History of Public Health Systems Essay

Public Health is about helping everyone to stay healthy rather than focusing specifically on the individual, with the aim to promote health, protecting individuals from threats to their health and preventing ill-health. Public health policies have made a significant impact in increasing a person’s overall life expectancy and improving health. (Public Health) Public Health Strategies: Public health strategies are devised in order to prevent the spread of diseases, prolong life and promote health. This can be done through the use of monitoring, identifying, developing programmes etc. Monitoring the health status of the community – Is a key aspect of health strategies that are in place within the UK. This health strategy helps to monitor any changes that occur in the health of the population, along with alerting individuals to any potential problems. Health throughout the UK is monitored by quality of life, infant mortality rates and life expectancy (Baker L, 2008, BTEC National Health and Social Care Book 2, page 2) The monitoring of health throughout the country allows for advanced planning of local services within the community that may be at risk of certain health problems. The monitoring of health at a local level allows for information to be recorded before being compared to the health of other communities across the country. Local information on health is an important aspect as it is collected on a geographical basis throughout the UK, for example vaccination rates, hospital admissions etc. This is one way on health can be monitored, as in the cases of other communities they may have higher incidence rates of certain diseases whereas others may have low incidences of diseases. Communities that have a higher rate of disease are monitored further and health promotion campaigns will be developed before being put into effect in order to reduce the risk of disease spreading within the community. The health status of a community can vary throughout the nation and depend on a variety of factors, of which can include: Age Gender Socio-economic conditions Genetics Environmental factors Through the use of monitoring health changes any problems that may arise in the future within communities can be identified in advance in order for it to be prevented. For example the rise of sexually transmitted diseases within local communities would monitored in order to predict any potential problems that may occur in the future and stop them from taking place. Identifying the health needs of the population – The health of the nation is measured by using mortality and morbidity rates of which have indicated how people are now living longer than that of their predecessors. Identifying the health needs of the population is another important aspect of public health strategies within the UK; this takes place when trends and patterns in local communities across the nation are established. By identifying the health needs of individuals located in a particular community means that the need for services can therefore be identified. Patterns can be detected throughout the country through the use of national statistics. National statistics are used in order to determine how health can be improved and how areas of concern can be highlighted, along with the effects of ill health may be reduced and prevented. Patterns of illness and disease can possibly be the result of certain factors, of which include; genetics, environment, lifestyle, education etc. However some parts of the country may be more susceptible to certain illnesses and diseases than others due to the patterns that are outlined by the National Statistics and social trends information. Developing programmes to reduce risk and screen for early disease – ‘Screening is the process of identifying apparently healthy people who may be at increased risk of a disease or condition. They can then be offered information, further tests and appropriate treatment to reduce their risk and/or any complications arising from the disease or  condition.’ As defined by the UK National Screening Committee (UK NSC). Health programmes are developed based on the information gathered by epidemiologists. ‘An epidemiologist is a person who studies patterns of diseases or health risks in population groups, societies, and cultures.’ The Department of Health produces a green paper that proposes what the targets of health should be; and is based on these decisions as to how the government implement the findings. From this a white paper is produced, of which goes into detail as to how and what course of action is taken. An example of recent white papers can include ‘Our Healthy Nation’ and ‘Our Healthier Nation ‘ (1999). The aim of the white paper is to inform and protect members of the public by influencing social changes in regards to the health of the nation. (L, 2008, BTEC National Health and Social Care Book 2, page 4). Examples of current public health programmes include: Five a day campaign, MMR immunisation programme and the Local NHS Smoking Service. Controlling communicable disease – Controlling communicable diseases is an important aspect of public health strategies in the UK, of which ‘involves planning to include screening and early detection, isolation and treatment, containment, prevention and cure eradication where possible’. (Baker L, 2008, BTEC National Health and Social Care Book 2, page 7) The early detection of a disease can prove useful, as it can provide insight on the cause and the spread of the disease along with being able to highlight any potential risks that the disease may cause to an individual or group of people; especially in vulnerable people such as young children, and the elderly. Young children and the elderly are more susceptible to disease due to their immune system being much weaker than the average individual; therefore it is important in the early detection of an infection in order to stop this from occurring. Isolating individuals with communicable diseases enables to remain controlled, in order to reduce and prevent the risk of spreading the disease. A resident residing in a care home that was diagnosed with tuberculosis for example, would be moved to a room on their own, in order to ensure that the disease is not then passed to another service user within  the home is one example. Containing a disease can occur at a national and local level; this can occur once the source of the infection has been identified and plan has been developed and put in place in order to reduce the risk of the disease reoccurring. The measures that are taken in which to contain the disease can vary from short, medium, to long term measures. (Baker L, 2008, BTEC National Health and Social Care Book 2, page 7) Short term measures – limited visiting, unnecessary travel, treatment and isolation Medium/long term measures – immunisation programme, appropriate medical treatment, educating individuals about the risks, eradicating incidence of disease where it proves possible to do so Eradicating disease is now becoming possible due to advances in research and technology. Advances in technology means that more is known about the causes of illness and disease along with how the disease is spread. This advance has been made possible through the use of early detection and surveillance, monitoring, screening, treatment and immunisation programmes, health education and promotion. (Baker L, 2008, BTEC National Health and Social Care Book 2, page 8) Promote the health of the population – Health promoters are tasked with the promoting the health of the population on a local and national scale. Health promoters are based in a variety of settings, such as, GP surgeries, drop-in centres, radio, magazines and schools. They are prioritised on local need and the availability of funding for the necessary resources. These priorities can be identified through the number of reported illnesses and diseases through local statistics. Any illnesses or diseases taken from the statistics prove to be either life threatening or cause an individual to spend a substantial amount of time in hospital would then be given top priority in the promoting of health. Individuals who may be overweight can potentially be at risk of coronary heart disease later on in life. The health promoter would thereby ensure that diets and exercise are promoted through the use of proper channel on both a local and national level. Planning and evaluating the national provision of health and social care – The National provision of Health and Social care within the UK is planned and evaluated by the National Health Service and Social Services. This is based on the information provided by health and social care professionals on a local, regional and national scale across the UK. ‘The government have produced guidelines and information to state how they will tackle the problems controlling and preventing infectious disease spread.’ (Baker L, 2008, BTEC National Health and Social Care Book 2, page 8) The strategies outlined in the guidelines by the government are a series of proposed actions in order to create a system in which to prevent, investigate and control the threat of infectious diseases and to address health protection on a wider scale. M1 – Describe the origins of public health policy in the UK from the 19th century to the present day. In this essay I will compare two different health measures in the 19th century and how they have made an impact on society today. I am also going to compare and explain the living conditions of towns and cities in the 19th, 20th and 21st century. Public health has developed considerably over the years and the changes that have occurred overtime reflect on the health concerns of the nation during each time period. These changes are what have produced the Public Health system that is currently in place today. Over the year’s vast amounts of medical knowledge of today’s health professionals have increased in response as to how diseases are spread, along with the advances in medicine that have aided in helping to reduce the incidence of infectious diseases. During the 19th century the living conditions were exceedingly poor and there were various health issues of which include overcrowding in housing and overcrowding in general, thereby resulting in the spread of disease. The Poor Law Act (1834) was established in 1834. The Poor Law was designed in order to reduce the cost of looking after the poor and impose a system which  would be the same all across the country. The industrial revolution led to the development of towns and cities across the UK. The population of the nation had increased rapidly once the Poor Law Act was implemented. The country’s poverty relief system had not been amended since 1601, before finally coming into play as a result of Edwin Chadwick, John Snow. The Public Health Act was first implemented in 1848 in order to ensure that sanitary conditions were provided for in populated areas across the UK. In response to the Public Health Act 1848 The General Board of Health was developed so as to ensure that all public health policies that were administered were carried out as effectively as possible. Edwin Chadwick was the first commissioner of the board. The implementation of the act allowed for authorities working with civil engineers and medics to improve sanitation. (Baker L, 2008, BTEC National Health and Social Care Book 2, page 14) Edwin Chadwick (1800-1890) was accredited for his work on the reformation of the Poor Law. Edwin Chadwick was appointed by the government to carry out investigations and research into current sanitation. Chadwick wrote a report outlining his findings known as ‘The Sanitary Conditions of the Labouring Population’ published in 1842. In his report Chadwick argued that disease had a direct link to living conditions. After the report was produced new measures were taken in order to help promote the safe disposal of human waste and rubbish. Chadwick believed that poor sanitary conditions caused disease. John Snow (1813-1858) was a British physician commended for his work in relation to the cholera outbreak in 1854. Snow was an anaesthetist and epidemiologist interested in the practices of cleanliness and hygiene put in place to help prevent disease. Snow formed the link between the cholera outbreak to the contaminated water residing in the water pump in Broad Street. In 1854, Snow identified that a water pump in Broad Street located near one of the cess pits was what was contaminating the water; thereby linking the Broad Street pump as the outbreak site of the disease. Higher mortality rates were linked to the Broad Street pump. ‘He had the handle of  the pump removed, and cases of cholera immediately began to diminish.’ Throughout the 20th century more Acts and Reforms were put in place in order to reduce the risk of spreading infection that led to illness and disease among the UK population. This included; Beveridge Report (1942), NHS (1946), Black Report (1980), Acheson Report (1998), Our Health Nation (1997), Saving Lives: Our Healthier Nation (1999). William Beveridge (1879-1963) produced ‘The Beveridge Report’ in 1942, which went on to become the basis of a series of reforms after the Second World War, by looking into way on reducing inequalities in the health care provision. This report has been used as the foundation for most social legislation. The Beveridge Report was a major influence in the introduction of The Welfare State along with The National Health Service founded in 1949. The Beveridge report focused on sanitation and ways to improve and change the educational standards of areas which were highly affected by poverty. The report suggested that the working class gave a share of their wages in order to aid those who did not work, those of which who were either sick, unemployed, retired or widowed were then given these contributions. The government tasked Beveridge with the developing a report that was based on the ways that Britain should be rebuilt once the Second World War ended. The report was published in 1942 and provided recommendations to the government in order to find ways of tackling the five ‘Giant Evils’ known as ‘Want, Disease, Ignorance, Squalor and Idleness.’ Edwin Chadwick 1842, William Beveridge 1942 and the White Paper Report: making healthier choices easier attempted to improve overall public health. Whereas Chadwick focused on poverty, Beveridge focused on sanitation and the White Paper was specific to health. Beveridge and the White Paper Report: making healthier choices easier focused on poverty and how it affected a person’s overall health. Whereas in the Beveridge report he chose to write about The Welfare State, whilst the White Paper talked about reducing inequalities to health. John Snow and the White Paper Report both used statistics in order to provide evidence in order to give insight into the condition of public health and what need attention before giving suggestions on how to improve it. Works Cited Public Health. (n.d.). Retrieved from https://www.gov.uk/government/topics/public-health. Wright, J., Williams, R., & Wilkinson, J. (1998, April 28 ). BMJ Health needs assessment. British Medical Journal, 1310-1313. Anon, (2014). [online] Available at: http://www.nationalarchives.gov.uk/education/lesson08.htm) [Accessed 3 Oct. 2014]. Bbc.co.uk, (2014). BBC – History – Historic Figures: John Snow (1813 – 1858). [online] Available at: http://www.bbc.co.uk/history/historic_figures/snow_john.shtml [Accessed 3 Oct. 2014]. Bbc.co.uk, (2014). BBC – History – William Beveridge. [online] Available at: http://www.bbc.co.uk/history/historic_figures/beveridge_william.shtml [Accessed 3 Oct. 2014]. Spartacus Educational, (2014). Edwin Chadwick. [online] Available at: http://www.spartacus.schoolnet.co.uk/PHchadwick.htm [Accessed 3 Oct. 2014]. wiseGEEK, (2014). What is an Epidemiologist? (with pictures). [online] Available at: http://www.wisegeek.com/what-is-an-epidemiologist.htm [Accessed 4 Oct. 2014].

Managing Change

In any organization change is something which is inevitable therefore it is the responsibility of the manager of any given organization to ensure that the change is managed effectively.   One major mistake managers do make is that most of their times they tend to impose the change in the organization such that every employee has to abide by it.   The point is, we have to understand that change does occur but employees have to be made to go through the change gradually. Basically a change cannot take place at once; it is something which has to come gradually.   Therefore managers should not assume that once a change is started then every employee is to use the common sense to know that the change is either taking place or has taken place. What is important before change is adopted and incorporated in daily operating procedures of an organization is the individual differences in the organization.   This will help managers improve their leadership styles especially in institutions where democracy prevails.   In any business environment the main aim is to maximize the profit and minimization of losses.   If the change is going to bring positive results then it is as good as a rest. Before any restructuring or change take place in an organization, I believe it is good to understand why the change takes place, where it is from and the target group of people it is to affect.   This is because in problem solving situation, the root cause of the problem has to be identified is when possible solutions are identified.   Individual employees operating in the organization has to be made aware of the change and things explained to them more widely. The following are some of its methods followed in individual change process according to Robert Bacal(nd).   Generally there are three phases that are followed for change to take place.   The first phase is the preparation phase which is subdivided into two stages, namely: the contact and awareness stage. The contact stage is the beginning of change process. It is the sensing or predicting that change is either taking place or has taken place.   It is the preliminary state of change process.   The awareness stage is where an individual in an organization become well informed about the change.   The change is being contemplated in this stage.   The second phase of change is the acceptance phase which is also subdivided into understanding stage and positive perception stage. The understanding stage is where the individual is to conceptualize the subject matter that is analysis of the change.   This helps one to understand its nature and why it occurs. It can only take place when a detailed research has taken place.   The positive perception stage then takes place.   This is where an individual is made to view the change positively for it will help the organization improve the results it produces. Results in this case may be products produced by a company or services provided.   For this to happen change has to be given positive judgment and perception. The last phase in change process is commitment phase, which is further subdivided into four stages namely: the installation, adoption, institutionalization and internalization stage.   The installation stage is very important because it deals with the implementation of the change.   Question like how are people made to accept the change is very important.   A change which is not effectively managed will be rejected. So this becomes a crucial stage when it comes to change process.   Installation has to do with ensuring the change works in the organization and all the resources has to be used. After implementation, the change is then adopted. In the adoption stage, change now becomes something that everyone in organization is used to.   Could be its positive effects has been seen or   it might have added some value to the organization therefore   it is worthy.   The third stage in this phase is the stage of institutionalization.   The change is now taken to have a long history and regarded to be useful to the organization. It is viewed as durable, having some value and therefore it is incorporated into the daily operating procedures of the organization.   The change is made official and unanimously accepted in the running of the organization.   The last stage is the internalization where each individual is suppose to be dedicated to change.   This is because the change now becomes something which has been tested, experimented, tried and trusted by the organization. Any change should be made clear to the whole group of employees in a business organization.   This is when the employees will have faith in their leader.   It is believed that team work is the key element for good results to be obtained.   So dealing with individuals in an organization means the leader/ manager is trying to use divide and rule method and this will demoralize employees.   So for spirit of team work to be maintained things must just be done together and discussed. The change in this case must be known to everybody so that they can react to it before implementing it or else some members will not be comfortable with the change.   Piloting should be done before the actual implementation to judge whether it will bring negative or positive impact to the organization.   The feelings and interest of employees must just be considered because they always work as a team. Sources of information also matters a lot in any organization.   For example rumors spreading will confuse and misdirect the employees.   This normally occurs when information is leaked to a click of individuals.   The information should be made official from the top most person preferably the manager.   Otherwise when it comes to large companies, top most managers tend to use mass media such as television and radio system this is because the information is targeting  Ã‚   a large number of people and very much effective when the information is to be passed very fast. In conclusion effects of change will largely depend on how effective the change was implemented and the managers’ ability to ensure that the employees take the change more positively.   Therefore, he has to know the feelings and interests of employees before change take place.   He also needs to explain in time why the change is necessary. Bibliography Luecke R. (2003) Managing Change and Transition.Havard Business School press Gianna M., Enach & Herbert W. (1998) Embracing and Managing Change in Tourism.Routledge:Taylor&Francis Group publishers Peter E. & Amanda C. (1999) Managing Change: Changing the Role of Top Public Servants. Commonwealth Secretariat publishers. Ingham, G. (2000) Managing Change: A Guide to British Economic Policy.Manchester

The Airline Industry Pre and Post 9/11

Analyze the attractiveness of the airline industry pre 9/1 1 . How attractive was the industry before 9/11? Was it profitable? Was there growth? Was there strong competition or not? If so, in what sectors? PESTEL Analysis of the Airline Industry Pre 9/1 1 Political Government support for national carriers Oohnson, Gerry. 2011, pg51) Security Controls Oohnson, Gerry. 2011, pg51) Investment support Restrictions on migration Oohnson, Gerry. 2011, pg51) Deregulations (try to cut down airfare prices) Economic National growth rates Oohnson, Gerry. 2011, pg51)Fuel prices Oohnson, Gerry. 2011, pg51) High costs associated with the Full Service Carrier business model of markets Increasing world trade and investment Social Rise in travel by elderly Student international study exchanges Changing life styles Increase in the number of educated people Globalization Technological Fuel-efficient engines and airframes Security check technologies Teleconferencing for business Consolidation Alternative fuels Environmental Air pollution controls Noise pollution controls Energy consumption controls Land for growing airports Legal Employee work hoursLiberalization Restrictions on mergers Preferential airport rights for some carriers Porter's five forces analysis for pre 9/1 1 Threat of Entry High regulations Capital intensive Requires high level of experience and knowledge It has a high barrier entry Monopoly in some cities' airports The Threat of Substitutes Busses, ships, rail industry In Europe, Russia rail is the preferred transportation mode In US rail and road are the mode of transportation for goods Prices are regularly low comparing to airfares in Europe for within Europe and Russia Ships are being used or transportation of goods in bulk to continents But for individual transportation for long distances mostly airlines are preferred. The Power of Buyers Almost 50% increase within a decade, due to increase in the number of retirees. Also rise in the world GDP. Increasing numbe r of airline companies gives more choice to select from to the buyers. Customer loyalty highly depended on airfares. Price sensitive. So bargaining power of the buyer is high. Technological innovations give advantages to business travelers (skype, conference calls†¦ etc) The Power of Suppliers Pilot's unions, â€Å"there is no good alternative to a well-trained pilot in the cockpit†.The supply is mainly being done by Boeing and Airbus, Aramco, Gazprom All of the suppliers have high power. (Fuel, maintenance, labor). Competitive Rivalry Low margin cost (1-2% net profit) Increase in the number of airlines High costs High exit barrier As per the case study â€Å"analysts were predicting that the US airline industry world lose some $. 5bn because of the slowing economy combined with a large decline in business travel. † So the decrease and losses were already happening, due to echnological, mismanagement and economic reasons. 9/1 1 may have given good reasons for mist akes. 2 Analyze the attractiveness post The decrease hit the bottom with the terrorist attacks. People preferred other ways to travel.PESTEL Analysis of the Airline Industry Post 9/1 1 Government support for national carriers (bailout money $4bn) Tax break for the next five years (national carriers) Security Controls increased (3 hours early check in) Lay offs Cost increase due to security increase Supplier's suppliers were affected Probable increase in the demand for metal detectors and security items Increase in he insurance cost Increase in the airfare but after 2007 airlines are raising against each other, prices are going down Fear against flights No trust to security Choice towards road, rail, or teleconferencing. Need for advanced security check, secure stronger technologies including navigational equipment. Teleconferencing for business Stronger rules over employees Tighter regulations Increase in the consumer rights and protection* 3. How might airlines better plan for disr uptive events such as 9/11?They could nave done scenario planning and train the employees according to the worst case scenario. Shell was the only company during the crisis which survived because they had the scenario before and when they started to feel the crisis they reacted before it reached at the door. Airline industry can do the same thing, and train their employees. Government can do trainings at the school or public places for worst case scenarios. Airplane suppliers can produce safer doors for the cockpit. And security companies should not Just hire normal people they should have people from the army or police departments at the airports who are well trained.http://dollarsandsense.org/archives/2002/0502ward.htmlhttp://www.citethisforme.com/topic-ideas/business-marketing/Qantas%20management-9357129

Gilded Age Essay Example | Topics and Well Written Essays - 750 words - 1

Gilded Age - Essay Example Mark Twain coined the tem â€Å"Gilded Age† in the last decades of the nineteenth century. Gilded Age refers the era that followed the American Civil War, stretching from the end of the reconstruction period to the dawn of the twentieth century. The era was characterized by enormous economic growth and European investments. Ideally, the Gilded Age was an era of transforming America into a liberal country. Outstanding events that characterized the era included increased immigration, industrial growth, and construction of railway networks. The Gilded Age cannot be considered as a Golden Age for Americans instead, the age symbolizes an era of unsolved problems. In The Gilded Age: a Tale of Today, writers Mark Twain and Charles Dudley confirm that Gilded Age was an era of severe social problems (Biography web). According to the authors, these problems could not be visualized since they remained beneath a thin layer of the supposed gold. In this context, gold symbolizes the economi c and social developments that accompanied Gilded Age. Golden age refers to an era of peace prosperity, stability, and harmony. Unfortunately, the Gilded Age was characterized by neither stability nor prosperity (Zinn 32). In particular, the period can be considered as an era of great economic oppressions as Americans struggled to rebuild their country. To the American, the Gilded Age was an era of exorbitant taxation. American economy became more intertwined with cotton and tobacco exports. The prices of these commodities reduced dramatically affecting the livelihood of ordinary American farmers. Although the country experienced a GDP growth, per capita income remained minimal. Unsolved problems in the agriculture sector included the slave question, the north, and south states issue. These problems were covered under increased exports to the European market and the rise of mechanized farming. Unsolved economic problems became the basis of more sophisticated social and political pro blems. Gilded Age politics were characterized by intense completion between political parties. The third party system promoted intense competition Between the Democratic and the Republican Parties. Consequently, minor parties including the Labor and Farmers unions disappeared as soon as they were established. Intense competition between the two parties intensified the country’s political temperature. Indeed, Americans were divided between Republicans and Democrats (Zinn 54). Both parties established the supposed â€Å"Political Machines† to oversee elections, reward their royalists and buyoff their opponents. Consequently, the wining party becomes the sole controller of state and government’s jobs, contracts and business openings. The â€Å"spoils system† was also a major source of political influence. Elected candidates were expected to pray according to the instructions of their political spoils/sponsors. For example in 1876, Hayes was elected in a secr et deal to be the new president of the United States. In addition, Harrison won the elections without winning the popular vote. Thus, the US did not achieve any form of political stability during the gilded age. Indeed, the era was a cover-up for the political instabilities that characterized the country. The era is considered the most turbulent time in American political history. Political reforms that promoted multiparty democracy and high voter turnout, acted as a conspiracy for politically motivated scandals, political rivalry, and civil unrest. Thus, the Gilded Age can never be considered as the US’s version of the Golden Age. Social developments also remained unattended during the Gilded Age. During the gilded age, discriminations against the black Americans intensified. Black Americans living in the southern states experienced the worst form of discrimination. The black communities were stripped off their political and voting rights. Ideally, the system almost revived slavery despite slave trade and slave labor having been abolished. During the

Network topology design & layout Essay Example | Topics and Well Written Essays - 1000 words

Network topology design & layout - Essay Example The company will also need two WWW servers so that one is for its internal management and another for external users. Furthermore, a mail server will also be crucial in this case. For the sake of ABC company security, it is crucial that outsiders should not gain access to the internal CVS or internal WWW servers whatsoever. For a start-up open source software company as the company ABC, it would be a great challenge to fully implement an effectively secured network. In this study we therefore purpose to realize the company with the above specifications. Below is a graphical representation of the network design layout. It is very risky running an entire company on a personal computer. The ABC Company needs to watch over servers that handle the web based systems with advanced expertise. Such servers in this case include CVS and WWW servers. In terms of security assumptions, it is important for the company to make its security appear good as argued by Cheswick et al (2003) that this is enough to deter attackers. It is also important to make simple security arrangement since complex things are harder to comprehend and might even be nightmare to their designer (Cheswick et al, 2003, pp.5). For a young company as ABC, it would be inappropriate to use huge security-sensitive programs because in most cases such programs have acted as sources of security problems. Furthermore, the companys network designer must keep security assumptions in mind and see to it that the security is an integral part of the original design. Let us begin by considering this typical policy: Internal users are trusted, and with permitted Internet access they are able to initiate ongoing TCP connections, issue DNS queries, be able to run ping trace-route and set their clock aided by external time server (Cheswick et al, 2003, pp.5). Secondly, the outsiders should not be able to initiate access to the internal world.

Pros and cons of genetically modified food Research Paper

Pros and cons of genetically modified food - Research Paper Example But what is vital is to know that whether the emergence of the genetically modified food comes as a blessing or a curse to the human kind. It’s a boon on one hand as it enables the farmers to grow crops in areas where standard crops cannot be grown, thereby feeding people as well as helping in generating income for the population in the developing nations. This also reduces the reliance on harmful and dangerous pesticides. But it has to be admitted as well that till date much has not been known about these foods and hence it is justifiable when some express their concerns about the effect of the food on the health of the animal and human. Some are also concerned about the effect it has on the environment and the local economies and most importantly on the biodiversity. (Freedman, 2009, pp. 4-5) The ongoing debate on whether these foods will stay in the market or will become an extinct cannot be answered directly but the present scenario is marked with the escalation in the dem and of these foods throughout the world economy. The Genetically modified food (GMF) has been readily adopted and accepted in the United States which still persists to grow since its appearance in the market. This GM variety products have been predicted to spread in the â€Å"big- four† (Weasel, 2009, p.198) industrial crops which includes the corn, cotton, soy and canola in United States. (Weasel, 2009, p.198) It is very unlikely that genetically modified food presents any direct risk to the human health but the distinctive nature of these foods may cause harm to the human health in the future, due to the transfer of the genes between the species while they are produced. Hence they have to be carefully monitored, as the outcome of transgene effect is still not predicted. Apprehension has also been expressed as to whether there is a possibility of allergic reaction due to the consumption of the genetically modified food. There is also a fear of possibility that the living bac teria which are present in the human gut may gain resistance to the antibiotics due to the presence of the marker genes in the transgenic plants. (Nottingham, 2003, p. 91) Now the question arises how the consumers have accepted the genetically modified food. There are two opposing viewpoints regarding this, According to the industry leaders the consumer accept these foods because there has been a willingness from the public to consume it. As taking the case of America, where most of the milk is produced by using the bST hormone despite the fact that bST free milk are freely available, but even then the sale of the bST hormone free milk were initially very weak and hence it has disappeared from the market. Some national Survey in US has confirmed the fact that consumer’s concerns regarding GM foods are less. While some are of the opinion that the consumers are extremely worried about the GMF and are keen to pay extra to avoid GM foods. (Radas, Teisl and Roe, 2008, p. 335) Intr oduction Genetically modified (GM) foods also known as the genetically engineered foods are produced by inserting genes into the DNAs of other species. There are several reasons for producing genetically modified foods like in some cases to prevent the incidence of allergies after they are being consumed while there are instances where they are being developed for the betterment of their

Menu Analysis Research Paper Example | Topics and Well Written Essays - 1000 words

Menu Analysis - Research Paper Example In essence, the prices are placed some point in the midst of a description, which does not appeal to the client. The menu design should be able to capture the client’s eyes and mind to enable quick but correct decision-making. A well-designed menu such as a letter fold format helps the customer to follow, the description as given by the hotel aide. As per the price menu under consideration, the hotel check indicates that, the hotel lies in the class of tourist, the lowest class in the hotel rating. The pricing and the foods offered indicate the class of the hotel must be low. For instance, the cost of the garden griller, which is $8.75, is relatively low compared to one or two stars hotels. The first flaw in this menu is the lack of the name of the hotel. The name of the hotel is a critical component on the menu. It adds confidence to the clients. The other flaw explicit in this menu is the use of plastic cover. This is really disorienting to the clients who judge the quality of the foods and beverage from the appearance and quality of the menu. A good menu should have a canvas or hard cover. This makes it appealing to the clients. In the case of pricing, the foods and beverages should be priced accordingly to ensure that appropriate profit margins are achieved. The dollar sign used should be avoided. Overpricing or under pricing should be avoided by first assessing the industrial average prices per a certain type of food or beverage. In addition, the anticipated profit margin should be calculated relative to the buying price of the material and the labour used. This will ensure that the hotel does not run on losses and at the same time, it does not loose customers due to exorbitant prices. This implies that, despite the menu being an internal instrument of a hotel, it should be well compared with the rest within the same industry. In essence, pricing methods such as those based on competition, factor

What part does ethics play in food marketing Essay

What part does ethics play in food marketing - Essay Example The development and study of one’s ethical standards is also considered as ethics (Velasquez & Et. Al, 2010). It can be said that food is the most important concern for people since it creates an impact upon individual health and well being. The way companies market their food has been in limelight because of the rising obesity rates that is threatening the industrialized countries’ population. Broader health concerns such as diseases because of addictives and preservatives make marketing ethics in food industry a relevant topic. Food ethics is one of the emerging academic disciplines in the recent times and is considered as one among many in the escalating field of applied ethics. The ethical issues are crucial with regards to the food. The ethical concerns encompass a correspondingly broad range of issues, for instance, the disparity between global food supplies and human nutritional needs. The other ethical concerns are results of the modern agricultural along with t he food biotechnologies for human as well as animal welfare (Mepham, 2000). The most important consideration in the food and agricultural products is that ‘production, transformation and distribution’ of such products can be considered as general aspects of daily life around the world. Therefore, these activities may not be addressed in the realm of ethics. However, the economic benefits that are derived by participating in food and agriculture system are considered as a means to an end that are ethical in nature (FAO, 2001). It is evident that the ethical consideration is becoming central in consumer food choices’ unease expressed by consumers regarding the increasing gap between the production processes and consumption. According to the current trend the consumers face three types of ‘ethical concerns’. The first type of the concern is about the substantive issues, for example, animal welfare. The second type of ethical concern covers requirements in relation to reliable information while the third concern covers involvement and participation. The food production system in the recent years possesses certain inherent features. There are different barriers that tend to block ‘ethical conscious consumers’ and ‘producers food choices’. There are four ethical requirements that may be as follows: the need for tax on unhealthy ingredients, the need for labeling and ethical traceability, the need for diversification of the production methods and the need for sufficient prices in case when the price reduction is gained at the expense of ethical values such as increased environmental impairment and compromised animal welfare Along with the significance of all facets of food in the society, there are certain other aspects of food that is beyond the basic nutrition which is becoming increasingly imperative. Therefore, in this regards, it is important to regulate the representation as well as coexistence of these styles of production. When it comes to food industries, the retail outlets need to be more concerned regarding the kind of food products they are delivering to their customers. The consumers are quite concerned regarding few ethically questionable structural traits related to the food chain, for instance, lack of animal welfare, trustworthy information and objectivity on the part of the information sources. It has been evident that the consumers even complain regarding the lack of the involvement with the food chain and rising gap between the food chain and consumers that treats them as strangers and outsiders and excludes them from making any decision regarding the food supply. European consumers tend to focus upon seven ethical issues. These

Modern Political Ideologies Seminar Journal Essay

Modern Political Ideologies Seminar Journal - Essay Example During the interwar period, which is considered to be a not so positive time for Conservatism in Britain, the ideology has been seen as inclined towards the defense of class privileges and of the status quo, a negative opposition to Socialism, and a interest centers commercialist approach to the rising Nazi menace in the 1030s (Fair, 1987, p. 549). The difference between conservative ideology and ideational ideologies has led to non conservatives to deny any intellectual content to conservatism which led to conservatives attacking all the other ideologies. In Huntington’s view, both parties are wrong because they have minimized its intellectual significance. He explained that the conservative ideology as an intellectual rationale of the permanent prerequisites of human existence (Huntington, 1957, p. 168). It has a high and necessary function. As a case in point, when a society is under threat, the conservatism acts as a reminder to men of the necessity of some institutions and the desirability of the existing ones. As he had said, conservative ideology is not the absence of change; rather, it is the articulate, systematic, theoretical resistance to change (Huntington, 1957, p. 168). The term conservative ideology is different from one society to the other. For one, the aristocrats are the conservatives in Prussia in the 1820s; slave-owners are the conservatives in the South in the early 1850s while the liberals are considered the conservatives in America and other parts of the world. As seen in history, American liberals have been idealist, lobbying goals of greater freedom, social equality, and more meaningful democracy. Conservatism can also be seen as shaping mechanism of events rather than merely reactionary as can be seen in Disraeli’s foreign policy wherein it focused on the necessity for Britain to act constructively as a moderating and mediating power and to maintain its interest in the whole empire (Rayner 1995, p.

SWOT Analysis of Lionel Smith Ltd Case Study Example | Topics and Well Written Essays - 1250 words

SWOT Analysis of Lionel Smith Ltd - Case Study Example Mr. Smith had worked for sixteen years in the retail clothing business. He gained this experience by working in stores such as Belk's Department Store, Manning Owens Incorporated, and LeGrande's of Aiken, South Carolina. After two years, the partnership was dissolved, Mr. Smith became the sole owner, and LSL was established as a sub-chapter S corporation. This began a period of growth for the company. Between the years of 1979 and 1983, four additional locations were opened. They were located in Aiken and Edgefield, South Carolina, and Augusta, and Savannah, Georgia. By the end of 1983, all four of those locations were closed. Mr. Lionel Smith stated the closings were due to several major factors. They include his inability to hire and retain professionally qualified supervisors and employees, the desire to focus his efforts on establishing an outside sales force, and high interest rates and an unstable economy. In 1982, the main location moved to the other side of Laurens Street in Aiken. The move to the new location was made possible because Lionel Smith was able to purchase the building. This has been the company's only location since 1983. With only one location, its staff and inventory are not divided between two or more venues, and rent, utilities, and other operating costs are lower. The company underwent another major change when it was purchased by Mr. Smith's son, Van, in 1992. Introduction According to the marketing area experts SWOT analysis review for Lionel Smith Ltd. (LSL) the key issues from an analysis of the trade environment and the strategic ability of an organization. The chief objectives of conducting SWOT analysis for Lionel Smith Ltd. (LSL) is to recognize the coverage to which the existing strategy of an association and its more exact strength and weaknesses are pertinent to, and capable of, dealing by means of the changes taking place in the trade environment. It also uses to assess whether there are opportunities to develop further the exclusive resources or core capability of this clothing organization. Moreover, SWOT stands for strengths, weaknesses, opportunities and threats. It's a four-part come within reach of to analyzing a company's generally strategy or the strategy of its trade units. All four aspects have to be considered to execute a long-range plan of action. In order to whack the rivalry you require comprehending SWOT. No doubt, It's a way to examine a company's or a department's place in the market in relation to its contestant. The goal is to recognize all the major factors affecting competitiveness before crafting a trade policy. SWOT Breakdown SWOT recognize the internal and external issue that have an effect on an organization. Here's the breakdown of SWOT by interior and outside variables: Internal factors (Strengths and weaknesses) A corporate structure, culture and resources Shareholders Customers Competitors External factors (Opportunities threats) Politics Technology Society Economics SWOT ANALYSIS Strategy Strengths The first strength of Lionel Smith Ltd.

Hunger Games Survival Essay Example for Free

Hunger Games Survival Essay The game is designed to kill you. From the first moment when you are dropped into the merciless jungle, you are actively trying to be killed. Forgetting the band of other survivors that are effortlessly searching for you, there are many terrors you must be ready for. To prepare for these, you must have a good shelter, a way to find food and water, and a positive mental attitude. A shelter is arguably the most important of the 10 essentials in survival. Without a shelter, you could get soaking in rain or snow, and subsequently, die from the moisture. You will get bitterly cold during the night and die in your sleep. So Katness knew she needed a good shelter. One that would keep her warm and dry, as well as mobile. She built two kinds of shelter; one was high in a tree, both to protect her from the indigenous, and to keep her off of the moist ground. She knew that sitting directly on cold or snow covered ground will increase the rate of heat loss drastically. So even in the tree, she put her jacket below her and her towel above her protect her from the elements, both below her and above her. The second shelter she built was a makeshift debris hut. She found the base of a huge redwoody type of tree, which provided a stable back and added protection from snowfall and climate protection. She, one again, added a blanket to the floor as well as many ribs on her debris hut and foliage both for camouflage and climate protection. Finding food and water in this Amazonian jungle proved difficult. As two of the ten essentials, food and water are necessary in survival. Luckily, she brought enough nutrient rich power bars with her to surpass the amount of time she needed to. She was also aware to not over work, and keep a 60% rule when searching so her power bars would be sufficient. Finding water, was much more difficult. Water is scarce in many jungle environments, so she had to take little bits of snow in a bottle and let it melt over time and drink it. Eating straight snow will actually make you thirstier than without it, good thing she new that. Even with a stable shelter, a substantial food and water supply, and a sense of safety, she was still finding it difficult to keep a positive mental attitude, or PMA. Without a positive mental attitude, someone in a survival situation could lose hope of being found or surviving the night, and could just die. That is why she does simple activities to keep a PMA. She thinks about here friends and family back home, her boyfriend who is also stuck in this jungle, and other activities to keep her motivated and keep her striving to survive this unfortunate event. Due to her knowledge of the 10 essentials, knowing how to build a shelter, and the power to keep a positive mental attitude, Katness made it out of this treacherous situation. This may have been a movie, but this is a real world situation that anyone could have found themselves in. The opportunity to learn about the 10 essentials, or how to build an adequate debris hut, is an opportunity that you do not want to miss. These life-saving tips have not only helped Katness make it out of the Hunger Games, but it may also help you make it out of a life or death situation of your own.

The American lack of success in the Vietnam War Essay Example for Free

The American lack of success in the Vietnam War Essay To what extent can it be argued that the use of guerilla warfare tactics by the Vietcong against the US military was the key factor in explaining the American lack of success in the Vietnam War? The Vietnam War has been regarded with much controversy both during the War, and after its conclusion in 1973. This was not only due to the humiliating defeat that America suffered but also because of the contentious hidden reasons for Americas presence there. America came under heavy criticism because it seemed to the world that their presence in Vietnam was purely strategic and economical rather than for the protection of Vietnams people as America had first claimed. From the wars outset there was worldwide outrage caused by this controversy, this outrage grew and grew as the war progressed leading to an absolute worldwide lack of support for Americas seemingly selfish war effort. This worldwide lack of support included many protestors at home in America. This was devastating for the morale of the hundreds of thousands of young grunts, most of whom had never experienced the true horror of the battlefield. Throughout the war American losses, both financial and military were astounding. Never before had a country with Americas degree of power and worldwide influence been so unsuccessful when combating an economically underdeveloped country such as Vietnam. Admittedly North Vietnam did receive aid from both the Soviet Union and China but despite this, Vietnam has to be seen as a Third World country defending their homeland from the worlds biggest super power. The aim of this essay is to investigate the main reason for Americas defeat. Possible reasons for failure apart from the effectiveness of the Vietcong guerrilla tactics would include: lack of morale of US troops, inappropriate US military tactics, the shocking images shown in the media coverage, US motives for engaging in this war, their lack of consideration for and understanding of the Vietnamese people, worldwide lack of support for the US war effort, the collapse of support on the home front. All these factors will be considered and compared to the guerilla tactics in order to arrive at a conclusion as to whether guerilla tactics really was the major cause of Americas humiliating retreat. To fully understand why America was so unsuccessful it is necessary to understand why they involved themselves in a conflict on the other side of the globe in first place. Ever since the war began the true reason or reasons for American involvement has been heatedly debated. The American government and their spin-doctors1 justified themselves by claiming that they were there to free the people from the oppressing evil communist from the north Ho Chi Minh. Ho, a national hero to many in Vietnam was a patriotic fighter2 for Vietnams independence. Ho spent much of his young life travelling in places where communism was actively working, places that had inspired him into his communist beliefs, beliefs that would later propel America into a full war with his people, places such as Russia and China. At first America had supported Minh and admired his courageous Vietminh troops. When Minh made a speech declaring Vietnam independence, he began by quoting from the American Declaration of Independence. He once said of revolting against their French oppressors It was patriotism and not communism that originally inspired me3. It was not Minhs patriotism that brought Americas hate for him but rather the way in which he supported Communism so whole-heartedly and the fear that it would spread. The fear of Communism spreading was a great one indeed for America. There is a theory called the domino theory, which has often been regarded as one of the most prominent reasons for Americas involvement. The basic idea of the domino theory is that if one country in a close grouping like South Asia fell to communism then the surrounding countries would follow suit. America feared that spreading communism threatened the free trade and democratic ideals, which were so important to American well-being and security. America could not afford to lose these things that were such a way of the American lifestyle. The American government was prepared to go to war to protect these ideals, on occasions this represented an idealism on their part but on others represented a determination to import their capitalist system regardless of the needs of the country concerned. It is therefore clear as a country should not go to war on their own, unsupported, concerning Vietnam in can be argued that American motives can be seen as unjustified as they were clearly trying to suppress others rights to govern themselves. This fact is supported by the poor state that the Southern government run by Diem and propped up by the Americans was in. Diem held very prejudice religious beliefs in a country made up mainly of Buddhist and was very unpopular for this and other reasons4. This totally goes against the democratic ideals that America holds so dear. With this evidence America appears to have been acting utterly hypocritically and for their own personal gain. The factor that can be regarded as the most important in Americas defeat was the Vietcong and their use of guerrilla warfare tactics. Guerilla warfare tactics are very effective in certain situations and when used against the American forces they seemed unstoppable. The guerilla tactics that the VC used were based on those of the Chinese guerrillas who fought in the Chinese Communist takeover5. The main idea of guerilla warfare tactics is that of hit and run; this method proved most effective when fighting the US troops. Many of the VCs orders came from the vast underground network of tunnels such as those of Cu Chi. Underground facilities such as this one provided the VC with an almost impenetrable fortress. These cities could house thousands of VC troops and their families as well as conference rooms, training areas and in some cases arms factories and hospitals. Through the use of tunnels the VC had the ability to dig right under US troops noses and spring surprise attacks and then disappear back down the tunnels as quickly as they had emerged. Another advantage that the Vietcong had over the Americans was the support of the people. This invaluable commodity gave the VC the ability to move across large areas of lands undetected, as they were able to hide in villages. The VC was also famous for the excruciating booby traps, specially designed so that they could not be removed without tearing even more flesh from the victim. The constant threat of the VC was extremely disheartening for the troops that lived in continuous fear of a VC raid. The skilful use of guerrilla tactics by the VC completely prevented the US from using their technical superiority effectively. The VC would always try and avoid conventional battles with US troops; rather they favoured picking off stragglers or as mentioned before springing surprise attacks and then disappearing. The troops could not see their enemy and could therefore not use their weapons to destroy them. It is these factors that lead me to believe that Guerilla tactics played such a big role in the US defeat. It appears that many of the other reasons for US defeat were caused, partly of wholly by the relentless use of guerilla tactics. I have already mentioned the way the troops felt battling an unseen enemy, but the importance of American morale or lack thereof cannot be overlooked as a reason for the US defeat. It is hard for one who has not experienced war to understand life in a soldiers boots, especially that of a grunt in Vietnam. Never before had American troops had to endure as harsh conditions as those experienced on the battlefields of Vietnam. These unbelievably harsh conditions led to low morale in all of the troops. Many things led to this crushing lack of morale; guerilla tactics, inexperienced and young troops (the average age of a soldier in Vietnam was just 19), inability to communicate with or understand the people they were trying to defend and the looks of hatred in the very same peoples eyes. The troops were used to easy living at first with long RR breaks and short tours, involved more as a precautionary measure rather than to actually enter battle but because the superior firepower was totally ineffective in Vietnam, the troops were put onto the front line. Lack of morale in troops is always devastating to a countries war effort. A major problem that the US military faced apart from unwilling soldiers was a rife drug problem. Marijuana was readily available in Vietnam and the majority of the grunts were users. This drug did nothing to help the morale level of troops on anything more than a temporary basis. The grunts would often go into battle high and this made combating the Vietcong even more difficult and the Vietcong used the US troops use of the drug to their full advantage. Troops quickly found out that most of the battles were hopeless and a bad attitude developed. You cannot win a war when your troops are not willing to fight and the US soldiers were very unwilling to fight. It is for this reason that one could say without a shadow of a doubt that lack of morale was the main reason for US defeat but in my judgement the main cause for the lack of morale was the use of guerilla tactics. Another of Americas major hurdles in their attempts to uphold a pro-Western government in S. Vietnam was their complete and utter lack of understanding of and consideration for the Vietnamese people. America was unable to combat their communist enemies because they were unable to win the hearts and minds of the people6. Many American civilian experts were in place in Vietnam trying to win the hearts of the people by teaching them valuable skills and setting up hospitals and schools. Civilian and military experts frequently clashed because the civilian experts did not think enough was being done to win the hearts and minds of the people, the military men believed that force was the answer, they would repeatedly be proved very wrong. The already disheartened American soldiers, or grunts as they were known found it extremely hard to fight in the conditions they were in. Very few of them knew much of the Vietnamese culture and even fewer understood any of the language. This made dealing with the people they were there to protect, let alone the people they were fighting, very difficult. On top of the festering heat, ravenous insects and hidden enemies, the inability to communicate effectively with the people frustrated the troops terribly. Eventually the young soldiers came to dislike all of the people of Vietnam, both allies and enemies, making it essentially impossible to win the war. Many of the troops saw the peasants (most of the Vietnamese population) as sub-human. As it became clear that initial American methods were ineffective for the people and their surroundings, more brutal and vicious methods of extracting information were devised, Search-and-destroy tactics resulted in many innocent civilian fatalities. Search and destroy tactics were a result of the frustration at the damage to US troops caused by guerrilla tactics used by the VC but such US tactics in turn reinforced Vietnamese support for the guerrillas. In 1968 the CIA introduced a system code-named Operation Phoenix7 whereby tens of thousands of expected VC were sought out and interrogated few of which were said to come out alive. Methods of torture included the insertion of a six-inch length of dowel into a detainees ear and then tapping it into the brain until subsequent death, also starvation and electric shock treatment to the genitals of both males and females was the norm. Another famous event that made American brutality evident was the massacre at My Lai on 16th March 1968. 347 unarmed civilians were beaten and killed because they were apparently pro-Communist and harboured VC or were VC themselves. Victims included the elderly, women, children and even babies, who were all beaten with rifle butts, shot and in some cases raped. As the success of this war could not be measured by territorial gain, it became the body count that showed success8. It became clear to all that this was going on through the ever-present media and this did nothing to help Americas popularity or support for their war effort around the world. The Vietnam War is also infamous for the massive bombing campaigns that America ran. America believed that the war could be one purely through technological superiority. In battles such as the Battle for Khe Sanh, Americas use of superior firepower played a pinnacle role. Unfortunately for the Americans, their superior firepower was useless in the conditions that Vietnam produced and this also frustrated the troops. The bombing runs were ruthless and inaccurate. Many of the most famous images to come out of the Vietnam War were ones portraying the horror of napalm attacks. One such image is the world famous photo of the young girl, Him Phuc, running down the street, skin burned by an American napalm attack. These images were a product of the massive media presence that existed in Vietnam during the war. This media presence played a big part in the way the world saw America during the war and therefore also their defeat. Photographers and journalists from around the world were sent to Vietnam to document both sides of the war. Many of the ensuing images were used for propaganda for both America and Northern forces. Some believe that the American and North Vietnamese governments put many of the photographers there for propagandistic purposes9, trying to capture images that best portrayed the brutality of the opposing force. Unluckily for the Americans more photos were taken explicitly portraying the American cruelty that that of the VC or NVA. As mentioned above the image of Kim Phuc was seen world wide and devastated Americas already precarious position in many of the worlds peoples eyes. At the time of the Vietnam war, the world was at a stage where a photographer could take a photo and it would end up on the front page of newspapers around the globe only a day or two later10. This led to even more outrage throughout the world at America, as their actions never seemed to be justified in the first place. Much of the world believed that America had lied about their intentions when they first entered Vietnam and the images seen made these beliefs seem justified. The use of guerrilla tactics once again proves it worth as they prevented a speedy US victory which allowed the worldwide anti-war media campaign to build, and in turn further destroying troop morale. Eventually the support on the home front collapsed and the American people joined in protesting their own involvement in the war. This was another factor that led to the crushingly low levels of morale in the troops. In conclusion after considering other possible causes for the US defeat, the evidence suggests that the Vietcong the use of guerilla warfare tactics was the main cause for the US lack of success in the Vietnam War. Whilst there were clearly many other contributing factors, I have found that the use of guerilla tactics played a major role in a battle that was fought on the ground, pinning down huge numbers of US troops in Vietnam. Enough damage was inflicted on the troops that eventually sufficient pressure was bought on the US government to pull their troops out. This was when the war ended, when the US government realised they couldnt win, this was because of guerrilla tactics. I considered what the outcome of the war would have been had it been fought in a different way and believe this would have made a huge difference to the outcome of the war. The fact that America was in Vietnam for their own strategic interests rather than for the Vietnamese people was a close second in the ordering of reasons. Finally the lack of morale was the third major contributing factor but I found that this was mostly caused by the fear of the unseen enemy that the troops faced caused by guerrilla tactics.

Simply Recipes Business Plan The App Marketing Essay

Simply Recipes Business Plan The App Marketing Essay Simply Recipes app is the next step in food recipe apps, and unlike anything currently on the market today. The goal of this app is to save users money while at the same time reducing food wastage and getting its users eating healthier. Its an easy and straight forward app that anyone can use and enjoy. One of the unique selling points of this app is the ability to select what items you have left in your fridge and the app will come up with recipes that will use as many of those ingredients up as possible. So if all you have left in your fridge is say an avocado, some goats cheese and beef, it will find recipes encompassing as many of these ingredients as possible. The healthy aspect comes in when browsing recipes that will contain nutritional information on how healthy the recipe is. If you are still in need of some ingredients it will create a shopping basket automatically for your desired ingredients and show the user deals and offers for the required ingredients at several supermarkets. This would allow the user to go to a store nearby to pick up your order or have it home delivered. As not all the items your want would be part of a recipe, or you may want to add something to the dish, the app would also gives the user an option to purchase any other items they require from the chosen supermarket sells. Mission Simply Recipes is looking to become the next kitchen essential, and the next stage in how people find out and access recipes. The mission is not only to have a simple to use app but to have a vast amount of choice available to its consumers. We want a fair profit for the owners and supermarket chains who sign up, while having a rewarding place for the employees to work. While at the same time being green and helping people reduce wastage and save money. Objectives Simply Recipes objectives for the first 5 years of operation include: Expanding into new customer segments. Introducing new celebrity chefs to the application. Keeping Employee Costs below 25% of revenue. To maintain a profit. Help People maintain a healthier lifestyle. Keys To Success The creation of a unique and innovative recipe app with many unique features, that differentiate us from the competition. Simple and easy to use app. Many discounts and offers to our customers. Large Amount of Monthly Active Users. To get several of the large supermarkets signed up to Simply Recipes. Several Celebrity Chefs signed up to Simply Recipes. Controlling Costs at all times without exception. Key Partners The first key partners we expect to obtain would be the companies that manage and maintain the app stores for the mobile operating system such as Google and Apple. These partners would give Simply Recipes a simple and effective method of distributing the app to potential customers. These partners would also give a simple and effective method of collecting users subscription fees, explained in more detail in the revenue section. Other key partners would include supermarket chains such as Tesco, Asda and Sainsburys, as this is where the users of the app would be purchasing their ingredients from. Having a close connection with these partners will help provide our customers with the greatest possible selection of ingredients and offers. While at the same time we will be able to provide the supermarket chains a better understanding of what its customers require. Key Activities Simply recipes will keep a keen eye on the maintenance and future development of the app. We will make sure it continues to function correctly and remains bug free. This will ensure its users have the best possible experience while using the application. As users will have the ability to upload their own content, we would like to have these recipes to have the recipes displaying their nutritional information such as how much fat, salt, etc is in the meal. The users of the app may be unaware of this information. So Simply Recipes plans on updating and maintaining this information for its users. We would also like to reward our customers who use the app regularly by uploading their own content and use it to purchase their weekly shop. To do this we will need to continually be looking for potential offers for our customers, whether they be free subscription to the app, restaurant/ supermarket vouchers etc. Key Resources To maintain Simply Recipes we will need a few key resources. One of these is computers to maintain and update the application. To distribute the app through the various application stores an internet connection will also be required. We currently have one member of our team who is technically minded so will be in charge of the development and maintenance of the application. We currently have three members of our team who are incredibly knowledgeable about the nutritional information in food. But as the application expands and more users upload their content they may not be able to handle the volumes so other nutritionists will need to be recruited. Value Propositions What are we selling? For the app user we would be offering them a vast amount of high quality recipes, and a highly discounted rate to those found in a recipe book. While at the same point having many unique features not currently found in current mobile recipe apps, such as the ability to enter several ingredients and the app will bring up recipes using as many of those ingredients as possible. Reducing wastage and saving the user money in the process. Another feature that you wont find in any other recipe app, is that if the user likes a recipe they can add the required ingredients in the recipe straight to a shopping basket. For the supermarket, we will be offering a large amount on active monthly users, enthusiastic cooks who are looking to cook something new. By giving supermarkets a chance to get closer to their customers they will receive a better understanding of what customers are buying and what items, if any, they should begin to stock. It will also give supermarkets a easy and cheap way to advertise what food and drink they currently have on offer. Finances Revenue Revenue will be created in several ways. The first method will be by charging the users a small subscription fee of around  £0.79. The reason why this price will be introduced at this rate as in our market research it has shown what people would be willing to pay for such a service, shown in Figure [1]. Figure [1] Subscription Price The majority of our revenue will come from the supermarkets. By allowing users to purchase the ingredients they require directly from supermarkets we would ask the supermarkets for a small cut of the profits they make from the transaction. In 2012 Tescos PLC was operating on a 6.1% profit margin [7], meaning a family of 4 spending  £100 a week on food Tesco would see  £6.10 of that. We would be asking Tescos for a 10% cut on their profit they receive through the app, resulting in Simply Recipes receiving around  £0.61. If we manage to achieve the 10,000 active monthly users at the beginning of the first year that could bring in revenue of up to  £317,200 from the supermarkets alone. We are looking at the end of year 5 to have around 60,000 monthly active users with around 70,000 that use the app for special occasions. This projection would bring in revenue of anywhere up to  £1,305,400. For users wishing to purchase a subscription to the app many of the Mobile operating systems allow users to purchase this through the operating systems designated application store. Then the company in charge of the app store pays the developer at the end or beginning of each month taking a cut of around 30% [2]. So for a  £0.79 subscription fee per user Simply Recipes would receive  £0.553 per month per user. This is a good way of collecting users fees as it can make users feel more comfortable with the transaction, as many people feel uncomfortable giving their card details to new websites/ Apps they are unfamiliar with. For users purchasing their shopping the users can purchase this in App, using either a debit or credit card. This purchase will be forwarded initially onto the supermarket with them returning the 10% of their profit to Simply Recipes. Below is a short breakdown of the where the revenue we plan on generating comes from: Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Investment 50000 0 0 0 0 Supermarkets 152500 228750 305000 457500 915000 Subscription 18960 3950 6320 15800 35550 221460 232700 311320 473300 950550 Costs The main cost for start up of Simply recipes will be the development of the app. This will be a one off cost for the initial start-up of the app, but a running cost will need to put into place of around to maintain the app keeping it up to date and bug free. As users will be able to upload and download recipes a server will initially need to hired to have some where the recipes can be stored for uploading and downloading. This will become a running cost for the first 5 years, where we would be looking to purchase a server for the company. To remove this running cost, and allow Simply Recipes to have easier access to the content its users are uploading. Once the first year of trading is complete and recruitment is required, Simply recipes will locate to a rented office. Another major cost in developing the app is advertising as without it people will be unlikely to hear about Simply Recipes. Below if a short break down of where the major costs of the business will be going: Expenses Year 1 Year 2 Year 3 Year 4 Year 5 Wages 150000 200000 250000 300000 350000 Total Bills 20000 8000 8000 8000 8000 Advertising 20000 20000 20000 20000 20000 Rent 300 300 300 300 600 190300 208300 258300 308300 358600 Profit Simply Recipes is looking to help people lead a healthier and more productive lifestyle. By providing its users with a quick and simply to use app, it can help people tackle the problems that come with unhealthy eating such as diabetes and obesity. Modern society is beginning to prefer companies and individuals who have a greener attitude. Simply Recipes aim to become other company with the ambition of offering its users a great product while at the same time helping out the environment. By helping people come up with recipes with the ingredients that have lying around will reducing the amount of food and package wastage each household produces, while at the same time reducing the expenditure on their weekly shop. We are also looking to turn over a profit, which grows with each year of trading. Allowing us to expand the apps capabilities and what Simply Recipes can offer its customers. Below is what we are looking to make in the first 5 years of trading. Profit Year 1 Year 2 Year 3 Year 4 Year 5 Revenue  £221,460.00  £232,700.00  £311,320.00  £473,300.00  £950,550.00 Expenses  £190,300.00  £208,300.00  £258,300.00  £308,300.00  £358,600.00  £31,160.00  £24,400.00  £53,020.00  £165,000.00  £591,950.00 Figure [2] Profit Channels The way to deliver apps to customers currently for the majority of mobile platforms is through there designated app store. For apple that would be the iOS app store [2], for Google the Google Play store [4] and for Windows phone the Windows Marketplace [6]. These stores allow users to find the application quickly and easily. So we will be submitting versions on the app to these stores to allow quick and easy access to the app. For Googles Android operating system their app store is not the only place that their users can access apps from, they can also be accessed from sites such as Amazon Apps [1]. Therefore Simply Recipes will be uploaded to these stores as well. Typing up recipes on a mobile device is tiresome and can take much longer than a desktop counterpart. So we would be looking in the future to have a website counterpart to the app. That would have similar functionality to that of the app. So people gain knowledge of Simply Apps quickly, we are aiming to advertise Simply Recipes in students campus news papers and news papers such at metro to attract business men and women. Customer Segments There are several different types of customers who are likely to use the app. Initially it will be aimed at the student market and the busy business men and women who dont have much free time so tend to look for meals that are quick and healthy, while at the same time trying to save some money. We would be looking in the future to expand the customer segments in the future to having recipes specific to users dietary requirements such as if they are diabetic or cant eat gluten. Its often hard to find a good set menu for dinner parties so this is another area which Simply Recipes would like to expand on. Our market research showed that the most common meal people make at home was dinner, shown in Figure [3], so this is the meal the Simply Recipes app will try to include the most content for. Figure [3] Meal Usually Cooked At Home Customer Relationships Customer relationships will be maintained in several ways. The first is by allowing users to easily upload and share their own recipes and rate others on theirs, to give the app a greater sense of community. The second will be by offering users special offers such as a free upgrade of the app to the premium service, money off their desired supermarket or even the chance for vouchers on meals out. The more the users uses the app for purchasing their weekly shop or even by uploading their own content the more discounts and offers they will receive. The final way this app aims to maintain a good customer relationship is by having a celebrity chef section. People buy many celebrity chef books, the size of the cookbook market in the US was around $1billion in 2011 [4].

China Essay examples -- Chinese History, Oracle Bones, Xunzi

Philosophy and Religion China’s history has been full of richness of culture, mainly due to how they progressed with philosophy and religion. Since the beginning of the Chinese’s civilization philosophy and religion has been at the forefront of Chinese culture. From the ancient oracle bones and bronze inscriptions to the development of different schools of thought, the Chinese have always been adept for the time period in philosophy and religion. And over the course of their history they have combined the two in a manner that suits their needs, through this evolution and combination of the two they have become a strong nation. Oracle bones were the corner stone of the early Chinese dynasties such as the Shang from around 1200-1050 B.C (Shang pg. 1). In one of the articles it attempts to explain the use of these bones by saying that the kings of the Shang Dynasty would â€Å"attempt to communicate with the spiritual forces that ruled their world by reading the stress cracks in cattle bones†¦Ã¢â‚¬  (Shang 1). These kings would apply a heated poker to the bones which would produce cracks that they would analyze based on the direction and deepness of the crack. Recently these bones and the records of the king’s analyzation were uncovered. An estimated 150,000 oracle bones were found, and have references to the god of the Shang, Di (Shang pg. 1). This type of analysis by the kings is an early form of a religion, and the building blocks for later philosophy and schools of thought in China’s history. Much progression can be seen between the oracles bones in the Shang dynasty and the emergence of Confucius (551-479 BC) (Ebrey Text pg. 42). The oracle bones played the basis for the development of the schools of thought and religion in China. ... ...rogressed a long way since its origins. The early schools of thought based on Confucius’ teaching were key to the progression of China. It shaped their overall political structure, and their ways for worship. With the help of students like Mencius, and Xzuni, Confucianism was allowed to exapand and incorporate in it religious aspects that made it a hybrid philosophy. From there Daoism came into the picture and gave people more choices instead of being forced into Confucianism. But it wasn’t until hundreds of years later did a true religion come into play, Buddhism. To adapt to change, Daoism reemerged as a religion to be able to further spread its message and continue to affect political authority in China. Overall, all of these schools of thought, and religions have played incredibly important roles in China’s political structure, and development as a country.

Raymond Carvers A Small Good Thing Essay -- Comparative Literature Ca

Raymond Carver's A Small Good Thing Raymond Carver's "A Small Good Thing," a short story that has to do with the lack of interaction and empathy between the baker, Ann and Howard, the finale where the baker is startled to find out about the child's death, asks for mercy and presents them warm cinnamon rolls telling them that "Eating is a small, good thing in a time like this" and they are comforted, reveals particular significance of the title in terms of the story's theme. Also, Raymond Carver's "Cathedral," a story that starts with an ignorant and rude narrator whose wife has called a blind friend to spend the night at their home and according to Carver, "A blind man in my house was not something I looked forward to,"(38) has some parallels in thematic content that is revealed in both stories. In "A Small Good Thing," after Howard returns home, the baker keeps on calling him and telling him about the cake, but Howard tells him "I don't know anything about a cake, Jesus what are you talking about?" The theme here is the lack of communication between Howard and Ann. Ann never tells Howard about the cake she ordered before Scott's accident. After the call Howard pours some whiskey for himself, but before returning to the hospital he does not eat anything. The same situation happens after Ann and Howard return home from the hospital after Scott's death. This is where the title has significance in terms of the story's theme. If Ann and Howard had eaten something before they left to see Scott and be with him, their infuriation would not have aggravated till the point where they let out all their rage at the baker. This infuriation is caused by the doctors for not being able to answer their questions about why Scotty is ... ...nything. It's really something."(48-49) From this, one can tell that the narrator is studying more about human interaction and himself than what the blind man is studying about cathedrals. In "A Small Good Thing," the empathy lies around Ann and Howard's rage at the baker. In reality, the main culprits of their rage are the doctors that kept on providing them hope that their son will wake up. Their lack of communication here led them to this lack of empathy with the baker. Carver's similar use of the thematic content revealed in both stories not only tells the reader what these themes have in common in totally different situations, but exhibits the style of writing and way that this author shows the orthodox pictures concerning particular individuals with strange personalities. Works Cited: Carver, Raymond. "A Small, Good Thing." Donald Hall 262-278

21st Century Living Essay -- essays research papers

The 21st Century is just around the corner and with it will come many changes in today’s modern society. Changes occur daily, yet taken into view yearly these changes become extremely noticeable. The people of today’s society are changing everyday, and therefore so is the world. This report will express personal beliefs on what will occur in the 21st century. Within it are examples such as, crime rates, personalities, religion, and living environments.   Ã‚  Ã‚  Ã‚  Ã‚  The 21st Century will bring crime rates to a substantially high rate. In today’s society we have a high crime rate. Day by day more crimes are committed, and taken year by year the numbers rise hugely. This only shows that the police department’s system is not working the way expected. This system has not been modified to any extent, and therefore the numbers will not change. By the time the 21st Century comes along the numbers will have risen to a point where society will be terrified to leave their homes for fear of being attacked.   Ã‚  Ã‚  Ã‚  Ã‚  The on patrol system has not stopped criminals from committing another crime. Criminals who were once imprisoned come out different people searching for a new life. When these ex-criminals find that their previous record stops them from retrieving the dream they were told they could have, they return to the life of crime. The system takes into effect only the emotional changes of the criminal and has never reflected upon the actual ch...

Music Analysis Essay

â€Å"Bitch Bad† is popular hip-hop song performed by Chicago native rapper, Lupe Fiasco. The song depicts the word bitch in the many forms that it is used in today’s urban society. The song starts with a dark weary synthesizer and a heavy deep 808 drum pattern that reflects the sound that is used in many of today’s popular club/party songs. The words to the song shine a stereotypical light on â€Å"bad bitches,† but there is a twist. Fiasco highlights 3 significant points which is the basis of the song, â€Å"Bitch bad, woman good, lady better† (Fiasco, Bitch Bad). By producing this song, Lupe Fiasco points out the relevance and impact that the term has on modern day youth. Fiasco also wanted to make an attempt to steer people in the opposite direction from the normal stereotype of the well-known and overrated term ‘bad bitch. ’ As the first verse starts, Fiasco brings listeners into the world of a young male, around the age of 4 or 5 that picks up on the music his mother listens to that has references of women as being bad bitches. Fiasco describes how the mother sings to the song playing and her son is listening to her sing along to the lyrics. Fiasco states the more the son hears his mother play this type of music, he develops a certain complex on how he views women that use the â€Å"bad bitch† phrase. By the son being such a tender age, he receives the song based on what he sees in his mother instead of the derogatory way the song is describing women. The young boy forms his own opinion of the bad bitch theory. His own mother, whom he looks up to and admires, calls herself a bad bitch, so he depicts the term â€Å"bad bitch† to be positive. To him it resembles a strong, independent, respectful woman because this is how he sees his mother, as opposed to a woman that is weak, dependent and unstable. The hook to the song â€Å"Bitch Bad† illuminates the 3 categories of women: bitch, woman, and lady. â€Å"Bitch bad, woman good/ Lady better, they misunderstood/ (I’m killin’ these bitches)† (Fiasco, Bitch Bad). These lyrics are self-explanatory. This hook is saying that being called a bitch is a bad thing, being called a woman is better, but being called a lady is phenomenal. Lupe Fiasco is trying to tell young girls, or young women, what they should be trying to aspire to be instead of trying to be what they see on the television screens or hear on the radio. More recently in urban society being a woman or a lady has lost its value. The message that Lupe Fiasco is trying to send out to the audience of this song is that being a bad bitch is not a positive look. In verse two of the song â€Å"Bad Bitch,† Fiasco breaks down how a young group of girls in their pre-teen stage listen to songs and watch music videos on the internet. The videos are uncensored and because they know more about the internet than their parents, they don’t get parental consent. Children tend to know a lot more about modern day technology than their parents. This is how children such as the ones described in this verse, are able to watch uncensored items online. The young girls are at an age where they need a positive female role model, but instead they are influenced by the women they see in music videos. These young girls receive a different persona of a bad bitch than the young boy in the first verse. Bad bitches to them are women that have sex appeal, skinny with big butts, and wear sexy and revealing clothing. As the song states â€Å"High heels, long hair, fat booty, slim†¦ They don’t see a paid actress, just what makes a bad bitch† (Fiasco, Bitch Bad). The girls have this image in their heads, and without proper guidance, this is what they want to grow up to be. The third verse begins by Fiasco stating that he is not trying to teach children to use the term â€Å"bitch† but as a psychological way to let listeners know that he is against the use of the word. This verse combines the first two and it continues with the observation of how small the world really is and the young boy from the first verse and one of the young girls from the second verse meet. Fiasco continues on to illustrate how the boy is viewing the girl in an insolent way based on how she is dressed, but she is saying it in a sexual way. His viewing of a bad bitch is not what the girl is showcasing. Sure enough, in this little world/The little boy meets one of those little girls/And he thinks she a bad bitch/And she thinks she a bad bitch/He thinks disrespectfully/She thinks of that sexually/She got the wrong idea/He don’t wanna fuck her/He thinks she’s bad at being a bitch/Like his mother† (Fiasco, Bitch Bad). She is flaunting her half-dressed body i n front of him, yet he is telling her that his mother didn’t do things like that, and that is what he knows to be a bad bitch. The young man fostered his view on the term from what he saw in his mother, a respectful woman. They young lady obtained her view from the flashy video girls she saw in music videos. The term ‘bad’ back in earlier years portrayed a woman who had her life together and was sexy in a respectful way. She was the woman that didn’t need assistance from the male counterpart. Black moguls in the rap/hip hop community, such as Dame Dash, Russell Simmons, Nicki Minaj, and Jay-Z have taken the word ‘bad’ and made the ‘bitch’ addition and spread it through the black culture. Now a female who has lower standards perceives that she’s a â€Å"bad bitch† because she is being uplifted by the black urban community. Society today can take the term â€Å"bad bitch’ as being either good or bad. Marc Hogan, writer for Spin Magazine, stated â€Å"Clearly, something has changed in hop hop’s relationship with anti-woman slurs†¦and that’s ostensibly what Lupe Fiasco tries to address†¦Ã¢â‚¬  (Hogan). The perception of women slurs all depend on individual perceptions and how much impact social media has on an individual. This song released in August 2012. Upon its music video release, MTV did an interview with Lupe Fiasco. During this interview, Fiasco stated that he â€Å"just wanted to have a conversation,† (Fiasco, Interview). Lupe also suggested that because there is no solidification to the term bad bitch, â€Å"†¦it’s definitely something that I think we should talk about because it’s so prevalent in our culture right now† (Fiasco, Interview). Lupe is trying to get the world to understand that a bad bitch is a double standard as stated in the lyrics â€Å"Bad mean good to her/She really nice and smart/ But bad mean bad to him/Bitch don’t play your part/ But bitch still bad to her if you say it the wrong way/ But she think she a bitch/What a double entendre† (Fiasco, Bitch Bad). Rob Markman stated that â€Å"Lupe Fiasco knows all too well the power of words. † This is very true. Fiasco’s music is well known in the hip hop industry for relaying some kind of message. Lupe Fiasco did precisely what he set out to do, spark a conversation and produce different point of views. â€Å"Depending on where you stand, the term â€Å"bad bitch† may have positive or negative connotations†¦Ã¢â‚¬  (Markman). Fiasco let the world know that is was more to being a ‘bad bitch’. What viewers see in music videos is only one perception. Needless to say, â€Å"†¦whether you consider â€Å"bitch† empowering or degrading, there is always something to ponder on† (Viera), and Lupe Fiasco definitely gave his listeners, and non-listeners, something to think about.

Students Be Allowed to Share Their Answers

In my first argument I will argue why think students should be allowed to share answers and homework. One of the big reasons why students should be allowed to share their answers and homework with other classmates Is to find out If and why their answer was wrong. Lets say a student named Sebastian does his homework. He studies, writes the test and gets the result. He will probably get something like 10/20 or 25/40 or whatever the results may be. The point is that Sebastian doesn't get enough feedback.Some teachers actually give good feedback to their students but its ere rare and most teachers these days leave it up to the students to find out the right answers after the test and so on. The result of this will be that most students don't look up the right answers, there for they will never know the right answers. If students had the option to share their answers with classmates they would know if and why they are right or wrong. If they don't compare answers and understand why one an swer Is right and one is wrong, they will never learn. Teachers in this generation seem to expel Cheating Is beneficial for studentsI am going to argue why I think cheating could be beneficial for students. I am going to focus on 2 topics. 1 . Why students should be allowed to share their answers and homework with shooter. 2. Why teachers shouldn't be allowed to accuse students of cheating based off of similar answers/thoughts. In my first argument I will argue why I think students should be allowed to share share their answers and homework with other classmates is to find out if and why studies, writes the test and gets the result. He will probably get something Like 10/20 or 25/40 or whatever the results may be.The point Is that Sebastian doesn't get enough feedback. Some teachers actually give good feedback to their students but Its very rare and most teachers these days leave It up to the students to find out the one answer is right and one is wrong, they will never learn. Teach ers in this generation seem to expect students to do all of their work independently. According to Inchoation. Org 75% – 98% of college students have cheated. Another reason why Cheating Is beneficial for students I am going to argue why I think cheating could be beneficial for students. I am going Cheating is beneficial for students

Occupational Therapy Efficacy After Stroke Health And Social Care Essay

This meta analysis of the referenced surveies aim to measure efficaciousness of occupational therapy: whether it focused specifically on personal activities of day-to-day populating improves recovery for patients following shot and to cognize does.Occupational therapy aims to assist people make their maximal degree of map and independency in all facets of day-to-day life. Reviewing 07 surveies with 1178 participants, people who had a shot were more independent in personal activities of day-to-day life like feeding, dressing, bathing, toileting and traveling approximately and more likely to keep these abilities if they received intervention from an occupational healer after shot. Abstract ( around 200-250 words ) Aims A systematic reappraisal of surveies proving the effectivity of occupational therapy in station shot patient, focused specifically on personal activities of day-to-day populating improves recovery for patients following shot. Datas beginnings We searched EBSCOMEDLINE, EMBASE, CINAHL and the Cochrane Library ( 2000- 2010 ) . AMED: Choice standards Selection standards included surveies that used randomized controlled tests of an occupational therapy intercession compared to usual attention or no attention, where shot patients practiced personal activities of day-to-day life, or public presentation in activities of day-to-day life was the focal point of the occupational therapy intercession. Review methods A meta-analysis, utilizing a random effects theoretical account, of 24 programmes identified in 19 tests. Effect sizes were adjusted by reverse discrepancy weights to command for surveies ‘ sample sizes.Findings.Main ConsequenceWe identified 64 potentially eligible tests and included nine surveies ( 1258 participants ) . Occupational therapy intercessions reduced the odds of a hapless result ( Peto odds ratio 0.67 ( 95 % assurance interval ( CI ) 0.51 to 0.87 ; P = 0.003 ) . and increased personal activity of day-to-day life tonss ( standardised mean difference 0.18 ( 95 % CI 0.04 to 0.32 ; P = 0.01 ) . For every 11 ( 95 % CI 7 to 30 ) patients having an occupational therapy intercession to ease personal activities of day-to-day life, one patient was spared a hapless result.DecisionsPatients who receive occupational therapy intercessions are less likely to deteriorate and are more likely to be independent in their ability to execute personal activities of day-to- day life. However, the exact nature of the occupational therapy intercession to accomplish maximal benefit demands to be defined..Chapter 1: Introduction:The overall purpose of this meta analysis was to measure the effectivity of OT in station shot patient. Extensive literature hunt was done by turn uping published shot rehabilitation direction intercession surveies that measured personal activities of day-to-day populating results among stroke patient. Datas were extracted from survey studies which included intercessions designed to better station shot activities of patient. From WHO ‘s study of planetary load of shot it was found that Worldwide 15 1000000s people suffer a shot yearly. 5milloin of these dices and another 5 million are left for good disabled, doing load on household and community. High blood force per unit area and baccy usage are considered as a major hazard factor for shot ( WHO, 2010 ) . The World Health Organisation ( WHO ) defines Stroke as â€Å" a clinical syndrome of resumed vascular beginning, typified by quickly developing marks of focal or planetary perturbation of intellectual map enduring more so 24 hours or taking to decease † ( WHO, 1978 ) . The causes of shot can be classified as: IschaemicA cause: blood supply to encephalon stopped due to formation of blood coagulum. It causes 70 % of all instances. Haemorrhagic: A encephalon harm caused due to spliting of blood vas which supply blood to encephalon There is besides a related status known as aA transient ischemic attackA ( TIA ) , which affect 35 people per 100,000 of population each twelvemonth and is associated with a really high hazard of shot in the first month of event upto one twelvemonth ( Coull, et al. , 2004 ) . In transeunt ischaemic onslaught the blood supply to the encephalon is temporarily interrupted due to inadequate intellectual or optic blood supply which is due to low blood flow, thrombosis or intercalation. Symptoms last for less than 24hours doing a kind of ‘mini-stroke ‘ ( Hankey and Warlow, 1994 ) . The hazard of decease due to stroke depends on its type like TIA has the best result whereas obstruction of an arteria is more unsafe, with rupture of blood vass. It has found that even if state is holding progress engineering and installations 60 % people die or become dependent doing high cost of intervention ( WHO, 2010 ) . Those of Afro-Caribbean beginning are at increased hazard of holding a shot, and the figure of people affected by the status is higher among this cultural group than any other. This is because people of Afro-Caribbean beginning have a familial sensitivity ( a natural inclination ) to developing diabetes and bosom disease, which are two conditions that can do shots. Ischaemic shots occur when blood coagulums block the flow of blood to the encephalon. Blood coagulums typically form in countries where the arterias have been narrowed or blocked by fatty cholesterol-containing sedimentations known as plaques. This narrowing of the arterias is known asA coronary artery disease. As the age progresss, our arterias become narrower, but certain hazard factors can perilously speed up the procedure. Hazard factors include: smoke, high blood force per unit area ( high blood pressure ) , fleshiness, high cholesterin degrees ( frequently caused by a high-fat diet ) , and a household history of bosom disease or diabetes. Diabetess is besides a hazard factor, peculiarly if it is ill controlled, because the extra glucose in the blood can damage the arterias. Haemorrhagic shots occur when a blood vas in the encephalon explosions. The chief cause of this is high blood force per unit area ( high blood pressure ) , which can weaken the arterias in the encephalon and do them prone to divide or tear. The hazard factors for high blood force per unit area include: being overweight, imbibing inordinate sums of intoxicant, smoke, a deficiency of exercising, and emphasis, which may do a impermanent rise in blood force per unit area. A individual ‘s cultural group can besides be a hazard factor for high blood force per unit area. One-half of all people of black-African or Caribbean beginning who are over 40 old ages of age are likely to hold high blood force per unit area. Research has suggested this is because people of African beginning have an increased sensitiveness to the effects of salt, which can do their blood force per unit area to lift. A hemorrhagic shot can besides sometimes occur as a consequence of a traumatic caput hurt ( NHS Choices, 2008 ) . Every twelvemonth, an estimated 150,000 people in the UK have a shot. That is one individual every five proceedingss ( Office of National Statistics, 2001 ) .The encephalon harm caused by shots agencies that they are the largest cause of grownup disablement in the UK. Peoples who are over 65 old ages of age are most at hazard from holding shots, although 25 % of shots occur in people who are under 65 old ages of age. It is besides possible for kids to hold shots ( NHS Choices, 2008 ) . Around 1000 people under 30 have a shot each twelvemonth. Stroke can ensue in many different disablements runing from motor control and urinary incontinency to depression and memory loss. Disablement has been conceptualized by the universe wellness organisation in footings organ disfunction ( damages ) , disablement ( trouble with undertaking ) , and disability ( societal disadvantage ) ( Post shot rehabilitation, 1995 ) . The analysis of cost of unwellness of shot by Saka et Al ( 2009 ) has found that shot has greater impact on economic system of UK, as intervention of and productivity loss originating due to stroke cost ?8.9 billion a twelvemonth. In which intervention cost is about 5 % of entire UK NHS costs. Direct attention including diagnosing, inmate attention and outpatient attention histories for about 50 % of the sum, informal attention costs 27 % and the indirect costs that is cost ensuing from premature decease due to stroke is 24 % . This survey concluded that chronic stage of shot is most dearly-won and hence suggested better apprehension of long-run attention in footings of its effectivity and cost-effectiveness is necessary. Due to stroke one side of the organic structure may be paralyzed or the musculuss on the affected side may weaken. After shot intervention is comprise of attention and rehabilitation ( Post shot rehabilitation, 1995 ) . During the period of acute inmate attention, patient will have rehabilitation and attention input from a assortment of qualified and unqualified nursing and allied wellness staff. It is hence of import that all staff should be familiar with the effects of shot, and able to efficaciously pull off jobs associating to stroke suitably within their functions. The effects of shot are manifold ; every bit good as the more seeable physical jobs ; stroke subsisters will probably hold a figure of emotional, cognitive, and communicating jobs ( Ross et al, 2009 ) Research shows that patients benefit from intervention in stroke units in the ague and rehabilitation stages ( Indredavik, 2008 ) . Rehabilitation is the procedure of get the better ofing or larning to get by with the harm the shot has caused. It is about acquiring back to normal life and accomplishing the best degree of independency by: relearning accomplishments and abilities ; larning new accomplishments ; accommodating to some of the restrictions caused by a shot ; and happening societal, emotional and practical support at place and in the community. The benefits of shot rehabilitation bundles are good documented ( SUTC, 2000 ) but small is known about the efficaciousness of the assorted constituents of such intercessions. Rehabilitation requires multidisciplinary attack affecting healer ( physical healer, speech healer, and occupational healer ) , physicians, psychologist and societal workers. Occupational healer teaches the patient day-to-day life accomplishments and how to utilize populating AIDSs such as Walkers or bathroom grab bars ( shot rehabilitation, 2010 ) . After stroke life become hard due to disablement caused by it. shot have high morbidity rates which means that patient with shot suffer from both mental and physical disablement following shot. It is the taking cause of lower quality of life in grownups. Rehabilitation offers a opportunity to reconstruct quality of life after shot. Brain damaged caused due to stroke can non be healed but rehabilitation helps a patient in keeping bing abilities and supply scheme for managing disablements cause by shot. Stroke intervention depends on clip continuance after shot, hazard factor that may impact intervention. Depending on these factors stroke intervention include blood dilutant medicine which can fade out a blood coagulum, or encephalon surgery for rupture blood vas. Rehabilitation after shot Begins after acute intervention. It helps in relearning the accomplishments lost due to stroke and counterbalancing for disablement caused by shot. It stroke includes memory rehabilitation, linguistic communication rehabilitation and emotional rehabilitation, motor and centripetal control rehabilitation ( Healthtree, 2010 ) . Functional damage following acute unwellnesss -such as shot – often have terrible physical effects for grownup and older patients ( Desrosiers, 2003 ) . Occupational therapy is an indispensable constituent for the rehabilitation of handicapped patients, holding a broad scope of intercessions available to help individuals towards independency ( cup, 2003 ) . The end of occupational therapy is to reconstruct functional independency when possible and to ease psychosocial accommodation to residuary disablement ( Landi, 2006 ) . The doctrine of occupational therapy is founded on the construct of business as a cardinal component of wellness and wellbeing. Practice in societal attention services embraces the societal theoretical account of disablement and is based on holistic and person-centered attention, stressing the publicity of autonomy and resourcefulness ( College of Occupational Therapists, 2008 ) . The Occupational therapy is normally used in the station shot patients by an occupational healer with the specific purpose of easing personal activities of day-to-day life to better the results for patients following shot. Different tests have been conducted in different states to turn out the effectivity of occupational therapy but there is deficiency of grounds proposing that occupational therapy intercessions can cut down the likeliness of such impairment and better patients ‘ ability to execute personal activities of day-to-day life. Therefore the purpose of this Meta analysis is to measure the efficaciousness of occupational therapy on shot rehabilitation. The chief purpose of occupational therapy ( OT ) is to keep, reconstruct or make a lucifer beneficial to the person between the abilities of the individual, the demands of his or her businesss and the demands of the environment ( Creek, 2003 ) Activity and engagement restrictions in shot typically diminish wellness and well-being As a consequence, betterment of functional abilities, betterment of engagement in society and an increased quality of life are of import results of OT intervention ( Steultjens, 2005 ) . Historically, several intervention attacks have been introduced and adopted by physical and occupational healers. The shot rehabilitation methods adopted by healers vary widely depending on their background cognition, clinical experience, clinical accomplishments, and personal penchants [ 6-9 ] . The handiness of a overplus of intervention methods shows that shot rehabilitation patterns are continually germinating. Previous surveies conducted in the United Kingdom used studies to find common intervention patterns in stroke rehabilitation among physical healers [ 10-11 ] . The consequence of the survey by Landi et Al. ( 2006 ) shows that patients with shot who received the combined plan of physical and occupational therapy had a greater degree of independency in activities of day-to-day life over a period of 8 hebdomads than patients who did non. It has been found from the Cochrane reappraisal of benefits of shot rehabilitation that it reduces about 22 % in decease or dependence and these benefits are more outstanding under and over 75 old ages of age, in both sexes. Length of infirmary stay is besides reduced due to early rehabilitation ( Scots intercollegiate guidelines web, 2002 ) . Stroke is a complex status where cognition base is continuously increasing. There is changeless progress in apprehension of the status, appraisal and intercession techniques. Occupational healers are a critical constituent in the rehabilitation of patient with this status ( Edmans, 2000 ) . Occupational healer work with persons who have conditions that are physically, mentally, developmentally, or emotionally disenabling. They help them develop, retrieve, keep day-to-day life and work accomplishments. The end of occupational healer is to assist their client have independent, fulfilling and productive lives ( Weeks and Zona, 2000 ) .Chapter 2: The Literature SearchChoice standards – brief description of the chief elements of the inquiry under consideration. This is subdivided into: Types of surveies – eg: RCT ‘s Types of participants – the population of involvement. This subdivision may include inside informations of diagnostic standards, if desired or appropriate. Types of intercessions – the chief intercession under consideration and any comparing interventions. Types of result steps – any result measures/endpoints ( for illustration, decrease in symptoms ) that are considered of import by the referee, defined in progress ; non merely outcome steps really used in tests.Definition of Occupational therapyWorld federation of occupational healer ( 2004 ) define Occupational therapy as a profession concerned with advancing wellness and good being through business. The primary end of occupational therapy is to enable people to take part in the activities of mundane life. Occupational healers achieve this result by enabling people to make things that will heighten their ability to take part or by modifying the environment to better support engagement. The hunt scheme for systematic reappraisals of the efficaciousness of OT has identifies randomised test comparing occupational therapy with other intercession or no intercession. It has been done by seeking EBSCO host research database from 2000-2010. The other beginnings are Google Scholar and The Occupational Therapy Research Index and Dissertation Abstracts registry, scanned mention lists of relevant articles, relevant diaries. ( 1999-2010 ) . Fifty-three surveies were identified and abstracted. Four surveies reported entire haemorrhagic shot as the result, which includes intracerebral and subarachnoid hemorrhage.4,7,10,11 None of the surveies reported information on subdural hemorrhagic shots. We have used the term hemorrhagic stroke throughout the article. Two studies consisted of the same instance patients but different controls and were treated as 2 separate surveies. 23,24 From the 53 surveies, 18 were farther excluded for assorted grounds. Two surveies were excluded because combined hazard estimations were reported for work forces and adult females but degrees of intoxicant ingestion were non the same for work forces as for women.49,50 We excluded 5 surveies that examined merely the consequence of orgy imbibing or acute intoxicant ingestion ( within 24 hours before shot ) 51-55 because our survey assessed accustomed intoxicant ingestion and comparative hazard of shot. Five surveies that lacked sufficient informations for computation of comparative hazard estimations were excluded.56-60 The staying 6 excluded studies did non utilize ascetics as the mention group.61-66 We included 19 cohort surveies and 16 instance control surveies in our concluding analysisTypes of surveiesThis survey included randomized controlled tests of shot patients having an occupational therapy intercession provided by an occupational healer. All of the selected surveies intend to better personal activities of day-to-day life compared to usual attention or no attention in station shot patient. If big randomized tests are impractical, we have to pull the most dependable decisions from smaller tests. Unfortunately, the conventional attack, the narrative reappraisal is undependable. Conventional reappraisal normally fails to specify the reappraisal inquiry, to guarantee that all relevant tests are explicitly based on the grounds. Systematic reappraisals set out to better upon narrative reappraisals by using scientific methods to the reappraisal of the research grounds ( Langhorne, et al. , 2008 ) .Types of participants:This survey included the test if the participant of the survey met the clinical definition of shot as defined by WHO â€Å" a clinical syndrome of resumed vascular beginning, typified by quickly developing marks of focal or planetary perturbation of intellectual map enduring more so 24 hours or taking to decease † . All of the included surveies have given clear inclusion standards. They include participant on the footing of clinical diagnosing, except Sa ckley et Al ( 2006 ) included occupants with moderate to severe stroke-related disablement by utilizing Barthel Activity of Daily Living Index mark ( BI score 4 to 15 inclusive ) . Participants with other acute unwellness are excluded from the surveies.Types of intercession:In this survey tests are include if they have following characteristics: aˆ? Occupational therapy intercession which specially focused on activities of day-to-day life and tried to better their personal activities of day-to-day life. aˆ? The tests are included in which control group receives normal attention or no intercession. aˆ? Interventions are provided under the supervising of qualified occupational healer. The survey by Sackley et Al ( 2006 ) has developed an intercession by utilizing bing grounds with the aid of a group of adept occupational healers delivered on single degree. The period of intercession was three month which include occupational therapy and carer instruction, wherasINCLUSION CRITEIA:Researcher included surveies that used randomized or controlled clinical designs, of an occupational therapy intercession, compared to usual attention or no attention. In which stroke patient ‘s public presentation in footings of activities of day-to-day life was the focal point of the occupational therapy intercessionDatas beginningsSelected database is EBSCO host web research database this aggregation of databases provide entree to cardinal diaries, many holding links to full text diary articles. It contains assorted databases as follow: AMED British Nursing Index CINHAL plus with full text Medline with full text SocINDEX with full text The other beginnings are Google Scholar and The Occupational Therapy Research Index and Dissertation Abstracts registry, scanned mention lists of relevant articles, relevant diaries. ( 1999-2010 ) ( See Appendix 1 ) .Cardinal words or term used in literature huntKilowatts: Stroke in Title Rehabilitation in Abstract Randomised controlled trail in AbstractChoice standardsTime frame: 2000-2010 Randomized controlled test Language or national context: English linguistic communication merely Main focal point of paper: Stroke rehabilitation Peer reviewed diary merely National and international surveies.Types of result stepThe out come step are that reflected the alteration in personal activities of day-to-day life in shot patient after having occupational therapyPrimary result( 1 ) Performance in personal activities of day-to-day life ( pADL including: eating, dressing, bathing, toileting, simple mobility and transportations ) at the terminal of scheduled follow up. ( 2 ) Death or a hapless result. Death or a hapless result is defined as the combined result of being dead or: aˆ? holding deteriorated, characterised by sing a impairment in ability to execute personal activities of day-to-day life ( that is, sing a bead in pADL mark ) ; or aˆ? being dependent, characterised by lying above or below a pre-defined cut-off point on a given pADL graduated table ; or aˆ? necessitating institutional attention at the terminal of scheduled follow up.Secondary results of involvement( 1 ) Death at the terminal of scheduled follow up ( 2 ) Number of patients dead or physically dependent at the terminal of scheduled follow up ( 3 ) Number of patients dead or necessitating institutional attention at the terminal of scheduled follow up ( 4 ) Performance in drawn-out activities of day-to-day life ( community and domestic activities ) at the terminal of scheduled follow up ( 5 ) Patient temper at the terminal of scheduled follow up ( 6 ) Patient subjective wellness position or quality of life at the terminal of scheduled follow up ( 7 ) Carer temper at the terminal of scheduled follow up ( 8 ) Carer subjective wellness position or quality of life at the terminal of scheduled follow up ( 9 ) Patient and carer satisfaction with services We aimed to enter results that reflected resource usage ( that is the figure of admittances to hospital, figure of yearss in infirmary, AIDSs and contraptions provided, figure of staff required per caseload ) . Search methods for designation of surveies See: ‘Specialized registry ‘ subdivision in Cochrane Stroke Group Occupational therapy Secondary resultExclusion Standards:Documents excluded from the reappraisal were plants that focused preponderantly upon: Stroke rehabilitation surveies before 2000. Which are non published surveies Which are other than English linguistic communicationResearch DesignA meta-analysis, by utilizing quantitative methods such as a random effects theoretical account, of 7 randomized controlled test identified literature hunt.Analysis of DatasResearcher will analyze binary results with a fixed-effect theoretical account, as odds ratios ( OR ) with 95 % assurance intervals ( CI ) . For uninterrupted results, a random-effects theoretical account will be used to take history of statistical heterogeneousness. As there is some heterogeneousness between the tests in footings of their design, continuance of follow up and choice standards for patients. Researcher will execute an purpose to handle analysis to cut down potentialA prejudices in footings of followup, publication, and describing prejudice associated withA pull outing informations from published studies. Publication prejudice will be assessed withA a rank correlativity trial and a funnel secret plan. Systematic reappraisals show that occupational therapy increases functional ability and/or societal engagement in aged people and in patients with shot or rheumatoid arthritis. For patients with progressive neurological diseases, intellectual paralysis or mental illnesses the efficaciousness of occupational therapy is still ill-defined because high-quality surveies are missing.Chapter 3 – MethodologyJustification of methodological attack – qualitative or quantitative Methods of the reappraisal – description of how surveies eligible for inclusion in the reappraisal were selected, how their quality was assessed, how informations were extracted from the surveies ( evaluated ) , how informations were analysed, whether any subgroups were studied or whether any sensitiveness analyses were carried out, A major challenge with shot rehabilitation is that the intercession itself is likely to be really complex and non uniform. Any intercession developed by healer or multidisciplinary squad will affect many constituents which may interact in different ways. It is likely that these intercessions may a mixture of both effectual and uneffective elements so it is of import that we are cognizant of variableness between the different tests and we explore this variableness when analysing the consequence ( Langhorne, et al. , 2008 ) .Chapter 4 – The SurveiesDescription of surveies – how many surveies were found, what were their inclusion standards, how large were they, etc. ? Methodological quality of included surveies – were at that place any grounds to doubt the decisions of any surveies because of concerns about the survey quality?4.1 Features of included surveies:Features of included surveiesSurveyMethodParticipantsInterventionResultCindy 2004 HongKong Pretest and posttest randomized control test design -53 participants -Age: 55 old ages or older. -Mean age: 72.1 -With primary diagnosing of shot -Living at place Intervention group received extra home-based intercession in the usage of devices instantly after discharge, but the control group did non. Subjects were assessed by 1.Functional Independence Measure and 2. The Quebec User Evaluation of Satisfaction with Assistive Technology. Gilbertson, 2000. Glassgow Single blind randomised controlled test. -138 participants -Mean age: 71 -with clinical diagnosing of shot -were admitted to Glasgow royal hospital NHS trust were Intervention group received 6wk domiciliary programme and control group received included inmate multidisciplinary Rehabilitation. Subjects were assessed by 1.Nottingham drawn-out activities of day-to-day populating graduated table 2. Barthel activities of day-to-day populating index. Landi, 2004 USA -50 Participants -Mean age: 78.3 – With primary diagnosing of ischaemic shot Intervention group received received 8 hebdomads of a combined rehabilitation plan based on occupational therapy and physical therapy received no input from the occupational healers Subjects were assessed by -MDS-PAC – ADL graduated table Logan,2004 United kingdom Randomised controlled test. -168 participants -Mean age: 74 – clinical diagnosing of shot in old 36 months Intervention group received cusps with appraisal and up to seven intercession Sessionss by an occupational healer. Control group received cusps depicting local conveyance services for handicapped people -Postal questionnaires – Nottingham extended activities of day-to-day populating graduated table, Nottingham leisure questionnaire, and general wellness questionnaire. Parker,2000 United kingdom Multicentre randomized controlled test. -466 Participants -Mean age: 72 .Randomization was done in three groups. two intervention groups received occupational therapy intercessions at place for up to six months after enlisting. The General Health Questionnaire ( 12 point ) , the Nottingham Extended ADL Scale and the Nottingham Leisure Questionnaire Logan,2004 United kingdom Randomised controlled test with hidden allotment and blinded appraisal. -168 Participants -Mean age:74 -patients with a clinical diagnosing of shot in the old 36 months Control group received one session consisting of advice, encouragement, and the proviso of cusps depicting local mobility services. intercession group received the cusps plus occupational therapy appraisal and up to seven intercession Sessionss for up to 3 months. Primary result was self-report, Secondary results were 1-self-report of the figure of journeys out-of-doorss in the past month, 2-Nottingham drawn-out activities of day-to-day populating graduated table, 3-Nottingham leisure questionnaire. 4-general wellness questionnaire. Sackley,2006 United kingdom bunch randomized controlled test -118 Participant -Residents with moderate to severe stroke-related disablement – Residents with acute unwellness and those admitted for end-of-life attention. Occupational therapy was provided to intervention group but included carer instruction. control group received usual attention 1-Barthel Activity of Daily Living Index ( BI ) tonss 2-Rivermead Mobility Index.Features of intercession included in surveyWriterSample sizeinterventincontrolconsentRandomization itemPutingCindy 2004 HongKongMeterFGilbertson, 2000. GlassgowMeterFLandi, 2004 USAMeterFLogan,2004 United kingdomMeterFParker,2000 United kingdomMeterFLogan,2004 United kingdomMeterFLogan,2004 United kingdomMeterFChapter 5 Findingss / ConsequencesWhat do the information show? The synthesis of consequences – thematic analysis or statistical analysis. Accompanied by a graph to demo a meta-analysis, if this was carried out.Chapter 6 – DiscussionInterpretation and appraisal of consequences.Chapter 7 – DecisionSubdivided into Deductions for pattern and Implications for research. Stroke patients who receive occupational therapy focused on personal activities of day-to-day life, as opposed to no everyday occupational therapy, are more likely to be independent in those activities. Restrictions of the survey It is hard to plan and carry on high quality clinical tests of rehabilitation. First, the cover of therapies from patient and healer is hard, therefore allowing the debut of prejudice, peculiarly when the individual supplying the intercession is besides the individual making the research, as is the instance with many of the surveies in this reappraisal. Second, while usual or standard attention is recognised as an appropriate control, this may include intercessions that promote activities, which potentially reduces the estimation of the intercession effect.21 Third, it is more hard to obtain credence of randomization in an inmate scene, peculiarly where an occupational therapy service is already established. We excluded four tests that compared one occupational therapy intercession within an active concurrent control arm provided in inpatient scenes as they did non supply an unconfounded estimation of effect.w1-w4 Finally, tests of rehabilitation intercessions typically have drawn-ou t follow-up periods with a hazard of survey dropout. This makes executing a true purpose to handle analysis with complex tonss such as the Barthel index problematic as it is hard to hit for losing participants. Despite these possible concerns, nevertheless, the quality of the included tests was by and large good and the consequences were consistent between tests. Occupational therapy is a complex intercession. Practice includes skilled observation ; the usage of standardized and non-standardised appraisals of the biological, psychiatric, societal, and environmental determiners of wellness ; elucidation of the job ; preparation of individualized intervention ends ; and the bringing of a set of individualized job work outing intercessions. While we are confident that all the intercessions in this reappraisal were consistent with this wide construct of occupational therapy, we recognise that the exact nature of the intercessions in each survey differed harmonizing to the type of patient, the expertness of the healer, and the resources available. The intercessions tested were likely provided by experts and non peculiarly constrained by twenty-four hours to twenty-four hours service factors. Our reappraisal did non compare occupational therapy with alternate rehabilitation intercessions, nor did it analyze the consequence of occupational therapy c ombined with other intercessions.Reference List of Included Studies:Chiu, W. , Y. and Man, D. W. K. , 2004. The consequence of developing older grownups with shot to utilize home-based assistive devices. Occupational Therapy Journal of Research [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Gilbertson, L. , et al. , 2000. Domiciliary occupational therapy for patients with shots discharged from infirmary: a randomized controlled test. BMJ [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Francesco, L. , et al. , 2006. Effectss of an Occupational Therapy Program on Functional Outcomes in Older Stroke Patients [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Logan, P. , et al. , 2004 Randomised controlled test of an occupational therapy intercession to increase out-of-door mobility after shot [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Parker, C. , J. et al. , 2001. A multicentre randomized controlled test of leisure therapy and conventional occupational therapy after shot. Clinical Rehabilitation [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? six [ Accessed 12th July 10 ] Sackley, C. , M. et al. , 2004. Occupational therapy in nursing and residential attention scenes: a description of a randomised controlled test intercession. British Journal of Occupational Therapy [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? six [ Accessed 12th July 10 ] Walker, M. , F. et al.,1999. Occupational therapy for shot patients non admitted to infirmary: a randomized controlled test [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ]REFRENCE LISTAdamson, J. , Beswick, A. , Ebrahim, S. 2004. Is stroke the most common cause of disablement. Journal of Stroke and Cerebrovasculer Disease [ Online ] Available at: hypertext transfer protocol: //www.strokejournal.org/article/S1052-3057 ( 04 ) 00070-9/abstract [ Accessed 21st July 10 ] British Heart Foundation, 2005. Coronary Heart Disease statistics. London. British Heart Foundation [ Online ] Available at: hypertext transfer protocol: //www.heartstats.org/uploads/documents48160_text_05_06_07 [ Accessed 21st July 10 ] College of Occupational Therapy. 2004. What is occupational therapy? [ Online ] Available at: www.cot.org.uk [ Accessed 18th July 10 ] . College of Occupational Therapists ( 2008 ) COT place statement: the value of occupational therapy and its part to adult societal service users and their carers London: College of Occupational Therapists Available at: hypertext transfer protocol: //www.mayden.co.uk/house/apps/doclibrary/documents/pdf/ [ Accessed 18th July 10 ] . Coull, A. , Lovett, J. , and Rothwell, P. , 2004. Population base survey of early hazard of shot after transeunt ischemic onslaught or minor strpke: deductions for public instruction and administration of services. British Medical Journal [ Online ] Cup EH, Scholte op Reimer WJ, Thijssen MC, van Kuyk-Minis MA: Dependability and cogency of the Canadian Occupational Performance Measure in shot patients. Clin Rehabil 2003 ; 17: 402-409 Desrosiers J, Malouin F, Bourbonnais D, Richards CL, Rochette A, Bravo G: Arm and leg damages and disablements after shot rehabilitation: relation to disable. Clin Rehabil 2003 ; 17: 666-673 D'Souza, A. , et al. , 2002. Probiotics in bar of antibiotic associated diarrhea: meta analysis. Edmans, J. , 2000. Occupational Therapy and Stroke [ Onlone ] Available at: hypertext transfer protocol: //www.amazon.co.uk/Occupational-Therapy-Stroke-Judi-Edmans/dp/1861561989 [ Accessed 20th July 10 ] Egger, M. , Davey, S. , and Altman, D. , ( explosive detection systems ) . Systematic Reviews in Health Care. Meta-analysis in Context. London: BMJ Books, Glasziou, Paul, 2001. Systematic reappraisals in wellness attention: Apractical usher. United Kingdom: Cambridge University Press Gresham, G. , Duncan, P. and Statson, W. , 1995. Prioritie for future research, Clinical pattern guidelines figure 18. US section of wellness and human services, Agency for wellness attention policy and reseaech, Rockwell, Maryland, AHCPR publication Hankey, G. , and Warlow, C. 1994.Transient ischemic onslaughts of the encephalon and oculus. London: WB Saunders. Healthtree, 2010. Stroke rehabilitation [ Online ] Available at: hypertext transfer protocol: //www.healthtree.com [ Accessed twentieth September 10 ] Indredavik B, Bakke F, Slordahl S, Rokseth R, Haheim L. Stroke unit intervention improves long-run quality of life: a randomized controlled test. Stroke1998 ; 29: 895-9. Landi, F. , at el. , 2006. Effectss of an Occupational Therapy Program on Functional Outcomes in Older Stroke Patients Gerontology 2006 ; 52:85-91 Langhorne, Peter, D. , Martin, 2008. Stroke Unit of measurements: An grounds based attack John Wiley & A ; Sons, Ltd NHS Choices, 2008. Stroke [ Online ] Available at: hypertext transfer protocol: //www.nhs.uk/Conditions/Stroke/Pages/Complications.aspx [ Accessed 20th July 10 ] Office of National Statistics, 2001. Stroke incidence and hazard factor in a population based cohort survey. Health statistics quarterly [ Online ] Available at: hypertext transfer protocol: //www.statistics.gov.uk/CCI/article.asp? ID=1512 & A ; Pos=8 & A ; ColRank= [ Accessed 20th July 10 ] Ross, J. Barton, J. , and Read, J. 2009. Staff in-service preparation on post-stroke psychological and communicating issues Sakai, O. , Mcguire, A. and Wolfe, C. Cost of shot in the United Kingdom [ Online ] Available at: hypertext transfer protocol: //ageing.oxfordjournals.org/content/38/1/27.full.pdf+html [ Accessed 20th July 10 ] Scots intercollegiate Guideline Network, 2002. Management of patients with shot: Rehabilitation, bar and direction of complication, and discharge planning. A national clinical guideline [ Online ] Available at: www.sign.ac.uk [ Accessed thirtieth September 10 ] Steultjens EMJ, Dekker J, Bouter Leemirjise, Cornelia, H. M. , 2006. Evidence of the efficaciousness of occupational therapy in different conditions: an overview of systematic reappraisals Stroke rehabilitation, 2008 Available at: www.stroke.org.uk [ Accessed 20th July 10 ] [ SUTC ] Stroke Unit Trialists ‘ Collaboration. Organised inmate ( stroke unit ) attention for shot. Cochrane Database of Systematic Reviews 2001 [ Online ] Available at: hypertext transfer protocol: //www2.cochrane.org/reviews/en/ab000197.html [ Accessed 20th July 10 ] Walker, M. , et al. , 2004. Individual Patient Data Meta Analysis of Randomised Controlled Tests of Community Occupational Therapy for Stroke Patient. Stroke: Journal of the American Heart Association. Available at: hypertext transfer protocol: //stroke.ahajournals.org/cgi/reprint/35/9/2226 [ Accessed 22nd July 10 ] . Weeks, R. , 2000. Opportunities in Occupational Therapy Careers. USA: N T C/Contemporary Publishing Company Wolfe, A. , Tilling, K. , and Rudd, A. , G. 2000. The effectivity of community based rehabilitation for shot patients who remain at place: a pilot randomized test. Clinical Rehabilitation 2000 World federation of occupational healer ( 2004 ) Definition [ Online ] Available at: hypertext transfer protocol: hypertext transfer protocol: //www.wfot.com/office_files/final % 20definitioncm20042.pdf [ Accessed 22nd July 10 ] . World Health Organisation, 1978. Cerebrovascular Disorder: A Clinical and Research Classification. Geneva. World Health Organisation. Offset publication [ Online ] Available at: hypertext transfer protocol: hypertext transfer protocol: //www.who.int/classifications/icd/en/GRNBOOK.pdf [ Accessed 22nd July 10 ] . World Health Organisation, 2010. Cardiovascular Disease: Death from shot [ Omline ] Available at: hypertext transfer protocol: hypertext transfer protocol: //www.who.int/classifications/icd/en/GRNBOOK.pdf [ Accessed 2nd September 10 ] . 6. Nilsson LM, Nordholm LA. Physical therapy in shot rehabilitation: Bases for Swedish physical therapists ‘ pick of intervention. Physiother Theory Pract. 1992 ; 8 ( 1 ) :49-55. 7. Carr JH, Mungovan SF, Shepherd RB, Dean CM, Nordholm LA. Physiotherapy in shot rehabilitation: Bases for Australian physical therapists ‘ pick of intervention. Physiother Theory Pract. 1994 ; 10 ( 4 ) :201-9. 8.Sackley CM, Lincoln NB. Physiotherapy intervention for shot patients: A study of current pattern. Physiother Theory Pract. 1996 ; 12 ( 2 ) :87-96. 9. DeGangi GA, Royeen CB. Current pattern among Neuro Developmental Treatment Association members. Am J Occup Ther. 1994 ; 48 ( 9 ) :803-9. [ PMID: 7526690 ] 10. Lennon S. Physiotherapy pattern in shot rehabilitation: A study. Disabil Rehabil. 2003 ; 25 ( 9 ) :455-61. [ PMID: 12745940 ] 11. Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath construct in shot rehabilitation: A study within the UK. D HL4066 Meta Analysis Practical This is a ego directed survey and practical. It gives the chance to rehearse meta analysis accomplishments which may be utile if you decide to utilize that methodological analysis in your concluding thesis. Read the information on Wolf in the meta analysis booklet Decide on a subject that you would wish to look into, place a research inquiry ( note this does non hold to be an original inquiry but it may assist your thesis and profileif it was Determine your hunt standards Determine your inclusion standards What type of informations will you pull out? Design a information extraction signifier Carry out a hunt, using your key words and inclusion standards Identify between 4 and 10 surveies to include in your meta analysis Decide what package you will utilize and obtain a transcript either by purchase, download or Cadmium from a book Extract your informations utilizing the information extraction signifier you have designed Input your informations to your package Trial for heterogeneousness Decide what theoretical account you are traveling to utilize based on the consequence of the heterogeneousness trial Carry out the analysis Trial for prejudice Meta Analysis Resources Cochrane Handbook 2009 hypertext transfer protocol: //www.cochrane-handbook.org/ The Cochrane Collaboration Open Learning Material hypertext transfer protocol: //www.cochrane-net.org/openlearning/HTML/mod0-3.htm Leandro, G ( 2005 ) Meta-analysis in Medical Research: The enchiridion for the apprehension and pattern of meta-analysis. BMJ Books Easy to read book with Meta analysis package Software A figure of commercial and free packages are available. Below is a choice but hunt cyberspace for more. Meta analysis 5.3 written by Ralph Schwarzer hypertext transfer protocol: //userpage.fu-berlin.de/~health/meta_e.htm MIX 1.7 Can be used with Excel hypertext transfer protocol: //www.mix-for-meta-analysis.info/ Stat pages reviews a figure of free packages hypertext transfer protocol: //statpages.org/javasta2.html Revman hypertext transfer protocol: //www.cc-ims.net/revman Interpret your resultsisabil Rehabil. 2001 ; 23 ( 6 ) :254-62. Researcher ID is: F-7307-2010 ( for rahila )