Modern Management Techniques Essay

Introduction This report has been prepared to cover a project requirement for Decision Management within the grounds of ‘New Developments in Management’ and in response to the following; â€Å"The past 15 years have seen a series of new developments within management accounting to meet the ever changing needs of the organisation in the light of rapidly changing technologies†. The focus of this report will be on three relatively new developments including JIT (just in time), ABC (Activity Based Costing) and ToC (Theory of Constraints). Each development will be defined and then illustrated, before being examined in context with Toyota Ltd. The illustrations will be in the form of diagrams and if necessary, numerically discussed in reference to Toyota Ltd with an example working. JIT The JIT method was first implemented in the early 1970’s at the time of the industrial revolution within Japanese Firms. The Just In Time method is an inventory based management system with the objective of having the sufficient quantity of finished goods desired by the company at the required time; thus, effectively eliminating or in most cases significantly reducing the need for the costly storage of inventories. JIT also requires a â€Å"continuous commitment to the pursuit of excellence in all phases in manufacturing systems, design and operations† (Collin Drury, Management and Cost Accounting 7th ED pp556). This however, is only effective considering it does not negatively impact on  customer supply. As well as this, JIT is most effective when implemented alongside what is know as Total Quality Management (TQM); whereby a company sets objectives to have zero errors and defects in every department of manufacture. An example of this can be observed with the methods by which Toyota inspects materials before and during the manufacture process; if a single fault is detected within a batch of materials/goods, the whole batch is rejected in order to reduce chances of any errors at a later stage within the manufacturing process. Ironically, occasions whereby hundreds of thousands of Toyota’s Hybrid motor-vehicles were recalled due to potentially fatal errors of the vehicles’ breaking systems, could well have been avoided with a better implemented Total Quality Management. The aim of JIT is to achieve four main objectives, these are; †¢Elimination of Inventories – by receiving supplies needed just at the right time they are needed, the need for inventories is eliminated, thus, lowering cost of holding inventory. For example, instead of Toyota holding large amounts of inventories ready for the production line, they can arrange for delivery of only the relevant and required supplies just in time for the production process. †¢100% Punctual Deliveries – by forming a good relationship with suppliers and agreeing for them to deliver goods on a punctual basis (such as suppliers for raw materials like metal/glass/leather for the production of Toyota products), the elimination of inventories objective can be achieved as well as meeting customer demands just in time. †¢Elimination of Non-Value Added Activities – the time-span or cycle time concerning the manufacturing and subsequent selling of a product includes 5 main stages. The sum of Cycle time consists of process time, inspection time, move time, queue time and storage time. The only value adding activity of the above mentioned is process time. Therefore with the reduction or elimination of the non value adding activities such as inspection time, move time, queue time and storage time, Toyota can and do benefit from the cost reduction this subsequently provides. (The above aim is a paraphrased modification of ‘Elimination of Non-Value Added Activities’ heading in  Ã¢â‚¬ËœManagement and Cost Accounting’ Colin Drury, pp557) †¢Elimination of Defects – The efficiency of this would mean the elimination of those costs that although not accounted for, may occur after production due to faulty materials used for production, for example. In order to eliminate them, Toyota could reject whole batches of materials that have the least fault contained (a stringent policy used by Marks & Spencer’s during supervision of purchased goods). Such demands in high quality can achieve the elimination of defects. Effective JIT kanban system with TQM JIT system Without TQM Normal Stock Holding Procedure Goods replenished after Customer Receives goods just in time therefore Low inventory costs achieved along with customer satisfaction. (Diagram source: modified adaptation from ‘Just in Time in Practice at Toyota’ Steven Spear (2010), pp10.) ABC Activity Based Costing is a development of the early 1970s and 80s as a substitute for absorption based costing. This was because in the 1970s and 80s there had been a drastic on going change to the manufacturing industry due to the effects of the Industrial Revolution; therefore absorption costing was seen as an increasingly insufficient method of costing in terms of the quality of information it provided. In practice, ABC identifies direct and indirect activities, and allocates the costs into ‘cost pools’, each of which have ‘cost drivers’, (cost drivers are any factors that have an effect on the amount of resources to be consumed by a particular activity). Once these cost drivers are identified, it is allocated a calculated rate, which is used in the calculation of the  amount of cost to be charged to that output, depending on usage. The diagram below further explains the process of Activity Based Costing; Application of Cost Driver Rates Identify the major indirect activities in the organisation For each activity, group the budgeted costs together into a ‘cost pool’ For each activity, identify the cause of the costs (cost driver) (Diagram source: AAT Level 4 ‘Managing Performance & Resources’ Janet Brammer Tutorial Textbook pp14.) From this, a few advantages and disadvantages of ABC are made clear; Advantages: †¢As compared with other costing methods such as absorption costing, ABC is more accurate, (for example, it utilizes unit cost rather than the total cost proving more accurate). †¢It is also a much less complicated and is therefore more understandable. †¢Allows for the easy identification of non-value added activities and waste, therefore can help in the elimination of the two. Disadvantages: †¢It is however much more time consuming due to the need to collect more data for calculations. †¢There are also costs that come with the implementation and the maintenance of ABC.   †¢ The advantage of ABC making waste visible and therefore easily identifiable may cause de-motivation as most directors/managers would not want waste to be revealed to their bosses.

The Vygotskian Socio Cultural Theory Education Essay

Lev Vygotsky was a psychologist that revolutionised the universe with his theory on socio-cultural development. His theory of socio-cultural development centred on the impression that a kid learns through grownups or equals. In other words a kid ‘s cognitive development is engaged through the kid ‘s environment, this means that a kid develops through interaction with other persons. Vygotsky ‘s theory differed from other theoreticians theories ; one of them was Piaget, a Swiss psychologist. His theory was that kids learn from the interior out, this means that a kid takes their ain cognition to the universe ( as discussed in category ) . Piaget ‘s theory focused on two constructs, one was the construct of assimilation, which is a cognitive procedure whereby new experiences and information are placed in the cognitive construction of the kid. The other construct is adjustment ; this is a cognitive procedure which refers to the ensuing Reconstruction that takes top ographic point when new information is taken in. Vygotsky on the other manus believe that a kid ‘s acquisition takes topographic point from the exterior in, which merely means that a kid ‘s environment determines what s/he learns. In Vygotsky ‘s socio-cultural acquisition theory one must familiarize oneself with the constructs before we can get down to hold on the thought of theory and utilize it right. The most of import characteristic to hold on is the zone of proximal development. The zone of proximal development is defined as the difference between what a scholar can make without aid and what he or she can make with aid ( Wikipedia ; the zone of proximal development ) . In footings of one ‘s apprehension, the ZPD is the distance between the existent development degree of a kid as determined by independent job resolution and the degree of possible development of a kid as determined through job work outing through equal or grownup interaction. The existent development of a kid is the maps that have already matured and the scholar understands. The possible degree of development is the maps still in ripening, the apprehension has non developed. The ZPD allows scholars to intercede through societal interaction. ( Maths method: 1 ; Goba, B ) Vygotsky believed in three of import facets that form his theory, this is the societal context, linguistic communication and mediation. These three facets are of import in the sense that ; the societal context is the context in which scholars are coming signifier. So they may come into the universe with some sort of cognition already instilled in them, this cognition may non needfully be right. Some scholar ‘s societal context may implement some sort of racism this may do the kid racialist. In other words kids gain their cognition through societal contexts, from birth the kid ‘s societal interaction depicts the sort of cognition s/he will convey to society. Because the environment is of all time altering, cognition is of all time altering. So cognition is ne'er inactive. The following facet is linguistic communication being the frontal line for the footing of this theory. If a scholar can non understand linguistic communication be it mathematical, mark or the linguistic communication medium, the scholars knowledge can non turn and spread out because of a barrier with does non allow the development of the scholars cognitive construction. Language is a manner to pass on, and if linguistic communication is non understood than the communicating nexus is broken. And the last facet is the function of mediation. In order for effectual communicating to take topographic point at that place must be some signifier of mediation to help the communicating. This is where the ZPD comes into drama. The scholar may non understand a peculiar construct by manner of mediation, something or person that aids the apprehension so the kid goes from what they do n't understand to what they can hold on. Harmonizing to Vygotsky, â€Å" Every map in the kid ‘s cultural development appears twice: first, on the societal degree, and subsequently, on the single degree ; foremost, between people ( interpsychological ) and so inside the kid ( intrapsychological ) . This applies every bit to voluntary attending, to logical memory, and to the formation of constructs. All the higher maps originate as existent relationships between persons. â€Å" The socio cultural theory is so defined as a theory of larning that looks at the part society as made in an person ‘s development ( psycology.about.com ) . It does non merely concentrate on the scholar as an person but as the scholar and cultural context on a whole. Vygotsky explained this theory in footings of linguistic communication. He argued that societal interaction signifiers this new larning through the ZPD where scholars gain new linguistic communication through societal interaction. It outlines of a linguistic communication as uniting both the traditional behavioral and lingual place of linguistic communication. This theory of linguistic communication can propose that the function of the environment can bring forth differences in understanding. The socio-cultural theory was adopted by Jerome Bruner and made westernized, now it ‘s used all over the universe.Case survey:My name is Triona Pillay and I ‘m 19 old ages old. I live in an Indian township. This twelvemonth I did my instruction pattern 220 at an Indian school which many non American indians besides attend. After learning pattern 120 and all the different fac ets we covered with the fluctuations of school types we could travel to, I thought I ‘d be good equipped to manage any schoolroom state of affairs with the manner in which learning pattern 120 had instructed us to. However the schoolroom situations we encountered was different to the 1s we were told to conceive of. Traveling into Teach at a school where the medium of linguistic communication is English was what I perceive to be easy because that my place linguistic communication and that ‘s the linguistic communication that scholars should be familiar with. But that was merely the beginning of my job during my instruction pattern. Bing a mathematics pedagogue was more hard as scholars could n't hold on specific constructs. My first error was that scholars had prior knowledge to the subjects being taught, in the instance of my class: 10 category, the subject was analytical geometry. They did n't understand that when a negative is squared the figure because positive. The scholars taught prep was a gag and category clip was for socializing. And so I had the instructor ‘s position who said that the scholars know the work and they complain for nil that they do n't understand. Society has deemed that it ‘s by and large that black scholars that do n't understand English and wo n't be able to understand what is being asked, but in this school the Indian scholars got confused with the English. Simple operations like 3x=9, hence ten =3 the scholars did n't understand how the reply 3 is obtained. Another thing that I found dismaying was that the schoolrooms were obviously n simple with no existent postings to do the schoolroom a topographic point where scholars want to come. All in all my instruction pattern was a existent experience on how scholars and grownups and their environment act upon their behavior and public presentation. Something that I found rather absorbing was during a staff meeting and they were discoursing why a peculiar scholar behaves so horrid at school and one of the suggestions was because of the manner his male parent treats him. Apparently the male parent really hit the kid in forepart of the instructor and walked off and a twosome of other times the male parent sent the kid with burst lips. This is non the lone ground I believed for the jobs I ‘ve encountered. I believed at that school it ‘s a popularity competition were everyone wants to suit in so the brilliant people stick to the smart people and the blue 1s maintain to their kin. And one time you come to rate: 8 u get initiated into one of those tonss. This is my personal positions on the state of affairss that occurred during my instruction pattern and some of the grounds why I believe the state of affairss occurred.Problem work outing utilizing Vygotskian socio-cultural theory:The major job I identified during learning pattern was the deficiency of both mathematical linguistic communication and cognition and the ability of the scholar to show their thoughts or sentiments in category due to the linguistic communication barrier of practical English words. First I ‘d wish to indicate out that job can non be solved over dark. It requires gradual input from both the instructors and the scholars. My first program of action in my category is to promote reading in my category. Possibly I can propose that the school put in topographic point 30 proceedingss of rea dings in the forenoon. The section of instruction does direct schools educational newspapers that they can give to scholars to read. The more the scholars read the more the scholars build up their vocabulary. My co-workers and I can present 10 new, interesting and exciting words that the scholars can utilize during the hebdomad, at school to replace the mundane words that they use all the clip. Using Vygotsky ‘s rules will take some patients from both the scholars and the instructors particularly for instructors who have been learning for 20 plus old ages, many people are non subjected to alter. The following measure as a maths instructor is to construct on anterior mathematical cognition and actuate the scholars, so that if they understand the rudimentss the remainder will follow. I could besides promote the scholars with higher Markss to assist those who are missing behind. We can besides hold excess categories during the interruption to heighten their mathematics accomplishments. This is a great thought as scholars can remain out of problem and acquire work done. The scholars need proper staging and we as instructors need to supply the necessary counsel. Vygotsky introduced that a kid learns through his or her environment so if the kid is taught in an environment conducive to larning the kid may bask coming to that schoolroom and larn something. I could propose to scholars that they join equals who traveling to better their instead than act upon them negatively. The following thought is a slippery one because from the clip I was in school I noticed instructors who tried to make out to scholars whose environment at place is unstable, changeable down by parents who think they know it all and believe that the instructor is interfering and should mind their ain concern. To hold a parent meeting is sometimes ineffectual because the good scholars parents merely end up coming and the parents you need to see do n't. Harmonizing to Vygotsky in a schoolroom state of affairs we the instructors are the go-between, we should hence be care how we give off information because scholars are immature and can sometimes misinterpret what we say. So when instruction, as a hereafter instructor I need to do certain I ‘m clear and precise. Concepts need to be to the point and one should non crush around the shrub. I could besides present the construct of motive in my category. If I aid the scholars in their acquisition and even in their efforts in larning I will be able to take them from the known to the unknown. Using motive scholars will desire to â€Å" seek † and work harder and by this get a better usage of both the medium of linguistic communication and the mathematical linguistic communication as a whole. The schoolroom environment is another are that I can promote scholars development. If I make the schoolroom environment a merriment manner to larn and scholars wo n't acquire laughed at and hit down for seeking. Children learn from their errors so if I encourage them and they give the incorrect reply and we correct it, they wo n't bury. In decision my belief is that Lev Vygotsky was a psychologist whose theory greatly influenced the universe. His socio-cultural theory if understood decently can help both instructors and scholars efficaciously to accomplish top consequences. I besides believe that parents should seek their best to give their kids the best societal contexts and maintain them off from negative influences. As a hereafter instructor I ‘ve learnt a batch from Vygotsky ‘s theory and will utilize this theory productively when I start learning.

How can we make globalization something that brings prosperity to Essay

How can we make globalization something that brings prosperity to everyone - Essay Example Finally, the paper concludes with an overview of the aforementioned issues, in particular, the results of the critical evaluation based on the featured theoretical perspective while highlighting the positive impacts of on overall globalization. Keywords, Tranformationalist, Globalization, Satellite, and age, Global Village, Global politics, Global economy and Culture Tansformatiomationlist Theoretical Perspective on Globalization The transformationalist theoretical perspective offers a deep insight into the globalization debates. In its view, globalization is something that is occurring and is changing the face of modern societies, however while the change is occurring many aspects remain the same (Mozaffari 34). Transformationalists still see nation states as retaining much power to steer their own course in the global economy. For instance, while the global capitalist system cuts across most parts of the globe; many nations retain the power to determine their own taxation and econo mic policies. On the political platform, rather than being consumed by a system of global governance where sovereignty and power are eroded by global institution, transformationlists suggests that governments are compelled to adapt an active and outward stance towards governance within the complex conditions of globalization (Heywood 45). This view suggests that nations have to adapt and interact with new Institutions, social movements, and international bodies on a global level and rather than lose power many nations are adapting to this process. On a cultural level, transformationlist see a two-way dynamic happening where global migration telecommunication and mass media are contributing to the diffusion of cultural influences (Giddens 50). From this perspective, whilst the western cultural aspects penetrate many regions across the globe as depicted in Coke and McDonalds, there are counter flows of non-western cultural aspects, which is evidenced by the increasing number of foreig n restaurants in major cities and towns across the globe. This scenario is seen in the satellite and age where the spread of information on an intercultural basis is rapidly taking shape. Ideally, the world is experiencing a cultural exchange in a two-way traffic. Critical Analysis Suddenly, the world appears to have turned into a small place as people can connect and learn of information and events happening in distant places. The optimistic term â€Å"a global village,† coined in the early 1990 refers to the world, becoming, more integrated and hence resembling a village, where people have constant interactions and often depend on one another for survival. Globalization is a product, which has been made possible through the introduction of some important technological innovations including the . The appearance of undoubtedly contributed much to globalization. Today, the affects Globalization in many aspects. Ideally, it imparts the three dimensions of Globalization cultural , economic, and political (Modelski 32). In many respects, affects globalization. Some of the components are cultural and business aspects connecting many people across the globe and the governance of the . globalization relates closely to Transformationslist theoretical perspective on globalization. Globalization relies on the profound transformation change and the major driving force

Blood and cardivascular Assignment Example | Topics and Well Written Essays - 1000 words

Blood and cardivascular - Assignment Example Leucocytes use proteases, oxidants and moieties to protect the host. If any foreign microorganism enters the body, leucocytes identifies it and generate a chemical compounds that reacts with the microorganism. The immune system is dependant on the leucocytes. Immunity is a constant protection against any foreign antibody. Lack of leucocytes may lead to devastating infections (Hematology.org, 2014). Platelets are binding agents in the blood stream. These cells remain inactive until a person gets an injury. When a person gets an injury in shape of external cut even a small one, the platelets in blood make a temporary bond at that place to stop the blood loss (Day, 2014). Haemostasis refers to the body’s mechanism to immediately response to an injury. It represents coordination between the platelets and clotting proteins to cease the blood loss in case of any blood vessel injury. When one gets an injuring that cause bleeding, the haemostasis activates and binds the exposed part of the tissue with the factor seven coagulation protein. The factor even protein flows with the blood as its constant constituent. The binding of the exposed tissue and the protein develops a strong clot and stop the bleeding (Novonordisk.com, 2014). Blood groups are determined due to presence of certain type of proteins present in the blood. These proteins are called antigens and antibodies. The surface of the red blood cells has antigens where as the blood plasma has the antibodies. Different blood groups are due to the different combination of antigens and antibodies. Mostly, a person has a similar blood group as one or either of the parents. However, sometimes, a person may a different blood group as that of the parents. The persons with Blood group ‘O’ have red blood cells without any ‘A’ or ‘B’ antigens but blood plasma has both ‘A’ and ‘B’ antibodies. ‘O’ represent a zero (null) in this

Business ethics and social responsibility Essay Example | Topics and Well Written Essays - 250 words

Business ethics and social responsibility - Essay Example well since claiming to be ethically right, they are supposed to be more aware about the ethical behavior of potential sellers and make their selection more thoroughly. Primark and other retailers have a moral responsibility for monitoring the working conditions in the factories where they source their products because it is a matter of their own reputation also. The retailers should be also held accountable for the safety of the buildings where the factories are housed because they sell clothes that have been made in inadequate conditions, due to which people’s lives were lost. Therefore, by continuing to buy from the factory, Primark will be avoiding its ethical responsibility. Taking into account such a terrible disaster, Bangladeshi government has not done enough to stop the poor conditions in the buildings. In my opinion, labor laws in Bangladesh must be held to the same standards as those in the United States, which are characterized with high effectiveness. I totally agree with the approach of people who have called for a boycott of garments produced in Bangladesh. This will force factories to comply with basic levels of safety. However, boycotts of retailers may cause two consequences for people who work in those factories. On one hand, they will earn safety compliance and adequate working conditions, but on the other hand, with the lack of retailers, some factories will go bankrupt, therefore, workers may become unemployed. In addition to a positive influence of boycotts, moral action will raise utility; hence, workers with a proper safety are able to show higher productivity, which will also benefit the factory. The salaries of employees on the factories in Bangladesh are indeed too low and Oxfam’s intention to stimulate the increase of average monthly payment is fair. It is a human rights violation to source goods from factories where wages are so low because such action supports underpayment of people. In case higher wages are implemented, this

The relationship between HRM and business performance Literature review

The relationship between HRM and business performance - Literature review Example First, the review suggests that human resource practices have synergistic and performance enhancing influences when used in conjunction with empowerment-enhancing practices that boost employee responsibility and autonomy. Secondly, study attempts to explore the link between HRM and firm performance by studying frameworks that link HRM to financial performance despite the various studies that claim there is no link between HRM and Firm performance. The literature offers overview on research regarding HRM and Businesses performance and subsequently shows the relation between HRM and performance in organizations. Business strategy and the integration of HRM practices form an essential factor in organizational effectiveness because the use of business strategy as a contingent factor moderates the relation between human resources practices as el as firm performance. Therefore, business strategies paired together with proper HRM activities have positive influences on the firm’s perf ormance. According to Ahmad and Schroeder(2003) and their counterparts Youndt and Snell(2004), the impact of HRM to organizational outcomes became an essential topic in early 1990s because it attaches significance to motivational aspects of organizational practices in developing and utilizing human capital. HRM involves development of people’s abilities and attitudes in way that the individual can develop personally and contribute toward the organization’s goals. According to Youndt and Snell(2004), other studies consider HRM practices to be pay and reward, recruitment and selection, training and development, health and safety as well as work expansion or reduction. However, various studies suggest that six essential HRM practices that are likely to positively influence a firm’s performance include training and development, teamwork, incentives, HR planning, performance appraisal as well as employment security (Sels, Winne, Delmotte, Maes, Faems and Forrier, 200 6; Seibert,Silver and Randolph, 2004). According to Sels et al (2006), training and development involves the amount of formal training offered to employees, although organizations can offer extensive training, organizations also rely on acquired skills through selection and socialization. Training in businesses influence performance in two key ways the first one being, that training improves on the relevant skills, capabilities, and secondly training compliments employees’ satisfaction in their prevailing job and workplace. Teamwork in businesses contributes to business performance because it results in effective achievement, facilitates flow of ideas resulting in innovative solution and helps in saving administrative costs associated with paying specialists in order to watch people (Sels et al 2006). Incentives in businesses rely on performance and remain one of the usual means for organizations to enhance employee motivation through provision of performance-contingent incen tive in order to align employee and shareholder interests. According to Chiang(2004), although compensation is categorised into financial and non-financial incentives, some incentives like pay incentives in form of bonuses and profit sharing or even indirect compensation like health insurance and vacation all influence the performance of firms. According to Gill and Meyer(2008), HR planning in enterprises involves forecasting

Trilingualism In Education Essay Example | Topics and Well Written Essays - 1250 words

Trilingualism In Education - Essay Example Acquiring a second language may be due to exposure to other languages to become bilingual, which is being able to speak two or more languages (Barnes, 2006). Other people may learn a third language due to exposures to different language and cultural settings (Sagin, 2006). This can result from the parents’ change of citizenship to a new country, and the children acquire a third language, making them to become trilingual, which is the ability to speak more than two languages. Trilingualism can be considered another type of bilingualism, and researchers have used studies on bilingualism to study trilingualism (Hammarberg, 2009). Trilingualism can be achieved through three ways: children growing up in a trilingual surrounding, adults living in a trilingual or multilingual community, and fluent bilinguals who acquire a third language through learning at school or other areas (Wang, 2008). This essay is a literary review about trilingualism in the classroom and the effects that it brings to a child’s education. It starts with evaluating circumstances leading to acquisition of trilingualism in the society. Through reference from earlier studies, the essay also discusses the prevalence of trilingualism and how it affects education in children. The research then concludes by calling for more research on trilingualism due to the limited current research trilingualism (Davidiak, 2010). The ability to speak more than two languages depends on several circumstances. First, children can become trilingual by being exposed to a trilingual society. Secondly, people who speak two or more languages can go to school to study a third language, and thirdly, living in a trilingual or multilingual society can affect people’s language. In these three circumstances, researches on trilingualism have showed that there is no choice of whether or not one wants to acquire a third language, but conditions force them to become trilingual. However, the biggest challenge is how people deal with three languages or cultures because they cannot be balanced (Barron-Hauwaert, 2000). Whereas it is easy to acquire an additional language, it may prove difficult to adopt the culture. A third language acquisition can also depend on the child’s age in relation to local, father or mother’s language choice (Lasagabaster, 2007). Older children can easily acquire a third language especially in a situation where the local language is a third language to them because of exposure to it. Suzanne’s research on language acquisition in children shows that children aged between 2 and 3.5 years used mother’s language, children aged between 3 to 4 used father’s language as their first language, and children aged 6 and above years used the country’s language (Lasagabaster, 2007). Acquisition of the mother’s language at a young age is possibly because of the child living with the mother and having no peer interaction in the commun ity (Tokuhama-Espinosa, 2003). Although the reason for the acquisition of father’s language by some children is not clear, (Barron-Hauwaert2000) points that it might be fathers stepping in to expose the child to their language. Speaking the local language of older children is due to exposure to the community that speaks the local language or peer group at school. Barron-Hauwaert shows that exposure to different circumstances leads people to become

Strategies to Build Culture Essay Example | Topics and Well Written Essays - 1000 words

Strategies to Build Culture - Essay Example These factors are for instance the institution’s atmosphere, overall attitudes towards cultural diversity, culturally responsive curriculum, as well as involvement of the community (Gay, 2002). Of all the mentioned factors, the academic and personal relationship between learners and their teachers is the most influential. Gay (2002) refers to this relationship as the core relationship of learning. It incorporates the roles of students and teachers, the subject matter, as well as how these two parties interact in class. The strategy of building culture, which this paper will discuss, is building relationships among teachers and their culturally diverse students. As stated earlier, a proper relationship between teachers and culturally diverse students will enable learning to take place in the classroom. When students believe that their teachers or educators truly care about them and appreciate them as individuals, they will cooperate and work together in class (Vavrus, 2008). Su ch a situation will also assist these students to work diligently and come up with the best results with regards to their education. Building a unique culture, in a culturally diverse class, is all about approval, admiration, affirmation, not only from the educators, but also from the learners themselves. Some of the strategies, which follow below, can be help educators form a meaningful relationship among them and their students. Finding Multiple Commonalities Educators do not have, in reality, to share the students’ interests, but just know what interests them (Vavrus, 2008). Knowing what culturally diverse students enjoy or appreciate is critical when having classroom debates, conversations and forming high-interests lessons. Educators, therefore, should find as many communication channels as possible with individual students. However, at the same time, it is also essential for teachers to reveal their own interests to their students (Gay, 2002). It is essential for educat ors to remember that successful relationships or associations, in nature, are two-way streets. According to Gay (2002), students appreciate it when their educators acknowledge critical factors such as sports, clubs, hobbies, popular movies, artistic interest, as well as music, among others. A majority of the respected and appreciated teachers know or are well acquainted with the favorite band in town, students and the respective sports they love, and the latest movies (Gay, 2002). Teachers are also encouraged to attend such events with their students in order for them to feel connected. According to Vavrus (2008), such an educator will be able to know what affects their students when it comes to learning, and will enable the educator to formulate strategies, which will ease factors affecting the student. Know Your Student’s Background Knowing and identifying students’ familial along with economic background will assist teachers in building a better understanding regard ing individual attitudes and behaviors in the classroom. Individual students portray different behaviors and attitudes with respect to the families or culture they come from (Vavrus, 2008). Affluent students act differently than students raised in poverty. It is essential for educators to know as much as possible regarding their learners (Gay, 2002). Teachers will be surprised to notice how open their students will be once the teachers knows about their background. Knowing a

Great expectations Essay Example for Free

Great expectations Essay The novel Great Expectations is centred on the child protagonist, Pip. The novel is known as a bildungsroman. A bildungsroman is a novel which traces the Spiritual, moral, psychological, or social development and growth of the main character from (usually) childhood to maturity. The novel is set in the mid-1800s, and written in the first-person from the perspective of Pip. Pip, which comes from a working class family (in those days) develops a burning desire to become a gentleman due to his love for Estella, whom he meets in the mysterious house of Miss Havisham. This then becomes a responsibility when he discovers that he has a benefactor. Pip develops because hes discontented with his own home and wants to become part of the higher class of society. The novel deals with his feelings about himself and the environment around him. He sets out on a journey, ordained by his secret benefactor, to become the gentleman he dreamt of being. However, this change of life leads him to look down on his home and relatives, especially Joe, who becomes heartbroken; and Pip is forced to reassess his priorities and feelings at the end of the novel. In the novel, Dickens brings about the truth in life in those times; that only rich people had the opportunity to be educated and go far in life. This way the reader had can feel the pain and ambition that Pip yearned to fulfil through his life and; and see how neglectful Pip becomes after he starts to accomplish his dream. The sympathy the reader would have felt towards Pip severely diminishes as the novel progresses, and it is only in the second-half of the novel Pip realises his spite towards the people he truly loves. Dickens concludes the story by giving a message of great expectation; the novel finishes by showing the reader how the society around Pip changes his views and his belief of his inner mind. Pip is first introduced in the graveyard, in chapter one. The reader learns many things about the main character from the start of the novel. Pip is an innocent young orphan and was bought up by his sister Mrs Joe. This is established by Dickens in chapter 1 I never saw my father or my mother. The reader learns that Pips parents have passed away. This brings us to feel immediate sympathy towards the miserable young boy who seems to be alone in this big world. Pip is portrayed as a fearful and a very small child as we first meet him in the grave yard as Pip pleads in terror at the spectre who grabs him. Pip yells, O! dont cut my throat, sir, evidently suggesting that he is petrified but has been brought up to treat people with manners and respects; as he calls him sir. However, the fact that Pips life was under the assailants control might have been the reason that Pip was so reverent. Pip is portrayed as a vulnerable character when we first meet him, and this is greatly reinforced by his appearance; dishevelled, skinny, and small. Pips life at home is very unfair because Mrs Joe has raised Pip up by hand bringing him up strictly by punishing him; for instance, she torments poor Pip by hitting him with the tickler (her rather affectionate title for the cane she uses to beat Pip). Pip also says Home had never been a very pleasant place to me, because of my sisters temper. This gives the impression that Pip was scared of staying at home and also that his sister treated him ungratefully. All this implies that Pip is being bullied by his sister and makes the reader have pity towards Pip because hes been rejected by his only family. It also suggests that Mrs Joe had bought Pip up single handedly with no gratitude. Joe and Pip are bonded together because Joe has acted like Pips father, and also due to the fact that Mrs Joe beats him just as she does Pip. Unlike Mrs Joe, Mr Joe has always been friendly and protective. This is suggested when Pip says Joe imparted a confidence to me. This shows that Joe is caring and will stand beside Pip through good times and bad times as a father. During chapter three a terrible feeling runs through Pip when he steals food from Mrs Joe to take to the convict. Pip feels scared because his conscience frightens him by saying A boy with somebody -elses pork pie! Stop him this suggests that Pip is feeling very guilty and he knows the difference between right and wrong, but is compelled to do the wrong thing because of fear. Although he is acting mainly due to fear; hes also very generous and shows compassion because hes saving the convicts life by feeding him. Dickens uses many techniques such as linguistic techniques in his writing to create various effects and as a way of communicating his characters emotions. An example of this can be seen in Chapter Three when Pip wakes up knowing he has to steal from Mrs Joe to provide the convict with food. Dickens describes the weather on the window with a particularly powerful simile creating memorable images in the readers mind As if some goblin had been crying there all night this descriptive image connects to Pips mood at this time. This image of the crying goblin using the window for his handkerchief reflects the fact that Pip is feeling miserable, lonely and scared about what hes being forced to do. This technique encourages the reader to feel sorry for him and anxious for him as well.

Research on Malaria in Moyale District Essay Example for Free

Research on Malaria in Moyale District Essay Malaria originates from Medieval Italian Mala aria which mean â€Å"bad air†; and the disease was formerly called Ague or Marsh fever due to its association with swamps and marshland, (Watkins, 2001). Scientific studies on Malaria made their first significant advance in 1880, when Charles Louis Alphonse Laveran a French army doctor working in the military hospital of Constantine in Algeria observed malaria plasmodium parasites inside the red blood cell of people suffering from Malaria. Documentation of report on discovery of origin of Malaria, one of the deadliest diseases of humanity shows that Chimpanzees, native to equatorial Africa have been identified as the original source of the parasite that likely moved from them to humans via mosquitoes. Wolfe, (2009) identified several parasites from Chimpanzee that show Malarial jumped from animal to human. Malaria is transmitted by Anopheline mosquitoes the number and type of which determine the extent of transmission in a given area. The plasmodium falciparum accounts for the majority of infections and is most lethal. Transmission is affected by climate and geography and often coincides with the rainy season. In WHO/UNICEF, (2005) report malaria is one of the most devastating global public health problems with more than one million deaths and approximately 300-500 million cases of malaria annually. WHO, (2010) report, Malaria is by far the world’s worse tropical parasitic disease, and kills more people than any other communicable disease. Several studies observed that malaria kills more than 3,000 children daily and is the single most important factor for mortality among children under the age of five. Additionally, an estimated 25 million pregnant women are at risk of malaria. Malaria is endemic in a total of 101 countries and territories 45 countries in WHO’s African region, 21 in WHO’s American region, 4 in WHO’s European region, 14 in WHO’s Eastern Mediterrarian Region, 8 In WHO’s South – East Asia region, and 9 in WHO’s Western Pacific region, (report from global health council on impact of infectious diseases. ) WHO, (2007) report has shown that malaria has reached epidemic proportions in many regions of the world and continues to spread unchecked. In many regions of developing countries malaria exacts an enormous toll in lives, medical costs, and in days of labor lost. According to Roll-Back Malaria (RBM), over 40 per cent of the World’s children live in malaria-endemic countries and 107 countries and territories are at risk of malaria transmission. Malaria causes 24 percent of under-five deaths in Equatorial Guinea (UNICEF 2008). Malaria is preventable, if adequate resources are invested in prevention. About 98 percent of Equatorial Guineans live in areas with endemic risk of malaria but only one percent of children under five sleeps under insecticide-treated nets. This is far fewer than in other Countries with similar malaria risk. This suggests inadequate efforts to prevent malaria that would contribute to the realization of the right to health of both children and adults. Children under the age of five, pregnant women, and people living with HIV and AIDS are at highest risk for developing clinical malaria. More than 80 per cent of these cases occur in sub-Saharan Africa. WHO/RBM, (2004). Malaria is a primary cause of poverty, putting additional burdens on health systems and costing Africa an estimated 12 billion USDs in lost production every year. The spread of the disease is fuelled by several factors: climate change, increasing population mobility, more frequent international transport, emergence of multi drug-resistant strains, and military and economic deterioration. Abuja summit in Nigeria in the year 2000, 44 African leaders reaffirmed their commitment to roll back malaria and set interim target for Africa. They challenged other world leaders to join them in recognizing the importance of tackling malaria as a disease of poverty. Following the Abuja summit, Africa Malaria Day was declared as a day to celebrate on malaria and a subsequent UN resolution declared 2001-2010. Roll Back Malaria, especially in Africa, giving prominence to Malaria in United Nations Millennium Development Goals. The Africa Malaria report, released in the year 2003/Nairobi/Geneva/New York by the World Health Organization (WHO 2005), and the United Nations Children’s Fund (UNICEF), said the death toll from malaria remains outrageously high-with a child dying in every 30 seconds. The report gives an African situation for the struggle against the diseases and highlights the urgent need to make effective anti-malarial treatment available to most at risk. â€Å"The roll back Malaria initiatives has made considerable progress since it was launched in 1998, but we need to increase to combat a devastating disease which is holding back the development of many African countries,† states Dr Gro Harlem Brundtland, Director-General of WHO. Nationally Malaria has been a serious public health problem in most Districts of Kenya and the leading cause of morbidity and mortality in Kenya. With more than 70% of the Kenya’s population living in areas where malaria is transmitted, Malaria is responsible for approximately 30% of out-patient visits (requiring more than eight million out-patient treatments each year), and 19% of all hospital admissions. At least 14,000 children are hospitalized annually for malaria, and there are an estimated 34,000 deaths among children under-five each year. Annually, an estimated six thousand pregnant women suffer from malaria-associated anemia, and four thousand babies are born with low birth weight as a result of maternal anemia, report from government health facility in 2007. Economically, it is estimated that 170 million working days are lost each year because of malaria illness. Culture and poor access to health facilities lead to increase in cases of malaria. The main thing peculiar with children under 5 years is that many cannot sleep under net due to incapability of their parent especially in rural areas, because of the few wages they hardly get from their casual work. Most children again play outside in the grasses or near drainage where mosquito’s breeds thus are exposed to mosquito bites. In local situation Malaria is the highest causes death of many people in the region of Moyale and districts of North Eastern province bordering Moyale district from east. Malaria claims the life of 1,500 in the year 1998 and out of that 45 death in Wajir district (Daily Nation, Thursday, February 1998). Sololo Mission Hospital reported the admission of 67 people. Out of 67people, 25 children of less than five years were reported cases of malaria (SMH/1999). 1. 2 problem articulation/ statement: Malaria is World’s most important parasite infectious disease. Over 2 billion people are at risk between 300 and 500 million episodes and over 1 million deaths annually, WHO, (2005). Over 90% of malaria burden are in sub-Saharan Africa. Malaria is one of the planets deadliest diseases and one of the leading causes of sickness and death in the developing world. Documentation also show that Malaria affect child cognitive, physical development and leads to poor school attendance. Malaria also leads to malnutrition and anemic condition in children. More so it also affects adult’s ability to make a living and care for their families. At country level malaria affects trade, tourism and foreign direct investment and there is significant correlation between malaria and poverty. An average GDP in malaria’s countries is five times lower than in non-malaria’s countries 1. 3 Objectives of the study To establish factors that lead to high prevalence of Malaria in children under five years in Obbu Division, Moyale District. 1. 4 Specific objectives: 1. To determine socio-demographic factors contributing to Malaria prevalence among the under five children in Obbu division. 2. To establish the level of knowledge on Malaria, among caregivers of children under five in Obbu Division. . Research questions 1. What are the main factors contributing to high prevalence of Malaria among the under five children in Obbu division? 2. What is the knowledge level of care givers of children under five years about the risk factors of late treatment and prevention of Malaria? 3. To what extent the level of knowledge on Malaria, among caregivers of children under five in Obbu Division? 1. 6. Hypothesis/assumption There were no factors that contribute to prevalence of malaria in children less than five years in Obbu Division of Solol District 1. 7 Justification of the study. Malaria outbreak in mid July 2012, number of cases diagnosed were 82, and 8 out of 10 reported death were children under five (Malaria/SMH/ 20012/3). The prevalence was precipitated by illiteracy, migration lifestyle of pastoralists’ community and uncontrolled border intermingling and refugees from neighboring countries like Ethiopia and Somali as revealed by the study of Diseases Outbreak Management Unit-DOMU (2002). Socio demographic factors and knowledge about the diseases control and prevention attracted a lot of concern that call for research in these factors. Obbu division has few documentation of the study, so this will be helpful to academia as it will be used as document of references for a researcher in the same area of study. The government or other stakeholders will benefit from the findings and may take intervention measures for instance the Ministry of public health to educate people on the better prevention methods. The findings of the study will be used by people of the study area to plan for the prevention of the malaria, since it is preventable at every household. 1. 8 Scope of the study To investigate main factors contributing to high prevalence of Malaria among children less than five years of age in Obbu division of Moyale district. . 1. 9 Limitations 1. Data collection during interview was difficult due to migration of the population but the settlement around the centre of each four location was targeted. 2. Cost of getting trained research assistant was challenging. 3. The study was limited to factors contributing to prevalence of malaria in children less than five years of age. 2. 0 CHAPTER TWO: LITERATURE REVIEW 2. 1. 0 Origin of malaria. The history of malaria replete with a number of theories about its aetiology, the earliest theory was the Miasmatic. This theory postulated that swamp air contained chemicals which had been freed from rotting wood. This air was what was responsible for causing malaria (Ransford 1983). It was because of this theory that double storey buildings were preferred during the early days of the colonial period as it was believed that miasma did not rise above ground level (Ransford 1983) and that the miasma was thought to spread horizontally (King and King 1992). Ransford and Friedson claim that Africans were the ones who first recognized the link between mosquitoes and malaria (Ransford 1983; Friedson 1996) and in the West it was only known later through the pioneering works of Patrick Mason, Ronald Ross, Grassi and others around the 1890s. 2. 1. 1 Prevalence of Malaria. There are 300-500 million clinical cases of Malaria each year resulting in 1. 5 to 2. 7 million deaths (WHO, 2005). Global viral forecasting initiative and standard university, made the discovery published in the Aug. 2009 proceedings of the National academy of sciences Wolfe, (2009). Malaria in most countries of Western Pacific and Regional Organizations has significantly declined in the period 1992 to 2000. There is widespread consensus that the change to Artemisinin Based Combination (ACT) in Vietnam was a significant factor in the 98% drop in malaria mortality between 1992 and 2002. The geographical area affected by malaria has shrunk considerably over the past 50 years, but control is becoming more difficult and gains are being eroded. Increased risk of the disease is linked with changes in land use linked to activities like road building, mining, logging and Agricultural and irrigation projects, particularly in â€Å"frontier† areas like the rain forests. Other causes of its spread include global climatic change, disintegration of health services, armed conflicts and mass movements of refugees. According to citation from the August 97 issue of the American magazine the Atlantic Monthly entitled â€Å"Resurgence of a Deadly Disease† by Ellen Rippel Shell. Early success in controlling infectious diseases has bred arrogance and a belief in whopping big solutions. The emergence of multi-drug resistant strains of parasite is also exacerbating the situation. Via the explosion of easy international travel, imported cases of malaria are now more frequently registered in developed countries. Malaria is now re-emerging in areas where it was previously under control or eradicated for instance, in the central Asian and in Korea. Late 1980s, it was noted at several international meetings that the malaria situation getting worse. Figure1. PHOTO OF MOSQUITO THAT TRASMIT MALARIA. Malaria impacts globally. Malaria characteristic varies with geographical location. Malaria is endemic in a total of 101 countries and territories 45 countries in WHO’s African region, 21 in WHO’s American region, 4 in WHO’s European region, 14 in WHO’s Eastern Mediterrarian Region, 8 In WHO’s South – East Asia region, and 9 in WHO’s Western Pacific region (Noor et al. ,2002). Environmental factors such as temperature, influences Malaria prevalence in endemic areas and the disease is more frequent in rural areas than in urban areas (Noor et al. 2010). In malaria endemic parts of the world, a change in risk of malaria can be the unintended result of economic activity or Agricultural policy that changes the use of land for example creation of dams, irrigation schemes, commercial tree cropping and deforestation. In today’s international world, the phenomenon of â€Å"airport malaria†, or the importing of malaria by internati onal travelers, is becoming common place. The United Kingdom for example registered 2364 cases of malaria in 1997 and among them are 1134 children, all of them imported by travelers (UNICEF,2009). Documentation of Malaria situation analysis for Zambia (May 2000), show that malaria, particularly that caused by plasmodium falciparum, is an important public health problem in the country. Incidence of the disease has steadily rise from 1976 through 1999, to the point where it is now estimated that the incidence rate, from facility-based data, stands at 331 per 1000 population (Munthali,A. 2001). This is obviously an underestimate as many malaria cases occur at community levels which do not get reported to the formal health system. As expected, those most affected by the disease in Zambia include children under the age of five years. The clinical management of malaria in Zambia was complicated in recent years by a growing resistance to the first line treatment. The clinical failure rate ranges between 24% and 52%, levels beyond which an examination of formal change in drug policy is recommended by international health bodies such as the WHO. Studies on Knowledge, attitudes and practices (KAP) find that, although malaria is widely recognized, there remain many misconceptions about the disease. In Ethiopia a total of 6,214,132 malaria case were diagnosed, treated microscopically or clinically during the year 1995-2000 with an annual average of 1,242,826. The number of malaria cases showed steepy increases from 816,114 in 1995/6 to 2,020,308 in 1998/9. Much of sub-Saharan Africa is exposed to stable, endemic P. falciparum transmission leading to high burdens of morbidity and mortality among children (Murray Lopez 1997; Snow et al, 1999). In addition the continent has witnessed several devastating malaria epidemic during the early 1930s in South Africa (Le Sueur et al. 1993) 1958 in Ethiopia (Fontaine et al,1961), and 1986 in Madagascar (Mouchet,1998). These outbreaks in transmission followed clearly identifiable changes in climate favoring vector and parasite proliferation and were among non-immune populations. Various estimates from these epidemics indicate that between 1% and 14% of the respective populations died. Many factors can influence the ability of parasites and vectors to coexist long enough to result in continued transmission. Several reviews have described the effects on transmission of environmental change, changes in Agriculture and forestry practices and an-made construction (Hackett, 1949; Lindsay ; Birley, 1996; Lindsay ; Martens, 1998; Mouchet et al 1998). Global warming and other climatic events such as â€Å"El – Nino† also play their role in increasing risk of diseases. The diseases has now spread to highlands areas of Africa for instance, while El – Nino events have an impact on Malaria because the associated weather disturbances influence vector breeding sites, and hence transmission of the disease. African children remained unprotected by an insecticide treated mosquito net in 2007 (Noor et al. , 2010). Documentation of Randomized control trials conducted in Kenya, Gambia and Ghana (UNICEF 2001) show about 30 percent of child death could be avoided if children sleep under bed nets regularly treated with recommended insecticide such as pyrethroids which will remain effective for 6 to 12 months. Malaria kills an African child every 30 seconds, and remains one of the most important threats to the health of pregnant woman and their newborns,† Bellamy, (1998). Anderson, (1943) reported that other soldiers contacted the disease in Sudan, Ethiopia and Somali due to high way which connect Nairobi to Addis Ababa in Ethiopia. Weekend Malaria, which happens when city dwellers in Africa return to their rural settings, is becoming an increasing problem. Africa child under five years of age are chronic victims, suffering an average of six bouts a year. Fatally afflicted children often die less than 72 hours after developing symptoms. In those children who survive, Malaria also drains vital nutrients from them, impairing their physical and intellectual development. Malaria sickness is also one of the principal reasons for poor school attendance in Kenya. UNICEF recognizes that malaria is one of the five major causes of mortality in children less than five years. 2. 1. 3 Malaria in Kenya. Malaria in Kenya has reached endemic in arid and semi arid region of North Eastern, Rift Valley and Eastern province. In Rift Valley it’s common in Baringo, Pokot and Laikipia. In Wajir one of the neighboring district in North Eastern province, Medicine Sans Frontiere, MSF (1998) reported that between January and March 1998 the mobile clinics in the town of Wajir treated over 20,000 cases of malaria among an estimated population of 60,00. This represents an absolute minimum attack rate of 33 per 1,000 populations for three months. Consultation data from Merlin (1998), suggest equal attack rates between children less than 5 and the population aged greater than five years. In Eastern Province high Malaria cases have been documented in Kitui, Machakos, Tharaka, Isiolo and Moyale district. Moyale district is a potential focus for diseases because of presence of vector habitats and intermingling of people due to border movements. All the key clinical features of Malaria including; intermittent fever and weight loss in the background of malnutrition was evidenced. Since the area borders the town of the neighboring countries which often experience outbreak, there has been need of capacity building of care givers and mothers through campaign on behavior and attitudinal changes. Figure 1. 2: MAP OF KENYA SHOWING MALARIA ENDEMIC AREA [pic] 2. 1. 4 Moyale district- Obbu division In mid July 2012 a suspected outbreak of Malaria was reported in Obbu division of Moyale district. The report by investigation team comprising of clinicians, Epidemiologist and Parasitologists established a total of 82 suspected cases.

Co-ordination and Control of the Excretory System

Co-ordination and Control of the Excretory System Homeostasis,  Co-ordination and Control  and the Excretory system Homeostasis is when a living being keeps control of the internal bodily conditions to keep the inside the â€Å"same†. It maintains things such as the bodies temperature at around 37 degrees, keeps the blood amount at around 5 liters and maintains water amount inside the body. All these can change due to different conditions, such as, the temperature outside or exercising causing the body to â€Å"sweat† which looses water. Inside the human body there are lots of, â€Å"Sensors† which monitor everything. They send signals to the brain when something is â€Å"different†, sensors in the brain will then monitor the changes and signal to effectors to make changes if necessary. The human body temperature sits at 37 degrees, whatever the temperature externally the temperature within the body will always try to remain the same. This is controlled by what is known as the, â€Å"Negative feedback system†. There are receptors all over the bodies skin which detect and analyse all changes in temperature. All information passes from these receptors to the hypothalamus, which is the part of the brain that processes temperature regulation. When the body gets too hot, blood vessels will dilate. This means the blood vessels will become larger allowing the blood flow to increase nearer to the surface of the skin allowing body heat to escape. As well as this, when hot, the body will also sweat. When we sweat water is removed from the body and evaporates onto the skin, this effect will cool the body down slightly. If the temperature gets to high it could cause the body to oversweat. If the person isnt able to get liquids in them they will become dehydrated. This is known as a heat stroke. When the body gets to cold, blood vessels will become smaller and will reduce blood flow around the surface of the skin, this will keep body heat within the body. This is known as Vasoconstriction. Quite often people will get what is called, â€Å"goosebumps† over their skin. This is when the hairs over the body become raised by the small muscles on the skin, the hairs will catch the air which helps to insulate our body. When the bo dy temperature drops below 37degrees it will typically start to shiver, this is when the muscles inside the body start to shake involuntarily and produce extra heat. If the temperature of the body falls below 35degrees the body will suffer from hypothermia, typically the body will violently shiver which can lead to difficulty in moving. This can be treated by warming the person up.   Around 50-75% of the human body consists of water. In babies its higher at around 75% to 78% dropping as they get older. We must always be in-taking liquids to keep our water level up as we can excrete water though things such as sweating, urinating and breathing out water vapour. We take in water from food and drink. The human body NEEDS water to live. Cells within the body need water to pass through their membrane depositing needed partials inside them. Water helps to digest food, carry waste products, sends electrical messages amongst cells, regulates body temperature and lubricates joints. The water levels must be kept at the correct balance and this is done through the kidneys. The kidneys are one of the major organs of homoeostasis, the human body has two kidneys found in the abdominal cavity (below the ribcage).They regulate waterloss in the body, blood goes through the kidneys and is filtered. Kidneys produce urine, this is the waste of â€Å"filtered† molecules of wat er etc.. leaving the body. Around 180 litres of water is processed through the kidneys on a daily basis. The remains of what was filtered and not secreted from the body is then redistributed across the bodies circulatory system. Kidneys produce urine at different concentrations which maintain water balance. When the body is dehydrated and we intake more liquids the kidney will filter and keep the majority of liquid processing through it. Any urine that does exit the body will be more concentrated appearing darker in colour. Whereas if we are fully hydrated and drink more fluids than our body needs the kidney will process the liquids and filter out the majority, it will be very diluted and will be more in quantity than when your dehydrated. The kidneys water balance can change according to temperature, exercise, fluid intake and salt intake. 308 Within the body we require a certain volume of glucose (Sugar) in order to create Andesine triphosphate (ATP), energy within the body. ATP i s important as it’s the only energy source used by cells in the brain and nervous system. ATP levels will always be changing; therefore the body must regulate its blood sugars through Sugar homoeostasis. Too much sugar could result in a high PH level in your blood, which breaks down sugars into energy without 02 making acids. This makes blood more acidic and disturbs the balance, thus insulin is needed. This homeostasis is regulated by two hormones, Insulin and Glucagon. Insulin and Glucogon are protein hormones with a half-life, they need to be rapidly produced to maintain a constant homoeostasis. This all happens within the pancreas, inside the pancreas are lots of receptors which monitor sugar levels within the bloodstream. Insulins main job is to decrease the blood sugar levels, insulin also synthesizes fatty acids and muscle tissue and transports (k+), which is responsible for causing the electric pulses in your nerve system that transmits signals to your brain and muscles. Insulin is produced by the beta cells of the pancreatic islets when there is a high blood sugar. When the levels of blood glucose drop the production of insulin will also lower. Whenever the blood glucose levels become elevated, for example when we have just eaten, the production of insulin will become higher again. This will occur because of Parasympathetic stimulation from the nervous system. During this phase insulin levels in the blood increase and sugar levels lower. Glucagon is the opposite of insulin, it will increase blood sugar levels and is secreted from the pancreas when blood glucose gets low. It’s produced in the alpha cells of the pancreatic islets. In the Sympathetic stimulation of the nervous system glucagon will help to elevate the amounts of blood glucose in the blood stream. There is normally around 70 – 99mg of glucose in our blood, 70-120mg after eating. Diabetes is a disorder some people can get when the glucose levels in the blood are too high and remain so. Treatment for this is an insulin shot. In type 2 diabetes the persons cells that detect certain parts of sugar, which will simulate the production of insulin will become damaged or destroyed hence they won’t be simply produced. So treatment for this is a lifestyle change by changing diet and exercising regularly, type 2 can be cured through this unlike type 1. All responses to any stimulus come from the central nervous system (CNS). The central nervous system consists of the Brain and the spinal cord which react to information received from senses. The brain is quite often compared to the humans processor and memory of a computer. The front of the brain is responsible for receiving and processing information ie/ thinking and controlling motor functions (motor pathway). The midbrain is responsible for audio and visual responces whereas the hindbrain contains all the sensory infromation (Sensory pathway). This is responsible for controlling things such as breathing, heart rate and digestion and is attached to the spinal cord. The spinal cord is a group of nerve fibres connected together which lead up to the brain. They appear in a cylinder shape and run down the centre of the spinal column towards the lower back. The spinal cord transmits data from the body organs to the brain. The Peripheral Nervous system (PNS) consists of two types of cel ls. Sensory and motor nervous cells and is divided into Somatic and Autonomic nervou system. The Somatic nervous system controls the skeleton muscle whereas the Autonomic nervous system controls involuntary muscles. 194 Similarities and Differences between Endocrine system and Nervous system Endocrine System Nervous System Similarities Both the Endocrine system and the Nervous system rely on the release of chemicals, such as Epinephrine, around the body to work. They are both regulated by the negative feedback system and both work to monitor and regulate activities inside cells, organs, tissues etc they respond to external and internal environments to help maintain the perfect homoeostasis. Differences One of the main differences between the Endocrine and Nervous system is, the Endocrine system works on chemical stimuli to pass signals around the bodies cells and organs. It is made up of a set of glands which secrete hormones. Every glad is responsible for a different area of the body and they use the circulatory system to transmit signals around the body. Communication is transmitted slowly across long distance and their effect becomes longer lasting. Whereas the nervous system relies on electrical pulses to pass the signals. Is made up of a collection of cells called Neurons which are split into two systems, the Central nervous system (CNS) and the Peripheral nervous system (PNS).The nervous system used these Neurons to transmit signals. Communication is transmitted fast and across shorter distances and are shorter in life. The excretory system is the process of the body removing waste through excretion. It removes waste produced through the homoeostasis cycle and In doing so it maintains a constant homoeostasis. The majority of organs in the human body produce a metabolic waste and thrus the whole body relies on the excretion system to maintain a perfect equilibrium. The major parts of the body involved in this process are the; Kidneys, Ureters, Urethra, Bladder, Skin, Lungs, Large intestine and the Liver. The urinary system is the major part of the excretory system. The kidneys are two bean shaped organs located below the ribcage, in the middle of the human back. They are processors which process through blood and filter out around 2liters of waste products and water every day. All the waste will become urine which is passed through the Ureter to be stored in the bladder. When you go to the toilet, urine exits the body through the urethra tube. The second major part of the urinary system is based in the liver, one of the largest organs in the human body. Its found on the right side of the body and is the chemical powerhouse within the body. Its purpose is to detoxify and breakdown any alien chemicals that might enter our bodies. The liver produces something called bile, which breaks down fats into waste and usable fats. Around 5ft in lengh, the large intestine sits inside our stomach and transports solid waste to be excreted. It can take up to 24 hours for food to travel through a per sons large intestine. The lungs are responsible for respiration, cellular respiration produces carbon dioxide which is a waste product and is eliminated from the body through exhalation. Finally the skin, a crucial part of the excretory system eliminates sweat from the body, sweat contains salt and is a metabolic waste. 310 References abpi, (2012), Homeostasis – Kidneys and water balance [online]. Available: http://www.abpischools.org.uk/page/modules/homeostasis_kidneys/kidneys2.cfm?coSiteNavigation_allTopic=1> [23/03/2015] BBC Bitesize, (2014), Maintaining Water Balance [online]. Available: http://www.bbc.co.uk/schools/gcsebitesize/science/add_ocr_pre_2011/homeostasis/waterbalrev1.shtml>[23/03/2015]   ForDummies, (2013), Why your body needs water [online]. Available: http://www.dummies.com/how-to/content/why-your-body-needs-water.html> [23/03/2015] Biomed,(2014), Insulin. Glucagon [online]. Available: http://biomed.brown.edu/Courses/BI108/BI108_2002_Groups/pancstems/stemcell/insulin_glucagon.htm> [23/03/2015] About Education, (2012), Nervous System [online]. Available:http://biology.about.com/od/organsystems/a/aa061804a.htm> [23/03/2015] Mcwdn, (2011), Excretory system [online]. Available:http://www.mcwdn.org/body/excretory.html> [23/03/2015] Distance Learning Center, (2014), Homeostasis, coordination and Control and the Excretory System [online]. Available: http://www.distancelearningcentre.com/access_2014/materials/Biology/Homeostasis_and_Excretory_Systems/Homeostasis,_Coordination_and_Control,_and_the_Excretory_System.pdf> [23/03/2015]

Infanticide Essay example -- essays research papers fc

Despite the clear prohibitions against child-murder by all major religions, female infanticide has been for centuries a prominent and socially acceptable event, notably in one of the most populous countries in this world, India. Even today, the extent of the problem is measured in alarming proportions all around the globe: â€Å"at least 60 million females in Asia are missing and feared dead, victims of nothing more than their sex. Worldwide, research suggests, the number of missing females may top 100 million.† The data is more astounding in India. According to the Census Report of 2001, for every 1000 males the number of females has decreased to 927 in 2001 from 945 in 1991 and continues to decrease. It is clear that the burdensome costs involved with the raising of a girl, eventually providing her an appropriate marriage dowry, was the single most important factor in allowing social acceptance of the murder at birth in India. Nonetheless, in addition to the dowry system, t he reasons for this increasing trend have also been attributed to the patriarchal society, poverty and the availability of sex-selective abortion. India's population growth has been rapid, resulting from longer life expectancy and lower infant mortality in recent decades. Before independence, the high birth rates were balanced out by high death rates. In the half century since India gained independence from Great Britain in 1947, the average life expectancy has risen from just 39 years to 63 years, as high as that in Russia today. Conversely, after independence, the numbers changed but mortality rates dropped without a matching drop in birth rates. The perception of children became very different. The urban poor contributed most to the population and the reason for this is that they started viewing children as â€Å"sources of income rather an investment†. They were seen as an old age security and the more the better. Furthermore, even though the mortality rate dropped, it was still relatively high compared to the survival rate. For this reason, fear of child death and contagious diseases caused the urban poor to contrib ute even more to the ever-increasing population. Part of the reason India is gaining on China as the most populous country in the world is that China has had very severe family planning laws, enforcing a one-child-per-family policy on most of the population. This policy was adop... ... to be effective. As mentioned before the urge has to come from within the society itself and only then it will augur well for future generations of Indian girls, yet to be born. BIBLIOGRAPHY 1.  Ã‚  Ã‚  Ã‚  Ã‚   â€Å"The Quest for a Male Child†, article by Dr. Madhumita Das. http://www.siyanda.org/forumdocs/si20031107025140.doc 2.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Female Infanticide and Foeticide†, article by Marina Porras. 3.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Again a girl! Are you not ashamed of yourself?†, article by Shoba Warrier 4.  Ã‚  Ã‚  Ã‚  Ã‚  The Census Report, 2001 : A Government of India Publication 5.  Ã‚  Ã‚  Ã‚  Ã‚  Case Study : Female Infanticide – www.gendercide.org 6. â€Å"History of Infanticide†, article by Dr. Larry S.Milner. http://www.infanticide.org/history.htm 7.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Female Infanticide† - http://www.webster.edu/~woolflm/femaleinfanticide.html 8.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Darwin and the Descent of Morality†, opinion by Benjamin Wiker - http://www.firstthings.com/ftissues/ft0111/opinion/wiker.html 9. â€Å"India's Population Passes 1 Billion† http://www.mhhe.com/biosci/pae/es_map/articles/article_48.mhtml

Outsourcing Development Work to India Essay -- Globalization Jobs Work

Outsourcing Development Work to India I. Introduction Globalization has had a major impact on the way business is conducted. Companies are increasingly turning to offshore software development outlets for design management. Anywhere from one-half to two-thirds of all Fortune 500 companies are already outsourcing to India and the amount of work done there for U.S. companies is expected to more than double this year according to Forrester Research. This paper will take a look at some of the arguments for and against outsourcing IT development to India. Most importantly this paper will take a look at ethical standpoints taken on outsourcing. But first, we'll take a look at the history of outsourcing to India. II. History In the late 1980's the rise of India outsourcing had its start. During this phase, India provided skilled contract workers for the US. Efforts to outsource projects to India arose in the late 1990's. This was driven by a combination of rapidly changing technologies and shrinking IT budgets Little by little the small offshore development projects started to multiply. In the beginning it was trial and error because there wasn't much focus on a repeatable and process driven model. During this time offshore outsourcing led to several failures. The big outsourcing force during the late 1990's came with Y2K. Work needed to get done quick and outsourcing to Indian companies was a solution to this. Indian companies had the ability to scale rapidly. Y2K conversion wasn't too high in the value-chain job, however it gave Indian companies a view of what was possible. Then came process maturity and standardization through processes. Indian companies have spent much time honing rigorous developmen... ... http://news.com.com/2100-1011-5175699.html [4] Gupta, Sachin. For a global software company, outsourcing began at inception . World Paper. April 19. 2004 http://www.worldpaper.com/2004/april/april4.html [5] India greets H-1B cutback with a shrug -- But cap could sting if U.S. market rebounds. Electronic Engineering Times: 1, October 13, 2003. [6] Kripalani, Majeet & Egnardio, Pete. The Rise Of India. Business Week Online. December 8, 2003. http://www.businessweek.com/magazine/content/03_49/b3861001_mz001.htm [7] Outsourcing created more jobs in US. MSN Business. IANS. http://autofeed.msn.co.in/pandoraV2/output/33601A5C-9FA2-491F-8E3B-EBC7CC04EDAF.asp [8] Pink, Daniel. Wired Magazine. The New Face of the Silicon Age. How India became the capital of the computing revolution. February 4, 2004. http://www.wired.com/wired/archive/12.02/india.html

Bladder Ultrasound Technology Essay

The study conducted by Frederickson et al. was able to show the need to use a Bladder Scanner for the accurate and efficient assessment of bladder volume in postoperative care. The bladder distention that will be experienced by the patients can cause complications and health problems if appropriate measures will not be taken. The traditional solution which is to insert a catheter into the urethra of the patient is no longer a viable option because it increases patient discomfort as well as increases the rate of infections. The solution therefore is to use ultrasound technology such as the Bladder Scanner that will accurately and efficiently assess bladder volume. The accurate assessment will lead to the reduced usage of catheterization in postoperative care this will also allow for the reduction in the rates of infection, the cost of treating UTI, increase the efficiency of the nurses. This will ease the burden of the nurses and make them more effective in focusing on other tasks this will also ease the psychological and physical discomfort of the patients. The Implementation of Bedside Bladder Ultrasound Technology: Effects on Patient and Cost Postoperative Outcomes in Tertiary Care: A Critique of the Study In postoperative care it is common to encounter the problem of urinary retention. It can be said that one of the side effects of drugs, especially the use of anesthesia is bladder distention. This is characterized by the patient’s inability to distinguish if he or she has a full bladder and need to empty it. Bladder distention can cause complications and needless to say health workers must do their best to regularly empty the bladder. Since there is no way of knowing if the bladder is about to be void or not the usual method of dealing with this problem is intermittent catheterization but it is an invasive procedure that is not only a cause for discomfort for the patient, added cost to healthcare and demands more time from the nurses. Aside from all these problems, catheterization can also cause urinary tract information or UTI. There is therefore the need to have another alternative solution to urinary retention and distention. One of the most practical solutions is the use of a Bladder Scan It was determined that in postoperative care the effects of anesthesia and medication can cause distention. The patient loses the ability to feel that his or her bladder is already full and therefore realizes that it is time to empty the bladder. There is no need to elaborate on the fact that if this will continue then there would be harmful effects on the body as the bladder is a major component of the excretory system. Without the capability to â€Å"void† then the patient will increase the risk of developing complications. The solution was to use catheterization. This is a procedure where tubes are inserted into the urethra of the patient. This is a painful process not to mention that it can humiliate the patient especially those who are not comfortable with the procedure. Aside from that the procedure is known to be the major cause of urinary tract infections. As a foreign object is inserted into the human body there is an increase in the probability that microorganisms can also be introduced into the system. This is the reason why the rate of infections shoots up whenever catheterization is regularly used in postoperative care. Health workers created a solution to this problem and it is to apply â€Å"timed intermittent catheterization. † This simply means that a catheter is not permanently attached to the patient but only in a prescribed time. The period when it is optimal to insert a catheter can be divided into two. The first one is called â€Å"due to void† meaning that after a long period of time the bladder can be expected to be full. The second time when catheterization is expected is called â€Å"void with residual† this means that the patient was able to empty the bladder but there is still a â€Å"residual† and since there is no way to determine the exact volume of the residual, catheterization is required. The solution therefore is ultrasound technology. This allows for the accurate assessment of bladder volume to determine if catheterization is required or not. The Bladder Scan comes in two models the Bladder Volume Instrument BVI 2000 and BVI 2500. It uses ultrasound technology and this simply means that the device emits waves in the same way that a submarine uses sonar or a bat emits sound to determine the distance and shape of solid objects that cannot be seen by the naked eye. Therefore, when the Bladder Scan is placed near the bladder area the machine can generate a three dimensional image that will allow the health care worker to assess bladder volume. If there is a way for an accurate assessment of bladder volume then the number of catheterization can be reduced and therefore one can also reduce the rate of infections, the cost of treating UTI, and increase the productivity of nurses. 1. What is the study problem? Intermittent catheterization is the major intervention used to ensure that the bladder is emptied in â€Å"due to void† cases and in cases where there is postvoid residual and yet incomplete emptying has occurred. But there is one only problem, catheterization increases the rate of UTI. It is also a waste of nurse’s time and effort not to mention that patients complain of psychological and physical discomfort when catheterization is used. There is therefore a need to find a way to minimize unnecessary catheterization. A bladder scan VBI 2500 will be tested for its effectiveness and efficiency in tertiary postoperative populations. 2. What is the study purpose? It was determined that one possible solution is to use bedside bladder ultrasound technology, specifically, the BVI 2500 Bladder Volume Instrument. In this regard the purpose of the study was to determine the effect of ultrasound assessment of bladder volume on patient and cost outcomes for patients needing postoperative catheterization. 3. Is the literature review presented? Previous studies were identified and cited as a basis for the research. The most significant review of literature was a study made using a similar instrument. Ouslander and associates were cited as having performed an experiment using the Bladder Volume Instrument BVI 2000 and BVI 2500. The relevance of the review of literature was also seen in the discussion on the accuracy of the BVI 2000 and BVI 2500 in measuring bladder volume. It can also be seen from the discussion of the accuracy of the instrument when measuring postvoid residual. Aside from the relevance of the literature it was also ascertained that the references were current. Moreover, the author did not only discuss what were the pertinent information that can be found in the said references but also critiqued the said studies by saying that although results favor the use of a bladder scanner but a clinical study is needed to determine its effectiveness and cost in tertiary postoperative populations. The author was able to do this by making a summary of the current knowledge provided by the references cited. As stated earlier part of the summary includes the discussion on the success of the bladder scanner in nursing homes and in an outpatient clinic but there is no data when it comes to its effectiveness and efficiency in tertiary postoperative settings. 4. Is a study framework identified? The study framework was identified and listed in the form of research questions: ? What is the accuracy of ultrasound assessment of bladder volume? ? Does ultrasound assessment of bladder volume result in less frequent catheterization for â€Å"due to void† and â€Å"residual† events? ? Is there a difference in frequency of catheterization when bladder ultrasound assessment is used rather than standard catheterization procedure? ? Does ultrasound assessment of bladder volume versus standard catheterization result in decreased tract infections? ? Does ultrasound assessment of bladder fullness versus standard catheterization result in decreased health care cost? ? What is the patient and staff satisfaction with bladder ultrasound technology? 5. Are research objectives, questions or hypotheses used to direct the conduct of the study? The aforementioned research objectives can be used to direct the conduct of the study. Its main focus is the determination of the accuracy and efficiency of the BVI 2500 bladder scanner in tertiary postoperative populations as well as to find out the satisfaction levels of patients and the nurses. 6. Are the major variables or concepts identified and defined (conceptually and operationally? Identify and define the appropriate variables. The variables were: 1) the number of catheterizations avoided; 2)infection rates; 3) cost analysis of catheter acquisition; and 4) patient/provider satisfaction. The dependent variable is the number of catheterizations while the independent variable is the use of the bladder scanner as a tool to assess bladder fullness. Another dependent variable is the rate of UTI infections, the cost analysis of catheterization equipment and the satisfaction of patient and provider. 7. What attribute or demographic variables are examined in the study? An example of a demographic variable is the age of the subjects, age and surgical procedure that they had to go through. 8. Is the research design clearly addressed? The research design was clearly addressed because the author made clear from the onset that this study is about an intervention, specifically the avoidance of catheterization which in turn will reduce the rate of infections. The author was also able to clarify how this can be achieved – by using a bladders scanner and for the control group the use of straight timed intermittent catheterization. The subjects were not randomly assigned there was a deliberate plan to use four surgical units as data collection sites. From these four surgical units the proponents of the study divided the 132 samples into two groups. The first group contains 50 samples who had urologic, colon and gynecologic surgery while the second group contains 82 having total joint replacement and spine surgery. It is clear that the subjects were divided based on the type of surgeries that they went through. An explanation for this can be extracted from the review of literature wherein it says that bladder distention can be caused by anesthesia and medication. Thus, in order to minimize error it is best to group the subjects into the type of surgery that they went through. But this type of grouping can result in the creation of extraneous variables. For instance even though there are surgeries that fall under general surgery such as urology and operation on the colon these two deal with different parts of the body. Urology for instance deal with the urinary tracts of males and females therefore it can have an effect on the bladder or the rate of infections in the urinary tracts of the patients. Another extraneous variable is the skill level of the nurses that were assigned to operate the bladder scanner. There were no pilot studies conducted beforehand. All the necessary information needed for the design of the study were taken from the review of related literature. 9. Are the following elements of the sample described? The inclusion criteria includes patients who had undergone general and orthopaedic surgery. Exclusion criteria includes patients that had dermal ulcers, nephrotomy, obesity, confirmed pregnancy, in incision in a location that precludes ultrasound exam, or a known pelvic mass greater than 2 cm. The sampling frame includes only those who are patients in a particular large tertiary care hospital chosen by the proponents and satisfy the following conditions: ? they had undergone general surgery; or ? they had undergone orthopaedic surgery. Based on the sample frame the sample size was determined to be 132. Power analysis was done after the experiment. The proponents wanted to find out if there age, gender and type of surgery had an effect on the test results. They were able to determine that only age and type of surgery had an impact on the test results whereas there was no significant difference when it comes to gender. With the general surgical unit all were approved but with the orthopedic surgical unit only 53 was approved and therefor the attrition rate for the orthopaedic surgical unit was 39%. Before the patients were allowed to participate in the experiment the hospital’s Human Subjects Review Board had to approve the study protocol and all patients who had the stated surgeries and were â€Å"due to void† or â€Å"void with residual† assessment were screened for exclusion criteria and then approached for consent. All consenting patients on the general surgical unit were cleared to undergo ultrasound assessment of bladder volume. Those who were approved to participate from the orthopaedic surgical unit were catheterized or assessed with the ultrasound technology. The setting was appropriate for the conduct of the study because it is a large tertiary postoperative facility and that the patients under their care needed to be catheterized especially those who are due to void or void with residual. 10. Are the measurements strategies described? The study used the Likert format having five anchors ranging from not satisfied to very satisfied. This measurement strategy was developed by Rensis Likert and this was used to determine the level of satisfaction felt by the patient as well as the provider when it comes to the usage of bladder scanner. Another measurement strategy utilized in the study was the t-test, Chi Square and Pearson correlation. The t-test and Chi Square were used to examine difference between groups while the Pearson correlation was used to examine relationships between two variables. In the Likert system the level of measurement was ordinal. While the rest of the measurement strategies that were used in the study, the level of measurement was a ratio. The measurement strategies used in this study were all reliable especially when it was reinforced by the use of the Statistical Package for the Social Sciences – a computer program that allows for quick but accurate computations. In the previous study or the experiment described in the literature review, the proponents used Test-Retest Reliability measurement. This measurement strategy is not as reliable as the measurement strategies used in the current study. It is simply a retesting of the same subjects but at a different time period. If the design of the experiment was flawed to begin with the Test-Retest Reliability measurement will not be able to determine this type of error. 11. How were study procedures implemented and date collected during the study? The study procedures were implemented using standard timed intermittent catheterization protocol as well as ultrasound protocols. In the former there was a strict schedule to be followed and in the latter bladder scanners were used to assess bladder volume and from there make a decision to catheterize the patient or refrain from doing so. 12. What statistical analyses are included in the research report? The Statistical Package fro the Social Sciences was used for analysis and an alpha level of 0. 5 was chosen as a level of significance. 13. What is the researcher’s interpretation of the findings? The researcher was pleased with the findings. Aside from the fact that the proponent was very confident of the reliability and accuracy of the data, the result also closely resembled the results of previous studies as seen in the literature review. 14. Are the limitations of the study identified by the researcher? The researchers were able to point out the limitations of the study. First of all there was a problem with the sampling. The sample size was very small and because of this predicament the proponent of the stud was unable to make random selection of patients. For instance there were 50 patients in the general surgical unit and everyone were included in the experiment. There were also other factors that needed to be tested such as the type of surgeries that the subjects went through were varied especially in the general surgery group. 15. What conclusions did the researcher identify based on this study and previous research? The proponent of the study was able to determine that ultrasound technology is an accurate and efficient way to assess bladder volume. But they were also able to ascertain that it would be better if a portable scanner will be used instead of a bigger and bulkier machine. 16. How does the researcher generalize the findings? The researcher made the generalization that the Bladder scanner is accurate and efficient. This is based on the results that say it was able to detect even low levels of urine in the â€Å"void with residual† category. Researchers were also able to generalize that patient and provider were both highly satisfied with the use of the Bladder Scanner. 17. What implications do the findings have for nursing practice? This device can definitely help health workers to maximize their time and be more efficient. Standard timed intermittent catheterization requires for the insertion of a catheter on a regular basis and this will easily consume their time as well as increase the discomfort of the patients. 18. What suggestions are made for further studies? There is a need to look into the age difference of the subjects. The researcher pointed out that age is a demographic factor that is significantly related to number of catheterizations required. In future studies there is a need to have a larger sample to so that the age of the subjects can be varied. 19. What are the missing elements of the study? One missing element is that there was no discussion regarding the warranty of the device. There was a generalization that it is cost-efficient to use the Bladder Scanner because it reduced the number of catheterization, the rates of infection and reduces the time needed for nurses to take care of UTI and intermittent catheterizations. But there was no discussion regarding the ability of the Bladder Scanner to withstand repeated abuse. It was made clear that it would take 2. 9 years of continuous usage before one can recover the investment on the Bladder Scanner, there is a need to know if it is sturdy enough to last beyond a three-year period. 20. Is the description of the study sufficiently clear to allow for replication? The description of the study is sufficiently clear to allow for replication. The protocols that were established beforehand is a major reason why this study can be replicated. The study conducted by Frederickson et al. was able to show the need for a Bladder Scanner or similar device in postoperative care. The bladder distention that will be experienced by the patients can cause complications and health problems if appropriate measures will not be taken. The traditional solution which is to insert a catheter into the urethra of the patient is no longer a viable option because it increases patient discomfort as well as increases the rate of infections. The innovate solution of using standard time intermittent catheterization is not a very good solution because it still cannot eliminate the problems discussed earlier although it can slightly reduce the total amount of time that catheterization is used. The solution therefore is to use ultrasound technology such as the Bladder Scanner that will accurately and efficiently assess bladder volume. The accurate assessment will lead to the reduced usage of catheterization in postoperative care this will also allow for the reduction in the rates of infection, the cost of treating UTI, increase the efficiency of the nurses. This will ease the burden of the nurses and make them more effective in focusing on other tasks this will also ease the psychological and physical discomfort of the patients. References Frederickson, M. et al. The Implementation of Bedside Bladder Ultrasound Technology: Effects on Patient and Cost postoperative Outcomes in Tertiary Care. Orthopaedic Nursing. 19(3): 79-87. Warner, A. J. et al. Postoperative Bladder Distention Measurement with Bladder Ultrasonograph. Journal of Perianesthesia Nursing 15(1): 20-5.