Plato and the Concept of Knowledge Essay

Plato’s Theaetetus is a dialogue that discusses and attempts to find a definition of knowledge. The two characters, Socrates and Theaetetus, approach the argument with the initial idea that knowledge is the addition of a true judgment and an account. However, Socrates raises some concerns regarding the fundamental aspects that make the definition true. Ultimately, the two characters find that their original definition of knowledge is not as accurate, nor as simple as they once believed. The article opens with Theaetetus recalling a definition of knowledge he once heard, which stated â€Å"true judgment with an account is knowledge [and is therefore knowable], and the kind without an account falls outside the sphere of knowledge [and is therefore unknowable]† (126). Socrates begins to question one’s ability to determine whether something is or is not knowable, and he demonstrates the concept using the relationship between elements and complexes. In doing so, he explains a recent dream of his, which, in turn, is actually an explanation of Dream Theory. Dream Theory states that â€Å"the primary elements, of which we and everything else are composed, have no account. Each of them itself, by itself, can only be named† (126). In other words, as elements cannot be broken down further, elements cannot have an account because that would require the determining of whether or not the said elements exist. The addition of that information onto the original element itself results in something that is no longer in its simplest form. Therefore, no elements can have accounts, nor can they be knowable; elements can only be perceived. Consequently, this poses the question as to whether or not complexes are knowable given that their elements are not. When complexes are viewed as the sum of all their elements, it is safe to conclude that the complexes are unknowable, as their elements are unknowable. This idea allowed Socrates to then consider whether complexes were mere sums or if they should instead be viewed as wholes that cannot be dissected into parts. However, the problem with this idea is that, when viewed as a whole that cannot be separated, the complex is then no different than an element, and therefore cannot have an account. After failing to determine what does and does not have an account, Socrates decides to turn his attention to determining what constitutes an account. First, he defines it as stating one’s judgment through speech. Immediately, this manifests flaws in the sense that any true statement could then be considered an account. If this were the case, there would be no differentiation between an account and a true judgment. Next, he defines an account as listing the elements of the things known. Again, this must be incorrect because the possibility exists that one could simply memorize the elements without actually understanding them. Without understanding, one cannot have knowledge. Finally, he defines an account as differentiating the known thing from everything else. This would require knowledge of the differences, and ultimately would again be a reiteration of the true judgment. Additionally, one would be defining knowledge as true judgment plus knowledge, which would be considered a fallacy. This marks the final turning point in Socrates’s and Theaetetus’s overall definition of knowledge, where the two characters decide that their initial definition could not be considered correct. Through their attempts to dissect the supposed explanation of knowledge, Socrates and Theaetetus finally reach the conclusion that knowledge is â€Å"neither perception, nor true judgment, nor an account added to true judgment† (133).

Fair-value accounting change Essay

The role played by the financial market in determining the levels of performance that can be recorded by the economy is not in doubt.   The 2008 economic crisis is a vivid reminder to all policy makers and even governments to ensure that issues that affect the economy are objectively addressed. The Financial Accounting Standards Board (FASB) which is a key player in the financial sector appears to be oblivious of its role in the economy and has once again used its mandate to develop a standard that is not relevant to business let alone accounting.   The move to adopt the mark-to-market accounting standard is a dark mark in American accounting history that may in fact lead to poor practices within the financial systems that have proven to be potent to the economy. It took America nearly 15 years to develop its constitutions; strategic management specialist have time and again pointed to the close relationship that exists between rapid change and failure and the FASB has for years taken months in seeking suggestions and deliberating upon them before making any proclamation that may affect the nature of the business environment[1].     All these are events or standards that the business world and America as a whole has come to accepted as being reflective of factors that affect the business environment. The speed with which the mark-market standards moved from proposal to being a standard brings about questions on objectivity[2].   A look at the last two times that America has found itself in crisis it has been the financial systems that duped to investors by inflating their performance or potential.   It is unlikely that such a hurried process which eliminates systems that have protected American investors will be of any good. FASB’s modification of its rules is often waited upon with anticipation by all players in the business world.   The change in the fair value rules or standards is the main area of controversy in FASB’s changes.   While the banking and financial institutions have praised the move as an effort to reduce the negative effect that previous standards had on developing a ‘clear picture’ of their performance[3], investors are worried stiff on the effect that it will have on disclosures by banking and financial institutions that are traditionally known for overvaluing their assets and even performance. The fair value accounting rules had been blamed by a number of financial institutions that are notably under pressure from the 2008 economic crisis for being irrelevant to inactive markets. The mark-to-market accounting system that has been presented by FASB allows companies to use their judgment to gauge prices of some investments and backed securities.   Analysts were quick to note that the measures could in fact impact on the net income and affect bank write downs.   Pro mark-to-market standard institutions have hailed the changes with statements like ‘the mortgage and market was not working and something had to change’.   This is reflective of the true objective behind the move.   Investors who have been defrauded by American institutions in a number of occasions are wary of the changes that place them in a position where they are susceptible to exploitation by the financial community. The integrity of a development is largely dependent on the process that culminated in its existence.   Under this consideration, investors are innocent of ‘unnecessary suspicion developed from poor past experiences’.   The series of event that culminated into the existence of the mark-to-market standard is a reflection of the negative effect that the congress can have on effective decision making.   In his presentation on March 12th the chair of FASB did not mince his words in pointing out the faults that are inherent of the mark-to-market standards that the financial community was pushing for. The definition presented by Herz which should be presumed of FASB’s definition of fair value is that it is the worth of an asset being exchanged between two informed parties[4].   In ending his statement the chair stated that America is in a challenging time that requires improvements in nearly all sectors and by trying to suppress financial information offered to investors there is little that will have been done to change the conditions.   His statement is a pointer to the misinformed objective that the change may affect the position that America currently is in and the existence of fair value system within financial practices. Whatever happened between 12th March and April 2nd is best left to Americans’ imagination.   The congress’ pressure has especially been cited by the media and being central to the changes that FASB made in fair accounting standards.   The same rule which had been dimmed lacking in objectivity became relevant to the American dilemma in a space of three weeks.   The hurried implementation of the change is the unspoken variables that belie its objectives. A pro derived from the development is the awareness that America is in a desperate position which needs to be addressed with immediate effect.   Moreover, the negative effect that bad performance within financial institutions had on the stock market may soon be historical events as financial agencies have been given a leeway to confuse investors and hide poor performance.   Profits that have not been evidenced since the likes of Enron went down may soon be usual and the same can be said of the pain that investors underwent in the turn of the century. The cons are clear especially sidelining of the effects that the operational environment has on operations.   The development allows for businesses to operate in a manner suggestive of independence from the operational environment while investors who may be aware of the prevailing environment are subjected to these daydreams.   The results may be increased wrangles within management boards, unethical practices within financial institutions and reduced confidence on financial disclosures which goes against their objectives. If any one thought that the FASB is perturbed by the controversies surrounding the development then they are in for a big surprise.   The FASB has practically done nothing and has sat back with some postulating that the next step they take may involve providing organizations with an environment where they can alter the value of all their assets at will. The standards used by investors and   financial players under the environment developed by the mark-to-market standards is non-uniform and may lead to a number of upheavals and even miscommunication that negatively affect value generation. It is evident from Herz’s speech on March 12th that the mark-to-market standard is a non-objective measure to curb the effects of the 2008 crisis.   The pressure placed on the FASB by the congress whose affiliation to financial heavyweight is not a mystery is central to the change.   This is not the first time such a development is being recorded for the French President played a pivotal role in some controversial changes made by the GAAP[5]. Investors should only worry for the short term for such subjective developments have historically proven to be uneventful.   It is only a matter of time before the follies in the mark-to-market standard that are actually known to all parties in the business fraternity manifests in the practical environment with dire results.   Changes that are appreciative of the operational environment will then be the only way out.

Malaysian Culture Essay

Malaysia has a multi-ethnic, multicultural, and multilingual society. The original culture of the area stemmed from indigenous tribes that inhabited it, along with the Malays who later moved there. Substantial influence exists from Chinese and Indian culture, dating back to when foreign trade began. Other cultural influences include the Persian, Arabic, and British cultures. Due to the structure of the government, coupled with the social contract theory, there has been minimal cultural assimilation of ethnic minorities. Traditional Malaysian art was mainly centred around the areas of carving, weaving, and silversmithing.[181] Traditional art ranges from hand-woven baskets from rural areas to the silverwork of the Malay courts. Common artworks included ornamental kris, beetle nut sets, and woven batik and songket fabrics. Indigenous East Malaysians are known for their wooden masks.[94] Each ethnic group have distinct performing arts, with little overlap between them. However, Malay art does show some North Indian influence due to the historical influence of India. Traditional Malay music and performing arts appear to have originated in the Kelantan-Pattani region with influences from India, China, Thailand and Indonesia. The music is based around percussion instruments, the most important of which is the gendang (drum). There are at least 14 types of traditional drums. Drums and other traditional percussion instruments and are often made from natural materials. Music is traditionally used for storytelling, celebrating life-cycle events, and occasions such as a harvest. It was once used as a form of long-distance communication.[183] In East Malaysia, gong-based musical ensembles such as agung and kulintang are commonly used in ceremonies such as funerals and weddings. These ensembles are also common in neighbouring regions such as in the southern Philippines, Kalimantan in Indonesia, and Brunei. Malaysia’s cuisine reflects the multi-ethnic makeup of its population.[186] Many cultures from within the country and from surrounding regions have greatly influenced the cuisine. Much of the influence comes from the Malay, Chinese, Indian, Thai, Javanese, and Sumatran cultures,[94] largely due to the country being part of the ancient spice route.[187] The cuisine is very similar to that of Singapore and Brunei,[107] and also bears resemblance to Filipino cuisine.[94] The different states have varied dishes,[107] and often the food in Malaysia is different from the original dishes.[142]

Did Punk Sell Out Commodification of Popular Music Essay

Did Punk Sell Out Commodification of Popular Music - Essay Example Understanding punk visuals and noises amounts to a historic study of an ideology that was formed out of working class youth mentality on resistance and change and punk rock, may be considered a chief medium with which to channel the content and comprehension of this ideology. Unlike pop culture which concentrates on romantic themes, the songs and rendition of punk execute around the nature of sexuality, moral, and political concerns. When the barrier broke between pop and rock, being an oppositional character, in Britain and U.S. during the mid-to-late 1970s there came a point of fusion among art, pop, and rock, signifying the birth of punk rock. B. Longhurst pointed out that the decline of rock ideals and the activities of some rock stars in the 1960s proceeded for them to be perceived under a capitalist commercial venture which hardly gave followers anymore positive attraction toward rock. This then became a remarkable opportunity for punk to help resolve the crisis by its unique e xistence with the attempt to renew the belief of an active political force present in rock culture [Longhurst]. Despite how the punk subculture has had diversification out of authentic roots, no serious claim can afford denying that it has uniquely lain foundation about itself and beyond. The privilege further extends to molding the distinct coexistence of the black’s rhythm and blues, soul, and ska.

Examine the market research required for the catering company as a new Lab Report

Examine the market research required for the catering company as a new start-up sole trader company - Lab Report Example Subramaniam and Coyne (2013) emphasised that due to the intensity of rivalry that start-ups face, market researches are very important for them in ensuring that they take the right actions towards their targeted market. In the current case, the start-up sole trader is a catering company with 5 workers and 1 owner. All workers have the same level of skill in driving, baking, cooking and making of table. The staff of the company are considered well motivated for the roles they are assigned. The business idea of the new start-up sole trader company is to organise parties for individuals, families and corporate bodies. This means that the company is broadly in the hospitality industry as its business orientation requires the provision of food service to clients (Davis, Eisenhardt and Bingham, 2009). This enterprise is considered appropriate for the sole trader given that the sole trader has personal experience in catering. There are various price strategies available for the sole trader. On the whole, pricing is based on the client size and the nature of service requested. This is because there are general services and prestige services. There is also a pricing formula where the larger the client size, the lower the price per head of service received. An ideal price for general service is $10 per head whiles that for prestige service is $15 per head. The sole trader liaises with external suppliers who use the route planning model of logistics as way of achieving efficien t logistics (Ciborra, 2006). The current market segment of the sole trader is corporate institutions, meaning there is a business to business (B2B) business model (Stewart and Cohen, 1994). The use of differentiation strategy is the company’s major strategic option. Whiles the sole trader is in the market also, constant research that helps them to come to terms with the changing dynamics of the market is also necessary

Xerxes The Great, 'Ahasuerus' Essay Example | Topics and Well Written Essays - 1750 words

Xerxes The Great, 'Ahasuerus' - Essay Example It is often presented as a truism that the winners write the history books. But when the subject is a figure of controversy, with both dark and light sides, it is often difficult to really see what happened in a way that highlights veracity. Looking at Xerxes I of Persia, one faces such a situation. On the one hand, Xerxes’ invasion of Greece was massive in scale, represented ingenious engineering, and resulted in the fruition of the goal of its general: a victory at Thermopylae, and the capture of Athens. On the other hand, taking Athens was essentially Xerxes’ last successful move: he faced nothing but a series of embarrassing defeats afterwards, and after the withdrawal of forces from Greece, was treated very harshly by Greek historians. The basic assumption of the current research investigation is that Xerxes, leading the Persian army after Thermopylae, represents a different and more unstable sort of commander than Xerxes before this seminal battle: after burning A thens, Xerxes seems to make nothing but poor strategic decisions. Up until his eventual murder in a court intrigue, when he was essentially disgraced as a general, and was focusing mainly on building projects, Xerxes showed a slippage of rationality and good judgment, along with an increasing inability to take counsel from his advisors and military planners.

Strategic analysis of IBM from 2000 to 2005 Essay

Strategic analysis of IBM from 2000 to 2005 - Essay Example 133). The company has recently adopted an integrated supply, manufacturing and distribution operation into one operating unit. In addition to its own manufacturing operations, the company uses a number of contract manufacturing (CM) companies to manufacture IBM-designed products. In their website, IBM stated that it spends nearly $2 billion a year with diverse suppliers, for example, greater than any other technology company. Yet more than managing their expenditures, IBM had emphasized a responsibility to hold themselves and their suppliers to high standards of behavior. This means complying with all applicable laws and regulations. They seem to support a strong commitment to work with suppliers to encourage sound practices and develop sound global markets. Despite their company's strong performance in the recent years, IBM is aware that it competes with several large players in the various industries it operates in. In the consulting and outsourcing industry, it faces stiff competition from Accenture and Capgemini. In the application infrastructure software business, IBM faces competition from BEA Systems, Oracle, Sun Microsystems and Microsoft. In software, IBM is second to Microsoft, the world's largest software company. ... This is useful, because it could assist people in understanding both the strength of an industry's current competitive position and the strength of a position the industry is looking to move into. In analyzing the IBM's competitive environment, Porter's Five Forces will delineate that there are five important forces that determine competitive power in a situation: Supplier Power, Buyer Power, Competitive Rivalry, Threat of Substitution and Threat of New Entry. Supplier Power In their website, IBM mentioned that it developed an IBM Global Procurement, which is part of the Integrated Supply Chain organization. This arm of the IBM acquires goods and services for IBM and its clients. This is done with flexibility to sense and react to changing market dynamics. With few exceptions, this organization is the only group authorized to commit IBM funds to external suppliers. Furthermore, IBM explained that their Procurement fulfills its mission by using Global Commodity Councils to strategically source goods and services through a network of international, regional and emerging suppliers for IBM's varied businesses. Procurement is conducted in an environment of pervasive e-procurement across all steps of the acquisition process - from initial market segment intelligence and strategic sourcing, to tactical order placement, invoicing and electronic payment. With enhanced supplier interaction, Procurement takes responsibility to maintain IBM's competitiveness by enga ging suppliers to provide competitive advantage in cost, technology, innovation, speed to market, quality, and supply assurance. This responsibility includes activities such as supplier selection, negotiation

Contemporary Social Theory Essay Example | Topics and Well Written Essays - 1000 words

Contemporary Social Theory - Essay Example It is not possible to discard the classical theories because modern theories have to branch out of them and as the society is a continuous story, classical theories remain forever relevant. Also we require social theories that could combine and understand many cultures and regional specialities. To understand the demography, social class structure, population, law and justice matters, sociological network and sociological geography it is necessary to have easily applicable social theories. It enables culture mapping, research, social justice and the requirements of a social welfare state. It is necessary to analyse the complexities of contemporary societies, and to understand the present social world. It is necessary to theorise communication between social systems, social interaction, and hierarchies. It is also significant to understand the configuration of power points like global trends, media and shifting political issues. Mills argues that social theory has to be combined with social imagination that shows how the personal issues could affect the large scale social structures: â€Å"Issues have to do with matters that transcend these local environments of the individual and the range of his inner life. They have to do with the organisation of many such milieux into the institution of a historical society as a whole, with the ways in which various milieux overlap and interpenetrate to form the larger structure of social and historical life,† Mills (1959, p.15). Interpreting September 11th in terms of social theory is not easy. Calhoun et al (2002, P.24) argue: â€Å"The terrorist attacks have stimulated public soul-searching. Both attacks and responses to them have raised a host of questions about social organisations, basic social institutions, and how people mobilize amid crises.† Harrington covers both classical and contemporary social theories in his book Modern Social Theory. Harrington

HR management Essay Example | Topics and Well Written Essays - 2750 words

HR management - Essay Example The human resource function is centralized but adequate scope for accommodating local needs and environmental pressures is present. Recruitment and selection is based on local market needs and product offerings in accordance with the policies of the Delegates. Training, development, reward and performance appraisal, and employee engagement initiatives at branches are also designed locally but in accordance with the broad policy shaped by the Delegates. The Press should grant greater autonomy to branches so that the HR function can be more responsive to urgent international pressures. Campbell, C. (2013). Nelson Thornes could make up to 50 redundancies before Christmas. [Online]. Available at: http://www.gloucestershireecho.co.uk/Nelson-Thornes-make-50-redundancies-Christmas/story-20320403-detail/story.html. Retrieved on 2 August 2014. 14 The Guardian. (2012). Oxford University Press fined  £1.9m over bribery by African subsidiary firms. [Online]. Available at: http://www.theguardian.com/law/2012/jul/03/oxford-university-press-fined-bribery. Retrieved on 2 August 2014. 15 The multinational organisation selected for this analysis is the Oxford University Press. The OUP is the largest and one of the oldest university presses in the world and has been publishing scholarly works since 1478 (OUP, 2014). The international growth and expansion of the press began with the establishment of the first international office in New York in 1896 and in Canada in 1904. The OUP serves a global market serving 100 countries with offices in 50 countries of the world. In response to globalization, the Press is following a product development strategy where technology-enabled educational materials are being developed for culturally and linguistically diverse markets around the world. The most recent version of the Oxford Advanced Learner’s Dictionary was

In light of the fact that tourism is one of the most important service Essay

In light of the fact that tourism is one of the most important service sectors of global economy, debate the current issues that need to be incorporated into the tourism planning process - Essay Example (WTO(a), 2001). A standout amongst the most urgent parts of universal tourism is the cross-fringe development of purchasers. (WTO(a), 2001). This grants even untalented specialists in remote territories to end up administrations exporters — for example, by offering specialty things, performing in social shows, or working in a tourism lodge. (WTO(a), 2001). Travel & Tourism is one of the heading job inventors in the world. The business utilizes more than 98 million individuals directly, speaking to in excess of 3 percent of all vocation. (Turner & Sears, 2013: 63). At the point when backhanded and impelled effects are incorporated, the business helps around one in every eleven jobs worldwide. (Turner & Sears, 2013: 63). The share of world vocation in Travel & Tourism is more than that for the vehicle assembling and chemicals producing businesses joined together, over every locale of the world. Moreover, the standpoint for the business is moderately positive: job development in Travel & Tourism is conjecture to normal 1.9 percent for every year throughout the one decade from now, contrasted and 1.2 percent yearly development conjecture for aggregate jobs in the worldwide economy. (Turner & Sears, 2013: 63). Throughout the most recent two decades, Travel & Tourism has played a more essential part in the financial advancement of numerous nations. Expanded travel over the globe has been determined by development in genuine earnings; more amazing measures of relaxation time; enhanced and very open transportation frameworks; continuous globalization of business linkages, including supply chains; very viable correspondence frameworks that encourage advertising; and countless tourism administrations. Albeit starting foundation venture is required, as more individuals travel, extra tourism framework is constructed and individuals are utilized to administration the needs of the vacationers. The more guests go to a goal, the more lodgings,

Considering Censorship Essay Example | Topics and Well Written Essays - 750 words

Considering Censorship - Essay Example In the subsequent parts of this essay, I would argue for considering censorship should be adopted on certain materials that endanger the moral and social values of humanity. For that purpose, first, definition of censorship is provided, it is followed by three examples- one from personal experience, one from general observation and third one is from Ian Inglis article. Censorship is defined as an act of suppressing or deleting expression that is understood objectionable on certain grounds such as moral, religious, military or religious grounds (Sweeney, 2004, pp.189).And, there are two type of censorship: state- imposed and self-imposed, for example, banning of books, governmental reviews, approval for a particular information is required before making that piece of information public. Society follows certain moral standards. These moral standards determine the entire social fabric and communication standards within the members of the society. If history is taken as an example, natio ns and societies have successfully lived on the basis of moral and social standards and their adherence in the required manner. It is the role of moral values that have ensured the existence of society till this point of time. At that time, under that society, children and younger generation was expected not to access certain material, and did not commit such actions where the rules of moral standards were violated. As a result, the entire society constantly survived throughout different times of history. However, after the inception of technology, it has become very easy for every one to access the forbidden material. For example, on the Internet, not only information but also porn images and videos are easily accessible. I strongly believe that such access must be censored and younger generation must not be allowed to access that. Why do I believe so? If we see, in many nations and in many countries, the rate of crime, rape, sexual assault, harassment, and even murder have hugely increased in the recent history. Each year, rape, sexual assault and other crimes are constantly increasing, and in stead of decreasing, each year data touches new levels. The fundamental cause behind this situation is provided by frustration in the younger generation over the issue of sex and crime. Additionally, the constant display of violence in movies and dramas has added fuel to the fire. Once I was studying a report of a Non-Governmental Organization over the causes of rape. In which, a rape case was reported and a teenager raped a girl. The report further explains that the NGO interviewed the victim and that rapist teenager. The teenager informed that he was returning from the gathering of his friends’ house where we had watched an adult movie, while on the way home; I could not control my self and raped that girl. Additionally, the world faces new kind of terrorism and violence after the events of 9/11. The information access has been a key in this regard. Currently, in many countries there are an on-going military operations against the terrorists and extremists. In order to carry out their military operations, military in these areas first plan and then attack. So, such plan remains confidential until the military operation is carried out. If that information is leaked, then the success chances of that military operation would be rare. The American tradition sanctifying abstract principles of free

Operatiom Process of Kfc Essay Example for Free

Operatiom Process of Kfc Essay Throughout the industry of fast-food, there were so many organisations which gained power and title for them, such as McDonald, Pizza Hut, Burger King, Pizza Domino, etc. In the list of these successful fast-food organisations, KFC is also one of the best organisation which gained their title and power for more than 80 years. KFC is a chain of fast food restaurants and first established known as Yum! Brands. However, the organisation name has been change since 1952. Until now, KFC – Kentucky Fried Chicken is the third largest fast-food organisation in the world. KFC has more than 14,000 outlets and in more than 80 countries around the world, serving about 12 million customers each day. (KFC Franchise Opportunity, 2007) PART 1 II – BUILDING BLOCKS: First of all, we need to analyze the general process of KFC. For the customer’s order, customer can have many choices to order food and meal from KFC. They can choose to dine in KFC restaurant which the process was order food, pay for food, eating food and leave. Or customer may order for delivering with fast or normal service, for a family’s meal or a party. More convenient, if customer is driving car, they can choose whether to park the car then dine in the restaurant or buying food by the fast service of KFC. * KFC general restaurant layout: KFC’s restaurant layout also has helped the organisation. In order to have a good layout, KFC’s purpose was planning and arrangement of all machines, utilities, staff room, kitchen, customer service areas, material storage areas, aisles, restrooms, internal walls, offices, and children area, which aim for the good flow of materials and customer. Moreover, also need to consider about the time, for example, demand for food of customer may high during breakfast, lunch and dinner. Parents may choose the KFC restaurant for running a birthday parties for their children on Saturday or Sunday and some other different event. By understanding the important of time and location, management of KFC can determine what size or how big their outlets should be in order to appropriate on each different circumstance and environment condition. * Value Added: The capacity of KFC restaurant which means how big the restaurant should be and where it should be locate is also important and contribute greatly to their operating management. If their outlets locate in a good place and got many good conditions for them such as skill labor, good supplier, high business climate or populated areas, their operating process will get started easier and more effectively. 4/ WORKFORCE: KFC has a slogan for their employees were that â€Å"makes more friends, earn some cash†.

Attachment, Cognitive and Language Development Influences

Attachment, Cognitive and Language Development Influences Introduction In this paper we will discuss the Case Study of Hannah G. We will look at different theories to Attachment, Cognitive and Language development. We will look at how parenting styles and influence in the marital system can influence a child. We will look at how genetics and environmental factors influence development, as well as a child temperament. Attachment theory Bowlby believes that attachment isn’t present at birth, it develops after the first nurture, comfort and protection the mother or the primary caregiver provides (Louw,Louw, Van Ede, 2012). Relationships with primary caregivers that involve emotional and affective engagement, has an impact on how a person perceive themselves, others, and the world (Reuther, 2013). Psychologist Harry Harlow also concluded through an experiment with mokeys and surrogate mothers that comfort and security plays an important role in the development of attachment. In the experiment, Harlow uses two surrogate mothers. Both mothers were made out of wire. Both mothers were equipped with feeding equipment. Only one of the mothers was covered in a soft cloth. The monkeys showed more interest in the clothed mother, they would go to the wire mother to suck on the bottle for food, and return to the clothed mother (Louw et al, 2012). Freud believes that â€Å"early experiences can have a long-term effect on personality development† (Shaffer, 1994,p.43). If we take Freud psychosexual stages we see that the oral stage may have an impact in the attachment between infant and mother or primary caregiver. During the first year the infant are spitting, chewing, sucking, and biting objects. Freud suggested that the sex instinct seek pleasure through the mouth. A baby’s basic pleasures, food, are pleasured through sucking on the mothers’ breast. When a baby is weaned off the mothers’ breast to early the person may later in life be over dependant on others (Shaffer, 1994). Erikson agrees with Freud that the mothers feeding process has an impact on the development of the child’s personality. However, Erikson believes that the mothers’ responsiveness to the infant is just as important as the feeding process. The child learns to trust trough the caregiver or mother who provided food, comfort, affection, and safety. If these needs are not met, the child learns that other people are not to be trusted. This takes place from birth to one year. Erikson calls it the Basic trust versus mistrust stage (Shaffer, 1994). Even though Erikson, Freud, Bowlby and Harlow has different views on the topic on attachment. They all have the same conclusion. For attachment to take place the infant needs has to be met by the mother or the caregiver. If there is an interruption in the attachment process, there may be long-term effects. Cognitive and language development Piaget described cognitive development as â€Å"an individual’s interaction with the environment† (Louw et al, 2012). Piaget argues that development perceives learning how we interpret the world through mental schemas allowing us to make sense of our environment. Learning happens when facing situations that our schema cannot process leading to disequilibrium. To equalise itself the mind simulates new information or adapt to using new skills. Piaget calls this the process of assimilating new information and skills into our pre-developed schema. Piaget believed that thought determines language. He believed that once children were able to think in a certain way they developed the language to the describe their thought (Louw et al, 2012). Vygotsky agrees with Piaget that learning happens by interacting with the environment. Vygotsky argued that learning proceeds development. He holds that our present stage of development is enhanced when confronted with new tasks, just out of reach of our present abilities. Vygotsky believed that language and thoughts are independent but they converge through development. He believed that children developed language through social interaction with adult who already know the language. Through that action they can connect these thoughts and the language they have learned (Louw et al, 2012). Bronfenbrenners Ecological theory suggest that a child’s development is determind by what they experience in their environments they spend time in. (Friedman Wachs, 1999)(Check pligarism). Emotional development Babies are able to â€Å"read† others emotions from a young age. Being able to distinguish others emotions is important for a baby’s social and emotional development, it has an impact on attachment bonds. As babies grow older the constantly seek approval or disapproval from people they trust. If a Mothers or primary caregivers are emotionally unavailable or only irregularly responsive to the infant or childs needs may result in an insecure attachment ( Zilberstein, 2013). Ethologists believe that an infant who were neglected, or parent who are inattentive will not develop a strong emotional attachment with their caregiver. This may lead the child to be shy and emotionally unresponsive to other people (Shaffer, 1994). Parenting Styles Marital system Uninvolved parents is parents who have rejected their children or who has their own personal issues to attend to than to attend to the child every need other that their basic needs, food and cloths (Kip Shaffer, 2009). Children of uninvolved parents may show signs of impulsiveness, antisocial, and have relational problems with others ( Louw et al, 2012). They might also be aggressive and have external behaviours such as temper tantrums (Kip Skaffer, 2009). Children become angrier and distress when parents cannot stop arguing. A child’s distress increases when the arguing between parents increases. â€Å"Children who observe intense and destructive conflicts between their parents suffered from emotional insecurity, depression, anxiety, behavior problems, relationship difficulties, and poor regulations, even years later† (Clarke-Sewart Parke, 2011, p. 190).. Parents who can resolve their problems in a respectful manner can teach the child to how to resolve conflict in a positive and respectful manner. â€Å"Children were most likely to have problems if their parents expressed anger frequently, intensely, physically, and without resolution†(Clarke-Stewart Parke, 2011, p. 190). Parents amicable marriages parenting style can be angry and instructive, children will in return act aggressively when interacting with the parent. They might even act aggressively towards other children (Clarke-Stewart Parke, 2011). Children’s social interaction develops by observing their parents.(Clarke-Stewart Parke, 2011). Bandura believes that observational learning is the most important learning method (Shaffer, 1994). Children simulate what they have observed. In the experiment with the Bobo dolls, children observed and learned the aggressive response adult shown towards the doll and they simulated the same aggression towards the doll. Not only do they learn to simulate this behaviour but children become emotionally aroused when watching people fight (Shaffer, 1994). Bandura suggested that aggressive behaviours that are maintained become habitual (Shaffer, 1994). Urie Bronfenbrenners Bioecological model refers to the effect the child has on the environment and the environment on the child, this includes reciprocal interactions between the developing child and other people, objects, and symbols in their immediate environment (Cockcroft et al, 1999). Being an only child and temperament Only children always wants to be the centre of attention. They tend to be possessive over their belongings and everything must go their way. Because they are the only sibling, they spend more time in adults’ company. Because they spend so many time in adult companies they tend to find it hard to socialise with their peer, they prefer socialising with adults (Rosemond, 2011). Only children have low tolerance for discomfort that caused by frustration, disappointments, boredom, and by being denied what that want. This is may result in tantrums of verbal of physical abuse. They lack empathy towards others; they are unable or are unwillingly to see that their behaviour affects others. They struggle to adapt to demands that are set by situations outside their immediate family. For example a school setting where are establishes social structures and recognised authority figures. They have a poor self-esteem and are chronically miserable, angry, and anxious (Mamen, 2006). A difficult child is a child who does not easily adapt to into daily routines or new environments. They cry a lot and has temper tantrums and is difficult to comfort. Deviant behaviour is a result of children who grows up in a home were marital problems persist. This happens when a child behaviour and environment influences compliments each other (Louw et al, 2012). Role of the media Bandura believies television violence enhances aggressive behaviour in children (Shaffer, 1994). Rowel Huesmann suggested that not only does television violence predict aggressiveness in children and adults but also their involvement in criminal activities (Shaffer, 1994, p. 495). We can see that conflict and aggression is a norm for Hannah. Hannah has learned and observed that the world is a violent place ant that interpersonal problems can be solved aggressively (Shaffer, 1994). Drabman and Thomas suggested that television violence may detach the viewers emotional reactions to aggressive episodes. This may lead to a person to lack strong empathic distress for the victims of aggression (Shaffer, 1994). Case Study Hanna Hannah has difficulty expressing herself and her feelings. This could be an indication that maybe there are an interruption in the development of her schemas of emotions. We learned that Hannah’s mother was unavailable for some time with depression, and this could have had an impact on how she developed socially. This could also imply that Hannah’s Schema of emotions aren’t developed well. The fact that her parents are uninvolved parent could also have an impact, as well as the parents’ marital problems. She was emotionally detached from her mother from birth and she grew up in a home were she was constantly exposed to aggression. This aggression is from the conflict between her parents and the aggression of television violence. The fact that Hannah finds it hard to make friend and bits or hits other children can be explained by many reasons, it can be because she has attachment issues, being away from her mother could have caused her to develop mistrust i n the world and other people. She might be trying to solve a problem in an aggressive as she had learned through her parents conflict and the television violence is that it is the only way to resolve conflict, as she hits and bits them. She might also find it hard to make friends because as we discussed she does not know how to connect with them in a social way because she exposed to adult company most of the time. Her parents marital problems has an impact on her having an antisocial behaviour. Hannah interact aggressively toward her parents, this could be either their uninvolved parenting styles or their marital conflict or it could be both. We see that Hannah has a difficult child temperament that is why they find it difficult to manage her. If we consider the bioecological model of Bronfenbrenner we can conclude that most of Hannah’s deviant behaviour is based on nurture. Nurture refers to the influences the environment has on a person’s characteristics. Conclusion We can conclude that there are many factors that can explain Hannah’s behaviour. The fact that she does not have a bond with her mother. The learned behaviours from her parents, as well as the television. Nurture plays a big role in Hannah’s development. We cannot just rely on one theory to explain a person’s development but rather consider all. Reference List Louw, A.E., Louw, D.A., Ven Ede, D.M (2012) Human Development (2nd ed.) Cape Town, South Africa. Kagiso Tertiary Clarke-Stewart,A., Parke, R,D.(2011) Social Development. Hoboken, NJ. John Wiley Sons Inc. Kip, K. Shaffer, D.R (2009) Developmental Psychology Adolenscence: Uninvolved Parenting (8th ed.) Beltmont USA. Cencage Learning Maman, M (2006) The pampered child syndrome: how to recognize it, how to manage it, and how to avoid it : A guide for parents and professionals. London, England. Maggie Mamen Reuther, B.T (2013) On our everyday being: Heidegger and attachment theory. E-Journal retrieved from: http://web.b.ebscohost.com/ehost/detail/detail?vid=4sid=6cc19ba4-d428-43b6-8a4f-f5d613962a5c%40sessionmgr115hid=125bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=pdhAN=2013-26844-001 Rosemond, J (2001) John Rosemonds: New Parent Power. USA. John Rosemond Shaffer, D.R (1994) Social and personality development (3rd ed.) Belmont Califonrnia. Wadsworth, Inc. Zilberstein, K (2013) The use of limitations of attachment theory in child psychotherapy/ practice view. E-Journal retrieved from http://web.b.ebscohost.com/ehost/detail/detail?vid=4sid=1876914d-d464-4c5e-919d-bbd00f71e893%40sessionmgr198hid=125bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=pdhAN=2013-03963-001

Traumatic Brain Injury Issues among the Maori

Traumatic Brain Injury Issues among the Maori Michelle Anastacio Introduction Traumatic Brain Injury is one of the health issues that Maori people face nowadays. Traumatic brain injury or TBI is caused by a blow or by a traumatic shock to the head or body. The extent of harm may vary on numerous aspects, including how it occured and the severity of impact. According to Brain Injury Support, 90 New Zealanders per day, suffer from mild to severe brain injury and most of them doesn’t seek medical attention. In New Zealand, the large population that suffer from this injury are Moari clients and the most common causes of traumatic brain injury are falls, vehicular accidents and assult. The issue on TBI cases is not only for the increasing mortality rate for children but with the consequences of non-fatal TBI cases for adults as well. Abstract Traumatic head or brain injury is one of the leading cause of fatality and hospitalisation among rich and fast growing countries like New Zealand. This is more prevalent among Maori and Pacific children. This paper aims to help New Zealanders specially Maori clients to be more aware of the importance of seeking medical treatment after accidents that may result to serious head trauma. This is also to promote the existing practices and provisions that are accessible to Maoris and other ethnic group. This will help the healthcare providers check for improvements on health services concerning trauma and how they can better serve the Maori people. Topic Definition Traumatic Brain Injury is best define as an injury acquired from severe jolt or impact to the head that cause brain dysfunction. This type of injury is commonly a result of a violent blow on the head, an object that penetrates the head like a bullet, accidents like fall and vehicular accidents. It may as well include one or more of the following factors; damage to brain cells just below the area of the impact, multiple joint damage that caused the brain to move backwards and forward, bleeding in or around the brain,swelling or blod clot and unrepairable damage to brain cells caused by an explosive device. People that are more susceptible to TBI are newborns to four years of age, young adults between 15 to 24 and elderly aging 75 and older. The sign and symptoms of Traumatic Brain Injury or TBI depends on the level of trauma. TBI can be classified as mild, moderate to severe categories. The common physical symptoms of mild TBI are; loss of conciousness for few minutes, being dazed, confused or disoriented, headache,nausea and vomitting and change on sleep pattern.This can be associated by mental issues like agitation, sensitivity to light and sound. They may also display cognitive issues such as memory and concentration problem, mood changes and depression.Where as mild TBI clients may show signs like, persistent headaches that worsens, repeat nausea and vomitting, seizures,dilation of one or both pupils, appearance of clear fluid on nose or ears, numbness or weakness of fingers and toes. Cognetive or mental symptoms such as agitation, unusual behavior, slurred speech, coma or other disorders of conciousness. Although TBI can be categorized into 3 stages depending on their signs and symptoms, it is still essential to co nsult or visit a doctor. The term mild or moderate doesn’t mean a client is safe or won’t suffer any other consequences in the future. Traumatic Brain Injury can cause a person to have difficulty with social interaction and may have family relationship problems if not treated or was not given a proper attention. Traumatic Brain Injury can lead to several complications if its’ not assessed and treated correctly. TBI can lead to distorted conciousness like coma, locked in syndrome and brain death. It can also cause seizures, fluid build up infection for those who have skull breakage and damaged on brain cells or nerves that can lead to paralysis of face. The test and assessment of TBI is done with the aid of Glasgow Coma Scale. This scale helps healthcare professional to assess the severity of the injury. Further tests like computerized tomorgraphy scan or what we commonly call â€Å"CT Scan† and Magnetic resonance imaging (MRI) provides a detailed view of the brain for healthcare personnel to rapidly see any signs of TBI. Significance of the Discussion Since the number of Maori clients who suffer from traumatic brain injury is increasing and most of them don’t seek medical treatment or are not aware of how traumatic brain injury can affect their lives as well as how and what help they get from New Zealand Government. There are concerns that expalin on why traumatic brain injury among Maori is significant. Currently, the statistics of TBI cases here in New Zealand are still inaccurate due to the fact that some of the healthcare providers don’t have the proper coding of the injury. There are times that mild TBI injuries don’t seek further medical attention whick means there’s a huge possibility that they won’t make ACC claims and won’t be identified by ACC. Among children, unintentional head injuries are the leading cause of death in New Zealand specifically for children aging 1 to 14 years old. On the other hand, non-fatal head injuries cause a huge impact not only to the childs’ life but their families as well. The family members’ level of stress and accessibility of trauma services are the main concern. Adults, according to different studies 91% of Maori prisoners here in New Zealand suffered at least 1 head injury in their lives. The issue of Maori offenders in relation to behaviour issues that somehow connected to traumatic brain injury is increasing. Traumatic Brain Injury can incorporate serious public safety risks. Since, brain trauma can affect the behaviour of an individual, the Department of Corrections now provides programmes that supports the rehabilitation and corrections of any cognitive and mental issues of prisoners with TBI. These programmes aim to reduce the re offenders specially among Maori. It also essential that health care services will be well equiped and develop strategies to empower Maoris with the relevant oral and written information to cope with the difficulties brought by traumatic brain injuries. Barriers in improving services for Traumatic Brain Injury Though New Zealand Government and Ministry of Health know the importance of making sure that TBI clients get the proper attention, barriers to implement the procedures is one of the aspect that needs to be addressed. The Kaitiaki and Pacific Support is a group that helps Maori and Pacific Islanders by providing them with practical and emotional support. The main issue that they face in providing provision is the limit when it comes to their budget because they don’t have their own funds or resources and they often need to get an approval from social workers. There are times that families are hesitant to approach or accept help from Kaitiaki and Pacific Support because they mistake them as social workers and Maoris and Pacific are worried that they might take their child away. Language barrier is another factor why Maori and other ethnicity like Pacific don’t get the right help for a family member with TBI. These ethnic group are often cautious of their confidentiality. They think that if they’ll get an interpreter their privacy will be snatch from them. Another barrier that is connected to language is gathering the correct information. The key workers of the Kaitiaki and Pacific Support knows the significance of accurate information to ensure that the TBI client and family members are given the correct support,treatment and rehabilitation. Precise data not only save the clients and their family from wrong treatment but it also helps the healthcare personnels and be certain that the client and family members understand what needs to be done and the process of rehabilitation to accelerate the clients’ recovery. Printed or written information like booklets that are given to parents and children also needs to be comprehensive, to ensure they grasp the facts that they need. The increasing population and healthcare provision demands influence the delivery of health and disability services as well. Shortage on healthcare personnels and poor staff continuity becomes a burden. The process of transferring of a TBI client from one healthcare provision to another, from one hospital to other facility and the collection and administration of care methods from one staff to another. There are also times where family members are frustrated that they need to repeat the same information to differen healthcare professional staffs and they receive conflicting data from different health personnels that confuses them. The last difficulty that most client and families experience are the issues they undergo after hospital discharge. Since in most cases where TBI was classified as mild trauma, it is often overlooked by healthcarers that parents or guardians are not yet equiped with enough knowledge to handle or provide the proper care that the client needs. This can affect the speed or process of the clients’ recovery or can even worsen the situation. Current Best Practice to manage Traumatic Brain Injury in New Zealand The current practice in New Zealand to manage Traumatic Brain Injuries are the acute phase provision and rehabilitation. In most cases, TBI clients are cared by general practioners, emergency departments, accidents and medical provisions, ambulances, sport coaches and teachers at schools. Any suspected serious brain injuries are assessed in the nearest hospitals that provide services for assessment and treatment immediate results of TBI. There are still small number of TBI clients who are trasnported to tertiary hospitals for neurosurgical procedures. Most cases are assessed in the Emergency Department where patients are not admitted or only stay in the hospital for a short period or time. The next stage of TBI management is rehabilitation. There are several range of rehabilitation available in all major centers in New Zealand. The rehabilitation depends on the care the client needs. Clients who suffered from mild TBI are given assessment and Residential rehabilitation. This type of service provides support for mild TBI clients at the comfort of their own home. The aim of this programme is to help clients gain their maximum independence. There are DBH and Non DHB provisions that operates in New Zealand to support people with mild TBI for an early and timely assessment and rehab. Nowadays, there are seven concussion clinics in New Zealand for clients with mild TBI. On the other hand, people with moderate to severe TBI can access Non- Residential Rehabilitation. ACC offer two provisions for clients with severe TBI. These are Active Rehabilitation and Residential Support Services. Active Rehabilitation Services means client with moderate serious TBI are being cared in a community based facility. These are for clients that are medically stable but need support due to their cognitive or physical disabilitites. This service is not age specified except the Wilson Center that only caters TBI cases among children. The aim of this provision is to help clients to eventually re-enter or to go back to community. The duration of care on this type of rehabilitation may varry from few weeks to few months. Residential Support Services let clients to live in a home like environment as they get medical assistance 24 hours a day. This provision offer care for those who have serious TBI and are expected to recover on long period of time. The goal of this rehabilitation is to encourage independence while maintaining a safe environment for people who can’t live independently due to the consequences of TBI. This type of of rehabilitation is also called as â€Å"slow-stream† rehabilitation. Clients in these type of rehab are not necessarily expected to improve their levels of independence in a rapid or fast phase. Healthcare professional in this setting supports not only the medical needs of the clients but the physical and emotional needs as well. This provision is not maily focus on severe cases of TBI but for those who are unable to rehabilitate to the society. This type of rehab is only accessible to New Zealand residents who are under 65 years old and doesn’t have a l ong term disability that is not covered by ACC. Recently, a new project to best handle TBI rehabilitation was created. The Traumatic Brain Injury Residential Rehabilitation (TBIRR) project. This project replaced the Active Rehab services and Residential Rehab services. TBIRR have 3 vendors that brings a more qualified and rapid interventions. The North and upper South islands of NZ have two sites in Auckland and Wellington. The Canterbury and West Coast have a center based in Christchurch which is the Laura Ferguson Trust and the ISIS Center which is located in Dunedin covers the lower South Islands. According to Mr. Miller, â€Å"The new service recognises that early, intensive rehabilitation is crucial to a successful recovery, but the support provided must also be individually tailored and reflect clients’ changing needs as they become less dependent on full-time care.† Best Practice to manage the issues related to Traumatic Brain Injury Ministry of Health conducted researches and surveys to identify the gaps or rooms for improvent in providing care for trauma cases. According to MOH, the survey suggested that a specialisation in Traumatic Brain Injury will be the best practice to properly address the treatment and rehabilitation issues. More consumers supported the idea that it will be better if there will be TBI experts that will focus on TBI clients’ needs rather than the convenient widespread services that healthcare facilities currently offer. However, New Zealand healthcare providers are still reluctant to follow this practice because it suggests â€Å"centralization†. â€Å"References: Cavit, M. and Foster, A., (n.d.). Traumatic brain injuries among Corrections populations: implications and intervention strategies. Rectived from http://www.rethinking.org.nz/assets/Newsletter_pdf/Issue_81/06 TBI in Corrections Populations NZ 2010.pdf . Mayo Clinic Staff, 2014. Disease and Conditions. Traumatic Brain Injury. Retrieved from http://www.mayoclinic.org/diseases-conditions/traumatic-brain-injury/basics/prevention/con-20029302. Ameratunga, S. , Abel, S. , Tin tin, S. , Asiasiga, L. , Milne, S. and Crengle, S. (2010). Biomed Central. BMC Health Services Research Article, Children addmitted to hospital following unintentional injury: persperctives of health providers in Aoteroa/ New Zealand. New Zealand Guidelines Group (NZGG) , 2007. Evidence- Based Best Practice Guidline. Traumatic Brain Injury: Diagnosis, Acute Management and Rehabilitation. The Brain Injury Association of New Zealand Inc. Brain Injury New Zealand. [Online] 2007. [Cited: Feb 17, 2010.] http://www.brain-injury.org.nz Ministry of Health. Tatau Kahukura: Maori Health Chart Book, Public Health Intelligence Monitoring Report No. 5. Wellington : Ministry of Health, 2006 Well Said, 2013. New approach aims to enhance rehabilitation after traumatic brain injury. Retrieved from http://wellsaid.co.nz/noticeboard/notices/new-approach-aims-to-enhance-rehabilitation-after-traumatic-brain-injury/†

The Subtle Art of Feminism Essay -- Film Analysis India

Bapsi Sidhwa’s novel, Water, realistically presents the circumstances of women and, in particular, widows in 1938 Colonial India. It exposes the gender inequality and double standards that govern that society for no other reason than that is what tradition dictates. Sidhwa presents complexities in her characters, which make them very human and very real, and the widows’ reactions to each other and to the world outside of the ashram create a feminist message. Water poses the problem of gender inequality in India by presenting a realistic and typical situation, and it allows the readers to draw their own conclusions while experiencing the intricacies of the Indian culture. The most obvious example of inequality or mistreatment of women is Chuyia’s situation of becoming a bride and soon after a widow at age eight. By becoming a widow she is forced into the ashram and into isolation from the rest of society. This is a situation that is common in India due to the fact that tradition dictates â€Å"a woman is recognized as a person only when she is one with her husband† (Sidhwa 14). It shows that society views women as worthless unless they are under the control and service of a man. Furthermore, this tradition means that women are married off as soon as possible as to secure their future and purpose in life, while men are able to wait longer to marry. In Indian culture, men are worth more than women, and the novel shows this fact by contrasting Chuyia’s marriage situation with Narayan’s situation. Chuyia has no say in who she must marry because she is female, and her marriage is entirely dependent on her father, who mar ries off six-year-old Chuyia to a forty year old man. Even though Chuyia’s mother tries to stop the marriage a... ...t â€Å"By drifting almost unnoticeably from the commonplace to the horrific, Water implicates the reader† (Jaiarjun). It does more than rant about a feminist agenda; it calls the readers to action by deeply involving them first-hand in the atrocities that are taking place against women. Works Cited Arora, Kamal, Saydia Kamal, and Usamah Ahmad. "Water: Drenched in colonial benevolence." Seven Oaks. 05 Oct 2005. Web. 13 Apr 2010. . Seton, Nora. "Honoring the abandoned." Houston Chronicle (2006). Web. 5 Apr 2010. . Sidhwa, Bapsi. Water. Toronto, Canada: Key Porter Books Limited, 2006. Print. Singh, Jaiarjun. "Whirlpools on the Ghats." Indian Express (2006). Web. 5 Apr 2010. .

Steam Engines :: essays research papers

The Steam Engine The steam engine provided a landmark in the industrial development of Europe. The first modern steam engine was built by an engineer, Thomas Newcomen, in 1705 to improve the pumping equipment used to eliminate seepage in tin and copper mines. Newcomen's idea was to put a vertical piston and cylinder at the end of a pump handle. He put steam in the cylinder and then condensed it with a spray of cold water; the vacuum created allowed atmospheric pressure to push the piston down. In 1763 James watt, an instrument-maker for Glasgow University, began to make improvements on Newcomen's engine. He made it a reciprocating engine, thus changing it from an atmospheric to a true "steam engine." He also added a crank and flywheel to provide rotary motion. In 1774 the industrialist Michael Boulton took Watt into partnership, and their firm produced nearly five hundred engines before Watt's patent expired in 1800. Water power continued in use, but the factory was now liberated from the streamside. A Watt engine drove Robert Fulton's experimental steam vessel Clermont up the Hudson in 1807. Railroads The coming of the railroads greatly facilitated the industrialization of Europe. At mid.eighteenth century the plate or rail track had been in common use for moving coal from the pithead to the colliery or furnace. After 1800 flat tracks were in use outside London, Sheffield, and Munich. With the expansion of commerce, facilities for the movement of goods from the factory to the ports or cities came into pressing demand. In 1801 Richard Trevithick had an engine pulling trucks around the mine where he worked in Cornwall. By 1830 a railway was opened from Liverpool to Manchester; and on this line George Stephenson's ''Rocket'' pulled a train of cars at fourteen miles an hour. The big railway boom in Britain came in the years 1844 to 1847. The railway builders had to fight vested interests-for example, canal stockholders, turnpike trusts, and horse breeders-but by 1850, aided by cheap iron and better machine tools, a network of railways had been built. By midcentury railroad trains travelling at thirty to fifty miles an hour were not uncommon, and freight steadily became more important than passengers. After 1850 in England the state had to intervene to regulate what amounted to a monopoly of inland transport. But as time went on the British railways developed problems. The First World War (1914-1918) found them suffering from overcapitalization, rising costs, and state regulation.

Non Hormonal Methods Of Contraception Health And Social Care Essay

The planetary human immunodeficiency virus ( HIV ) pandemic is progressively going a load of the female population. HIV is preponderantly acquired through heterosexual transmittal and in many parts of the universe, HIV prevalence and incidence rates are higher among adult females than work forces ( Daly et al 1994 ) . At the terminal of 2007, an estimated 15.4 million adult females were infected with HIV, most of them being of fertile age ( Heikinheimo and Lahteenmaki 2008 ) . Importantly, immature adult females aged 15-24 have a 4- to 7-fold increased hazard of going infected with HIV, when compared with immature work forces of the same age ( Simon et al. , 2006 ) . The demographics and paths of infection vary harmonizing to the stage of the HIV epidemic ( Beyrer, 2007 ) . Womans with HIV infection may wish to be after gestation to restrict their household or avoid gestation. The pick of contraceptive method in people populating with HIV is constrained by the demand to forestall bot h sexual transmittal of HIV and unwanted gestations. Correct usage of most user dependant methods requires a basic cognition of reproduction and literacy accomplishments to follow written instructions. Double map preventives that at the same time prevent HIV transmittal every bit good as unwanted gestations might be the most appropriate prophylactic method for adult females populating with HIV and AIDS ( Kakaire et al, 2010 ) .Main BodyThe human immunodeficiency virus ( HIV ) is a retrovirus belonging to the household of lentiviruses. Retroviruss can utilize their RNA and host Deoxyribonucleic acid to do viral DNA and are known for their long incubation periods. Like other retroviruses, HIV infects the organic structure, has a long incubation period or clinical latency, and finally causes the marks and symptoms of disease. HIV causes terrible harm to the immune system and finally destroys it by utilizing the Deoxyribonucleic acid of CD4+ cells to retroflex itself. In that procedure, the virus finally destroys the CD4+ cells ( Calles et al. 2010 ) . There are two types of human immunodeficiency virus ( HIV-1 and HIV-2 ) , which each evolved from a different simian immunodeficiency virus ( SIV ) . Both viruses emerged in the late twentieth century. In contrast to the SIV ‘s, which appear non to harm their natural archpriest hosts. HIV infection amendss the immune system, go forthing the organic structure susceptible to infection with a broad scope of bacteriums, viruses, Fungis, and Protozoa ( Calles et al. 2010 ) . Surveies have shown dramatic similarities but besides of import differences between HIV-1 and HIV-2. They have the same manners of transmittal and are associated with the same timeserving infections, but HIV-2appears to come on at a slower rate ( CDC ) . HIV-1 is much more prevailing than HIV-2. It is HIV-1 that is mostly responsible for the AIDS pandemic, while HIV-2 is chiefly restricted to West Africa. Now, in each twelvemonth of the early twenty-first century there are about 5 million new HIV infections, and about 3 million deceases from AIDS, which has become the 4th biggest cause of mortality in the universe ( Carter and Saunders 2007 ) . HIV-1 infection is characterized by an insidious impairment of the cellular immune system ( Vergis and Mellors 2000 ) . Both the measure and proportion of plasma CD4+ T-cells lessening steadily over a period of old ages to decennaries, and this progressive loss of CD4+ T-cells is associated with the development of AIDS in septic persons. The grade of immunodeficiency associated with HIV-1 infection, as defined by the oncoming of timeserving diseases, correlatives closely with plasma CD4+ T-cell counts ( Calles et al. 2010 ) . HIV ‘s Life Cycle Host cells infected with HIV have a sawed-off life span as a consequence of the virus ‘s utilizing them as â€Å" mills † to bring forth multiple transcripts of new HIV. Thus, HIV continuously uses new host cells to retroflex itself. Equally many as 10 million to 10 billion virions ( single viruses ) are produced day-to-day. In the first 24 H after exposure, HIV onslaughts or is captured by dendritic cells in the mucose membranes and tegument. Within 5 yearss after exposure, these septic cells make their manner to the lymph nodes and finally to the peripheral blood, where viral reproduction becomes rapid. CD4+ lymphocytes that are recruited to react to viral antigen migrate to the lymph nodes. These become activated and so proliferate via complex interaction of cytokines released in the microenvironment of the lymph nodes. This sequence of events makes the CD4+ cells more susceptible to HIV infection, and it explains the generalised lymphadenopath y feature of the acute retroviral syndrome seen in grownups and striplings. In contrast, HIV-infected monocytes allow viral reproduction but resist violent death. Therefore, monocytes act as reservoirs of HIV and as effecters of tissue harm in variety meats such as the encephalon ( Calles et al. 2010 ) . The HIV life rhythm includes six stages harmonizing to Calles et Al. ( 2010 ) binding and entry, rearward written text, integrating, reproduction, budding, and ripening ( Figure 1. Appendix 2. ) . Binding and Entry, the envelope proteins gp120 and gp41 bind to CD4+ cell receptors and co-receptors on the exterior of CD4+ cells and macrophages. The chemokine receptors CCR5 and CXCR4 facilitate viral entry. T-cell tropic viruses require CXCR4 to adhere, and macrotropic strains of the virus require CCR5. R5 is the most common virus transmitted during acute infection, and subsequently during infection X4 is the virus that is most common. The presence of a homozygous inactive mutant of the CCR5 allelomorph has caused opposition to infection by the R5 virus. The connection of the proteins and the receptors and co-receptors fuses the HIV membrane with the CD4+ cell membrane, and the virus enters the CD4+ cell and macrophage. The HIV membrane and the envelope proteins remain outside of the CD 4+ cell, whereas the nucleus of the virus enters the CD4+ cell. CD4+ cell enzymes interact with the viral nucleus and excite the release of viral RNA and the viral enzymes rearward RNA polymerase, integrase, and peptidase. The HIV RNA must be converted to DNA before it can be incorporated into the Deoxyribonucleic acid of the CD4+ cell. This incorporation must happen for the virus to multiply. The transition of HIV RNA to DNA is known as contrary written text and is mediated by the HIV enzyme contrary RNA polymerase. The consequence is the production of a individual strand of Deoxyribonucleic acid from the viral RNA. The individual strand of this new DNA so undergoes reproduction into dual isolated HIV DNA. Once rearward written text has occurred, the viral DNA can come in the karyon of the CD4+ cell. The viral enzyme integrase so inserts the viral DNA into the CD4+ cell ‘s Deoxyribonucleic acid. This procedure is known as integrating. The CD4+ cell has now been changed into a mill used to bring forth more HIV. The new DNA, which has been formed by the integrating of the viral DNA into the CD4+ cell, causes the production of courier Deoxyribonucleic acid that initiates the synthesis of HIV protei ns ( Calles et al. 2010 ) . The HIV proteins and viral RNA, all the constituents needed to do a new virus, gather at the CD4+ cell membrane to organize new viruses. These new viruses push through the different parts of the cell wall by budding. Many viruses can force through the wall of one CD4+ cell. These new viruses leave the CD4+ cell and contain all the constituents necessary to infect other CD4+ cells. The new virus has all the constituents necessary to infect other CD4+ cells but can non make so until it has matured. During this procedure, the HIV peptidase enzyme cuts the long HIV proteins of the virus into smaller functional units that so reassemble to organize a mature virus. The virus undergone the procedure of ripening and is now ready to infect other cells ( Calles et al. 2010 ) . Safe and effectual methods of contraceptive method represent a critical constituent of preventative wellness attention cut downing maternal and infant mortality ; particularly in adult females populating in resource-limited scenes ( Zdenek et al. 2010 ) here is broad fluctuation in contraceptive method prevalence worldwide runing from 8 % of adult females aged 15-49 old ages in western Africa up to 78 % in northern Europe. Female sterilization ( 32 % ) , intrauterine devices ( 22 % ) , and the unwritten preventive pill ( 14 % ) history for more than two tierces of all prophylactic pattern worldwide.4 In less developed states 70 % of contraceptive method users rely on female sterilization and intrauterine devices in portion because they are advocated by health care services as a consequence of cost effectivity in footings of gestation bar and service proviso ( UNPD, 2001 ) . Non-Hormonal Methods of Contraception A high grade of protection against HIV sexual transmittal is provided by consistent correct rubber usage ( Davis and Weller 1999 ) ; inconsistent or incorrect usage is non protective. Most planetary HIV transmittal occurs because rubbers are non used at all during sexual intercourse ( Steiner and Cates 1999 ) .Condom accidents are reported by 1-12 % of users and the method prophylactic failure rate is at least 12 % ( Trussel et al. 1992 ) . Double protection, the coincident usage of an effectual contraceptive method method with consistent rubber usage, has been advocated to cut down the hazard of unplanned gestation, horizontal transmittal of HIV to a non-infected spouse, transmittal of immune virus to an spouse with HIV infection, and the hazard of acquisition of other STIs including high hazard human papillomavirus ( HPV ) types ( UNDP/UNFPA/WHO 2002 ) . Male rubbers are the lone means proven to significantly cut down the hazard of HIV transmittal in heterosexual intercourse ( Cates 2005 ) . Harmonizing to a recent Cochrane reappraisal, consistent usage of male rubbers consequences in 80 % decrease in the hazard of HIV transmittal among HIV-serodiscordant twosomes ( Weller and Davis-Beaty, 2002 ) .The female rubber is a polyurethane sheath with two flexible rings at each terminal ; one ring is inserted into the upper vagina and the other covers the introitus. The female rubber is less likely than male rubbers to leak or interrupt during sex, but invasion of the outer pealing into the vagina is reported in 2 % of copulatory episodes. The cumulative chance of vaginal exposure to seeds with female rubber usage has been estimated as 3 % , compared to 11.6 % with the male rubber. The prophylactic failure rate is estimated at 5-21 % over 12 months ( Daly et al. 1994 ) . Consistent usage of rubber was associated with holding one spouse, greater income, no illicit drug usage and when rubbers were the lone preventive method used ( Wilson et al. 1999 ) .Women who besides use, effectual or long term methods of contraceptive method are less likely to describe consistent rubber usage ( Magalhaes et al. 2002 ) . Condom usage is besides related to whether the adult female has informed her spouse of her position ( DesgreA?es-du-LouE†  et al. 2002 ) less consistent usage is reported by concordant twosomes ( Clark et al. 1997 ) , even within discordant partnerships consistent rubber usage is reported by merely about 50 % twosomes ( Allen et al. 2003 ) .Obstacles to greater usage of male rubbers include deficiency of handiness, fright of being perceived as holding multiple spouses and being unfaithful to a regular spouse, resistance on spiritual evidences, and male laterality in determination devising ( UNDP/UNFPA/WHO, 2002 ) . Women populating with HIV inf ection may experience unable to unwrap their HIV position and negotiate rubber usage with new sexual spouses for fright of forsaking, domestic force, loss of economic support, and societal isolation. The issues around female rubber usage are besides negociating barrier method usage, ( Kalichman et al.2000 ) method acceptableness by users, and higher cost compared with the male rubber. The WHO audience on reuse suggested that female rubbers still run into fabrication quality appraisal specifications after seven rhythms of bleach disinfections, rinsing, drying, and relubrication. This protocol has non been evaluated for safety and efficaciousness in human usage and the WHO does non urge or advance reuse of female rubbers and is presently patronizing research to measure reuse protocols under local conditions ( WHO, 2002 ) . Furthermore, stop and vimules cover the neck and parts of the vaginal wall, while caps cover merely the neck. Their usage in discordant twosomes is non recommended, as a comparatively big country of vaginal mucous membrane remains exposed, micro injury during interpolation, and the accompaniment usage of nonoxynol-9 spermatocide may do epithelial break and increase viral transmittal hazard to the male spouse ( Carlin and Boag 1995 ) . Nonoxynol-9 ( N-9 ) spermatocide provides no protection against sexually familial infections including HIV ( Wilkinson et al. 2002 ) and frequent usage increases the hazard of HIV acquisition ( Van Damme et Al. 2002 ) . WHO Contraceptive Research and Development ( CONRAD ) proficient audience concluded that N-9 should non be used or promoted for the bar of HIV in adult females at high hazard of infection ( WHO 2001 ) . There are no published surveies on the female-male transmittal hazard with N-9 usage by adult females with HIV infection. It seems advis able for adult females with HIV infection with discordant sexual spouse to avoid N-9 spermicidal entirely or with other prophylactic methods to cut down the possible hazard of HIV sexual transmittal. There is no grounds that rubbers lubricated with N-9 are more effectual in forestalling gestation than rubbers lubricated with silicone. However, where pick is limited it is better to utilize any rubber than no rubber at all. In the hereafter, effectual and acceptable micro biocides may hold a function, supplying HIV positive adult females unable to negociate consistent rubber usage with a discordant spouse with an extra method to cut down sexual transmittal. HORMONAL METHODS OF CONTRACEPTION The combined unwritten preventive ( COC ) pill is an effectual user dependent contraceptive method with the non-contraceptive benefits of rhythm control, decrease in hypermenorrhea and dysmenorrhoea. Absorption can be affected by drawn-out intercurrent diarrhea and emesis. The COC is metabolised by the liver and its usage is contraindicated in adult females with unnatural liver map, which may be caused by intoxicant maltreatment, ague or chronic viral hepatitis, and inauspicious events on antiretroviral combinations. These factors are peculiarly relevant when doing contraceptive method picks for HIV positive adult females who are current or old shooting drug users with chronic active hepatitis C infection. Current drug users frequently have a helter-skelter life style that precludes effectual usage of user dependent contraceptive method methods ( Mitchell and Stephens, 2004 ) . Progestogen ( POP ) merely pills methods may be used by adult females with contraindications to estrogen usage. The POP is an effectual preventive method with right and consistent usage ; ovulation is non inhibited in all users, and inconsistent usage can ensue in gestation. A new progestin merely pill, Cerazette, which contains 75 milligram desogestrel, has late been introduced. In surveies Cerazette inhibited ovulation in97 % of rhythms at 7 and 12 months after induction ; this would propose enhanced efficaciousness in comparing with conventional POPs, though as yet unconfirmed by comparative tests ( Mitchelle and Stephens, 2004 ) . Under the long playing progestin merely contraceptive method, depot Provera ethanoate ( DMPA ) 150 milligram is given by deep intramuscular injection at 12 hebdomadal intervals and norethisterone oenanthate ( Noristerat ) 200 mg every8 hebdomads. These methods have the advantage of non being intercourse related but require regular entree to wellness attention for repetition injections. Likewise, implants need to be inserted by a trained wellness professional. Implanon is effectual for 3 old ages, and Jadelle for 5 old ages ( non licensed in the United Kingdom ) ; both are extremely effectual, non-user dependant, and reversible methods of progestin merely contraceptive method. Harmonizing to Mitchell and Stephens ( 2004 ) , factors impacting contraceptive method pick for HIV positive adult females are influence by the state of abode, the handiness of methods, entree to healthcare services, and cost.Religious, cultural, and personal beliefs of the function of adult female in society, acceptableness to spouse, effects on menses. Subsequent is the HIV position of adult female that involves the CD4 count, viral burden and physical well-being. Furthermore HIV serostatus, indefinite spouse concordant and discordant. Then catamenial, sexual, and generative history consist of hypermenorrhea, dysmenorrhoea, past pelvic infection, past ectopic gestation, gestation planning. In add-on the medical history findings like unnatural liver map, past history of venous thromboembolic disease, high blood pressure, lipemia, and current drug maltreatment. Finally the medicines causes such as, enzyme inducers, antibiotics, teratogenic agents. In the survey of ‘contraception among individuals populating HIV with infection go toing an HIV attention and support Centre in Kabale, Uganda ‘ by Kakaire et Al. ( 2010 ) shows that factors independently associated with prophylactic usage were degree of instruction and whether respondent has changed spouses since HIV diagnosing. Contraception usage and conformity is related to the scope of methods available, patient pick, prevailing wellness and spiritual beliefs, perceptual experiences of method effectivity, and side effects ( for illustration, adult females may hold less tolerance for heavy and drawn-out vaginal hemorrhage than amenorrhea ( Playle 2000 ) . Correct usage of most user dependant methods requires a basic cognition of reproduction and literacy accomplishments to follow written instructions. In Gazmararian et Al, ( 1999 ) many states adult females are unable to do independent determinations about their sexual and generative wellness because of political inst ability within society, deficiency of economic independency, and predominating cultural or spiritual attitudes to adult females ‘s rights. The Government ‘s 2001 National Strategy for Sexual Health and HIV outlined policies to cut down degrees of insecure sex, new HIV diagnosings, and undiagnosed HIV by 2007, via puting in bar, bettering outreach services, co-ordinating enterprises and widening information runs. A cardinal mark for a 25 % lessening in freshly acquired HIV infections by 2007 was non met ; new diagnosings have increased significantly. The US Department of Health ( 2009 ) argues that other marks were achieved ; HIV proving increased and clinic waiting times declined. A policy briefing high spots the crisis in presenting just wellness attention for people populating with HIV and AIDS, and the overpowering load it places on adult females and misss. HIV and AIDS have brought an increased demand for community and home-based attention. Due to traditional gender norms and unequal gender dealingss it is the adult females and misss in the communities who are the primary health professionals, whilst perchance being HIV positive, and frequently needing attention themselves.DecisionAt this point in the AIDS epidemic, the bar of the heterosexual transmittal of HIV is of paramount importance ( Daly et al. 1994 ) . Women all over the universe are at hazard for HIV, even within matrimonial relationships. Sing that preventive usage is being promoted worldwide, including in countries where HIV incidences increasing, farther cognition sing the consequence of single preventives on HIV transmittal is imperative. Development and proviso of safe, effectual, low-cost a nd acceptable contraceptive method for adult females at hazard of HIV and those populating with HIV/AIDS is one of the major challenges of generative medical specialty. Currently, consistent usage of male rubbers is the lone proven means to cut down the hazard of HIV transmittal in heterosexual intercourse. All the available reversible prophylactic methods-OCs, prophylactic injections and IUDs-can by and large be used both by adult females at hazard of HIV infection and by HIV-infected adult females. An ideal preventive scheme for adult females at hazard of HIV infection would supply coincident protection against both unintended gestation and HIV acquisition. Word Count: 3,029Appendix 1Mention Lists:Allen, S. , Meinzen-Derr, J.and Kautzman, M. ( 2003 ) . Sexual behavior of HIV discordant twosomes after HIV guidance and testing. AIDS, vol.17, p. 733-740. Beyrer, C. ( 2007 ) . HIV epidemiology update and transmittal factors: hazard and hazard contexts-16th International AIDS Conference Epidemiology Plenary. Clin Infect Dis, vol. 44, p. 981-987. DesgreA?es-du-LouE†  , A. , Msellati, P. and Viho, I. ( 2002 ) . Contraceptive usage, protected sexual intercourse and incidence of gestations among African HIV-infected adult females. DITRAME ANRS 049 Project, Abidjan 1995-2000. Int J STD AIDS, vol. 13, p. 462-468. Calles, N. , Evans, D. and Terlonge, DL. ( 2010 ) . PATHOPHYSIOLOGY OF THE HUMAN IMMUNODEFICIENCY VIRUS. HIV Curriculum for the Health Professional, p. 7-14.http: //bayloraids.org/curriculum/files/2.pdf. Carlin, E.M. and Boag, F.C. ( 1995 ) . Women, contraceptive method and STDs including HIV. International Journal of STD and AIDS, vol. 6, p. 373-386. Carter, J.B. and Saunders, V. A. ( 2007 ) .Virology: rules and applications. England: John Wiley and Sons Ltd. Cates, W. ( 2005 ) .Review of non-hormonal contraceptive method ( rubbers, intrauterine devices, nonoxynol-9 and jazz bands ) on HIV acquisition. Journal of Acquired Immune Deficiency Syndrome, vol.38, sup.1, s8-10. Clark, R.A. , Kissinger, P. and Bedimo, A. ( 1997 ) . Determination of factors associated with rubber usage among adult females infected with human immunodeficiency virus. Int J STD AIDS, vol.8, p. 229-233. Centers for Disease Control. ( 1998 ) . National Center for HIV, STD, and TB Prevention, Division Of HIV/AIDS Prevention: A Human immune lack virus type 2. Daly, C.C. , Helling-Giese, G.E. and Mati, J.K. ( 1994 ) . Contraceptive methods and the transmittal of HIV: deductions for household planning. Genitourinary Medicine, vol. 70, p. 110-117. Davis, K. and Weller, S. ( 1999 ) . The Effectiveness of Condoms in cut downing heterosexual transmittal of HIV. Family Planning Perspectives, vol.31, p. 272-279. Gazmararian, J.A. , Parker, R.M. and Baker, D.W. ( 1999 ) . Reading accomplishments and household planning cognition and patterns in a low-income managed-care population. Journal of Obstetrics and Gynaecology, vol.93, p.239-244. Heikinheimo, O. and LaA?hteenmaA?ki, P. ( 2008 ) . Contraception and HIV Infection in Women. Human Reproduction Update, vol.15, no.2, p. 165-176. Kalichman, S.C. , Rompa, D. , and Cage, M. ( 2000 ) . Factors associated with female rubber usage among HIV-seropositive adult females. Int J STD AIDS, vol.11, p.798-803. Kakaire, O. , Kaye, D.K. and Osinde, M.O. ( 2010 ) . Contraception among individuals populating HIV with infection go toing an HIV attention and support Centre in Kabale, Uganda. Journal of Public Health and Epidemiology, vol. 2, issue 8, p. 180-188. Magalhaes, J. , Amaral, E. and Giraldo, P.C. ( 2002 ) . HIV Infection in adult females: impact on contraceptive method. Contraception, vol. 66, p. 87-91. Mitchell, H. S. and Stephens, E. ( 2004 ) .Contraception pick for HIV positive adult females. Sexual activity Transm Infect, vol. 80, p.167-173. Playle, J.F. ( 2000 ) . Concepts of conformity: apprehensions and attacks. British Journal of Family Planing, vol.26, p.213-19. Simon, V. , Ho, D. and Karim, Q. ( 2006 ) . HIV/AIDS epidemiology, pathogenesis, bar, and intervention. Lancet, vol. 358, p. 489-504. Steiner, M.J. and Cates, W. ( 1999 ) . The existent job with male rubbers is non-use. Sexually Familial Diseases, vol. 26, p. 459-462. Trussel, J. , Warner, D.L. and Hatcher, R.A. ( 1992 ) . Condom slippage and breakage rates. Family Planing Positions, vol.24, p. 20-23. UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO. ( 2002 ) .HIV/AIDS makes double protection a must. Progress in Reproductive Health Research Quarterly Newsletter, no 59. United Nations Population Division Statistics Department of Economic and Social Affairs. ( 2001 ) .World preventive usage. Van Damme, L. , Ramjee, G. and Alary, M. ( 2002 ) . Effectiveness of COL-1492, anonoxynol-9 vaginal gel, on HIV-1 transmittal in female sex workers: A randomized controlled test. Lancet, vol. 360, p. 971-977. Vergis, E.N. and Mellors, J.W. ( 2000 ) .A Natural history of HIV-1 infection. Infect Dis Clin North Am, A vol. 14, issue 4, p. 809-825.A Weller, S.C. and Davis-Beaty, K. ( 2002 ) . Condom effectivity in cut downing heterosexual HIV transmittal. Cochrane Database Systematic Reviews, issue 1, p.1-22. Wilkinson, D. , Tholandi, M. and Ramjee, G. ( 2002 ) . Nonoxynol-9 spermatocide for bar of vaginally acquired HIV and other sexually familial infections: systematic reappraisal and meta-analysis of randomised controlled tests including more than 5000 adult females. Lancet Infect Dis, vol, 2, p. 613-617. Wilson, T. , Massad, L.S. and Riester, K.A. ( 1999 ) . Sexual, prophylactic, and drug usage behavior of adult females with HIV and those at high hazard for infection: consequences from the Women ‘s Interagency HIV Study. AIDS, vol. 13, p. 591-598. WHO/CONRAD Technical Consultation on Nonoxynol-9. ( 2001 ) .Geneva, Summary Report. WHO. ( 2002 ) . Information update: considerations sing the reuse of the female rubber, ( www.who.int/reproductive-health/rtis/reuse.en.html ) . Zdenek Hel, Z. , Stringer, E. and Mestecky, J. ( 2010 ) . Sexual activity Steroid Hormones, Hormonal Contraception, and the Immunobiology of Human Immunodeficiency Virus-1 Infection. Endocrine Reviews, vol.31 ( 1 ) , p.79-9.

EFAS Marketing

Now Tetley has likewise been introduced in the marketplace. So Tapal is competing with in each of these and also Khulli Chai as well. Talking ab let out Lipton and Brooke cling they argon strike outs of Unilever which is k straightwayn to be a monster in the FMCG sedulousness. It seemed impossible that any topical anaesthetic shit would even survive when competing with them just now Tapal proved them wrong through lustrous advertize and heights gauge intersection it has al erect inclined Brooke Bond a run for its m maviny and now go about Lipton. The rivalry terminate be observe when we look at the ad go along of these companies.All of them advertise heavily to watch a competitive advantage e genuinelyplace the opposite. flagellum of sore entrants is high. This is evident by the bulky growth in the intentness nd government policies atomic number 18 also supporting new afternoon afternoon teatimetime leaf leaf leaf leaftime leaf leaftime houses to emerge on the scene. The taxes on import of teatime leaf leaf argon reduced at that placeby lessen the approach of harvest-timeion. It merchantman be taken as positive sign by a prospect player. Initially it was thought that no company would survive against the devils of Unilever however since Tapal bulk pay started thinking that topical anesthetic brands plunder do well and new players tycoon decide to come into this market.In this case tea will always rest an entire function of our culture. Having said that there is a low-t whizd switching woo associated with the influencemanship off of substitutes. In case of tea substitute is coffee and even crisp drinks in some case. It foundation intimately be assumed that the demand for tea is nothing but increasing. Currently absolute absolute majority of the consumers turn in not developed the sample for coffee so it bunsnot be seen as a potential threat. Change in patterns can be discover because consumer s ar shifting from normal tea to kB tea but again the alike(p). loose mob ot uct remains The negotiate phonation of buyers is low because of the high demand. Although due to gaind rival prices remain competitive but buyers need junior-grade or no argaining power. In case of tea an element of brand loyalty is also associated so a consumer would want to use a corresponding brand which gives in his bargaining power. as well with tea mountain prefer choice over its price. Bargaining Power of supplier is high because there ar a hardly a(prenominal)(prenominal) suppliers of tea.The reason why there argon a couple of(prenominal) is because there is a detail preference of tea that consumers like so the patch uprs be forced to choose from a fewer(prenominal) options. In Pakistan tea is imported majorly from Kenya and Srilanka so the supplier is at power to govern he price due to the hold in accessibility of the rude(a) tea. In Pakistan young grove of tea fa rms whitethorn estimation the local manufacturers and foreign suppliers may commence a reduction in their bargaining power. Answer no 3 policy-making FACTORS These factors and government interventions can make or break the attention.The semi semipolitical factors have contend a genuinely benign adjourning for the tea industy. The political argonna has a huge learn upon the regulations of the agate linees, and throw offing power of consumers and other businesses. The political environs of Pakistan is relatively unstable in the current situation. The siteors ar not automatic to invest in Pakistan. However, WTO and manage policies go on the import of raw materials for afternoon tea attention. tea merchandise Quota It is an most-valuable conside symmetryn. separately grade there is a veritable quota on tea import in come up imports of Pakistan. Each player is given quota to import and manufacture so one can opine that it is a in truth regulated industry. Dipl omatic Relations The dealings with the tea producing nations and Pakistan play a lively role as large spell of imports comes from Kenya, but now Pakistan is also importation tea from India. Unstable Geographic Conditions Pakistan is primed(p) at a very critical and geographically strategic location. referable to the suspicion new investors argon not ready to invest in Pakistan.Social Factors The genial and ethnical warps on business vary from solid ground to inelegant. It is very key that such factors are considered. pot are friendlyizing more than may it be events or day-after-day visits to friends and family. afternoon tea has always been an intact part of Pakistani culture and rituals. It is understood that tea would be present at all events. Changing Trends As work environment is becoming more stressful, commonwealth film unlike forms of efreshment and usances to increase their energy levels.This push increase the intake of tea at workplaces, tea is not onl y clean available to the employees when demand but is also served twice a day in order to come on them going. On the other hand, media expansion, growth of advertising as a separate industry has resulted in greater exposure of all the brands and masses. Hence social factors and changing mindsets have positively shine this industry Tea has always been agreeable in all social classes because of its usage. jetness tea has recently gained a mound of ordinaryity due to health reasons and is largely onsumed.EFAS merchandisingQUESTIONS 1. Evaluate the Dominant Economic Traits of the Tea Industry in Pakistan. 2. Apply the phoebe bird Forces Model of Competition to analyze the boilers suit attractiveness of the Tea Industry in Pakistan. 3. What are the Drivers of Change in the Tea Industry of Pakistan? How are these Drivers likely to come across the Industry in the future? 4. occasion an EFAS for Tapal.ANSWER NO 1IntroductionIn Pakistan, tea is popular all over the country and h olds an full significance in local culture. It is one of the most consumed boozings in Pakistani culinary art The demand for tea in Pakistan is very high. While Pakistan does not produce tea, it is a major tea-consuming country, being ranked as the third largest importer of tea in the world.1 In 2003, as much as 109,000 tonnes of tea were consumed in Pakistan, placing it as the seventh largest tea-consuming country in the world.MARKET SUMMARYTea is the cheapest and most popular beverage that is served at both professional and social gatherings all over the world. In Pakistan it is counted as a staple food point of common man and is an integral part of our culture and heritage. Due to these causes Pakistan consumes an substantial amount of tea. Tea is Pakistans favorite hot beverage.Although efforts have been made to cultivate tea in the mountainous areas, the projects could not reach out the desired results. At present there are two kinds of tea available in the market brande d and unbranded (loose) tea, the ratio is (5545) respectively. Therefore, the importers are also of two types, though both import tea from the kindred countries. Bulk importers sell tea to retailers in loose form, while the second year of bulk importers sell packaged tea under brand names. MARKET manage PICTUREUnilever enjoys leadership with approximately 54% of Pakistans tea market.Tapal stands out as the major rivalry for Unilever with 28% share. Tetley tea, a joint ship b/w Lakson Group and Tata tea of India, was introduced early this year and it has approximately 4% share, which is continuously decreasing. Other players in industry are Kohinoor Tea Company, Vital Tea Company and Alpha Tea Company. unformed market also captures a pricey market share in the total tea market of Pakistan. 70000 tons out of 150000 consumption is of unorganized tea.71% of total universe of Pakistan are living in farming(prenominal) areas.Due to illiteracy and lack of awareness they are consumi ng unorganized tea which is in the main affecting the organized tea market. Due to this they are enjoying a very whopping market share of the total tea market. Organized segment in general matter on the imported tea. Mainly immense players are importing tea from different countries like Kenya, uk, Bangladesh. Last some years imported figures for Pakistan is described in the chart below. Unorganized tea is mainly smuggled from different neighbor countries of Pakistan. Thats why it has a large symmetricalness in total consumption of tea in Pakistan which is 70000 tons of total 150000 tonsMARKET GROWTHIndustry is now on the maturity stage. Large players has set up their brands in the market and enjoyed huge receipts margins. Now every company looking for towards product differentiation and multi segmentation because consumers are now more taste certain and looking for variety available to them in a tea market.Answer no 2RIVALRY The vehemence of competition in the tea indust ry is fairly high. There are few established names like Lipton and Brooke Bond in the market. Now Tetley has also been introduced in the market. So Tapal is competing with all of these and also Khulli Chai as well. Talking about Lipton and Brooke Bond they are brands of Unilever which is known to be a giant in the FMCG industry. It seemed impossible that any local brand would even survive when competing with them but Tapal proved them wrong through clean advertising and high quality product it has already given Brooke Bond a run for its money and now face Lipton. The rivalry can be observed when we look at the ad spend of these companies. All of them advertise heavily to gain a competitive advantage over the other.THREAT OF NEW ENTRANTSThreat of new entrants is high. This is evident by the immense growth in the industry and government policies are also encourage new Tea houses to emerge on the scene. The taxes on import of tea are reduced thereby decreasing the cost of work. It can be taken as positive sign by a prospect player. Initially it was thought that no company would survive against the giants of Unilever but since Tapal people have started thinking that local brands can do well and new players capacity decide to come into this market.THREAT OF SUBSTITUTESIn this case tea will always remain an integral part of our culture. Having said that there is a low switching cost associated with the trade off of substitutes. In case of tea substitute is coffee and even dust-covered drinks in some case. It can intimately be assumed that the demand for tea is nothing but increasing. Currently majority of the consumers have not developed the taste for coffee so it cannot be seen as a potential threat. Change in patterns can be observed because consumers are shifting from normal tea to green tea but again the broad category of the product remains the same.BARGAINING ability OF BUYERSThe bargaining power of buyers is low because of the high demand. Although du e to increased competition prices remain competitive but buyers have bantam or no bargaining power. In case of tea an element of brand loyalty is also associated so a consumer would want to use a same brand which gives in his bargaining power. besides with tea people prefer quality over its price.BARGAINING POWER OF SUPPLIERSBargaining Power of supplier is high because there are few suppliers of tea. The reason why there are few is because there is a particular(prenominal) taste of tea that consumers like so the manufacturers are forced to choose from few options. In Pakistan tea is imported majorly from Kenya and Srilanka so the supplier is at power to influence the price due to the limited availability of the raw tea. In Pakistan recent worksation of tea farms may favor the local manufacturers and foreign suppliers may find a reduction in their bargaining power.Answer no 3 POLITICAL FACTORSThese factors and government interventions can make or break the industry. The political factors have played a very benign role for the tea industy. The political arena has a huge influence upon the regulations of the businesses, and spending power of consumers and other businesses. The political environment of Pakistan is relatively unstable in the current situation. The investors are not willing to invest in Pakistan. However, WTO and trade policies encourage the import of raw materials for Tea industry.Tea Import QuotaIt is an important consideration. Each year there is a certain quota on tea import in total imports of Pakistan. Each player is given quota to import and manufacture so one can say that it is a very regulated industry.Diplomatic RelationsThe transaction with the tea producing nations and Pakistan play a springy role as large part of imports comes from Kenya, but now Pakistan is also importing tea from India.Unstable Geographic ConditionsPakistan is situated at a very critical and geographically strategic location. Due to the uncertainty new investors are not ready to invest in Pakistan.Social FactorsThe social and cultural influences on business vary from country to country. It is very important that such factors are considered. People are socializing more may it be events or casual visits to friends and family. Tea has always been an integral part of Pakistani culture and rituals. It is understood that tea would be present at all events.Changing TrendsAs work environment is becoming more stressful, people require different forms of refreshment and intakes to increase their energy levels. This further increase the intake of tea at workplaces, tea is not only just available to the employees when needed but is also served twice a day in order to keep them going. On the other hand, media expansion, growth of advertising as a separate industry has resulted in greater exposure of all the brands and masses. Hence social factors and changing mindsets have positively affected this industry.Tea has always been delightful in all social classes because of its usage. spirt tea has recently gained a care of popularity due to health reasons and is largely consumed. some other factor is the emergence of ice tea which is indirectly competing with soft drinks.TECHNOLOGICAL FACTORSengineering is important to gain an edge over competitors and it drives globalization. applied science helps companies to reduce cost and achieve economies of scale. Technology also leads to the development of new products and sometimes even segments. Tea manufacturers like Unilever and Tapal already manufacture tea of the highest quality and they achieve it by the state of the art production facility that they have. Lipton has also installed its own plant of Danedar tea production.Answer No 4OpprtunitiesOnline market The online market offers Tapal tea the ability to greatly inflate their business. Tapal tea can market to a much wider audience for relatively little expense modernistic work young work help Tapal tea to give out meet the ir customers needs. These services can expand Tapal teas business and diversify their customer baseborn New product New products canhelp Tapal tea to expand their business and diversity their customer baseNew market New markets allow Tapal tea to expand their business and diversify their portfolio of products and servicesThreatsBad economy A large economy can hurt Tapal teas business by decreasing the number of potential customers Govt regulations Changes to government rules and regulations can negatively affect Tapal tea semipolitical risks Politics can increase Tapal teas risk factors, because governments can quickly change business rules that negatively affect Tapal teas business vapourific cost Volatile costs intend Tapal tea has to plan for scenarios where costs skyrocket. sleepless planning leads to development delays that can negatively affect Tapal tea.