communication delays or disorders and the potential risk of late recognitio because it is the crucial part of a childs learning. Because early identification means the child can receive the right treatment and support from professionals and others to target the childs needs hopefully correct the problem that the child has. greatly increasing the chances of improving their skills and helping to get their development back on track as quickly as possible. It is more better for a childs disorder or delays to be dinosoned at an early age so they have a better chance as the early years are a time rapid of learning and development. It can also cause learning delays, particularly in literacy, having problems with sounds and letters leading to delays in reading and spelling. late identification of speech, language and communication can effect their confidence and self-esteem and could find it harder to form relationships, can lead to problems with understanding or a child being able to express their own feelings, leaving them feeling angry or frustrated and causing them to act out and maybe develop behavior problems and isolated. very young children will not be able to recognise the reason for the way they are feeling. if a child that you work with has a communication delay or disorder, you should be sent to get the right trainning to help the child along through the time that you will work with them and also if you work in a school setting there will be speech and lanuage specialist that will came and work with the child as well as you. 9. Explain how play and activities are used to suppot the development of speech, language and communication. 10. Discuss three different types of transition, how they affect a childs or a young person’s development Transitions in life are a fundamental part of development in children and  young people. From an early age a child will experience some form of transition and how well they deal with these changes as they are growing up will be depend on their stage of development. when it comes to the time of transition childen should be able to talk about what is going to happen and be prepared. transition vary from child to child, so it is important to consider them on an individual basis. types of transitions may be: emotional – bereavement, entering/leaving care or the divorce or separation of parents physical – moving into another school setting, a new home. physiological – puberty, long term medical conditions intellectual – moving from nusery to primary school Emotional Pupils emotionals will be affected by their personal experince in there life. If there is a major change within the family unit such as parents separating or divorcing, it can have such an impact on the parents that the children’s emotions may be forgotten and there emotional development may well be affected, they may start to misbehave at home and or at school. physical Pupils who are moveing to a new home may find physical transition trumatic and unsettling and could afftect there development or if a child moves to a new classroom within the same school setting could find the transition positive and the effects wont be as tumatic as they won’t be making the changes alone, they will be with their friends. Intellectual Change such as having to deal with leaving nursery to primary school or from leaving primary school to secoundary and so on, if a this transition is not correctly handled can have a negative impact on development. It will be in  the best intreast of a child to visit each setting before they make the transaction. 11. Evaluate the effect on children and young people of having positive relationships duing periods of transitions.