Geggus, David Patrick. Haitian revolutionary studies. Essay

After the 1695 Ryswick Treaty between France and Spain, France took control of St. Domingue (Willie 2001, p 36). The legal rights bestowed upon the French gave them the jurisdictional capacity to reign over the western region of Hispaniola. Government officials from France took care of the administrative and governing bodies of St. Domingue. The Ryswick Treaty paved way for the French to colonize St. Domingue and take preeminence in virtually every fundamental aspect of the region. The social, economic and political realms of the people of St. Domingue were largely defined by the French colonial systems in place (Willie 2001, p 36). The weighty colonial systems of the French in St. Domingue led to a stratified social system, dividing the people into social classes. The Les Grand Blancs were the superior whites who consisted of the planters and royal officials of the colony. The Les Petit Blanc, considered as the lowest group of whites consisted of the artisans, shopkeepers and bookkeepers in St. Domingue. By 1789, the total umber of whites in St. Domingue was 30, 000. The Mulattoes or free coloreds, numbering 28,000 by 1789, consisted of children fathered by white French men with black women (Willie, 2012, p 38). Emancipation of the free coloreds gave them an opportunity to own slaves as their white counterparts. They possessed one third of the real estate in St. Domingue. The slaves, who numbered 450, 000 by 1789 were the least in the social ladder (Ghachem 2003, p 4; Willie 2001, p 38). They literally owned nothing and were devoid of any degree of liberty compared to the other social classes. The social stratification structure in St. Domingue resulted into social, economic and political disparities that constantly caused friction among the social classes in the social ladder. Every social class sought to defend its rights and freedoms; the quest for justice and liberty was deeply engraved in each of the social classes (Geggus 2002, p 14). A critical analysis of the perceived economic and social injustices experienced by the groups is ultimately significant in understanding the causes and aims of the St. Domingue Revolution. Indeed, a critical evaluation of the social ladder in the French colony is imperative in comprehending the causes and aims of the St. Domingue Revolution from 1791-1804. The economic demography of St. Domingue in the late 18th century               Ã‚  One cannot talk about the St. Domingue Revolution (1791-1804) without expounding on the economic demography of the then, largest French colony. Dominated by agriculture and trading relations, the French colony was indeed export motivated. The colonial economy maximized on sugar, coffee, cotton and indigo plantations. The colony had 3000 coffee plantations, 800 sugar plantations, 800 cotton plantations and 2950 indigo plantations (Willie 2001, p 36). The expansive plantations placed St. Domingue strategically among the French colonies; in fact, it was the richest plantation colony of the French. The second half of the 18th century saw St. Domingue expand to become the largest exporter of coffee and sugar in the world; this placed France at a strategic place in the world economy (Willie 2001, p 36). The increased growth and demand in the colonial economy in St. Domingue triggered the colonialists to continually restructure the plantation systems. A constant increase in the number of slaves in the colony by the colonialists fueled the destabilization of the social balance in St. Domingue. In a bid to maintain a robust and thriving colonial agricultural economy, the colonialists subjected the slaves into hard labor, which consequently eroded their state of freedom and liberties. The lowest social class in the French colony experienced social and economic deficiencies that exacerbated their poor living standards. The poor living standards meant that the mortality rate of the slaves, sky- rocketed and necessitated the capture of more slaves for the further expansion of the colonial economy. The complicated economy in late century St. Domingue saw an increase in the number of slaves, which led to slave insurrections prior to 1791(Marsh and Nicola 2011, p 21). The desire of the slaves to attain freedom and liberty precipitated the St. Domingue revolution that historians claim changed the landscape of world affairs, and contributed to the demise of slavery. Hence, the social imbalance created by the economic demography of St. Domingue led to the inception of the revolution. The economic and social disparities of the social groups               Ã‚  Economic and social disparities were at the height of the causes and aims of the St. Domingue revolution (Geggus 2002 p 14). The social classes often clashed with one another in a bid to secure their social, economic and political justices. However, this was not an easy endeavor; hence, precipitating repeated crises that brought social and economic imbalances in the colony. The colonial masters sought to maintain the colony’s economic valor, and for this to happen, the relentless friction among the social clashes continued inevitably. Certainly, the social ladder triggered disparities that heightened the imbalances in the colony. The Les Grant Blancs who were born in the colony expressed feelings of discontent against the whites born from France, their motherland. The whites from France took charge of the most important government offices in the colony. The whites born in the colony (creoles) expressed dissatisfaction because they wanted to participate effectively in the government (Geggus 2002, p 6). The inability of the Les Grant Blancs to have a greater autonomy in the running of the colonial administration affected their social status in the colony. The group perceived that being on top of the social ladder deemed it right to have autonomy over the affairs of the colony. The planters and wealthy members of the group perceived that the ceremonial positions they were given in the assembly was not tantamount to their social status. The reduction of their status to minor aristocrats precipitated their desire to command more grounding against the European-born colonialists. As a result, there was a social stru ggle and imbalance as the group sought to gain the legal rights of controlling the colony. The Les Grant Blancs also wanted to have the freedom of trade. As the plantation owners, they wanted to have more economic autonomy from the proceeds of their produce. Apparently, the colonialists controlled the produce from the island, which was its major asset because of the strategic economic benefits associated with it. The French government introduced the Exclusive trade system, which ensured that the control of goods had to come exclusively from France. Moreover, the high taxation levied on the colony did not auger well with the group. The white plantation owners continually sought to have economic independence from the French government and the colonial administrators. The economic struggles between the Les Grant Blancs and the royal French colonial administrators brought economic imbalances that often threatened the integration of the groups. The white planters saw that the economic advances were creating injustices that needed to be addressed. According to Willie (2001, p 39 ), the Les Grant Blancs believed that the colony officials wasted St. Domingue’s resources. Therefore, the plantation owners and members of the assembly constantly attacked the executive officials from France. It was widely acknowledged that the wealth of the French colonies was primarily meant to benefit France, but not the colonies. This brought mixed reactions in the colony, with the superior whites advocating for the abolishment of heavy taxes and a greater control of the colony’s trade relations. The Les Petit Blanc consisting of poor white men did not have good relations with their rich counterparts. The social disparities between the two groups caused sharp conflicts that often resulted into physical violence. The Les Petit Blanc did not like the fact that their rich counterparts had immense wealth, which they could only imagine. The privileges that the Les Grant Blancs enjoyed created a stratified social structure that made the Les Petit Blanc inferior. The Mulattoes or free coloreds were also inferior to the wealthy planters and civil officers. The interaction between the poor whites and the Mulattoes as well as the slaves made the rich whites to perceive them as less important in the economic status of the colony. The economic and social superiority of the rich whites resulted into strained relationships between them and the â€Å"Les Petit Blancs†. Undoubtedly, the strained relationships stemmed from the economic and social disparities of the colony’s stru cture. Of importance still, is the relationship between the whites and the Mulattoes/ free coloureds. The disparities between the social classes came because of the economic and social characteristics of the Mulattoes. The free coloureds were seen as extremely ambitious and a threat to the social and economic dominance of the whites. They were strong and showed great prospects of social mobility and capacity to compete with the whites. Additionally, most of the Mulattoes were highly educated; hence, posing challenges to the dominant whites. The whites did not like the fast-rising nature of the free coloureds; they wanted them to remain inferior to them and settle at the bottom of the social class ladder. The social and economic disparities between the groups caused numerous conflicts that destabilized the power of the colonial administration. Due to the massive influence of the Mulattoes/free coloureds, the colonial legislature introduced strict laws to limit their influence (James 1963, p 97). The enacted laws forbade them from holding public office, joining the colonial army, wearing European clothes, organizing social functions, marrying whites and residing in France. They were also forced to work for free for a certain number of days per year, according to the French law. The free coloureds were economically and socially deprived of their rights because of their race and their prospects of social mobility. The Mulattoes did not agree with the social and economic injustices committed against them; hence, they sought to find for their rights (Ott 1987, p 67). These factors caused tensions between the whites and the Mulattoes and consequently led to the intense fighting between the groups in 1791. The slaves, majorly from African origin were subjected to hard labor and deprivation of their rights as humans. They were the lowest in the social ladder, and yielded nothing in respect to their social and economic statuses. They experienced harsh conditions subjected to them by the superiors. The economic and social disparities between them and the other groups denied them the opportunity to enjoy their rights and dignity. In 1791, as the Les Blancs, Les Petit Blanc and free coloureds were fighting one another because of the prevalent social and economic disparities, the slaves maximized on the opportunity to start revolts in St. Domingue (James 1963, p 110). The slaves, favored by their numbers, fought against the whites and free coloureds because of the torments they faced as inferiors in St. Domingue. Undeniably, the social and economic disparities among the social classes in the colony contributed greatly in the St. Domingue Revolution. The Declaration of Rights of Men               Ã‚  The Declaration of Rights of Men of 1789 was an instrumental document of the French Revolution in the expression of human rights. The document played a vital role in the establishment of the fundamental human rights that have continued to influence the modern world. In the wake of the French Revolution, there was need for setting up of laws that recognized the basic human rights and the equality of all people before the law. The declaration came at a time when rights and liberties were highly violated at the merit of a few. The French Revolution sought to fight for liberty, equality and fraternity rights (Manigat 1977, p 420). Certainly, the Declaration of the Rights of Men played a dominant role in the start of St. Domingue Revolution. After the document brought the realization of human rights and universal laws in France, the social classes in St. Domingue sought to fight for their rights and privileges in a highly stratified colony. The Les Blancs wanted the right to makes laws, the abolishment of trading restrictions from France and wanted to have social equality with the French whites. They also wanted the scrubbing off, of royal bureaucracies in St. Domingue. The Declaration of the Rights of Men inspired the free coloureds to fight for social and political rights and the abolishment of discrimination. On the other hand, the slaves fought for their personal freedom from the oppression by the other social classes. Based on the discussion above, it is worth noting that the Declaration of the Rights of Men inspired the St. Domingue Revolution. Conclusion               Ã‚  In conclusion, it is notable to assert that the St. Domingue Revolution (1791-1804) was because of various factors. Social and economic disparities in the colony were a major factor in the start of the revolt that certainly ended slavery in the island. The social classes that lived in St. Domingue often clashed in respect to the economic and social factors defining them. The deprivation of rights and liberties among the social groups led to conflicts that often turned physical. The need for economic and social rights and the quest for justice in the late 18th century St. Domingue led to a successful slave revolt that resulted into the birth of the nation of Haiti. As historians put it, the St. Domingue Revolution was significant in defining the history of European colonialism. Indeed, the upheaval is significant in understanding the history of French imperialism. References Geggus, David Patrick. Haitian revolutionary studies. Bloomington, IN: Indiana University Press, 2002.Ghachem, Malick W. Slavery and citizenship in the age of the Atlantic revolutions. Alfred, N.Y.: Alfred University, 2003. Print. Ghachem, Malick W. The Old Regime and the Haitian Revolution. Cambridge: Cambridge University Press, 2012. Print. James, C. L. R. â€Å"Parliament and Property.† In The Black Jacobins; Toussaint L’Ouverture and the San Domingo Revolution. Second Ed. New York: Vintage Books, 1963 Willie, Doris. â€Å"Renaissance and Revolt.† In Lest you forget: a study and revision guide for CXC Caribbean History. Kingston, Jamaica: Jamaica Pub. House, 2001. 38-65 Manigat, Leslie F. â€Å"The Relationship between Marronage and Slave Revolts and Revolution In St. Domingue-Haiti.† Annals of the New York Academy of Sciences 292, no. 1 Comparative P (1977): 420-438.Marsh, Kate, and Nicola Frith. France’s lost empires: fragmentation, nostalgia, and la fracture coloniale. Lanham, Md.: Lexington Books, 2011.Ott, Thomas O. The Haitian revolution, 1789-1804. 1st ed. Knoxville: University of Tennessee Press, 1987. Source document

Community based tourism

On the one hand, al local level, opportunities have been observed to evolve plans for the participation of new actors and strategies, and for the involvement of civil corporations in the development process. Tourism is the travel for recreational, leisure, family or business purposes, usually of a limited duration. Tourism is refers to travel to another location within the same country and as well as trans-national travel. The World Tourism Organization defines tourists as people â€Å"traveling to and staying In places outside their usual environment for not more than one consecutive year for leisure, business and other purposes†.The concept of Community-based Tourism (CB) can be found in the work of Murphy (1985), where aspects concerning tourism and developing local communities are analyzed, and in a further study by the same author in 2004 (Murphy and Murphy, 2004). Along with these two studies, there are several other research papers analyzing the relationship between tou rism and local communities (such as Richards and Hall, 2000). This concept paves the way for new lines of investigation and for the possibility of tourism development together with other alternatives such as Pro-PoorTourism (PPTP); Community Benefit Tourist Initiatives (Cobalt) (Simpson, 2008); or Community-Based Enterprises (Cubes) (Mammary and Jones, 2007). To summaries, all these Initiatives agree that the destination community should be included In the tourism planning and management decision-making process, owed to three mall reasons: It considers them to be part of the tourist product, local communities adapt to changes easily, and it helps to open their minds. Several projects based on CB Kibosh, 2008), Asia (Enplane et al. 2006; Kaki, 2008; Kate, 2010), Oceania (Dyer et al. 2003), and in different countries of Latin America such as Brazil (Grouchier, 2007), Ecuador (Uric teal. , 2008), Mexico (Brings and Israel, 2004) and Peru (Zorn and Farthing, 2007). CB is based on the ac tive participation of the local community. This is why the creation of community events which may favors this type of tourism, while at the same time helping to create a relationship between the local community and visitors, is so important.To facilitate this, different public administrations, Non- Governmental Organizations (Nags), private institutions and the local community itself should get involved and work together. According to Enplane et al. (2006), the main limitations local communities have to face when implementing tourism projects are the following: lack of financial resources, infrastructure or know-how; limitations of a cultural kind; and potential conflicts between the different public administrations.At the same time, the following factors are described as being highly important for CB implementation (Kibosh, 2008): the inclusion of stakeholders, the evaluation of individual and collective benefits, the setting of objectives, And analysis f decisions to be implemente d. The main benefits of community tourism are the direct economic impact on families, socioeconomic improvements, and sustainable diversification of lifestyles (Mammary and Jones, 2007; Raster, 2010).CB is certainly an effective way of implementing policy coordination, avoiding conflicts between different actors in tourism, and obtaining synergies based on the exchange of knowledge, analysis and ability among all members of the community. One of the most controversial aspects in scientific literature is determining the number and type of tourists. Thus, Enplane et al. 2006) highlight the importance of receiving a small number of tourists, which means more contact with local culture and society. This way, the risk of tourists invading private aspects of the local culture is avoided.However, at the same time, his limited number of visitors reduces the economic resources generated by tourism Having taken this element into consideration, the creation of cooperatives allowing the communi ty to manage its own tourist resources is seen a fundamental element (Leap, 2007; Groans and Kaufmann, 2010). However, there are some negative aspects in the development of the tourist product, including he potential link between a high number of tourists, sex and alcohol, and the loss of cultural identity; and the hypothetical degradation of natural resources (They et al. 2002). In this case, residents have five alternatives to minimize this negative impact on the community – resistance, retreat, boundary maintenance, revitalization and adoption (Dugan, 1989). We must remember that tourism can change (or event destroy) the local culture if it is being treated as Just another tourist attraction and only aims for a rapid development of the area (Dyer et al. , 2003). CB is based on the reaction of tourist products characterized by community participation in their development.CB emerged as a possible solution to the negative effects of mass tourism in developing countries, and w as, and the same time, a strategy for community organization in order to attain better living conditions. Its core idea is the integration of hotel management, food and beverages, complementary services and tourism management, but also includes other subsystems (infrastructure, health, education and environment) as main characteristics, thus presenting a sustainable between the local community and visitors as a key element in the development of a aorist product (Choice et al. 2007). CB is protected and supported by different international organizations, such as the World Tourism Organization (2002), and has several objectives, among which community empowerment and ownership, social and economic development, conservation of natural and cultural resources, and a high quality visitor experience, should be noted. Community participation in tourism development has been originally developed and implemented in the so-called developed world, where tourism supply emerged.In these regions, sp ecial programmers have supported locally driven development. An example of this is the Else's LEADER programmers focusing on development of sustainable rural areas. It is now claimed that developing countries could avoid many of the problems that have plagued past tourism development by involving diverse social groups from the popular sectors of local communities in decision making. They should become convinced of the benefits of tourism and thus support its development or at least acquiesce to it with resignation rather than apathy.From the summary reflected above it becomes clear that a community-based approach requires mutual elaboration and co-operation, conceptualized as a process of Joint-decision-making among autonomous keys take holders of an inter-organizational, community tourism domain. It should be resolving planning problems and managing issues related to development of that domain. And it is exactly this that is missing in most developing countries. Now we come to the discussion of â€Å"preserve or develop† that is never ending, especially when focusing on developing countries.Community participation has been used to attempt readjusting the balance of power and reassert local community views against those of the developers or local authorities. Furthermore, though we think that community participation is a powerful tool to educate the community in rights, laws and political good sense, the question should be asked to what extent local people, with sometimes limited understanding of wider issues, can accurately decide what is best frothier long term well-being.Also, community participation should not only focus on this political dimension, ignoring financial and economic considerations which are often the primary drivers at local level. THEORETICAL FRAMEWORK: Community-Based Tourism (CB) enables tourists to discover local habitats and lilied, celebrates and respects traditional cultures, rituals, and wisdom. The community will be aware of the commercial and social value placed on their natural and cultural heritage through tourism, and this will foster community based conservation of these resources (www. Communicativeness's. Info). There are many study related on CB. Kaki (2008) developed the model of CB integrating the concepts the ladder of participation, power redistribution, collaboration processes, and social capital. The study demonstrated that the model can be used to assess the actual participation level in a study site. Bothersome, Byrd (2007) argued that there is not a definable single generic interest for the host community. The interests will be community can either assist in keeping an individual in a community or increase their chance to leave the community.Current tourism and tourism development in the community will also influence their support for future endeavors and their interactions with visitors. The support and interactions will in turn influence the overall success of the tourism development. Moreover, Baggier and Console (2009) elaborated the meaning of community in tourism. They argued that customers may interact with companies and other customers and may achieve more information that allows them to reduce their information asymmetry and become more empowered than they were in a pre-let era.Numerous recent researches report that online reviews and comments do influence individuals' purchase decisions, affecting the evolution of demand within communities. In this respect, virtual communities play a pivotal role in boosting tourist product innovation by leveraging learning from customer relationships. Customers may become a source of innovation since they gain an economic benefit from innovation which boosts their creativity, and show gig expertise which may be transferred to firms and among communities.Virtual communities allow people who interact to satisfy their own needs and to share purpose such as an interest, need, information exchange, or service that provides a reason for the community. Firms may leverage these communities by providing a suitable context where customers may share social conventions, language, and protocols. Bothersome, Bananas and Jasmines (2011) examined the potential of CB in Villain district municipality, as well as to propose measures to make this activity feasible.The study demonstrates that communities considered their participation in ours development reported a number of difficulties they have confronted with. The problems were mentioned most often: disagreement with the local government; lack of communal land; lack of finance; apathy and lack of initiative amongst local residents; lack of sociality and solidarity. Moreover, Lappers (2010) assesses the potential contribution of Community-Based Tourism Enterprises (Cubes) to poverty alleviation and empowerment.It shows that tourism income captured locally improves rural households' livelihoods and generates linkages in the local economy. On the Job learning, traini ng sessions and extensive support by non-governmental organizations and donors are further shown to empower rural actors and unlock socioeconomic opportunities for the future. In this context, Cubes can be characterized as pro-poor initiatives. However, this study provides counter evidence that the sustainability of such community tourism ventures is to be questioned.First, mainstreaming these projects within the competitive tourism commodity chain proves highly challenging and costly; second, communities' institutional and managerial capacity is weak and thus Cubes' viability is limited; finally, inadequate support by donors and non-governmental organizations fails to tackle challenges aced by community tourism ventures. Bothersome, Mammary and Jones (2007) evaluate the potential of Community-Based Enterprise (CUBE) as avenues of poverty alleviation in Kenya and the challenges facing them.The key factors that could influence local community attitudes towards CUBE fall into two cate gories: motivational factors and community factors. A sense of ownership was seen as critical so that local communities were adequately empowered and involved. CUBE initiatives had to be also have to be addressed. Furthermore, Foreleg and Boo (2012) studied Community- based customize. It aims at environmental conservation but it is also a way to empower communities, by allowing them a degree of control over tourism projects and their impacts.Foreleg and Boo explored the varying degrees of empowerment of host communities provided by community-based customize through a meta study analysis of six case studies of tourism projects. Not all contemporary tourism projects take local populations into consideration thus the six case studies are nonrandom selections for the purpose of representing the concept embodied in the thesis and showing its appropriateness with the new tourists' expectations. Furthermore, Salary (2012), studied community-based tourism using long-term anthropological fie ldwork in Tanzania.The study critically analyzes how well generally accepted community-based tourism discourses resonate with the reality on the ground. It focuses on how local guides handle their role as ambassadors of communal cultural heritage and how community members react to their narratives and practices. It pays special attention to the time-limited, project-based development method, the need for an effective exit strategy, for quality control, tour guide training and long-term our guide retention.Findings reveal multiple complex issues of power and resistance that illustrate many community-based tourism conflicts. The encounter with the â€Å"Other† is shown to be central and that the role of professional intermediaries in facilitating this experience of cultural contact is crucial. Tour guides are often the only â€Å"locals† with whom tourists spend considerable time: they have considerable agency in the image-building process of the peoples and places visit ed, (re)shaping tourist destination images and indirectly influencing the self-image of those visited too. Community Based Tourism Capacity Building Capacity building is important in preparing the community as a host as it will educate and prepare all community members to provide the best services. Through capacity building, skills are acquired. Training is given to increase the skill level and to strengthen the capacity of individuals and organizations to develop and support the program of CBT as a tourist activity. Capacity building for Kampung Sinaran Baru, Kempas homestay can be done based on study tour, where the community is learning to be better in Malaysia or abroad and the training program or course of communication are provided. Such courses are languages, computer skills training, finance and marketing courses, and homestay management. Part of the program for capacity building for the local community consists of eight modules described below and it is designed to educate and develop the skills of local communities. The modules are: Capacity Building -APEC TOURISM WORKING GROUP (TWG02/2008A) All the participants attain the course to learn how to behave in order to acquire good behavioral attributes. Every homestay has a first aid kit. Food safety, quality and knowledge is essential to the participants. Good level of communication with the tourists is highly encouraged because communication is very important to enhance learning and mutual understanding. Body language and signs aid high understanding and help participants to handle the tourists. The ministry of culture and tourism has a program in place, which is aimed at selecting a hand-full of participants and to train them on Basic English language skills. Many of them end up as better people by operating a public cookie’s kitchen which is part of the village tour by women or Teaching basket weaving and making handicrafts to the tourists Style of Leadership The success of CBT projects is essentially dependent on leadership and organisation. It is common for some members of a community to have more advanced skills or areas of experience than others. These people can champion their skills, show leadership in their skill area, and share their knowledge base with others in the community for everyone’s benefit (Effective Community Based Tourism: Sally Asker, Louise Boronyak †¦. ) In 2006, a female called Mrs. Norbi Binti Ahmad, is an Elder of the Kampung Sinaran Baru, Kempas homestay. As she teaches Quran, she had gained so much respect from the local community, she had the power to fight for the local community’s rights, and she is hardworking. Since 2006 she has been the only champion. Every 3 years they have an election to select local champion. The last time they had an election, competing with another nominee, she gained 40 out of 48 votes. The final decision is made by the local champion herself. Product development and packaging A tourism product in Malaysia that is becoming increasingly popular among local and foreign tourists is the homestay programme. Under the homestay programme, tourists live with a local family in a kampung (village) house and learn about close-knit family relationships, enjoy sumptuous home-cooked food and discover the simple lifestyle in the country. It offers a chance for visitors to experience the daily life outside of bustling capital cities and puts tourists closer to our natural â€Å"assets,† the culture and friendly people of Malaysia. Each homestay village has something unique to offer tourists and organizes its own special activities for their guests such as jungle trekking, fishing, rubber tapping, fruit picking, handicraft-making, etc. From just RM75 a day, a guest will be hosted by a family and share their meals and enjoy the daily routines of a kampung life. Accommodation is usually in traditional wooden houses on stilts set amidst a pretty landscaped garden. Basic amenities include bed and bathroom (either en suite or commonly shared). The homestay packages are priced between RM75 and RM295 ( per person) which include on-board bunk beds and meals, an entertainment coach with karaoke facilities for groups of 40 and above, as well as a full range of authentic traditional and cultural activities at the chosen homestay. The main objective of the programme is to promote the authentic experience of culture, tradition and lifestyle of the homestay communities. Sinaran Baru, Kempas homestay The experience derived from Kampung Sinaran Baru, Kempas homestay could be described as an amazing way of tradition life. Imaging been woke up first thing in the morning by the singing of birds and cockerels. Then feeling like sleeping more but the sounds of the birds continues to remind you to get up from the bed and face the beauty of the day. As you rise from the bed, open up your windows, plenty of fresh natural air salutes you. This unpolluted air brings in a new sense of life and energy for the day activities. Savory local food follows remarkable having lunch in the mushroom farm and the participation in a host of delightful activities throughout the day begins, such activities include harvesting local crops, visiting a fish farm, learning how to make traditional delicacies and playing traditional games. The unique experience which continues when the villagers try to involve tourists or rather engages them in the participation of cultural performances by inviting them to dance to the tune of their traditional music. This natural local enjoyment continues as fascinating spectrum of cultures and traditions in a Malay village of Kampung Sinaran Baru, Kempas indulge tourist in various village pastimes, from enjoyable indoor games to exciting outdoor activities. Furthermore, Tourist can acquire some basic farming skills for example, they can learn how to tap a rubber tree and learn how to weave a basket. They could visit the plantations, acquire some skills in harvesting, rubber tapping and fruits picking. Products and Activities Let’s relax and take your time to enjoy the beautiful scenery while mingling with the locals. You can experience the following at Sinaran Baru Rubber tapping, Homestay and Mushroom farming. There are activities like traditional dance, plantation visiting, mushroom farm, traditional game and handicrafts. 1. Mushroom farm (visit the farm and have lunch) especially for agriculture students. agro-tourism) Azmi said the company was started in 1986 with a shed has now grown to 10 barns that could accommodate as many as 60,000 blocks of mushroom. He said the response the company by the name of Mushroom Biotech Enterprise is moving one step further by introducing the concept of agro-tourism since February2007. He said the company is now able to attract tourists, especially from Singapore. â€Å"Through this company, they offer tour packages are preparing bre akfast of nasi lemak, two traditional cakes and drinks and fried mushrooms cost RM8 per person. . Typical Malay â€Å"kampung† house & local way of life (lifestyle) Visitors will experience the full spectrum of village life. Home-cooking lessons and meal times will surely be a memorable part of your stay. The wide variety and sumptuousness of painstakingly prepared dishes can sometimes be enough to confuse most people. Guests will learn how to prepare the food. This might include gathering, cooking and washing it as well. Experience the charm of Malay traditions that have been preserved throughout the ages, which remain very much alive. Live with your hosts, eat with them, be a part of their family. And when you return home, take with you a memorable cultural experience and the friendships of a family happy to welcome you whenever you return to Malaysia. 3. Traditional Malay dance & music (Zapin dance , kompang music) Zapin Zapin is a popular dance in the state of Johor. Introduced by Muslim missionaries from the Middle East, the original dance was performed to Islamic devotional chanting to spread knowledge about the history of the Islamic civilisation. Kompang Arguably the most popular Malay traditional instrument, the kompang is widely used in a variety of social occasions such as the National Day parades, official functions and weddings. Similar to the tambourine but without the jingling metal discs, this hand drum is most commonly played in large kompang ensembles, where various rhythmic composite patterns are produced by overlapping multiple layers of different rhythms. 4. Local traditional game (sepak raga,congkak,batu seremban) Tourists could experience playing Malay community traditional games such as sepak raga and congkak. 5. Fruit farm 6. Rubber & oil palm plantations

Learning through Print and Film Essay

History is expressed in different ways and through different mediums. This is also the case for the history of Martin Guerre which was a prominent personality in French history. He has numerous contributions in the building of the French world of which includes, but not exclusive to, philosophy, law, sociology and history. Martin Guerre became the subject of various historical learning materials from print to film. This paper will be using two primary sources for the comparative analysis of the two different mediums for learning history specifically the book written by Janet Lewis and the film directed by Daniel Vigne. Before continuing the discussion of the topic of this paper, it is important to note that there are different interpretations of history that is dependent on the individuals who interpret them. Another is that the differences regarding historical accounts are also affected by the point of view. These two concepts are also present in the creation of learning materials regarding history where the gap between the written work and the visual work can be considered to be growing depending on the individuals who create them. The difference between Print and Film based mediums of instruction Written and Film based learning materials are two very different mediums of learning history. Written forms of learning usually require more time and effort to both understand and appreciate since the times have already changed to create a society which is dominantly instant as well as visual though more information is readily available to those who take the time to learn them. Film based learning on the other hand may lose much of their meaning since creators essentially have control over the film. The primary constraint of films are their time limitations where most films can only present information that they have evaluate to be important and leave those that they have deemed unimportant unpresented. Provided the limitation, the nature of the film industry produces material that can be easily remembered and understood as it stimulates the mind of the individual where almost all information have already been processed. The only thing that individuals who watch these movies need to do is to absorb the knowledge being presented. These ideas will be explained in more detail in the succeeding discussions of the paper where the conclusion is an assessment as to which the writer prefers is a better medium for instruction in the historical field. Pros and Cons of Printed medium of instruction There are numerous pros to be considered when using printed materials for learning. One of them is the amount of data that can be present in printed mediums. There are usually more information that is present in printed versions of history which gives readers a more in depth understanding of the subject matter that they want to be learning. Writers of these materials provide as much information as they can in this medium of instruction. Usually, only factual information are included in these kinds of materials which can be considered as credible and â€Å"true†. Books, journals and other written forms of communication are also more strictly scrutinized since the purpose of such material is usually for learning thus provides the individuals a more credible source of information. Another advantage of this kind of medium is that readers are encouraged to think more in order to understand the matter that is being presented. They will be using their minds to imagine and interpret the matter which is said to develop mental capacity as well as its capabilities. Disadvantages of using the printed versions of history is that it is time consuming wherein a student would usually require large amounts of time, depending on the reader’s ability to read and absorb information that is presented in them. Also, printed materials are considered boring and more difficult to understand. This is one of the greatest obstacles to learning since students find it more difficult to be involved in the study of the subject matter if it does not spark their interest. Printed materials also usually impose a greater mental toll in the minds of readers which makes the use of books particularly more difficult to use. Another disadvantage with the use of books is its affordability. There are many books there and many of them cost a lot of money. Books considered better than others cost more than those whose credibility are not scrutinized. This way, buyers are ensured of credibility but at the cost of making it more difficult to acquire especially for students (though libraries can be used). Pros and Cons of Film Based learning Mediums Film based learning materials also have their own pros and cons. First to be explored is its advantages. Films are a great source of information especially if the person who made it is able to determine which information is more important than the others. Since not all information will be able to be presented using this medium of instruction, creators are already tasked with interpreting and analyzing the collection of data for those who will watch them. In other words, films already present their own interpretation of the data available to them which leaves the individuals who will watch an already digested version. Another advantage of using films as mediums of instruction is that they usually only take up a definite duration of time usually ranging from one and a half to two hours which allows time for other activities. This means that an individual could easily understand the film during that time and if not they can easily replay the film or parts of the film that they missed or did not understand. Films also provide its readers with a more exciting and enjoyable learning experience as films are especially made to stimulate its watchers to make messages easier to convey. Moving and dynamic characters that are viewed appeal to many more individuals since films are able to easily capture the attention of viewers, thus making them more perceptive to the lessons and messages of the film. The visual element of films also aid in the memory of students since they would be able to better remember events that had an impact to them. The disadvantages of film based medium of instruction on the other hand are also numerous. One is that since the presented information in these films are already interpreted and analyzed, it provides students with a limited perspective of the events that had happened during those times. Films provide those who watch it a pretty distinct and straight forward interpretation of the events showcased in the film which does little for other interpretations. Also, since not all information are able to be presented in the film, there is a high chance that some important information may not be included. The nature of films is primarily based on entertainment which means that some elements of the lessons and messages may not be given that much importance since it could be easily covered up with artistic elements. There is also a very high chance that the presentation of characters and events may be different from what had actually happened especially since films are highly subjective based on the views of their creators. The Presentation of Preference and Justification Being presented with the pros and cons of each medium, when given a chance to choose between the two to be used for academic study, two views will be taken into account. One is in the point of view of introductory courses, those who are taking the subject as an elective or those who do not plan on taking the subject as seriously. The other point of view is regarding those who plan on taking the subject matter seriously as the focus of their education. Those who take the subject matter only as an introductory course or only as a requirement and not as a serious topic for their course will be better served by using film based medium of instruction since the purpose of which is to encourage and spark their interest for them to decide for a more serious study. When they do decide for a more serious study, films are no longer seen as an effective tool for study since it would not be able to give them comprehensive knowledge about history. The serious study of history would require its student’s awareness of even small or minor events of a certain subject in order to facilitate better and deeper understanding. Overall, it is preferred that the serious study of history is to be conducted using printed material. This is simply a more effective way to develop academicians in this field since it develops the necessary academic discipline and different analytical skills. Also there are more sources that are created each year than the number of movies that are being produced in line with this matter. Also, films are more focused on the artistic value of the film rather than providing a source of credible and accurate depiction of historical events which makes it unfit for being a serious resource for the academe. The amount of information are only limited and there is very big risk of the interpretation by the film makers being wrong which would also mean that the impression and messages that they push out to the individuals may also be wrong or at the very least, inaccurate. Though, film resources are very convenient, they do not constitute nor facilitate actual academic learning and development of the necessary skills in order in the field. Comments Changing times usually also mean changing methods of learning. There are pros and cons in each of these mediums but the best mediums are those that provide its students with quality and credible information. As of the moment, printed materials are still the ones who are able to satisfy this requirement of the academe though other sources could still be used as supplementary tools for learning. Reading printed materials is still considered the best way to learn in the academe despite its crude mediums and limitations. There is no shortcut for knowledge and information can only be truly acquired through effort, persistence and determination to learn about the subject matter. Shortcuts would also only provide limited information which is not advisable in the academe. Perhaps in the future another medium would emerge and again provide individuals who wish to study history another kind of learning experience but until the time that they are able to reproduce the same accuracy and credibility that books provide, they would not be able to rival that of the books. Books or written accounts have been used since humans were able to formulate their own writing system. The method is still the most effective means to learn even until today perhaps because there is yet to be a method that can be used to rival it.

Relationship between democracy and economic development in Latin Essay

Relationship between democracy and economic development in Latin America - Essay Example There seems to be both a negative and positive impact of democracy on economic development in Latin America. Therefore, it can be said that there exists a relationship between democracy and economic development in Latin America. It is difficult to generalise the effect of democracy on economic development on whole of Latin America. Different countries in the region have had different experiences with respect to democracy. Democracy has numerous indirect and favourable effects/impacts on political stability, inflation, levels of economic freedom, human capital, civil liberties, rule of law, etc. It is difficult to draw conclusions about the direct effects of these impacts on economic growth on the whole of Latin America but regional trends of positive and negative impact have been observed. Therefore, with respect to Latin America as a whole, it can be said that democracy does not have a strong and detrimental relationship with economic growth. Non-democratic countries have shown economic growth with democratic have failed to progress economically in the region. The reason for this, as cited by some experts, is that democracies succumb to popular demands of immediate consumption and fail to realise the profits associated with long-term investments. Also democracies fail to swiftly mobilise resources and are prone to class, ethnic and social struggles. On the other hand, authoritarian governments are more capable to suppressing conflicts and implementing measures that are necessary for achieving rapid as well as long-term growth. These reasons can explain the current economic conditions (crisis) in Latin America. The support for democracy from majority of the population also plays a role in the effect that democracy can have on economic growth. This gives raise to another question of whether there must be a choice between pro-growth policies and

Portfolio 6 - Lesson Plan Essay Example | Topics and Well Written Essays - 750 words - 1

Portfolio 6 - Lesson Plan - Essay Example self expression is critical for the development of children’s identities and â€Å"sense of self.† Metaphorical thinking is a skill that, if left unused, can atrophy. A key element in the lesson plan is attempts to bolster student reflection on their artistic work; this reflection is an important element for any artistic production and is the step in the learning process which most calls on students to think metaphorically and to simply express their own views and identity. The understanding developed through addressing Component 4 provides the basis for reconstructing or reframing. You suggest how your understanding of the information/substance/content and the issues raised, will influence your future actions. The Sorcerers Apprentice (LApprenti Sorcier) is a symphonic piece composed in 1897 by the French composer, Paul Dukas (1865-1935). Its history reaches back in time to AD150 and stretches to the present day. The composition is a form of program music because it is intended to evoke images in the mind of the listener by musically representing a scene, narrative, image or mood. In this case, the music relates to the poem written by the famous German figure, Goethe (1749-1832), who in turn had based his poem on a story by the Greek, Lucian, written around AD150. The story and music were popularized in 1940 by the Walt Disney film Fantasia (a set of animated short stories based on classical music). In the Disney version, Mickey Mouse plays the sorcerer’s apprentice. This segment of the film was so popular that it was repeated in the remake of the film in 2000. The story differs in each account but the contemporary theme of the unwitting person unleashing powers beyond their control appears in many other stories including Faust, Frankenstein and Golem - that have in turn spawned a whole range of variations in films and computer games - and fairy tales such as The Master and his Pupil. Dukas’ music is richly textured with musical themes and motifs

California history Research Paper Example | Topics and Well Written Essays - 1750 words

California history - Research Paper Example In addition, this region records the largest number of wild fires as compared to the other states in America. The climate of this region is mainly cool with rainy winters and hot summers. Moreover, it was the home of a great n umber of America’s natives and the indigenes communities. It had unique cultural and linguistic traits due to the inter existence of almost seventy different groups of Native Americans. In this regard, this essay will delve on the political organization of the Native Americans. The political organization of the Native Americans had unique attributes due the lifestyle of these people1. For instance, political organization of a society is the collective provision of guidance to a community or society in either a formal or an in formal way. The natives were mostly hunter-gatherers hence settled down in groupings that matched their way of life. Their political organizations were diverse in that they had further divisions according to tribe, chiefdoms, bands, and states. In essence, the band political form of the organization was a small group of closely related relatives from the household in a particular region who came together on different occasions but did not answer to any superior authority. Ideally, this form of governance was not complex since the number of those under the ruler ship was a manageable number. This system did not have a central political structure hence making this form of governance to be informal. Moreover, communities under the band2 form of had autonomous extended family groupings that formed the political set up. Bands were unable to compete for community resources since they were not complex in the execution of leadership. They had two clusters, one being the simple bands and complex bands. Simple bands were the smallest groupings, which were narrow to the level of the extended families. Ion the other hand, composite bands had larger families totaling to hundreds in numbers. Sequentially, this political for m was easier due to the constant moving of the families in these communities because of their hunter-gatherer state. On the contrary, this leadership was definitive in that it had Leaders who acquired positions of leadership by virtue of portraying leadership abilities. In addition, they became leaders through their ability to influence their societies to act in certain ways. They stayed in the position of leadership until the community no longer had confidence in them. In essence, the leaders in charge of bands were the peace chiefs. They had wisdom, kindness, and abilities in leading the community in to successful battles3. This oldest form of political organization4 was essential in the solving of community problems because the leader knew the ones in the dispute quite well. Therefore, the delivery of judgment was fair according to the community. Other forms of political organization came about due to intermarriages between communities. Secondly, the Native Americans had tribes, which were groups of independent people that occupied a specific region and shared a common language. In addition, the tribes had common cultural practices applied by certain unifying factors. Additionally, a tribe composed of different people from bands and villages integrated in to lineages and clans. This form of the organization was a temporal and formal because of the frequent attacks by other bordering communities. Remarkably, there was no central authority hence making it an inform way of ruler ship5.

Veterinary Care Essay Example | Topics and Well Written Essays - 1000 words

Veterinary Care - Essay Example This would change, however, as people realized that knowing how to care for animals could be a career for them. They began writing books, more of the guide sort, to sell to farmers. These writings eventually found its way outside of Europe. (Biere, 1955) The earliest mention of a practitioner in the United States is found in a 1625 case where a certain person by the name of William Carter was charged of not being able to cure a cow as he promised. The first ever veterinary surgeon of America was College of London graduate John Haslam. (Dunlop, 1996) In the 19th century, several books and journals regarding veterinary medicine came into publication. There were the books entitled The American Cattle Doctor (1850) and The Modern Horse Doctor (1854) by George Dadd. The American Veterinary Journal was founded in 1851 by the same person as well., also of the same person, founded and edited the American Veterinary Journal. It was followed by Alexandre Liautard's American Veterinary Review in 1875 which was by Alexandre Liautard. This became known as the Journal of the American Veterinary Medical Association. (Schwabe, 1978; Smith, 1933) World War II had a big impact on animal medicine and food safety. New drugs developed for soldiers during the war such as penicillin and sulfa drugs were later used to treat livestock. The insecticide DDT was used during the war and later helped kill flies and other outdoor parasites that hurt farm animals. (Smith, 1976) During the war, the government thought Midwestern cattle operations might be targets for sabotage. They were worried that cattle might be contaminated by foreign infections, threatening the food supply. Government veterinarians were hired and local vets were told to be on the alert. After the war, veterinarians began to use new drugs to treat diseases such as foot rot and shipping fever in cattle, as well as infections that killed baby chickens and turkeys. As new drugs came out of the research institutions, they were used against brucellosis, infectious anemia, worms, cholera, Newcastle disease, foot-and-mouth disease, and rabies. (Lise, 2005) The Evolution of Veterinary Care Veterinary medicine evolved from skill and field based practice to a more structured education that began with the establishment of the school in Lyons, France. With the establishment of dedicate schools such as New York College of Veterinary Surgeons (1857-1899) and the American Veterinary College (New York, 1875-1898), the knowledge and the process became more scientific. (Smith, 1976; Smithcors, 1973) Developments in the field of medicine, science and technology paved the way for more complex tools of analysis and medication in the field of animal care. Many technologies now exists today especially for the prevention and cure of diseases afflicting agriculturally important animals. Animals nowadays often receive advanced medical, dental, and surgical care including insulin injections, root canals, hip replacements, cataract extractions, and pacemakers. The field has also grown from caring for agriculture related animals, such as cows, chickens and horses, to animals that serve as pets and even extended to other kinds of animals which are not usually included in these two categories. (Harrowsmith Country Life, 2007) Importance of Veterinary Care Of the many factors why veterinary care is essential, the most important lies in its capacity to eliminate, hamper and mitigate disease outbreaks

Case study Example | Topics and Well Written Essays - 250 words - 14

Case Study Example The US exporter could claim that the supplies were based on contractual agreement and that he did not breach contractual terms. The US exporter should not be made to reduce the cost of the goods if the contract did not state that the exports must all be male liver. The ruling by the arbitrator will depend on the laws of the trade. It will also depend on the kind of contract that existed between the two parties (Sornarajah, 2004). If the west German importer clearly stated that he wanted 100% male liver but received some percentage of the sow liver, then he will have right to have the cost reduced by the US exporter accordingly. The ruling will also depend on thee precedents of the trade. The arbitrator will have to determine whether the distinction of male liver and sow liver as known to both the parties to the trade and whether sow liver was considered of lower price than the male liver. In addition, the religious beliefs and practices would also determine the nature of the ruling (Sornarajah, 2004). International trade poses a challenge because of the different rules of trade between the parties. The arbitrator must be keen to ensure that the ruling is fair and just to all parties. The decision must not be biased to both parties. When entering into contracts, the parties should state categorically their terms without assuming they are

Moral Significance of Personhood Essay Example | Topics and Well Written Essays - 2750 words

Moral Significance of Personhood - Essay Example It was John Locke who cut loose the conceptual strands that held together the personal and biological dimensions of humanity in his essay, Of Identity and Diversity. It was this along with his assumption that not all human beings may be persons that launched the debate in regard to the human ascendancy over other beings. The teleological argument has been largely done away with as advances in reproductive technology, medical genetics, and treatments continually assail the rationality of God and his hand in the affairs of the humans. As biological science discover the marvels of the human body, scientists and modern philosophers are emboldened to deny the Creator-variable and the soul, citing the brain as fundamental in the existence of the human reason. Michael Tooley (2001) presented the functional definition of personhood with his dissection of the brain. Here, he outlined that the brain is scientifically divided into two regions and that the upper part is mainly responsible for the personhood of a person: The upper brain†¦ contains the neuron-psychological basis not only of higher mental functions such as self-consciousness, deliberation, thought and memory but also of consciousness of even the most rudimentary sort. (p. 117) The destruction of this region, say in an accident or as a result of a disease, is tantamount not just to the destruction of certain general capacities but of states that underlie personal identity as well. This basis of personhood follows a utilitarian or functional approach.

Nurse Anesthetists Essay Example for Free

Nurse Anesthetists Essay In a career in nursing, one must possess a need to help people, as well as the scientific and educational knowledge to perform the duties required. As I complete the final years of my high school education, I realize that I must focus on my goals and interests in order to make intelligent college curriculum decisions. I have always been considering a career in health, but the opportunities and diversification in the health field have perplexed me. I have always thought the job of a nurse anesthetist was extremely interesting, and it would be a great way to contribute to helping the lives of others. In the United States, a Certified Registered Nurse Anesthetist (CRNA) is simply an advanced practice registered nurse (APRN) who has acquired graduate-level education and board certification in anesthesia and they are the oldest nurse specialty group in the U. S. However, their job isn’t that simple. Anesthesia describes drugs and gases that help to block sensation, and they keep patients unconscious while in surgery. The main goal of the CRNA (Certified Registered Nurse Anesthetist), which is extremely important, is to have the patient awake free of pain. CRNAs, or Nurse Anesthetists, are responsible for administering, supervising, and monitoring anesthesia related care for those patients undergoing surgical procedures. Before the surgery, the CRNA obtains information regarding the patient’s medical history, evaluates the patient’s anesthesia needs, and develops a treatment plan with the goal of a risk-free and uncomplicated surgery. CRNA then explains the planned procedure to the patient, and answers any question that they may have. However, there are big steps that you have to take to become a CRNA. According to the American Association of Nurse Anesthetists (AANA), here is what you need to do to become a nurse anesthetist. All would-be nurse anesthetists must have an active registered nurse (RN) license, which requires a minimum of two years of study. Applicants to nurse anesthetist programs should have at least one year of work experience as an RN working in acute care, such as an intensive care unit. Once admitted to the Anesthesia program, the registered nurse must complete twenty-four to thirty-six months of classroom and clinical experience. A bachelors degree is the minimum required educational credential for certification as a nurse anesthetist. Many training programs are structured as masters degree programs, which always require a bachelors degree. Accredited Training Programs is the most important requirement to become a nurse anesthetist. Different programs have different specific requirements for application. Upon completion of the training program, prospective nurse anesthetists need to pass the certification examination offered by the Counsel on Certification of Nurse Anesthetists, and then maintain certification by regularly taking continuing educational units. Nurse anesthetists must obtain the appropriate licenses to practice in their state by contacting the state board of nursing for more information.

Qualitative Analysis Of An Overhead Throw Physical Education Essay

Qualitative Analysis Of An Overhead Throw Physical Education Essay Overhead throw is an important fundamental movement in many sports. It is categorized to be one of the early fundamental manipulative motor skills for every child to develop (Kathleen, 2004). This skill can be transferred to many other sports such as tennis serve, javelin throw and baseball pitching. The throw can be assessed either for accuracy (e.g. baseball pitching) or for distance (e.g. javelin throw) and there are some critical features that need to be present in the throw in order to achieve an optimum throw. In this study the goal is to achieve maximum distance and hence it is important to consider the law governing projectile motion which is angle of release, height of release and velocity of release. In qualitative studies, we use critical features or elements to cue the presence of these 3 features. The presence of upward ball path, the fully extended elbow in the throwing hand and the accelerated overhead arm swing are some of the actions to cue presence. Critical features or elements are based on biomechanical factors that create the throw movement and are usually derived from quantitative analysis studies of throwers. One such factor is kinetic open chained movement where body segments or joints move in a combination. The movement involves chaining segmental movements such that the last segment is free to move E.g. in a kicking ball action, the hip flexes with the knee extends and dorsi-flexes during the kicking action and the relax arm action during an overhead throw. Another biomechanical factor is the concept of kinetic-link and stretch shorten cycle where there is an interaction of a linked system of body segments. (Kreighbaum and Barthels, 1985; Steindler, 1955). Each segment need to move in a sequential coordinated manner with precise timings of acceleration of proximal segment so as to transfer energy to distal segment. In qualitative studies, physical education teacher and coaches observe these critical features for quick assessment on the overhead throw or other activity. Qualitative analysis is much preferred than quantitative analysis as it is not feasible and practical for physical education teachers and coaches to adopt quantitative analysis. There are many issues concerning using quantitative analysis such as time, cost, practicality and even ethical. Some parent may not be comfortable with their child being taken into lab for collection of data. One major advantage of qualitative analysis is that it allows skill to be assessed as a whole as the proficiency of some movement may be involving the interaction of every critical feature. In motor development milestone studies, qualitative studies take the approach of observing the critical features and analyze it with the motor skills developmental milestones. Getchell, 2005, motor development experts formulate logical decision tree checklist to a ssess the maturity of the critical features. Another method is to compare the performer with and expert, this allows the skill gap to be more visible. Intervention can later been drafted effectively to improve performance by emulating the technique of the expert. Objectives The objective of this study is to show the use of qualitative analysis in improving a child (subject age 6) overarm throw. The throw will be maximal effort, thrown for distance. The comparison model will be of an adult expert thrower (subject age 30). Intervention will be suggested based on the qualitative analysis to improve throwing technique. Methodology This study adopted Knudson Morrisons four-task integrated qualitative analysis model of preparation, observation, evaluation/diagnosis and intervention. Prior to the activity, an observational check list (Fig 2) was drafted using Gangstead and Beveridge, 1984, D. Knudson C. Morrison, 1996 and Haywood Getchell, 2005 model of an overhead throw. In this check sheet, the overarm throw was broken up into 3 phases which are preparation, action and follow through phases. Critical features for each phase were listed to assist in the observation and evaluation of the throw. An adult expert thrower was used for comparing the childs throw. Each component and phases were evaluated objectively with a score of poor, average and good. The adult and the child performer was tasked to do overarm throws (n=3) with maximal effort and distance of each throw was recorded using a standard 50m measuring tape. Maximal effort throw was chosen as the type of activity rather than throw for accuracy as the latter may be a difficult skilled task for the child. These eliminate the concern for motor developmental stage of the child. Children sponge tennis balls were used as projectile. Due to the experience level and language limitation of the child, he was given verbal instructions and a demonstration of the activity. The adult and child thrower performed the throws at two different locations due to childs parents consents. Video of each throw was recorded using a Sony digital camcorder model: Model: DSR-PDS10P using a 2-dimensional analysis camera setup. The video data was analyzed qualitatively using the checksheet and the software use is a standard computer integrated media player, window media player. Results Fig 1: Sequential phases of expert and child throw Child achieved an average of 8.58m as compared to the expert thrower with 20.5m (Fig 3). From Fig 1 2, sequential phases and observational checklist, the child showed a different movement pattern from the expert and score poorly in terms of path of hub, bodyweight transfer and movement of the legs and trunk during the preparation, action and follows through phase. There is an absence of trunk utilization throughout the 3 phases. During the preparation and action phases, the child exhibited a poor homolateral lower body action where he bent his knee of the same side as the throwing hand. In addition, there were no bodyweight transfer and leg drive by the child in the preparatory and action phases. On the other hand, the child showed similar upper body movement pattern in the action and follow through phase. There was an arm and humerus lag during the action phase. There was acceleration of his throwing arm in forward direction. The ball was released in an incline with his arm fully extended at the top of his head. The whole movement was accelerated, smooth and continuous. During the follow through phase, his arms swung across the body and relax. The child scored well in critical features of arm actions and the release of ball. As a whole, he show competency in the action phases with an average score and scored well in the follow through phase with a good score. Fig 3: Throw Distances Fig 2: Observational Checklist Intervention The child has good upper body technique and if the child is able to throw consistently with this technique. Improvements could be made in leg drive, contral lateral leg action, sequential coordination, and angle of release. Practice should consist of a combination of games approach (GCA) and drills bearing in mind his age and motivational level. The whole throwing sequence can be broken down into parts to simplify learning. One example practice to improve leg drive and contral lateral leg action is by putting visual cues like colour spots or numbering spot for them to step on. Next, improvement of the angle of release can be taught by putting target on the wall and the child needs to throw toward the target. Different target height can be put so as to allow the child to explore and experience different angle of release. The presence of targets allows the child to direct his attention to the effects to the ball trajectory (external focus of attention) rather than directing their atten tion to their arm throwing form (internal focus of attention) hence making learning more effective (Wulf Prinz, 2001). Sequential coordination should be the last to be taught as for many high-speed movements, it is the last refinement area for optimal performance. It said that development of sequential action will be limited until energy from the lower extremity can be channeled up to the body (Morrison Knudson, 2002). Before introducing the intervention, there should be some consideration in terms of his age and developmental milestones. There is a need to individualize the teaching and feedback hence his training should not be mixed with other children unless being group with similar profile. This is because children of the same chronological age may differ in developmental level and physiological age (Getchell, 2005). Models of good throw as a whole or segments need to be shown with good critical cues used during practice, research show that this can improves performance and learning best in children (Fronske, 1995; Masser, 1993; Weiss, 1982). Appropriate augmented feedback need to be given by identifying both strength and weakness with strength to be praised before reinforcement. According to Throndikes law, 1927, people tend to repeat responses that are rewarded and avoid responses that are punished. Evaluation, diagnosis and re-observation need to be done regularly to monitor progression. In addition, record keeping of the whole movement and critical features progression through observation check sheet provide reference to coaches and teacher on the progression of learning. Video recordings or pictures can be also be adopted to provide visual feedback to the child. This allows reflective learning which further enhances learning. Discussion From this study, we can clearly see the practicality and the feasibility of qualitative studies in an activity. It is a low cost and quick way of skill and technique improvement process. As teachers and coaches, the use of video and checksheet can help to record and observe large number of students at the same time. The video data can then be viewed at a convenient time. With the current technology, the video can be played in slow motion where critical features can be objectively assessed. In the event of shortage of manpower, the use of observational checksheet allows the coaches and teachers to share the evaluation workload with other teachers or senior students without compromising the objectivity and validity of the evaluation. In addition, the videos and observational checksheet allow record keeping of subject performance for future development and studies. Exemplary skills can be shared and showed to future students and trainee for modeling purposes. The possible challenge to the use of qualitative analysis is the perception its effectiveness. Teacher and coaches may perceive qualitative assessment may not be very objective as it is not absolute. When it comes to grading or selection exercise, the subject of fairness is questionable. There will be some resistance to the use of video analysis as some may find it difficult to use. To tackle these two issues, qualitative analysis can be made more objective and assessment friendly by having more details description in the observational checklist. As for the difficulty in using video, more training can be given to teacher and coaches. They can also be attached a mentor to assist. The proficiency will eventually be improved with more practice.

Prevalence of Hepatitis B Among Medical Students

Prevalence of Hepatitis B Among Medical Students The prevalence of Hepatitis B among `medical students, Majmaah University, Kingdom of Saudi Arabia ABSTRACT Background: Medical students in the course of their clinical work are at risk of acquiring hepatitis B virus (HBV) infection or transmitting it to their patients. HBV immunization for medical students in Saudi Arabia is recommended but not strictly enforced. It is important to assess the prevalence of HBV infection in medical students in order to direct interventions and inform policy. The objectives of this study were to determine the prevalence of hepatitis B among the medical students of Majmaah University; secondly to determine the relation of hepatitis B and the social factors; and thirdly to compare the relation of hepatitis B in different collages. Methods: This was a cross-sectional study carried out in 478 students of medical, dentistry and applied medical students in Majmaah University. Total enumeration of all students was done. A structured questionnaire was used to collect demographic data. The selected students underwent a blood test to detect HBsAg. SPSS version 20 was applied for data analysis for (frequency, mean and stan ­dard deviation). Comparisons between groups were made using the Fisher Exact test. P Results: The results showed that out of the 478 students tested, two were positive for HBsAg, giving an overall prevalence rate of 0.41%. The prevalence of hepatitis B among males and females was o.6% and 0.0% respectively. It was shown that one of the positive cases was in the college of Medicine and the other was in the college of Medical laboratories. Conclusion: The prevalence of hepatitis B among medical students of Majmaah University is low. The disease, which was reported among the males only, was found in the colleges of Medicine and Medical Laboratories. INTRODUCTION Approximately 350 million people are infected by Hepatitis B virus (HBV) globally. A large number become positive for hepatitis B surface antigen (HBsà ¢Ã¢â€š ¬Ã¢â‚¬  Ag) but they remain asymptomatic. They are known as silent carriers of HBV [1, 2] and may act as a source of transmission of hepatitis B. In high and moderate prevalence zones of HBV, like South Asia and the Middle East, many silent carriers are young people [3, 4]. The prevalence of HBV has declined considerably in Saudi Arabia since the introduction of immunization in 1989. According to one study, it fell from 7% in 1989 to 0.3% in 1997 [4]. A study 8 years after the introduction of hepatitis B vaccination reported seroconversion of 77% in children vaccinated at birth and 71% in those vaccinated at school entry [5]. Jaber reported in 2006 [6] that 98% of schoolchildren in Jeddah, Saudi Arabia were covered by HBV vaccination; however 14% of students tested negative for anti-HBs antibodies, suggesting that the efficacy of HBV vaccination is diminishing with increasing age [6]. It has been reported that the prevalence of HBV among blood donors in Saudi Arabia decreased from 2.7% in 1993 to 0.28% in 2003 [5,6,7]. HBV immunization is now part of the national routine immunization program for children in Saudi Arabia. HBV immunization in medical students and health workers in Saudi Arabia is recommended but not strictly enforced. As a result, individuals at high risk like healthcare workers and medical students have low immunization rates. Therefore, HBV remains an occupational risk to which healthcare workers and medical students are exposed while at work [8]. Determining the prevalence of HBV infection in the medical, dentistry and applied medical students is important in planning for any intervention to control this infection among them. Furthermore, the information obtained may be used in a wider sense to create awareness among all categories of healthcare workers about the magnitude of the risk of contracting or transmitting HBV in the workplace. The objectives of this study were to determine the prevalence of hepatitis B among the medical, dentistry and applied medical students of Majmaah University and to compare the prevalence rates of hepatitis B between the students in the different collages and social factors. METHODS: This was a cross-sectional study carried out among medical, dentistry and applied medical students in Majmaah University over a period of 16 months (from May 2013 to August 2014). The study population was the students of Majmaah University from collage of Medicine, Dentistry, Nursing and Medical Laboratories. Students from all levels and both sexes were enrolled in this study. Total enumeration of 478 students was done. A structured questionnaire was used to collect demographic data. The selected students underwent a blood test to detect HBsAg. The test was conducted in King Khaled Hospital in Majmaah. The assay used is a one-step enzyme immunoassay based on the principle of the sandwich type using monoclonal antibodies and polyclonal antibodies selected for their ability to bind themselves to the various subtypes of HBs Ag, recognized by the WHO and the most part of variant HBV strains. SPSS version 20 was applied for data analysis for (frequency, mean and stan ­dard deviation). Comparisons between groups were made using the Fisher Exact. P Participation was completely voluntary and students who tested positive for HBsAg were counseled in the counseling center, King Khaled Hospital. Measures to prevent exposure and the need to get vaccinated against Hepatitis B as soon as possible was explained to them. RESULTS: There were 150 females and 328 males, giving a female to male ratio of 1:1.4. Out of the 478 students tested, 2.0 were positive for HBsAg, giving an overall prevalence rate of 0.41% as shown intable (1). Regarding age of the students the range was similar ranging from 18 to 20 years. Table (2) shows the prevalence of hepatitis B among students of different collages. It was shown that the two positive cases were in the college of Medicine and the college of Medical laboratories. Table (1) Relation between hepatitis B and gender Table (2) Hepatitis B among students of different collages Discussion: The prevalence rate of hepatitis B among the students, shown as positive HBsAg was 0.41%. Lule found the HBsAg carrier rate of 18% among medical students in Kenyatta National Hospital[9]. In Nigeria, Olubuyide found the hepatitis B as 39.0% among doctors and dentists compared to the national average of 20.0% [10]. There was no significant difference in the HBsAg carrier rates between pre-clinical and clinical students and yet the latter were more exposed to hepatitis B. Similar findings were observed by Khurana. in Maulana Azad Medical College-New Delhi, India[11]. It is possible that most of the clinical students were healthy and fought off the hepatitis B infection despite being more exposed. It is known that spontaneous recovery after acute infection with HBV occurs in 95–99% of previously healthy adults [12].It is also possible that some students might have got occult HBV infection. This could only be revealed by performing highly sensitive molecular techniques which would show persistence of HBV genomes in HBsAg negative individuals[13]. The magnitude of occult HBV infection was not assessed in the study. This rate was also lower compared with the prevalence of 1% found in less than 20 years old persons after 10 years of introduction of extended program of immunization in Saudi Ara bia [14]. The rate of hepatitis B was also higher than the prevalence among male medical students of 0.17% and higher than the prevalence among the females (0.78%) in the same study which was conducted among students of health colleges in different part of Saudi Arabia[1]. The findings of this study were within the range of prevalence from 0.03% to 0.72% among the general public in different parts of the kingdom [15]. The findings of this study showed that the two positive cases of hepatitis B were males, no positivity among females. In comparing hepatitis B with gender by applying the Fisher Exact test, the relation is not significant (p= 1.00). When seroprevalence rates of hepatitis B was compared between students from different collages in the university by applying the Fisher Exact test, the difference was not statistically significant ( p=0,340). CONCLUSION The prevalence of hepatitis B among medical, dentistry and applied medical students of Majmaah University is low. The prevalence was low among the males and not reported among the females. The disease was observed among the male students of the college of Medicine and the college of Medical Lavatories. ACKNOWLEDGEMENT The authors are very grateful to the Dean of college of Medicine, dean of college of dentistry and the dean of Applied Medical Sciences for permission and support to carry out this study. We would also like to thank the administration of Medical Services of Majmaah University and the administration of King Khalid General Hospital in Majmaah for their support. Our thanks extend to the students who kindly accepted to participate in the study. REFERENCES Al-Ajlan A. Riyadh College of Health Sciences (Men), King saud University EMHJ. 2011; 17(9): 759-762. Tong S et al. Hepatitis B virus antigen variants. International Journal of Medical Sciences. 2005; 2:2–7. Chaudhuri SK. HBsAg positivity rate among voluntary replacement donors in the IRCS blood bank. Indian Journal of Gastroenterology, 1999, 18:S21 [abstract]. FitzSimons D et al. Hepatitis B virus, hepatitis C virus and other blood-borne infections in healthcare workers: guidelines for prevention and management in industrialized countries. Occupational and Environmental Medicine. 2008; 65:446–451. Al-Faleh FZ. Changing pattern of hepatitis viral infection in Saudi Arabia in the last two decades. Annals of Saudi Medicine. 2003; 23:367–371. Shatoor AS, Zafer MH. Hepatitis B virus markers in male blood donors. Bahrain Medical Bulletin. 2002; 24:1–6. El-Hazmi MM. Prevalence of HBV, HCV, HIV-1, 2 and HTLV-I/II infections among blood donors in a teaching hospital in the Central region of Saudi Arabia. Saudi Medical Journal. 2004; 25:26–33. Prevalence of hepatitis B virus (HBV) infection among Makerere University medical students, Afr Health Sci. Jun 2005; 5(2): 93–98. Lule G N, Okoth F, Ogutu E O, Mwai S J. HBV markers (HBsAg, anti-HBc, anti-HBs) among 160 medical students at Kenyatta National Hospital.East Afr Med J.1989; 66(5):315–318.[PubMed] Olubuyide I O, Ola S O, Aliyu B, Dosumu O O, Arotiba J T, Olaleye O A, et al. Prevalence and epidemiological characteristics of hepatitis B and C infections among doctors and dentists in Nigeria.East Afr Med J.1997;74:357–361.[PubMed] Khurana V, Kar P, Mansharamani N, Jain V, Kanodia A. Differences in hepatitis B markers between clinical and pre-clinical healthcare personnel.Trop Gastroenterol.1997;18(2):69–71.[PubMed] Heathcote J, Elawaut A, Fedail S, et al., editors.Management of Acute viral hepatitis:http//www.omge.org.2003. Dec, OMGE Practice guidelines. Raimondo G, Pollicino J, Squadrito G. What is the clinical impact of occult hepatitis B virus infection?Lancet.2005;365:638–639.[PubMed] F. Aba Al-khail. Hepatitis B Al Riyadh newspaper December 2012. 155508 From: www.alriyadh.com/2010/12/09/article583595.html Madani TA. Trend in incidence of hepatitis B virus infection during a decade of universal childhood hepatitis B vaccination in Saudi Arabia.Trans R Soc Trop Med Hyg.2007;101:278–83.[PubMed]

Robert Frosts The Oven Bird Essay example -- Robert Frost

Robert Frost's The Oven Bird In his 1916 poem "The Oven Bird" (Baym, Vol. D 1188), Robert Frost chooses a title that presents a single, natural image of a particular species of bird. The title not only identifies this "mid-summer and...mid-wood" bird as the "singer everyone has heard" in the first line, it also establishes the "nature image" as a main theme in the poem. The bird's song presents images of "solid tree trunks," "flowers," and "pear and cherry bloom," while imposing its individual voice on the landscape. This motif is a defining characteristic of many romantic writers, including the transcendental writers of the nineteenth century American Romantic period. In his little book Nature, Emerson writes, "I am the lover of uncontained and immortal beauty....In the tranquil landscape...man beholds somewhat as beautiful as his own nature....Nature always wears the colors of the spirit" (Baym, Vol. B 1108, 1109). Emerson endows nature with everlasting life, beauty, and passion. Therefore, he feels that he (a nd everyone else) can realize and experience the beauty of human existence by immersing himself in the landscape. And, like the oven bird, he imposes himself on the landscape through his individual essence (in Emerson's case his spirit). Despite the initial parallels with the Emersonian persona, the bird's song takes life and beauty away from the natural images that it describes, denying the immortal quality of nature. In "The Oven Bird," several natural images, traditionally symbolizing strength and beauty, construct a romantic landscape. But, these images are individually deconstructed, leaving the natural scene as a whole barren and hollow. Frost crafts a poem that is dependant on nature for both its subject and it... ... he holds on to the romantic notion that nature reflects the human experience. Where Emerson says, "I am nothing. I see all" (1109), Frost would say, "I am nothing. I see nothing." Therefore, in "The Oven Bird," Frost reconstructs the romantic perspective of the nature image by removing the romantic ideals of immortal beauty and spirituality that are associated with the perspective, and imposing the modernist zeitgeist upon this traditionally romantic subject. Works Cited Frost, Robert. "The Oven Bird." The Norton Anthology of American Literature. Volume D. Ed. Nina Baym. New York, London: Norton, 2003. 1188. Emerson, Ralph Waldo. Nature. The Norton Anthology of American Literature. Volume B. Ed. Nina Baym. New York, London: Norton, 2003. 1106-1134. "Oven-Bird." Birds of Eastern North America. 17 November 2003. http://www.aboutbirds.org.html.

Communicating Through Your Computer :: Technology Internet Chatting Papers

Communicating Through Your Computer I have heard the dangers of meeting people through the new technology of cyberspace. Through the media I have heard events in which females are missing, stalked, or raped for giving away their personal information to strangers through computers. I can recall a situation when I heard about a young teen girl agreeing to meet a male whom she thought was about her age. She agreed to meet him secretly, thinking that she was going to meet her love of her life. She took the bus and headed out east to meet this "prince". To the girl her life did not end like most fairy tales. The "prince" turned out to be the "big bad wolf"- a 42-year old just released from prison for rape and murder. The situation for the girl could have ended in a sad, tragic outcome but was saved by her best friend. The girl's friend informed the police and parents about the missing girl whereabouts. People view that chat rooms are filled with people lurking around hunting down naà ¯ve females for their targets. The stalking does not only occur to females but as well for the males. Now we do not all have pervert people in these chat rooms. Society should also see the positive point of view of what chat rooms do to individuals. The Internet has become a networking tool that has helped the society. One can look up topics, write letters, look up and plan events, shop from your favorite stores, and read or hear the news from your community or worldwide. Within minutes (or even less) one can establish contact with like-minded individuals and discuss interesting (and non-interesting) topics. One can participate in the synchronous communication or as we recognize it as chat rooms. We can communicate with unknown individuals, which can gradually lead into friendship and relationships. As mentioned before synchronous communication is viewed negatively but there is also a positive side. Communicating in chat rooms can lead into friendships or romance, helpful for the individuals who are shy, troubled or disabled. I was lonely and did not have any friends when I moved from home to attend the university. I would go to the library and see students communicate with other individuals through the computer. I was curious to see how one could interact a conversation with others through the chat rooms. I entered through one of the popular web providers- www.

Policy of Medicare System Essay

With the evolution of new drug-resistant strains of maladies in the contemporary period, scientists are now going back to nature in pursuit of pristine defenses. Says Dr. Robert Nash, research director of Molecular Nature in the United Kingdom, â€Å"Dandelions, sea pinks, nettles, even bluebells were used to treat diseases. There is a good reason for going back to see if there was anything behind these traditional uses† (Amundsen 132).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In our backyard, there is a bed of bluebells and never had it dawned on me that bluebells prove to have anti-virus and anti-cancer properties. That they were used in the 13th century against leprosy (Amundsen 155). Not that I would really want to prepare for any possible leprosy case that may stem at home; but the thought of having nifty bluebells in the garden can give comfort on good health and brainy ancestors.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the library, the books speak of one thing about healthcare; that it is the management of the resources of healing. Darrel Amundsen, in his book Medicine, Society, and Faith in the Ancient and Medieval Worlds, pointed up the wonder of natural medicines and traditional medicine. Stanley Reiser tells us of how medical care evolved from technological point of view. Dorothy Porter’s Social Medicine and Medical Sociology in the Twentieth Century talks about where the health care industry has drifted through different eras. It has had a major impact on how people perceive health on the whole. From the unborn and mothers to all the phases of childhood to the youth and the adults to the older people, health care has been in packages essential at various stages of the human being. Additionally, the practitioners have done a lot of education, investing awe-inspiring sum of finances and effort in educating the public. Professional patronizing and obscure terminology will give way to cooperative educational approaches, and client-oriented rehabilitation. This approach is estimated to provide the most appropriate package of health services suited to ensure a healthy well-being of all age groups. In every industrialized country, excluding the United States (U.S.), the provision of health care has become the financial responsibility of the state over the past 100 years. Taxes on both employers and workers and general tax revenues financed the health care insurance system. This was the procedure in Western Europe and Great Britain (Warner 360-368).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The exception of the U.S. can be credited to the native value the Americans placed on self-help and repulsion against dependency. After 80 years of anxiety, the federal government of the U.S. has accepted the system but with some degree of responsibility. When the medical care program was introduced to them, it has become a complex mix of public and private payments. The extent covered the maldistribution of resources and disproportions of access (Porter 9). Nevertheless, across the surveys, the U.S. health care system becomes the country’s largest employer. Approximately, 597,000 are physicians, 137,000 are dentists, 1.8 million are nurses, and nine million are field workers (Warner 356).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Administering the federal health care activities was charged to the Department of Health and Human Services. Health insurance comprises all forms of insurance against financial loss resulting from injury or illness. The most common health insurance coverage is for hospital care, including the physician services in the hospital. Major medical policies protect the insured against calamitous charges, paying a sum of that ranges from $10,000 to $1,000,000, after the policyholder has paid a preliminary deductible amount (Warner 371). Patients usually have out-of-pocket expenses since doctors’ charges are not entirely covered by the insurance.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Overheads for healthcare services in the U.S. alone have been mounting sharply for about over a decade. Insurance coverage is potholed. Coverage for home care of the chronically ill is nigh on absent. A fixed sum is paid for a service except for hospital insurance. More often than not, this payment must be supplemented by the patient (Warner 358).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Problems also arose in the aspect of recruitment and distribution of physicians. About one-fourth of U.S. physicians were engaged in primary patient care. That included obstetrics, internal medicine, pediatrics, and family medicine. In the slums of big cities, physicians are sparse but profuse in the more affluent sub-urban areas (Porter 12). One of the more daunting areas of health care is the prohibitive cost of medicines. At present, there is no governing body that regulates the price of medicine. This means that the manufacturers dictate the prices. With this discretion, expectedly the prices could be set as high as excusably possible. To ornament with justice, their marketing strategy has spawned the mentality that â€Å"branded is better.† Came the managed healthcare system. The genesis of contemporaneous managed care can be trailed to the prepaid plans providing healthcare to rural, shipbuilding and construction workers in the U.S. in the 1920s and 1930s. Managed healthcare have likewise existed in ancient China when doctors were supposedly paid only while they kept their patients healthy. Although many of the procedures used by managed healthcare to regulate expenditures have existed in African countries for a time, it was only since the latter part of the 20th century that the concept of managed care has been both in full swing in an effort to provide Africa with low-priced quality healthcare and denigrated by others (Porter 10-11). But in the U.S., managed healthcare was only firmly established when briskly swelling healthcare costs in the 1970’s and 80’s led to the passing of legislation providing for the establishment of Health Maintenance Organizations (HMOs) (Warner 370).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   HMOs and the government has since then been on the lookout for effective alternatives. The government and the private sector all face the problem of financing the uncontrolled inflation of cost in the medical care program. Others blame it on the growing numbers of people who seek care. Some on the greater use of laboratory costs and of specialists in diagnosis and treatment (Reiser 16). Needless to say, the synergistic force of the sectors wanted programs that were cheap but were at least, effective.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Hospitals were responding to increasing cost demands. They attempted to introduce more competent management schemes. Proprietary hospitals have found greater earnings in chain operations. Other efforts to slash costs included hiring less-expensive professional workers, like nurses and paramedics, in the hope of getting basic care to patients at a lower fee (Porter 10). The health care system has indeed been an entrepreneurial idea. However, paradox has it that in due time, antibiotics, vaccines, and other vital medicines will be short of availability at least, among the 5.6 billion people, according to the World Health Organization (Porter 18). Scarcity of producers of medicines has nothing to do with it. Maldistribution and capitalistic exploitation will make the medicines inaccessible to the poor. Over 40 million Americans have some form of heart or blood vessel disease, and the combined costs of treatment and lost income exceed 50 billion dollars annually. About 4 million people, 10 percent of those with cardiovascular diseases, have coronary artery disease. Because of these findings, the Framingham Study considers cardiovascular disease as one of the leading epidemiological diseases in the country. A more distressing fact rings throughout the Third World countries whose healthcare programs are financed by their governments on less than 1 percent cut from the gross domestic product (Porter 15-16). At this reality, whose son or daughter will not be underfed? Every major city had slum areas that housed the poor and unemployed, and declining farm incomes created rural poverty. Amid the growth and confidence of the postwar years, United States leaders initiated programs of aid to help people at home and abroad improve their way of life. Programs of domestic aid included funds for education, medical care for the poor, and urban renewal programs. International air programs begun soon after the war sought to help United States maintain economic and political stability (Fusfeld and Bates, 1984). Poverty-stricken people suffer from the lack of many things they need. For example, they are less likely to receive adequate medical care or to eat the foods they need to stay healthy. The poor have more diseases, become more seriously ill, and die at a younger age than other people do. Poor people often live in substandard housing in socially isolated areas where most of their neighbors are poor. Many low-income families live in crowded, run-down buildings with inadequate heat and plumbing. The jobs most readily available to the poor provide low wages and little opportunity for advancement. Many of these jobs also involve dangerous or unhealthful working conditions. Financial, medical, and emotional problems often strain family ties among the poverty-stricken. Furthermore, the healthcare system of countryside Americans is dense. For instance, Indians are lacking relative to their urban equivalents in many important ways that shape their health: they are unduly economically inferior, proportionately lesser are of working age, and they have not fulfilled as much of education. Topographical access is of principal interest in several rural states. Indians who reside in remote areas, comparatively far from urban areas or centers, sometimes find it hard to get in touch with healthcare personnel or services. In respect of urban inhabitants, rural dwellers have to trek farther to care and tackle other problems such as mediocre road and rail network, and short of public transportation. These problems are distinguished yet their resolution escapes the labors of the U.S. Legislature, and local governments. Culture is another driving factor, including influential customs (Nabokov). The Indians’ unfavorable health behaviors, employment of folk medication, the impact of traditional religion on healthcare, and estrangement from countrywide society all play a part to the way they care for their health. To make the decisions centralized, World Medical Association was founded as an organization of several of the world’s national medical associations. Instituted in 1947, this medical society has embraced an international code of medical ethics and many other ethical pronouncements. The center of operations is in Ferney-Voltaire, France (Porter, 2000). One of the pivotal epidemiological methodologies for an improved healthcare provision is an informed public. If the individual does not understand what he or she must do to preserve health and reduce his or her risk of a probable epidemiological disease, if he or she does not recognize when he or she needs outside help, and if he or she or members of his family are not prepared to take the appropriate steps to obtain this help, then all of the world’s medical knowledge will be of little value. The educational process that would prepare an individual to help preserve his or her own health and reduce his or her epidemiological risk should ideally begin in his or her youth when lifelong patterns are being formed, and continue throughout his or her adult life. A hospital management’s role is twofold: helping to build good health habits in the young, and serving as agents in adult health habits through public information and education programs designed to teach preservation of health and raise the general health consciousness of the people. The practicing physician, emergency medical services, the clinic or neighborhood health center, the hospital as a whole stand to be prepared in implementing medical line of defense. Even at times the nonmedical person who is on the scene when an acute emergency occurs are relied on. In order to be effective, the hospital carrying out the epidemiological measures, together with these individuals and services, are obliged and expected not only to be capable of providing healthcare, but must be prepared to do so in a manner that is acceptable and accessible to, and understood by, the public. The epidemiological measures of a hospital in this area shall also address such things as professional education, healthcare standards, and public information regarding access to care and services. Another approach is that which serves as the underpinning of the rest of the strategies and plans; it is the biomedical research to identify such epidemiological factors as dietary fats, smoking, hypertension, etc., that adversely affect human health and to devise methods for preventing, diagnosing, and treating these conditions and the diseases to which they contribute. In this regard, the hospital has a unique role to play, in that while they cannot the huge sums needed for large-scale clinical trials or epidemiological studies, they claim to have an excellent mechanism for supporting young investigators who are juts beginning their research careers, helping them gain the experience and results necessary to compete for larger grants in the national and international arenas. The emphasis is practically placed on the support of quality research projects having high merit ratings. To adequately develop such improved measures by Medicare, it should have the hospital require a programmed effort that first takes into consideration the fact that the hospital cannot be all things to all people. It may have quite limited resources in terms of money, volunteers, and staff in other departments, and the need for each of these resources may always seem to exceed the supply. Since there are numerous programs and activities that are capable of improving health of the patients to some degree, hard choices must be made regarding the disposition of these resources. This implies priority setting, which is made more efficient by the establishment and implementation of a hospital-wide, goal-oriented, long-range planning process. Such a process helps the hospital focus its epidemiological measures on high yield, cost-effective projects that either help prevent the healthcare provision, or provide ongoing relief and control, yielding the highest return on time and money invested. All in all, medical institution evolved across time to deal with problems of health and disease using epidemiological measures that are based on mortality, morbidity, disability, and quality. More specifically, medical institution was perceived performing a number of key functions in modern societies. First, it treats and seeks to cure disease. Second, the medical institution attempts to prevent disease through maintenance programs, including vaccination, health education, periodic checkups, and public health and safety standards (administrative medicine). Third, it undertakes research in the prevention, treatment, and cure of health problems (preventive medicine). And fourth, it serves as an agency of social control by defining some behaviors as normal and healthy and others as deviant and unhealthy. Although health care can take its roots back when one of the greatest achievements of civilization was the naissance of medicine, real health comes from within. The quality of life of an individual is governed by the swelling bearing of his positive personal health-seeking activities and behaviors. And with the help of heath care, tomorrow’s health centers will fill out today’s precision diagnostic services with equally scientific self-care and wellness programs. Future healthcare will increasingly concede to the empowerment of the individual. Perhaps the way healthcare began more than two thousand years back differs from the way it will continue in the next two thousand years or so. The gods may still have a role but not for the folks to plead to for kinder nature. A common Supreme Being might then take the place of them and be prayed to in exchange for a kinder world. If in the past, the causes of illnesses may have been shared between man and nature, from this time forth, diseases would be brought about by the caustic arms of industrialization.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Whose healthcare would not be needed most in the midst of volatile worldwide climate and industrial population? Typhoons come and leave natural borne diseases. McDonald’s open their stores and send resentful stomachs to the healthcare clinics. Who would not consequently draw a smart plot from the commercial appeal of healthcare? For healthcare, this means an upsurge in affliction as well as a digression of resources away from healthcare toward reform. The pandemonium disrupts food supplies, infectious diseases multiply, and alarm triggers stress-induced illnesses. The beginnings of medical care may have been deemed mad and laughable. Then again, its inheritance, with the help of worsened worldwide scenarios, is rendering the underprivileged mad and the moneyed having the last laugh. References Amundsen, Darrel W. (1996). â€Å"Medicine and faith in early Christianity.† Medicine, Society, and Faith in the Ancient and Medieval Worlds. Baltimore: The Johns Hopkins University Press. Chambers, Donald and Kenneth Wedel. Social Policy and Social Programs: A Method for the Practical Public Policy Analyst, 4th edition. Pearson Publishing. Fusfeld, Daniel R., and Timothy Bates. (1984). The Political Economy of the Urban Ghetto. Southern Illinois University Press. McDaniel, W. B. (1959). â€Å"A view of 19th century medical historiography in the United States of America.† The History of Medicine. Nabokov, Peter. Native American Testimony: A Chronicle Of Indian-White Relations From Prophesy To The Present (1492-1992). Penguin Publishing. Porter, Dorothy E. (1975). Social Medicine and Medical Sociology in the Twentieth Century. Cambridge, Mass.: Harvard University Press. Reiser, Stanley J. (1984). â€Å"The machine at the bedside: Technological transformations of practices and values.† The Machine at the Bedside: Strategies for Using Technology in Patient Care. Cambridge: Cambridge University Press. Warner, Martin S. (1985). Medical Practice and Health Care During the Revolutionary War and Early National Periods. Baltimore: The Johns Hopkins University Press.