The Essence of Being Women and Native.

When human beings are uprooted from their ancestral lineage, their work, social relationships, marriage, parenting, and rellglon change. The breakage occurs not only at social and economic level, but internal as well, because of an immense effort made to overcome a strong internal crisis. In general native women used to enjoy great influence and respect from their community.The transformations native woman from Huron and Ojibwa experienced impacted them deeply, and their lives were rastically altered by the coming of European settlers with the new ways to be considered by white people, they be converted in secretive person for a lengthy time. Despite of this, as a consequence of this in recent years, native women raised their voices to be recognized as part of a tradition that deserved to be respected.According to Castellano, the village of Huron native women are organized on a clan membership and It recognizes the social status from female who play a very important role Into the com munity, such us parenting, collecting and preparing food, lanting crops and selling It, also the participated In polltlcal activities, because men went away to hunt, fight or make another actlvltles.Woman life was highly regarded for its capacity to give birth and help community survive without presence of men. On the other hand, the native Ojibwa people were hunter – gatherers, which meant that women also had an important role in the development of its economy; they were doing all the domestic work, weaving fishing nets, harvesting rice, making fur clothing. A significant issue is that Ojibwa Shaman was a highly regarded woman; because of community saw her as a warrior.Therefore, is not difficult to understand when Castellano said, that when European settlers introduced new standards of living to the communities, the greatest impact was on women; they were stripped out of their traditions and Identity, which consequently led them to withdraw from social life for a long perio d of time. They used to spend time on common tasks In Isolation In order to avoid being Judged on unknown for them parameters.So, women native raise their voice to open spaces of dialogue that allow them to preserve the essence of their identity by finding new ways to combine their own tradition with the elements of the new environment. The exhibition of native art and teaching is being a significant contribution to the achievement of it. To conclude, since the beginning of humanity it had to co-exist with the colonization from â€Å"others†, which caused the loss of traditions, lineages, and established ways of developing the society; it also aused tremendous suffering to the native communities, in their identity loss.Likewise, in the '80s a great numbers of communities were destroyed inside the country Peru by Sendero Luminoso a terrorist group, one example is the thousands of women forced to move to different cities of the country In search of security and hope, but on arr ival were forced to adapt In environments where they were discriminated against battered unable to find space to continue their tradltlons or develop tnelr skills, wnlcn were commonly working tne land, anlmal nusDanary, aising the family.The traditions handed down for generations from mother to daughter were destroyed. Today many of these traditions have been lost by the inability of local governments to create spaces of dialogue and openness to other forms of society. Every native community has its particularities that incidence with the location of the community, climate, and distribution of roles that are developed through generations, which makes them unique, unrepeatable that deserves to be respected and recognized as any other society.

Comparing the ways Edgar Allen Poe and Bram Stoker convey horror through writing Essay

Through this essay you will see how although the writing style of Edgar Allen Poe in ‘The Black Cat’ and the style of Bram stoker in ‘The Judges House’ is completely different, they both manage to achieve the same effect – leaving the reader anxious, excited, mystified and scared. Both these authors stories were written before the nineteen hundreds, a time when people were just understanding the ways the world works. In this time horror stories were very popular. The perspective of both Poems is different. In The black cat Poe writes in a first person perspective: â€Å"Today I die and tomorrow I would unburden my soul†. Where as Stoker writes in a third person perspective: â€Å"Malcolm Malcolmson made up his mind†. The use of third person in this story displays the feelings of more than one character and you can build up more fear than first person by using devices such as rhetorical questions by other characters for example when Mrs Cranford cries â€Å"not the Judges house!† it creates the feeling of horror and helplessness. First person perspective makes you feel sorrow for the character. If Edgar Allen Poe had written the black cat in Third person perspective You wouldn’t get the emphasis of his emotions, how he feels regret of what he has done, fear of this new animal and superstitious about the strange imprint on the wall. For example, when he writes â€Å"gradually, very gradually I came to look up on it with unutterable loathing†. This really emphasises the hated of the animal, an emotion that would not have been able to have been shown to that extent in third person. It is also more believable as it is through the eyes of the beholder. At the start of the black cat Poe starts off very secretively, he writes of something horrible that has happened to him, but he will not expand on what this occurrence is: These events have terrified, tortured and destroyed me†. This suspense adds to the mystery of the first scene. Poe writes, â€Å"tomorrow I die† showing something horrible has happened to him. The fact that this is not in chronological order keep you wondering throughout the story what is going to happen and keeps you in suspense. It also keeps you trying to link the current storyline to death, for example, when it says about the new cat: â€Å"It was a black cat – a very large cat-fully as large as Pluto and closely resembling him† you are thinking how this new cat could be linked to his death. Stoker, however has a very different approach to build up mystery. He uses setting whereas Poe does not. When he describes the lodgings he describes it as a gothic residence: â€Å"with heavy gables and small windows set higher than was customary in such houses†. Gothic residences have always been associated with death and fear in horror movies. He describes the village as empty: â€Å"desolation was the only term for conveying a suitable idea of its isolation† the idea of a desolate empty place is the perfect setting for a horror story. The fact that the house has been empty for so long indicates something dreadful has happened there. The locals all seem to know something dreadful about the house. It seems that Malcolm is the only person who doesn’t know what’s going on there. When Mrs Cranford cries at him â€Å"not the judges house!† it creates a feeling of dread for what is going to happen to Mr Malcolmson. Poe uses superstition to add to the mystery. The first little bit of superstition is when he reveals that his wife believes that all black cats are witches in disguise. This brief, initial introduction of superstition creates mystery in your head, and it makes you think, ‘what if black cats are really witches in disguise.’ When the cat imprint appears on the wall, the character tries to dismiss the supernatural happening with a far fetched logical explanation. He tries to say that someone tossed the hanging corpse of the cat in through the window to try and wake him up. He then tried to say that because the wall was freshly spread plaster, it did not fall down. He said that the ammonia from the carcass had made the impression on the wall. Edgar Allen Poe had purposely made this string of events unbelievable so that the reader would know that there was something strange going on. I think that the imprint was a symbol that the cat was not dead and that it was an omen that it was going to come back to haunt him. The new cat was very suspicious, the fact that it looked a lot like Pluto made you think that it was a demonic symbol of Pluto. The cat gets more and more attached to him but he is reluctant to interact with it because he feels the supernatural element of this situation. He begins to hate the cat and the fact that it is always around him: â€Å"Its evident fondness for myself rather disgusted and annoyed me† but he wont harm the cat for fear of what will happen and regret of his previous crime: â€Å"at times although I longed to destroy it with a blow I was withheld from doing so partly by memory of my former crime but chiefly – let me confess it at once – by absolute dread of the beast†. The fact that it wont leave him alone, and that drives him madder and more angry makes it seem like the new cat is testing his willpower to leave it alone. His fear grows as the cat follows his every step. The only difference between Pluto and the new cat was a white splodge on its belly. It turns out later that this splodge is actually a image of gallows. The image grows in size until the character can clearly make out the image. his realisation of what this means is clearly shown in this quote â€Å"Gallows! – oh mournful and terrible engine of horror and crime – of agony and of death.† He has realised his fate – death. He feels remorse for what he had done to Pluto. He knows that this ‘beast’ is an image of Pluto. A symbol of god: â€Å"a brute beast to work out for me-for me, a man fashioned in the image of the high god – oh insufferable woe! He believes its is god in disguise of a cat† Stoker also uses supernatural elements. Every night the rats come out and make a lot of noise. They run up and down the alarm bell. They all stop suddenly a run away as a giant rat comes down the alarm bell. The rats are scared of this larger rat indicating that this rat is evil. Stokers description of the rat makes it sound evil: It showed its great white teeth and its cruel eyes shone in the lamplight. When Malcolmson throws a book at the creature to try and scare it, but it does not flinch. But when he throws a bible at the rat it scampers away. This indication of good/evil shows that the rat is evil. It is well known that Satanic beings such as this rat fear holy objects such as a bible and a cross. When Malcolmson realises that the rats eyes are identical to the picture of the Judge the figure of the judge disappears. He then turns round and sees the judge. The judge smiled in a cruel way: With his baleful eyes glaring vindictively, and a smile of triumph on his face† The judge does not say much in this last scene, I think this is important. Stoker did this so his character was not totally revealed. He remained a mysterious character. The descriptions of horror in The Black cat are very in depth: â€Å"I grasped the poor beast by its throat and purposely cut out one of its eyes from its socket.†. He doesn’t linger on this for long. These shock tactics really build up the horror in this story by making you feel horrified and shocked. Another example of this is when he kills his wife: â€Å"I withdrew my arm from her grasp, and buried the axe in her brain.† This again shows the shock tactics used when describing the horror scenes. His violence gets gradually worse. All his violence is triggered by anger or drink: â€Å"Through the instrumentality of the fiend intemperance had (I blush to confess it)experiences a radical alteration for the worst. I grew day by day more moody, more irritable regardless for the feeling of others. First he verbally abuses his wife, this turns to physical violence towards his wife and animals – except Pluto: â€Å"I suffered myself to use intemperate language towards my wife. At length I even offered her personal violence. My pets of course were made to feel the change in my disposition. I not only neglected, but ill-used them.† Then he cut out Pluto’s eye when he scrammed him on the face. This again is due to him drinking. Poe writes â€Å"one night, returning home much intoxicated†. The guilt of doing this to Pluto and the sadness that it once had loved him got to him and he hung the cat in cold blood: â€Å"I hung it with tears streaming from my eyes† this shows his remorse when hanging him. The guilt of what he had done prevented him from hurting the new cat, until one day when the cat nearly tripped him up in the cellar he grabbed and axe, but his wife prevented him from killing by grabbing the axe. He then split her head open with the axe. The violence gradually gets worse and worse, building up the horror as it goes along. Stoker uses less graphic description, but instead uses reactions of characters to create the fear: â€Å"not the judges house†. This, I think is one of the main advantages of introducing characters into the plot. A disadvantage is that it can take the focus of the main character. They both use pattering to create fear in their stories. In the Judges house the same thing happens every night. He drinks too much tea, then out came the rats making all the noise and finally they all stopped when the large rat emerged. This also happens in the black cat. His violent acts are all triggered by alcohol. Pattering creates suspense, which in turn makes you wonder how does this link with what is happening in the story. The two writers both use logical explanations to try and explain why these things are happening. In the black cat, The character makes up a ludicrous explanation to explain why there was an imprint on the wall. He tries to say that someone must have thrown the cat through the window in an attempt to wake him up. He says that the wall didn’t fall down because it had just been plastered and that the ammonia from the carcass has made the imprint on the wall. In The Judges house Malcolmson’s explanation for all the events that are happening is that he was drinking too much tea and it was making him delusional. Both of these are deliberately far fetched so that the reader knows that something super natural is going on. Stoker uses a more descriptive style in his writing. He describes the scene, the weather and the people in far more depth than Poe: â€Å"The carving of the oak on the panels of the wainscot was fine, and on and round the windows and doors it was beautiful and of rare merit†. I prefer the descriptive writing of Stoker because it creates an image in your mind. Especially with the weather. Stoker uses the weather to great effect. When the thunder was lashing down toy could tell something bad was going to happen. This effect is used in a lot of horror stories. In my opinion, I prefer Stokers method of creating horror. I think the introduction of characters brings in a new element to the story. It creates an atmosphere of bewilderment and isolation. I say isolation because everyone seemed to know what was going on but Mr Malcolmson. However, as a whole I think I preferred The Black cat by Edgar Allen Poe. I think this is because I am used to modern stories, and this storyline is a bit more advanced and modernised than The Judges House. As I am used to modern horror stories I can relate to this story better. I think that the plot has some realism to it, more so that Stoker’s story. I don’t think Stokers story was linked together very well and it all seemed a bit distant.

Red Scarf Girl Essay

Red Scarf Girl Essay The Cultural Revolution was a time of much confusion in china. The memoir Red Scarf Girl by Ji-li Jiang illustrates the chaos of that time. Ji-li’s experiences during this time period led to her point of view changing. Ji-li starts the Cultural Revolution full of progressive thoughts, but this quickly turns to confusion, and leads to an important choice, something that impacts the rest of her life. In the beginning of the Cultural Revolution, Ji-li is full of thoughts of moving forward, and helping Mao’s work to succeed. She believes that she can make a difference in the world. Ji-li helps with the â€Å"Destroy the Four Olds† campaign, and is nearby when a shop sign is smashed for having a name that does not concede with the communist principles. This gives her a feeling of kinship with everyone there. â€Å"Although what we had smashed was no more than a piece of wood, we felt like we had won a victory in a real battle. †(Pg. 24). But even as she was aiding the revolution, her thoughts soon turned to confusion and frustration with the policies of the Communist party. In short, Ji-li begins the revolution full of progressive thoughts but she soon becomes puzzled with the parties policies. As the glossiness of the revolution begins to fade, Ji-li becomes perturbed with the rules of the Communist party, as the Red guards constantly contradict them. The paper says that â€Å"a historic counterrevolutionary† had â€Å"confessed and had a positive attitude, he was pardoned†(Both on Pg. 176). However, this is opposite from how Uncle Zhu was treated after his confession, as he was pushed for more information to make Ji-li’s father confess. All this chaos led to Ji-li having to make a choice between her father, or Chairmen Mao, because the Red guards needed her to be a witness of her father’s antirevolutionary activates to convict her father, and if she did not she would be stuck with a bad class status. This demonstrates the immense confusion there was during that time. In summary, the instability during the Cultural Revolution led to Ji-li having to make an important choice. As the novel draws to an end, Ji-li has am important choice to make; She can support her family or support Mao and the revolution. Ji-li face great pressure from the red guards and also from the part of herself that wants to cure her black class status. However she chooses her family because â€Å"(it is) too precious to forget and too rare to replace†(Pg 263). However, this choice has consequences for her and her family. She was prevented from becoming an actress because of her class status, and her mother was forced to write self-critism reports because she would not break with her husband. In brief, Ji-li has a vital choice to make, and chose her family, but this choice had consequences. How does Ji-li’s point of view change during the Cultural Revolution? It shifts from believing that Mao was most important, to believing that her family and responsibilities are most important. â€Å"Once my life had been defined by my goals: to be a Da-dui-zhang, to participate in the exhibition, to be a Red guard. They seemed unimportant to me now. Now my life was defined by my responsibilities. I had promised to take care of my family, and I would renew that promise every day†(Pg. 263) This shows how her view point has shifted from herself and Mao, to her family. Ji-li had a lot courage to be able to do what she did, and I think that it is her courage that got her this far.

Thomas Green case Study Example | Topics and Well Written Essays - 1500 words

Thomas Green - Case Study Example These played no small part in him getting noticed by the division vice president Shannon McDonald who eventually selected him for position of Senior Market specialist, bypassing the decision of his immediate boss Frank Davis. While not stated explicitly in the case, the understatement was that this decision could have set a negative tone in Davis and Green’s relationship from the start as Davis’ authority was undermined. This becomes an important point as the first few months of Green’s new job are filled with manager-employee conflicts leading to a threat to his job. Throughout the case we can identify several specific areas of Management principles which had the most influence in Green’s performance and his Marketing director’s dissatisfaction with his work and the tensions which arose. An organization culture refers to a set of shared values, customs and work style which is followed within any organization. The cultural aspects may be on the surface or deep level but they are accepted by employees and created according to the principles set by the top management. From the start, it seemed Green was unaware or unwilling to follow the set culture after his new promotion. From the case we get the evidence that a lot of importance was given to documentation, use of visual media and constant interaction between employees and supervisors in the department. The company prefers programmed decisions with the correct information, facts and data available for customer presentations- it is not a culture which would supports innovation and out-of-the-box thinking without the approval of your boss and some concrete data to support the process. These things were made clear to Green in the very first week of his work when he had several meetings with Davis who explained to him that while his ideas were good, what was expected was that there would be proper research and figures included when these ideas were presented to the clients. However, as we see in

Explain Jim's character and why he treats Laura as he does Essay

Explain Jim's character and why he treats Laura as he does - Essay Example That is how the play gets its name â€Å"The Glass Menagerie†. Beyond every sentimental elements found in this play, its theme circles around the two characters, Laura and Jim. Jim O’ Connor in the play is portrayed as a hero in his high school age itself. He mastered everything he did and convinced others that he could go farther than they would expect him to. In his teen days, he would sing well and make a circle of fans around him with his wits. He is a pleasing personality that can easily gain room in anybody’s heart. Although he does nothing that impresses others, the conviction in his words leaves an unshakable trust among his listeners. An adventure loving man he is, he changes his life style time to time and searches the new entertaining things to enthrall himself. When Tom meets him at the work place, Jim is an absolute movie fan. Loneliness and youthful inspirations drive his way from one spot to another in search of joy. Jim has been introduced as â€Å"a nice, ordinary, young man† (p. XIII) but his nature is rather skeptical as the way he meets Laura and recollects his past in the play. Jim never seems to be concerned about Laura except for the little love he has for her from the memories. Altogether, his character in the play is nurtured with ambiguity that of a man who willfully conceals his desire to escape situations for better choices with unwillingness to leave his little old love. He poses a role for self deceit when he leaves Laura for Betty, his fiancà ©e. Jim’s character in the play grows rather displeasing to normal audience at the end of the tale because of his ill motivated school days and the loneliness he chose to grow with. As the way his days with Tom’s family grow affectionate, he regains everything he wanted to have right from his teenage. Though he loves Laura, his insider always suggests him a way out- a way that meets his desires at reality. Laura-though is very beautiful like a glass toy, is very fragile

Eco luxury Essay Example | Topics and Well Written Essays - 2250 words

Eco luxury - Essay Example Since it requires a special skill and talent to be able to create clothing that can be use and re-use for decades, our future fashion designers, seamstresses, and tailors are being challenged to design and manufacture creative pieces of fashion designs that are classic and elegant. Also known as the â€Å"earth-friendly fashion†, â€Å"ethical fashion†, or an â€Å"eco fashion† (Fletcher); a sustainable fashion is a significant â€Å"part of the fashion industry that recognizes social and environmental responsibility† (Matthews 117; Preston 150). In general, there are some designers who would design and create garments for the purpose of â€Å"wear, wash, and throw away† (Matthews 119). Since the main purpose of promoting sustainable fashion is to enable the local and international fashion designers to establish a system that will indefinitely be supported by the public in terms of becoming an environmentalist and a responsible member of the social, sustainable fashion designers should avoid creating garments of poor quality and low class design. The concept of a sustainable fashion is slowly becoming a special part of the continuously developing trend in sustainable design. As part of a sustainable design which aims to decrease levels of carbon emission in our environment, a lot of people started creating different products that are environmental friendly (The Economist). In order to save the mother Earth, the concept of â€Å"environmentalism† has been adopted in the world of fashion. For instance, to actively participate in charitable work, some members of the fashion industry are giving out a small percentage of their total sales as a donation to non-profit organizations who are reaching out to the less fortunate individuals. Likewise, there are some famous fashion designers around the world who are actively promoting the use of environmental friendly materials such as the â€Å"natural and renewable fibers† that does not use pesticides (i.e.

E-books, Libraries, and Hard Cover Books Essay Example | Topics and Well Written Essays - 500 words

E-books, Libraries, and Hard Cover Books - Essay Example The main fears of publishers will be discussed, for example, a feeling that they will lose out on revenues if librarians have unfettered rights to purchase and distribute books. This chapter will progress by by discussing the reasons and possible reasons why publishers want the buying and lending model changed being that the content if now in electronic e-Book form and not the usual paperback books. The paragraph will then be concluded by summarizing the main points.The third paragraph will discuss the reasons why there is a conflict between publishers and librarians, from the point of view of the librarians. This will be the main point for this paragraph and will expound the main in details. The details will discuss the librarians’ revenue model for selling the paperback books and the model they use for the e-Books. The point at which this creates disagreements and conflicts with publishers will also be discussed. For instance, the fact that e-Books have no wear and tear or p ossible loss, and creates convenience for library patrons in that they don’t have to go to the library physically to review or even borrow a book. The benefits that librarians confer publishers will be discussed. The sources of information to be used will e verifiable scholarly sources such as journals and books that have done preliminary research. The paragraph will be concluded by reviewing the main pointsThe concept of e-Books being software will also be discussed before the paragraph is concluded.

The Perversion of the Violent Frontier Essay Example | Topics and Well Written Essays - 1750 words

The Perversion of the Violent Frontier - Essay Example In turn, the very same media perverted the picture of violence at the frontier. The success and fame of revived the production of American Westerns. Spaghetti Westerns form a significant genre in the history of film industry irrespective of the opinion of the critics. The film by Robert Rodriguez, ‘Desperado’ and the extremely violent action flick by John Woo both are being hailed as ‘modern Spaghetti Westerns.’ Fredrick Jackson Turner is regarded as the father of the advanced study in Western history, he researched some fundamental principles of western violence and found that the ideals of the pioneer have been understood in two forms that are: anti-government sentiment and the other interpretation is the profound faith in egalitarianism. Afterward, Turner explained that the pioneer passionately hated monopoly, aristocracy and special privilege in the social structure. Pioneer had faith in economy, simplicity and in the people’s rule. These people classified the attribute of personal development to be free from government and social limitations. If Turner’s perspective was valid for the situation on the frontier then it would have been easier to accept the conventional concept of the western ‘bad man’ or ‘criminal’ in response to the Turner’s proposition that the Western world was a person’s paradise. The pioneer in Turner’s construct did not have faith in the law and dealt with the matters on his own. Historical research of two about decades brought new theories to explain the relationship between the West and the violence. The book, ‘The Great Plains’ that was published in 1931 and was written by Walter Prescott Webb braided the concept of Western violence into a survey about the entire history of the Great Plains.

Oprah Winfrey Talk Show Furror Essay Example | Topics and Well Written Essays - 500 words

Oprah Winfrey Talk Show Furror - Essay Example The talk shows like any other new television genre were an assortment of old programming forms; many of them were aired at daytime. They were mostly geared towards women issues and their roots can be traced back to Arthur Godfrey and Art Linkletter. The shows also reflected their times; Phil Donahue daytime talk show began at the inception of the women’s movement. He tackled women’s issues such as artificial insemination, sexism and homosexuality and was capable of breaking the barrier between the host and the audience. However, his popularity dwindled when Oprah Winfrey began her show in 1983. Use of therapeutic sensibility gave her an advantage over Donahue. The style used by Oprah was unique; she focused on revealing problems, improvement of self-esteem, use of empathy as a cure and empowering women. She wept openly, hugged guests, and said goodbye to each of the member of the studio audience in person. She was able to walk in between the races (cultural bilingualism) thus she was capable of having a coalition of audiences. Imitators of Oprah emerged as her success became evident and they employed similar skills as hers; even Donahue was tackling similar topics like Oprah’s. A survey done on the talk shows by Michigan State University Researchers revealed similar characteristics in all the talk shows. There was a feeling of little attention and credit among the supporters of these shows for their contribution in neglected matters such as family dysfunction and race. The shows were characterized by traditional values and conventional view of morality; a show heavily influenced by empathy for victims. Political influence in these shows cannot be ignored. Clinton appeared in Donahue in a talk-show presidency during the 1992 campaigns; a similar talk-show was done with H. Ross Perot and George Bush in the same year. The key point of these shows was to persuade the victims/audience to feel their pain as a

Father Marin Mersenne and the New Mathematical Approach during the Assignment

Father Marin Mersenne and the New Mathematical Approach during the Scientific Revolution of the 17th Century - Assignment Example Father Marin Mersenne was himself very influential in the lives of many intellectuals, and instrumental in furthering the new mathematical approach and scientific thinking in general. However, it is precisely this scientific thinking that impelled him to promote it, and the need to defend his theology. Father Marin Mersenne was a contemporary of the mathematicians Thomas Harriot, Blaise Pascal and Isaac Newton, being older than the last two but died when Newton was a child. He was also a close friend of Descartes and Fermat. In fact, he was in touch with many other mathematicians as well such as Roberval, Torricelli, Desargues, and Huygens. This is because of his role for serving â€Å"as a clearinghouse for mathematical information† through correspondence and meetings. It was also his extensive travels that enabled him to act as the prominent channel of communication, which included Rome. It is said, â€Å"when Mersenne knew something, the whole of the ‘Republic of Letters’ was shortly informed about it†. Consequently, much of the unity in mathematical interests at the time is attributable to Mersenne. His own famous contribution to Mathematics was a development of the ‘Mercenne numbers’ that are primes of the form 2p-1 where p is itself a prime; important to number theory (Selkirk, 1992:34). In addition, he inspired the invention of the pendulum clock. However, Father Marin Mersenne was most influential in disseminating the mathematical ideas of others. For example, it was due to Mersenne that Galileo’s ideas on the path of a falling object on a rotating earth were widely discussed in France.

Landfills paper Term Example | Topics and Well Written Essays - 1750 words

Landfills - Term Paper Example A landfill must be easily accessible for transport by road. The land value is also considered during the construction of a landfill. Government requirements must be met. The community location is also another important factor in the design of a landfill (Tchobanoglous, 1993). Usually a landfill is built on a pit with existing holes being filled in the ground. A canyon is also a good place for building a landfill. The waste is piled above the ground using a mound. Geological stability is an important factor in the design of a landfill. Water table and location of rivers can also create stable landfills. The landform is compared with the restoration profile to calculate the capacity of the landfill. The amount of daily cover and density of wastes are factors that base the capacity. Other factors considered are the thickness of capping and construction of drainage layers. Intermediate cover and construction of lining layers is also important for the capacity of a landfill. Soil and water are protected using liner and collection systems. Protection is further achieved by storm water control, leachate management and landfill gas management. The costs for the design of a landfill are conducted by feasibility studies and site investigations. There are small areas for confining wastes in non hazardous waste landfills. Wastes are compacted to reduce their volume and covered with layers of soil (Tchobanoglous, 1993). A single cell is filled in the area for the landfill. Contamination by leachates migrating through the geological formation is prevented by a rubberized landfill liner that is exposed on the left. Waste collection vehicles are present at a weigh bridge. The load is inspected for wastes that are not in accord with the landfill's waste acceptance criteria. The load is unloaded at the existing road network. Dozers are used to spread and compact the waste. The wheel cleaning facility allows the waste collection vehicles to pass through. The daily waste tonnage is calculated and listed in databases during the weighing process. Many landfills have railroad containers. This allows landfills to be located at remote sites. Solid covers the waste in the landfill. There are alternative waste cover materials which can be sprayed on foam products. Temporary blankets, chipped wood and bio solids can also be used as daily cover. A daily cell is the space occupied by compacted waste and cover material. Waste compaction plays a vital role in extending the life of the landfill. Waste densities are affected by waste layer thickness and number of passes. Landfills have been developed using land re-use strategies. There are some adverse impacts of landfills. They can be fatal accidents and infrastructure damage. They can also cause pollution, contamination of ground water and harboring of disease vectors. Vehicles accessing a landfill can also generate environmental noise and dust. The best way to tackle these issues is during the planning stage. Access routes and landfill geometrics are beneficial in mitigating these issues. Daily cover protocols can be helpful in combating vector control (Tchobanoglous, 1993). A secure landfill is a carefully engineered depression in the ground. The aim is to prevent any hydraulic connection between the wastes and the surrounding environment. A bottom liner, leachate collection system, cover and hydro geologic

Pressure Ulcer Care Essay Example for Free

Pressure Ulcer Care Essay The aetiology of pressure ulcers is in some parts insubstantial due to the numerous influences that apply to the formation of a pressure ulcer. There are, none the less, a diverse array of contributing factors that have been proven to impair the structure of the skin and disrupt the healing processes, for example heart complications, lack of mobility, nutrition, sensory loss, temperature and age effecting the skins texture and strength. The most significant rationale behind the choice of clinical skill is to assist in the advancement of knowledge base, as Ali amp; Atkin (2004, p. 03) accurately specify, ‘we need to use our increasing knowledge base to transform service provision and provide better primary care’. As health professionals it needs to be realised that we are a vital link between patients and other specialised health care services, Morison (2001, p. 4) points out the importance of, ‘health care professionals as patient advocates in relation to tissue viability services’, if we do not make it our duty to be knowledgeable of what options our patients have it is impossible to administer care holistically as if our duty as a health care professional. In recent studies it has shown that pressure ulcers are most prominent with surgical patients, research has also shown that the surgical patient develops a pressure ulcer 8 times more than the non surgical patient (Pulskamp, 2007). Interestingly it shows that not only are pressure ulcers observed in older patients but just as often in the younger ago groups, with an increase in occurrence in those who receive neck and head surgeries (Bader et al, 2005), In a study is it is shown that adaptation to the operating table diminished sharply the incidence of pressure ulcer development. Bader et al found that often Pressure ulcers are observed after 2 weeks of being admitted, this then contradicts the theory that ‘pressure ulcers are caused by inadequate nursing care’, this then can only suggest that pressure ulcers develop during an operation, during periods of treatment or during investigations, for example X-ray departments where the mattresses are not adapted to the variety of different patients with a different variety of problems. To reduce occurrence and risk there must be put in place preventative measures in terms of risk assessments but as Pulskamp (2007) points out, ‘There is no validated tool to predict risk of pressure ulcers in the surgical patient’. There are numerous pressure ulcer risk assessment tools in use, yet none being significantly more preferred than others and each with particular strengths and weaknesses. In 2003 the National Institution for Clinical Excellence produced the guidelines, ‘pressure ulcer risk assessment and prevention, including the use of pressure relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care’. They suggest that in order to maximise the effectiveness of the guidelines, they should be enhanced by implementing them in working partnerships such as tissue viability teams. The aim of the guidelines, as LittleJohns amp; Rawlins (2005, p. 9) highlight, are to ‘inform clinical practice and to direct clinical decision making in order to improve patient outcomes with regard to pressure ulcer prevention and management’. To encourage the use of this guideline the National Institution of Clinical Excellence suggest, ‘incorporating guidance into continuing professional development programmes (in order to) further encourage its use in clinical practice’ (LittleJohns amp; Rawl ins, 2005, p. 100). After initial implementation an audit was arried out which highlighted significant pitfalls in implementation of the guidelines in clinical practice, for example being unable to record timings or risk assessments, repositioning charts not being used and seating assessments n out being carried out, this highlights the need for flexibility in future risk assessments as clinical issues often arise and cannot be avoided in the busy schedules of health care professionals and can often become barriers to the effective implementation there for making the correct use of the guidelines impossible risks unattended concerning the patients. They also voice the fear that the guidelines are simplifying clinical decision making and urge professionals to adopt any particular recommendations in light of such issues as available resources, local policies, patient circumstance and updates research findings. The European Pressure Ulcer Advisory Panel quick reference guidelines on prevention for developing pressure ulcers (2009) have a in depth and diverse approach on the assessment of pressure sores and contributing factors, their guidelines investigate not only the treatment of pressure ulcers but use of pressure ulcer prevention devices and wound management with a grading system to reflect the severity of the sore. The advisory panel suggests that, ‘pressure ulcers need to be assessed in the context of the patients overall condition’, they also identify ‘nutrition, pain and psychosocial factors as potential areas of complication, looking into the localization, grade, size, wound bed, exudates, pain and status of the surrounding skin’ (Dealey, 2005, p. 138). One of the pitfalls of this particular assessment strategies is the actual analysis of the pressure ulcer itself, one must have gained adequate back ground knowledge and experience on the analysis of a sore and the most suitable wound management product (for example dressings or antibiotics if the wound appears infected) to truly be able to grade it, Dealey (2005, p. 142) herself discusses, ‘accurate assessment is necessary in order to select a suitable wound management product’.

Effects of Traumatic Experience on Child Behaviour

Effects of Traumatic Experience on Child Behaviour How can a traumatic experience influence childrens behaviour? A literature review Introduction The issues surrounding childrens behaviour after a traumatic experience are complex, multifactorial and often hugely controversial. Having considered the literature on the subject, one could be forgiven for believing that there are as many opinions on the issues as there are people considering the issues. In this review we have attempted to cover as many of the major areas as possible in order to present a reasonably comprehensive overview of the subject. The definition of a traumatic experience is subjective from both the point of view of the child concerned and also form the observer. Some commentators have suggested that the only workable definition of a traumatic experience is one that, by definition, produces demonstrable psychological sequelae. (Abikoff 1987) This may be the case, but as other commentators observe, some psychological sequelae may not surface for years, if at all. This does not mean that the original triggering episode was not traumatic. There is also the view that that the worst kind, or most extreme type of trauma may be the most likely to be actively suppressed at either a conscious or subconscious level. (Haddad Garralda. 1992) Literature Review With an area of literature as vast as the one that we are considering here, it is often difficult to find a place to start. In this instance we will consider the paper by Prof. Harry Zetlin (1995) who starts with a short monograph on the screening of a television programme which dealt with arguably the most catastrophic of stresses to befall a child, that of the loss of a parent through murder or violence. He makes several thought provoking comments which are worthy of consideration as they are germinal to the thrust of this article. The first is a plea that the diagnostic label of post-traumatic stress should not be a â€Å"catch-all basket† for all emotional and behavioural problems that can occur after a traumatic experience. (Gorcey et al.1986) The second is the realisation that in the particular circumstances portrayed on the television where a parent is murdered have two consequences. The first is the obvious catastrophic trauma that the child experiences with the violent loss of a parent, but the second is the much less obvious fact that the child has, at a stroke, also lost a valuable, and normally available resource, of the protective family environment, which is often one of the most useful therapeutic tools available to the therapist. He adds to this two further insights. The first is that the surviving parent has their own trauma to deal with and that is invariably transmitted to the child and that, because such events are mercifully comparatively rare, only a comparatively few professionals are ever able to build up any significant expertise and experience on the subject. The main issue of the piece is, however, the very relevant point that considering the apparent obsession of the media with intrusive â€Å"fly-on-the-wall† documentaries and the almost equally insatiable public hunger for sensation, the very fact that such a programme is made at all, almost inevitably adds to the trauma felt by the victims. (Koss et al 1989) One could argue that actually confronting and talking about such issues is part of the healing process. Such considerations may be of value in the adult who is more able to rationalise the concepts involved, but to the child this may be very much more difficult and being forced to relive the episodes in a very public and unfamiliar arena, may do little more than add to the psychological stresses and damage already caused. (Mayall Gold 1995) This paper offers a wise and considered plea for sense and moderation, not to mention reservation and decency. It is written in calm and considered moderate tones which makes the impact of its message all the more powerful. The next few papers that we would like to analyse deal with the thorny issue of Attention deficit hyperactivity disorder (ADHD) in children. It has to be commented that there is a considerable body of literature which argues on both sides of the debate about whether ADHD is the result of childhood trauma. One side is presented, quite forcibly, by Bramble (et al. 1998). The authors cite Kewley (1998) as stating that the prime aetiology of ADHD is a genetic neuro-developmental one. They challenge the expressed views that it is a manifestation of early childhood abuse or trauma which can have occurred at some time previously with the words: â€Å"†¦..early abuse and trauma later manifest as symptoms and that the detection of these symptoms in children clearly illustrates early trauma is a prime example of the logical fallacy that underpins all psychoanalytical theory and practice.† The authors argue that to state â€Å"because psychotherapy is often effective it must reflect the fact that a traumatic episode must have been responsible because it addresses directly the original emotional trauma† (Follette et al.1996), is completely unsound. The natural progression of this argument, they assert, is the reason why many parents of children with ADHD have such difficulty in finding child psychiatrists who can actually help them rather than the many who would seek to blame them for the child’s behaviour in the first place. (Breire 1992) The authors take the view that the reason that psychoanalytical practitioners have held so much influence on the profession over the years is that it is only recently that the glare of evidence based medicine has fallen on their discipline. The authors argue that far from using psychotherapeutic tools to try to achieve resolution, the evidence suggests that psycho-stimulant treatment is far more effective (Abikoff 1987) if only because it enhances the therapeutic effect of other forms of treatment such as family therapy and special educational provision. The converse argument, or perhaps an extension of the argument, is presented by Thambirajah (1998) who takes the view that many papers on ADHD (and by inference he is referring to the one reviewed above), regard the syndrome as being a diagnosis made simply by â€Å"checking an appropriate number of boxes on a check-list†. He asserts that factors such as biopsychological circumstances should be weighed equally strongly as the symptom cluster of impulsivity, inattention or hyperactivity. (Tannock 1998) In direct contrast to the preceding paper he states that early traumatic experiences, current abuse or even depression of the mother may all be contributory factors in the aetiology of the condition. He argues that taking no account of these factors is to ignore much of the accumulated evidence and wisdom on the subject. He also makes a very valid point that to ignore these factors and only to use the check-list approach means that here is an over-reliance on the significance of these symptoms and, as a direct result, this leads to an overestimation of prevalence. He points to the obviously erroneous estimate of a study that was based exclusively on check list symptomatology, of 15% (although the study is not quoted). The author makes the very valid point that most psychiatrists would agree that the hyperkinetic disorder is a small sub-group within the ADHD syndrome and that these children may need treatment with stimulants but only after other aetiologies have been excluded. He makes the rather apt comparison of treating all children with ADHD the same way as calling all four legged animals with a tail donkeys. There are a great many more papers on this issue which we could usefully review but we must explore other areas of trauma in a child’s life in order to try to give a representative overview. With the possible exception of the situation outlined in the first paper reviewed, there can be few experiences more traumatising to a child than to me made homeless as a refugee in a time of war. The paper by Hodes (et al. 2001) is both heart rending and informative as it explores the health needs of refugees arriving in the UK. Although the paper catalogues all of the health needs (that need not concern us in this article) of the refugees, it does not overlook the psychosocial trauma aspects of the children’s plight. They point to the fact that one way that a child’s psychological trauma can be minimised is by being accepted into a peer group such as a school. While this may indeed be true, the problem is that refugee children are seldom seen by their peers as â€Å"belonging† and are therefore seldom completely accepted. (Lewis 1998) This is either aggravated or caused by the fact that they already have twice the rate of psychiatric disorder as found in control groups of children. (Tousignant et al. 1999). It is therefore important to be aware of these problems as they are often very amenable to psychiatric intervention (O’Shea et al. 2000). The authors quote a paper by Burnett and Peel (2001) who appear to be particularly pessimistic about making a diagnosis of post-traumatic stress disorder in children from a fundamentally different culture, as their recovery is thought to be secondary to the reconstruction of their support networks, which may prove particularly difficult in a different or even alien, cultural environment. They point to studies of the children who fled to the USA to escape the Pol Pot regime, who had post-traumatic stress in childhood, and even when followed up 12 years later they quote 35% as still having post traumatic stress and 14% had active depression. (Sack et al. 1999). This may be a reflection of the difficulty in getting appropriate treatment for a condition in a different culture. But, in distinct relevance to our considerations here, the authors comment that even exposure to a single stressor may result in a surprisingly persistent post traumatic stress reaction. (Richards Lovell 1999) The last article that we are going to consider here is a paper by Papineni (2003). This paper has been selected partly because of it’s direct relevance to our consideration, but also because on a human level, it is a riveting piece of writing. It is entitled â€Å"Children of bad memories† and opens with the quote â€Å"Every time there is a war there is a rape† (Stiglmayer 1994). The whole article is a collection of war-related rape stories and the resultant psychopathology that ensued. The author specifically explores the issues relating to childhood rape and its aftermath. She also considers a related issue and that is how the effect of maternal shame shapes a child’s perception of themselves (with heartrending consequences), how the shame felt by the mother is often externalised to affect the child who is the visible symbol of the physical act. (Carpenter 2000) The catalogue of emotion and reaction described in this article by some of the subjects, would almost make an authoritative text book on the consequences of a traumatic experience in childhood. It would be almost impossible to quantify a single negative emotion that was neither articulated nor experienced by the victims, not only of the act of rape, but also of the stigma and aftermath of the act which was often described as the worst aspect of the whole thing. A constant theme that runs trough the paper is the realisation that the presence of a child conceived by a rape is a potent reminder of the trauma and therefore is, in itself a bar to psychological healing. The author also points to the fact that another, almost inevitable consequence of forcible rape, is difficulty with relationships and intimacy which can devastate a child’s social development. (Human Rights Watch.1996). Such a child may not only have this burden to bear for its life, but the stigma forced upon it by society may also have untold consequences. The author quotes a child born from the Rwandan conflict, describing itself by different names which bear witness to society’s perception, and more accurately and inevitably, the child’s perception of itself: â€Å"children of hate, enfants non-desirà ©s (unwanted children), or enfants mauvais souvenir (children of bad memories)† The author describes how such psychological trauma may never be successfully treated and ends with the very perceptive comment â€Å"There cannot be peace without justice, and unless the international community recognises all rape in conflict situations as crimes against humanity, there will be no peace for the victims of such atrocities.† Conclusion It is clearly a forlorn hope to cover all of the aspects of trauma and its potential impact on a child’s life in one short article. We hope that, by being selective, we have been able to provide the reader with an authoritative insight into some on the problems associated with the subject. References Abikoff H. 1987 An evaluation of cognitive behavior therapy for hyperactive children. Adv Clin Child Psychol 1987; 10: 171-216. Bramble, Anne Klassen, Parminder Raina, Anton Miller, Shoo Lee, M S Thambirajah, Andrew Weaver, and Geoffrey D Kewley 1998 Attention deficit hyperactivity disorder in children BMJ, Oct 1998; 317: 1250. Briere J. 1992 Methodological issues in the study of sexual abuse effects. J Consult Clin Psychol 1992; 60: 196-203. Burnett A, 2001 Peel M. Health needs of asylum seekers and refugees. BMJ 2001; 322: 544-547 Carpenter RC. 2000 Surfacing children: limitations of genocidal rape discourse. Human Rights Quarterly 2000; 22: 428-477 Follette VM, Polusny MA, Bechtle AE, Naugle AE. 1996 Cumulative trauma: the impact of child sexual abuse, adult sexual assault, and spouse abuse. J Trauma Stress 1996; 9: 25-35. Gorcey M, Santiago JM, McCall-Perez F. 1986 Psychological consequences for women sexually abused in childhood. Soc Psychiatry 1986; 21: 129-133. Haddad P, Garralda ME. 1992 Hyperkinetic syndrome and disruptive early experiences. Br J Psychiatry 1992; 161: 700-703 Hodes, B K MacDonald, C J Mummery, and D Heaney 2001 Health needs of asylum seekers and refugees BMJ, Jul 2001; 323: 229 Human Rights Watch. 1996 Shattered lives: sexual violence during the Rwandan genocide and its aftermath. USA: Human Rights Watch. 1996 Kewley GD. 1998 Attention deficit hyperactivity disorder is under-diagnosed and under-treated in Britain. [With commentary by E Orford.] BMJ 1998; 716: 1594-1595. Koss MP, Dinero TE. 1989 Discriminant analysis of risk factors for sexual victimisation among a national sample of college women. J Consult Clin Psychol 1989; 57: 242-250. Lewis M. Shame and stigma. In: Gilbert P and Andrews B, Editors, Shame: interpersonal behaviour, psychopathology, and culture, Oxford University Press, Oxford (1998). In: Gilbert P and Andrews B, Editors, Shame: interpersonal behaviour, psychopathology, and culture, Oxford University Press, Oxford (1998). Mayall A, Gold SR. 1995 Definitional issues and mediating variables in the sexual revictimisation of women sexually abused as children. J Interpersonal Violence 1995; 10: 26-42 OShea B, Hodes M, Down G, Bramley J. 2000 A school based mental health service for distressed refugee children. Clin Child Psychol Psychiatry 2000; 5: 189-201 Papineni 2003 Children of bad memories The Lancet 2003; 362:825-826 Richards D, Lovell K. 1999 Behavioural and cognitive behavioural interventions in the treatment of PTSD. In: Yule W, ed. Post-traumatic stress disorders. Concepts and therapy. Chichester: John Wiley, 1999:239-266. Sack WH, Him C, Dickason D. 1999 Twelve-year follow-up study of Khmer youths who suffered massive war trauma as children. J Am Acad Child Adolesc Psychiatry 1999; 38: 1173-1179 Stiglmayer A, Editor, 1994 Mass rape: the war against women in Bosnia-Herzegovina, University of Nebraska Press, Lincoln (1994). Tannock R. 1998 Attention deficit hyperactivity disorder: advances in cognitive, neurobiological and genetic research. J Child Psychol Psychiatry 1998; 39: 65-69 Thambirajah, 1998 Consultant child and adolescent psychiatrist. Child and Family Consultation Centre, Foundation NHS Trust, Stafford ST16 1PD BMJ 1998;317:1250 ( 31 October ) Tousignant M, Habimana E, Biron C, Malo C, Sidoli-LeBlanc E, Bendris N. 1999 The Quebec adolescent refugee project: psychopathology and family variables in a sample from 35 nations. Am Acad Child Adolesc Psychiatry 1999; 38: 1426-1432 Zeitlin. H 1995 Traumatised children BMJ, Sep 1995; 311: 883. ************************************************************************************************14.5.05 PDG Word count 2,746

Barriers to Breast Cancer Screening and Mammograms

Barriers to Breast Cancer Screening and Mammograms Abstract The mammography screening recommendations have been ambiguous and disagree with suggesting institute to institute.   Thus, it is up to women to make choices about mammogram inspection based on their personal health beliefs.   This paper explores 6 published articles that report results from various research conducted on women with an average risk of breast cancer. These studies examined the connection between observed benefits and alleged barriers to mammography and compliance with mammography screening in women age 40 and older and among minorities.   It also discusses the latest findings and guidelines according to the American Cancer Society.   Other articles discuss their reviews to support mammogram screening for women under 50, a systemic review of the benefits and harms of breast cancer screening and factors that influence breast cancer screening in Asian countries. Introduction Currently, breast cancer is one of the most common cancers in women and one of the chief causes of death worldwide. (Oeffinger,Fontham, Etzioni, et al.)   According to the American Cancer Society 2015, it is the leading contributor to cancer mortality in women aged 40 to 55.   Several risk factors increase the likelihood of the disease occurring.   These factors include: (1) aging, (2) personal history of breast cancer, (3) family history of breast cancer, (4) history of benign breast disease, (5) menarche younger than 12 years, (6) nulliparous, or a first child after age 30, (7) higher education or socioeconomic level, (8) obesity and/or high fats diets, (9) menopause after age 50, (10) lengthy exposure to cyclic estrogen and (11) environment exposure (American Cancer Society, 2015).   The cause of breast cancer is still unspecified, yet these risk factors are known to play a part in the risk of developing this disease.   Essentially all women can be considered at risk.   No successful cure or preventative methods exist, and early recognition offers the best opportunity for decreasing morbidity and mortality. Literature Review The first article that I reviewed is titled â€Å"Benefits and Harms of Breast Cancer Screening, A Systemic Review†.   According to Myers, et al., mortality from breast cancer has declined substantially since the 1970’s, a drop attributable to both the accessibility of screening methods, particularly mammography, and better-quality treatment of more advanced cancer.   This literature pointed out that, although there has been stable evidence that screening with mammography reduces breast cancer mortality, there are a number of possible harms, including false-positive results, which result in both needless biopsies and added distress and anxiety associated to the potential diagnosis of cancer.   In addition, screening may lead to over diagnosis of cancers that may not have become life-threatening.   With their investigation in the meta-analyses of RTCs (randomized clinical trials) that stratified by age, screening women younger than 50 years was constantly associated with a statistically significant reduction in breast cancer mortality of approximately 15% while screening women 50 years or older was linked with slightly greater mortality reduction (14-23%).   In general, based on their research, they have concluded that â€Å"regular screening with mammography in women 40 years or older at average risk of breast cancer reduces breast cancer mortality over at least 13 years of follow-up, but there is uncertainty about the magnitude of this association, particularly in the context of current practice in the United States.† In summary, this review concluded that among women of all ages at average risk of breast cancer, screening was related with a reduction in breast cancer mortality of approximately 20%, although there was ambiguity about quantitative estimates of the association of different breast cancer screening strategies in the United States.   These findings and the related uncertainty should be considered when making suggestions based on judgments about the balance of benefits and harms of breast cancer screening. (Myers et al. 2015). Mammography can pinpoint tumors too small to be detected by palpitation of the breast by the woman or her health care provider.   Early detection of breast cancer in women improves the possibility of successful treatment and thus cuts morbidity and mortality from the disease (American Cancer Society, 2015).   Yet, there still exists an observable lack of compliance with the recommended screening guidelines.   According to an article in the Journal of the American College of Radiology by Monticciolo, et al. (2015), they pointed out that previous to the presentation of widespread mammographic screening in the mid-1980s, the mortality rate from breast cancer in the US had stayed unaffected for more than 4 decades.   From 1990, the fatality rate has fallen by at least 38%.   Considerably, this change is recognized to prompt detection with mammography.   In this next article, Miranda-Diaz, et al. (2016) studied the Hispanics Puerto Rican subjects, inner-city women and determinants of breast cancer screening and suggested that women with low incomes and education were less likely to partake in mammography.   Lack of submission of breast cancer screening tests is more prevalent among minorities.   They added that Hispanic women are less likely to receive a Physician’s recommendation for breast cancer screening, therefore, it was the primary reason for not doing a mammogram.   Other barriers for lack of compliance among Hispanic women and Latinas living in California are lack of health insurance, age, usual source of care, having a busy schedule, fear, cost and feeling uncomfortable during the procedure. In conclusion, the authors of this article did a study that was limited by the small sample size and may not be generalizable to the entire population of the island. In order to improve compliance as well as educating health care providers about the importance of referral, a tailored health education interventions directed to describe the nature and benefit of cancer screening test needed to be put in place. Similarly, another article stated that early detection of breast cancer, while the tumor is still small and localized, provides the opportunity for the most effective treatment. (Mandelblatt, Armetta, Yabroff, et al.) According to the American Cancer Society 2015, detection guidelines recommended that women with an average risk of breast cancer should undergo regular screening mammography starting at age 45 years.   Women aged 45- 54 years should be inspected annually and women 55 years and older should changeover to biennial screening or have the opportunity to begin annual screening between the ages of 40 and 44 years.   The suggested outcome of the guideline would result in earlier detection because breast cancers found by mammography in women in their forties are smaller and more treatable than those found by self-breast exam or clinical breast exam.   Consequently, earlier detection by mammography could save lives. According to an article by Kathy Boltz, Ph.D. (2013), amid the 609 definite breast cancer deaths, 29% were including women who had been screened with mammography, while 71% were among unscreened women.   In tally, her investigation found that of all breast cancer deaths, only 13% happened in women aged 70 years or older, but 50% occurred in women under 50 years old. Her studies were done to support mammogram screening for women under age 50.   In the meantime, Dr. Cady, MD, Professor of Surgery of Harvard Medical School in Boston, Massachusetts, and his teammates set out to deliver complete information on the value of mammography screening through a technique called â€Å"failure analysis†.   Such evaluations look backward from the time of death to determine the connections at diagnosis, rather than looking forward from the start of a study.   Only one other failure analysis related to cancer has been published to date.   In this evaluation, invasive breast cancers analyzed at Partners HealthCare hospitals in Boston between 1990 and 1999 were followed through 2007.   Facts for the study comprised demographics, mammography use, surgical and pathology reports, and recurrence and death dates.   The article also stated that the study showed a dramatic shift in survival from breast cancer associated with the introduction of screening.   In 1969, half of the women diagnosed with breast cancer had died by 12.5 years after diagnosis.   Between the women with aggressive breast cancer in this review who were spotted between 1990 and 1999, only 9.3% had expired.   â€Å"This is a remarkable achievement, and the fact that 71% of the women who died were women who were not participating in screening clearly supports the importance of early detection,† said co-author Daniel Kopans, MD, also of Harvard Medical School. The study of the â€Å"perception of breast cancer risk and screening effectiveness† was studied by Black, Nease, & Tosteson (1995).   The purpose of the study was to determine how women 40-50 years of age perceive their risk of breast cancer and the effectiveness of screening and how these perceptions compare with estimates derived from epidemiologic studies of breast cancer incidence and randomized clinical trials of screening. A random sample of 200 women, age 40-50 years old who had no history of breast cancer was chosen through the computerized medical records of Dartmouth-Hitchcock Medical Center.   Thirty-nine percent had an annual family income of $50,000 to $100,000, and 62% had at least a college education.   The subjects received the questionnaire in the mail which asked questions pertaining to breast cancer risk and screening effectiveness.   Seventy-three percent responded with a complete questionnaire.   The results showed that the women overestimated their probability of dying of breast cancer within ten years by more than twenty times.   When asked about their relative risk reduction from breast cancer screening, they overestimated by six times.   These results are based on assuming a 10% relative risk reduction from cancer screening.   Eighty-eight percent of the subjects agreed that the benefits to screening mammography outweighed the barriers.   The generalizability of this study is very limited because of this population is better educated and of higher income than the general U.S. population of women of the same age range.   Also, the subjects’ breast cancer risk was not precisely known, and the effectiveness of modern screening mammography is unknown.   The limitations also include the questionnaire which has not been previously tested.    The last article is a literature review of â€Å"factors influencing breast cancer screening in Asian countries.†Ã‚   Studies done by Ahmadian and Samah (2012), found that breast cancer arises in the younger age group of Asian women, 40 to 49 years old compared to the other Western counterparts, where the peak prevalence is realized between 50 to 59 years.   According to multiple sources and authors, in Singapore, Malaysia, Iran, Thailand, Pakistan, and Arab women in Palestine, more than half of new cases of breast cancer were diagnosed in women below the age of 50 years and in advanced stages III or IV.     Schwartz et al. (2008), discovered that breast cancer screening activities among Asian women living in their native country are low and mammography screening in Middle Eastern countries are also low.   Analyses of the information have shown that only 23% of Turkish people testified having at least one mammogram.   Fewer women about 10.3% in the United Arab Emirates had mammography, which was attributed to poor knowledge of breast cancer screening and infrequent offering of screening by healthcare workers (Schwartz et al., 2008)   In conclusion of this article, the authors stated that in order to improve women’s participation in breast cancer prevention programs/ screenings, especially among the at-risk subgroup, the intervention strategies should be tailored to their knowledge and socio-demographic factor.   The approaches accepted should also take into account the women’s emotional and ethnic matters in order to support lifelong mammography screening practice for Asian people which is based on hypothetical interventions. In addition, healthcare professionals working with Asian women should cautiously tackle the misapprehensions such as worry about mammogram devices and fatalism. (Ahmadian & Samah, 2012) Conclusion In summary, after reading and reviewing the 6 related articles pertaining to breast cancer and mammogram screening for women under 50, I have concluded that there are both pros and cons, benefits and harms, perceived benefits and alleged barriers, and compliance factors that affect women worldwide. Breast cancer has claimed millions of lives throughout the world and women should be encouraged to be mindful of and to consider their family history and medical history with a physician to determine if early detection is a warrant.   If the woman has an average risk of developing breast cancer, the American Cancer Society supports a discussion of screening around the age of 40 years.   According to the guideline, ACS recommends that women be provided with information about risk factors, risk reduction, and the benefits, limitations, and harms associated with mammography screening.   While it is recognized that there is a balance of risks and benefits to the mammogram, women should be provided with guidance so that they can make the best choice about when to start and stop screening and how frequently to be screened for breast cancer.   So, if you or your loved ones have an average risk of breast cancer and over 40 years old, would you prefer to have a checkup once a year or once every two years?   This is rather a personal choice but with early detection, the benefit of mammogram will prove to outweigh the risk and could possibly save your life. References Ahmadian, M and Samah, A.(2012) A Literature Review of Factors Influencing Breast Cancer Screening in Asian Countries.Life Sci J 2012;9(2):585-594.   (ISSN: 1097-8135).   http://www.lifesciencesite.com.   Accessed January 16, 2018 Breast Cancer Screening and Diagnosis (version 1.2015).   National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/PDF/breast-screening.pdfAccessed January 16, 2018. Mandelblatt, JS, Cronin, KA, Bailey, S, et al. (2009) Breast Cancer Working Group of Cancer   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Intervention and Surveillance Modeling Network.   Effects of mammography screening under different screening schedules: model estimates of potential benefits and harms. Ann Intern. Med. 2009;15(10):738-747. Mandeltblatt, JS, Armatta, C, Yabroff, R, Liang, W, Lawrence, W. (2004) Descriptive Review of the Literature on Breast Cancer Outcomes: 1990 Through 2000. JNCI Monographs, Volume 2004, Issue 33, 1 October 2004, Pages 8-44. https://academic.oup.com/jncimono/article/2004/33/8/933605Accessed January 17, 2018. Oeffinger, KC, Fontham, ETH, Etzioni, R, et al. (2015). Breast Cancer Screening for Women at average risk: 2015 Guideline Update from the American Cancer Society. Jama.2015. doi:10.1001/jama.2015.12783. https://provimaging.com/wp-content/uploads/2015/11/JAMA-Network-_-JAMA-_-Breast-Cancer-Screening-for-Women-at-Average-Risk_-20.pdfAccessed January 17, 2018. Schwartz, LM, Woloshin, S, Sox, HC, Fischloff, B, Welch, HG.(2000) US Women’s Attitudes to False Positive Mammography Results and Detection of Ductal Carcinoma in Situ:   Cross Sectional Survey. BMJ. 2000;320 (7250): 1635-1640. http://www.bmj.com/content/320/7250/1635.Accessed January 20, 2018

Symbols, Motifs, and Themes of Bless the Beasts and the Children :: essays research papers

Bless the Beast and the Children symbols, motifs, and themes essay In Bless the Beasts and the Children, symbols and motifs help progress the story and develop the theme that ?when faced with a certain situation, boys will do great things?. The boys can use symbols and motifs to help them get through obstacles without giving up and acheive their goal. The boys also give up symbols and motifs they used for comfort or stability that they no longer need because of their independence and maturity. All of the boys carry around a radio, hat, and flashlight which each symbolize how the boys rely on physical things to soothe their emotional distress. The radios give the boys a sense of security when they?re afraid. The hats symbolize shelter for the boys away from the society. The flashlights symbolize a comforting presence when they?re alone. These items all symbolize the boys? immaturity in the beginning which helps progress the story by how the boys can throw them away at the end and declare their maturity and emotional stability. This symbol helps develop the theme because they are faced with the situation of being alone when they?re not stable enough to be dependent on themselves so they use these things to replace that feeling. The gates that constrain the buffalo in their pens symbolize a barrier or obstacle that the boys have to face to get one step closer to their goal. The boys have to solve many conflicts to get their freedom and the buffalo have to get through the gates to get theirs. The buffalo is a motif representing the boys and their struggle not only for freedom but to find themselves and find happiness in society. The gates help progress the story because it is the final challenge the boys have to overcome before completing their goal and gaining independence. This symbol helps develop the theme because it shows that the boys didn?t back out, faced up to the challenge and got what they wanted. Cotton symbolizes the boys? dependency, insecurities, and innocence. Cotton is a vital role in the book because he is a father like figure to the boys that they can fall back on when they uncover obstacles and feel distressed, he can comfort them. The boys are very dependent on Cotton?s wisdom and knowledge throughout the whole story because the boys are still children and need someone to support them, and they are very insecure about themselves and think that they need Cotton.

Realism and Henry James Essay -- essays research papers fc

Realism, in the broadest of definitions, is the faithful representation of reality or verisimilitude. The realist is considered to be the â€Å"philosophical extrovert† . Within the scope of American literature, ‘realism’ spans the time period from the Civil War to the turn of the century. Some claim that American realism was the product of a country shaken by war combined with technological advances and increased consciousness of nationhood. Realism, according to Weinberg, â€Å"denies the continuum of time as meaningful dimension of experience because time cannot be seen or touched† . In essence, realism was a solution to the problem of the past. It â€Å"made a religion out of newness and contemporaneity† . However, some critics of realism have criticized it as having been â€Å"exposed as an insidious agent of the capitalistic-imperialistic-bourgeois hegemony† . The advent of realism was much appreciated by writers everywhere for it was a response to the changing cultural needs. William Dean Howells, Mark Twain and Henry James are few of the pioneers of American realism. With time, Howells abandoned the idea of the past and worked solely in the representation of American life. Twain, however, was in a limbo between his bonds with the past and a promise to the present. At this time it was James, who reconciled the ties of history and with an intellectual commitment to the present. James wrote The Art of Fiction in 1884 in a critical response to Walter Besant’s lecture on the same topic. James’s basic aim in this critique was to critically analyze Besant’s thoughts on fiction whilst putting forward what he believed the art and form of fiction to be. James contends that fictional writing is the representation of real life. In The Art of Fiction he claims that a novel â€Å"is a proof of life and curiosity† . At another point in this discourse he writes, â€Å"The only reason for the existence of a novel is that it does attempt to represent life† . This is synonymous with the definition of realism that I have stated above which claims that realism in literature is the representation of life. In the essay, James highlights the basis, which he believes, are essential for a piece of fiction to become art. According to him, a piece of fiction should be informative and should not carry with it the load of moral judgments or analysis. The characters and their psychological process should... ...r, Everett. "William Dean Howells' Theory of Critical Realism." ELH 16 (1949): 151-166. †¢ Crowley, John W. "The Portrait of a Lady and The Rise of Silas Lapham: The Company They Kept." (n.d.): 117-134. †¢ Dicovery of a Genius: William Dean Howells and Henry James. Ed. Albert Monrdell. New York: Twayne, 1961. †¢ James, Henry. "The Art of Fiction." Longman's Magazine (1884). †¢ James, Henry. What Maisie Knew. New York, 1909. †¢ Pizer, Donald. "Late Nineteenth-Century American Realism: An Essay in Definition." Nineteenth-Century Fiction 16 (1961): 263-269. †¢ Rouse, H. Blair. "Charles Dickens and Henry James: Two Approaches to the Art of Fiction." Nineteenth-Century Fiction 5 (1950): 151-157. †¢ Salomon, Roger B. "Realism as Disinheritance: Twain, Howells and James." American Quarterly 16 (1964): 531-544. †¢ Weinberg, Bernard. French Realism: The Critical Reaction, 1830-1870. (Oxford, 1937) pp. 122-123.

HCS 483 Information System Briefing Essay

Information System Briefing Health Care Information Systems HCS 483 August 25, 2013 Information System Briefing Providing quality health care is rapidly becoming synonymous with health care organizations acquiring technology and information systems that are the most current. Success of the health care organization depends on the implementation of information systems that are designed to meet the standards of quality set by the organization and the health care industry. Acquisition and implementation of new or upgraded information systems pose big challenges. Understanding the organizations goals and the roles of the stakeholders will help in the process of choosing the correct information system for use by the organizations health care providers. Selection and Acquisition Creating a steering committee to start the process of selecting and acquiring is the first step for a health care organization when looking at implementing a new information system. Appointing a project manager to lead the committee to help give the appropriate information and guide the committee in making decision. The steering committee determines the process of implementing the new information system and conducts research to help determine the best information system for the organization’s needs. The steering committee must look at the needs of the organization for not only the current use but also how the system will grow with the organization into the future. Identifying the standards of care that the health care organization will help define the objectives the committee must meet and the scope of analysis to evaluate that the organization system requirements are met. Research Researching the vendors for products that will meet the needs of documentation and records storage is vital in acquiring the correct product. Contacting different vendors and setting up product demonstrations is the best way to compare products. This will provide for hands-on research for  ease of use and real-time questions to be answered by the representative. Collecting predetermined evaluation criteria from the members on the steering committee so that the selection process can begin. Collecting the individual remarks on the product must be done on the day of the presentation. Comparing the different information systems, this way will help with the selection process. Cost Analysis â€Å"The heightened awareness in recent years of the need to live within budgets in the health care sector would seem to create the perfect climate for cost-effectiveness analysis† (Russell, Gold, Siegel, Daniels, & Weinstein, 1996, p. 1). Cost analysis is part of the findings that the steering committee must submit in their findings while researching the different products. Cost is a driving factor in the selection of a new information system. If the new system does not integrate into established systems within the organization, there will be more cost associated with that product. Organizations Goals Upholding the health care organization’s goals in every aspect of the acquisition phase is first priority. Forming strategies that identify with the mission and goals set forth by the organization will help guide the recommendation from the steering committee. Involving other project leads from supporting departments such as Information Technology (IT) will be necessary. IT has the knowledge on the existing systems and will have the insight that is needed when adding or combining system products. It is probable that IT has projects that will need to interface with the new information system. Combining ideas and research may help lead to a better information system choice for the organization. Roles of the Stakeholders The stakeholder’s roles in the organization’s acquisition of new information system are from start to finish. There should be a stakeholder’s presence in the steering committee to put their skills and knowledge of the plans of the organization on the table to help influence decisions. The active stakeholder on the steering committee can report to other stakeholder’s on the progress and changes in the process of choosing the information system. The broad range of stakeholders is identified as anyone who holds interest  in the failure or success of the organization. This can range from Chief-Executive-Officer (CEO) to business managers and administrators, doctors to the nursing staff and even patients. Patients are a vital source of information because the patient is the owner of the data entered in to the information system. Stakeholders should have active input in the entire process of research, acquisition, and implementation of a new information system . For example, â€Å"The medical user may want an easy-to-use system releasing him or her from documentation tasks, while the administrative user wants a system enforcing complete documentation† (Ammenwerth, Graber, Herrmann, Burkle, & Konig, 2003, p. 5). Conclusion When considering the addition or expansion of a health information system the organization must conduct research with several vendors and a steering committee to make recommendations of the product that will best fit with the requirements set forth by the organization. The goals of the organization will help guide the decisions on what information system will fit the needs currently and into the future. The stakeholder’s involvement in the entire project gives unique insight from the different levels of stakeholders. Patients, nurses, doctors, management, and executive management are all stakeholders. Combining all of these elements will help in the process of acquiring the appropriate information system for the health care organization. References Ammenwerth, E., Graber, S., Herrmann, G., Burkle, T., & Konig, J. (2003, June 7, 2002). Evaluation of health information systems—problems and challenges. International Journal of Medical Informatics, 71, 125-135. http://dx.doi.org/http://dx.doi.org/10.1016/S1386-5056(03)00131-X Russell, L. B., Gold, M. R., Siegel, J. E., Daniels, N., & Weinstein, M. C. (1996, October 9, 1996). The Role of Cost-effectiveness Analysis in Health and Medicine. Journal of the American Medical Association, 276, 1172-1177. Retrieved from http://av4kc7fg4g.search.serialssolutions.com.ezproxy.apollolibrary.com/?ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info:sid/summon.serialssolutions.com&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The+role+of+cost effectiveness+analysis+in+health+and+medicine&rft.jtitle=JAMA&rft.au=Russell%2C+Louise+B&rft.au=Gold%2C+Marthe+R&rft.au=Siegel%2C+Jo

Chicago Referencing

stops Author- determine Referencing 2007 The sugar Author-Date referencing style has two fundamental systems of rollation. There is the humanities style (which move also be k zero(prenominal)n as the foot none and difference business line or the nones and bibliography style), as healthful as the au- thor- pick up style. This go through follows the generator-date system of referencing. This involves denotations at he ruse the school textbookual matter cor- reticuloendothelial systemponding to a full bibliographic door in the quotation hear at the end of the document. The in-text consultations embarrass the occasions last key, followed by the date of publication in p arntheses.The bibliographic inlet in the acknowledgement contestation includes all told in all(a) the former(a) necessary publication information. When victimisation End nonee, it is recommended that the style system to go for is dough Curtin 2007. Note this scallywagboy is only an base to the clams Author-Date referencing system. Curtin University subroutine library provides a modified version of the author-date system presented in The Chicago manual of style. 2003. 15th ed. Chicago The University of Chicago Press. How to cite germs Chicago style. 2006. http//wwwlib. murdoch. edu. au/ dress/ address/chicago. hypertext markup languageIt is very grave that you chasten your department or schools assignment maneuver as some exposit, eg. punctuation, whitethorn depart from the guidelines on this foliate. You may be penalised for not conforming to your schools requirements. The information and examples contained on this pageboy are chiefly derived from the above radicals. What is Referencing? Referencing is a standardised method of acknowledging sources of information and cerebrations that you micturate used in your assignment in a way that uniquely identifies their source. adopt quotations, facts and figures, as well as ideas and theories, from some(pren ominal) published and unpublished works must be fibred.There are many unimpeachable forms of referencing. This information sheet provides a drawing guide to the Chicago Author-Date referencing style. Within the text of the assignment the authors name is given premier, followed by the publication date. A extension phone hark at the end of the assignment contains the full expound of all the in-text citations. Why graphic symbol? Referencing is necessary to quash plagiarism, to verify quotations, and to enable use upers to follow-up and read more fully the cited authors arguments. Steps Involved in Referencing 1.Note ingest the full bibliographic details including the page number(s) from which the information is taken. In the case of a book, bibliographical details refers to author/ redactor, yr of publication, title, edition, volume number, place of publication and bracingspaper publisher as found on the preceding and back of the title page. (Not all of these details b equeath necessarily be applicable). In the case of a journal article, the details required include author of the article, yr of publication, title of the article, title of the journal, volume and trim number of the journal, and page numbers.For all electronic information, in addition to the above you should note the date that you accessed the information, and database name or meshing address (URL). 2. Insert the citation at the appropriate place within the text of the document (see examples below). 3. Provide a reference list at the end of the document (see examples below). In-Text Citations work the name of the author, followed by the course of instruction of publication when citing references within the text of an assignment. Where authors of contrastive references have the corresponding family name, include the authors initials in the in-text citation i. . (Hamilton, C. L. 1994) or C. L. Hamilton (1994). If two or more authors are cited at the kindred point in the text th en they are include in the same in-text citation, separated by a semicolon e. g. (Brown 1991 Smith 2003). They are presented alphabetically by author. When directly quoting from some other source, the relevant page number must be given and quotation marks primed(p) around the quote. When paraphrasing or referring to an idea from another source which is a book or lengthy text, include the relevant page number, as this might be profitable to the reader. How to Create a Reference tendencyIn general, page numbers should be include in all in-text citations, as many schools aver on this practice. A reference list only includes books, articles etc that are cited in the text. A bibliography is a list containing the sources used in developing a publication and other sources the author considers might be of use or interest to the reader. The reference list is arranged alphabetically by author. Where an dot has no author it is cited by its title, and request in the reference list or bi bliography alphabetically by the first pregnant word of the title. The Chicago style requires the piece and subsequent lines of the reference o be indented, as shown in the examples below, to extravagantlylight the alphabetical order. 2 founts of Referencing set asides In-Text spokesperson Reference disposition exemplar EndNote X (which reference character? ) Single author The theory was first propounded in 1982 (Horwood 1982, 65)ORHorwood (1982, 65) claimed that Horwood, J. 1982. Comfort. London Unwin Paperbacks. admit 2 or 3 authors (Madden and Hogan 1997, 22)ORMadden and Hogan (1997, 22) dis- cuss this ideaOR(Jones, Madding and Davis 1998, 34) Madden, R. , and T. Hogan. 1997. The definition ofdisability in Australia Moving towards guinea pig consistency.capital of Australia Australian Institute of health and WelfareORJones, J. , M. Madding, and B. Davis. 1998. How to trip out a pony. Sydney Australian Aquarian Press. password more than than 3 authors (Leeder et a l. 1996, 2) Leeder, S. R. , A. J. Dobson, R. Gibbers, N. R. Patel, P. S. Mathews, D. A. Williams, and D. Mariot. 1996. TheAustralian film industry. Adelaide Dominion Press. book of account Unknown authorshipor anonymous works (Advertising in the horse opera Cape1990, 74). Advertising in the Western Cape. 1990. Cape Town ABC Publishers. Book Multiple works bysame author University query (Brown 1982, 1988) has indicated that Brown, P. 982. Corals in the Capricorn group. Rock- hampton Central Queensland University. Brown, P. 1988. The set up of anchor on precious corals. Rockhampton Central Queensland University. regularise chronologically in the reference list. Book 3 of 11 Multiple workspublished in the same year by the same Author In recent reports (Napier 1993a, 55)Use a/b etc. to oppose between works in same year. Napier, A. 1993a. Fatal storm. Sydney Allen & Unwin. Napier, A. 1993b. Survival at sea. Sydney Allen & Unwin. launch alphabetically by title in the reference list. Book Editor Kastenbaum 1993, 91-2) Kastenbaum, R. , ed. 1993. liberal development. Phoe- nix Oryx Press. Edited Book Different Editions Neil Renton (2004, 75) suggests that Renton, N. 2004. Compendium of good opus. third ed. Milton John Wiley & Sons. An edition number is primed(p) aft(prenominal) the title of the work this is not necessary for a first edition. Book(put third in Edition). No date (Housley 2006? )OR(Housley n. d. ) Housley, N. 2006? . Contesting the crusades. Malden, MA Blackwell. ORHousley, N. n. d. Contesting the crusades. Malden, MA Blackwell. Book(put 2006? or n. d. in Year). encyclopaedia/ Dictionary In the section on calmwalking in the Encyclopedia of Sleep andDreaming (Mahowald 1993, 578) Entries in an encyclopedia or mental lexicon are not listed in the reference list. record the in-text citation manually. term or chapter in a book As discussed by Blaxter (1976, 120-35)OR(Blaxter 1976, 120-35) Blaxter, M. 1976. Social class and health i nequalities In Equalities and inequalities in health, ed. C. Carter and J. Peel, 120-35. London faculty member Press. Book Section expression or chapter in a book no author (Solving the Y2K problem 1997, 23) Solving the Y2K problem. 997. In applied science today and tomorrow, ed. D. Bowd, 23-35. New York pertly wave Nostrand Reinhold. Book Section Brochure (Re count and development join 2003) Research and gentility Centre on Independent Living. 2003. Guidelines for reporting and writing about people with disabilities Brochure. Melbourne Research and Training Centre. The publishers name may be abbreviated if it is also the author. BookType Brochure manually subsequently the Title. E-book (Pettinger 2002) Pettinger, R. 2002. Global organizations. Oxford Capstone Publishing. http//www. netlibrary. com. dbgw. lis. curtin. edu. au/ Details. spx (accessed September 28, 2004). Electronic Book(put September 28, 2004 in Date retrieveed) Thesis (Jones 1998, 89) Jones, F. 1998. The mechanism of acetylsalicylic acid residue flocculation. PhD diss. , Curtin University ofTechnology. http//adt. curtin. edu. au/theses/ available/adt-WCU20020610. 142909/ (accessedNovember 28, 2006). Thesis(put PhD diss. in Thesis Type) ConferenceProceeding (Hill 2000, 112) Hill, R. 2000. Proceedings of the Ninth face-off of the International National religious belief, March 3-5, 2000 TheNational Trust into the new millennium. Alice Springs, NT Australian Council of NationalTrusts. http//search. informit. om. au. dbgw. lis. curtin. edu. au/searchrec=11action= showCompleteRec (accessed November 29, 2006). Conference Proceeding(put 2000 in Year of Conference, The National Trust into the new millenniumin Title Proceedings of the Ninth showdown of the International National Trust in Conference Name, March 3-5 in Date,Alice Springs, NT in ConferenceLocation, Australian Council of National Trusts in Publisher). annual report of an organisation (Department of ictus and regional Services 2001)OR(Billabong International Ltd 2005) Department of Transport and Regional Services. 2001. Annual report 2001-02. Canberra DTRS.ORBillabong International Ltd. 2005. Annual report 2005 brands. http//www. connect4. com. au. dbgw. lis. curtin. edu. au/products/ar/index. html (accessed November 29, 2006). say(put DTRS in Institution) witness in a book The bet on-horse Buy Australian Apples (Cowle and Walker 2005, 65) Cowle, C. , and D. Walker. 2005. The art of apple branding Image. Hobart Apples from Oz. BookType Image manually after the title. Print diarys In-Text Example Reference listen Example EndNote X (which reference persona? ) Article As mentioned by Wharton (1996, 8) Wharton, N. 1996. Health and safety in outdoor bodily process centres.Journal of venture Educationand Outdoor Leadership 12 (1) 8-23. Journal Article Article no author Its a ontogenesis problem in the UK. (Anorexia nervosa 1969, 17) Anorexia nervosa. 1969. British health check Journa l 12 (2) 6-19. Journal ArticleYou will need to edit the in-text citation for it to depend in italics. newsprint, peculiarity ormagazine article (Towers 2000, 3) Towers, K. 2000. mend not at fault Coroner. The Australian, January 18. Newspaper Article(put January 18 in Issue Date) Newspaper, feature ormagazine article no author The Sydney daybreak Herald (21 Jan. 2000, 12) reported. Provide all the details in the in-text citation no need for an entry in the reference list. Press release . in the conjure release on 1 March,BHP enters new era, Watersmith ex- plains Treated like an unpublished document. No need for an entry in the reference list. You will need to enter the in-text citation manually. Electronic Journals In-Text Example Reference List Example EndNote X (which reference persona? ) Full text from anelectronic database (Madden 2002, 562) Madden, G. 2002. profits economic accomplishment andpolicy An Australian perspective. economic Record 78 (2) 551-78. I nformit Online. http// search. nformit. com. au. dbgw. lis. curtin. edu. au/fullTextdn=200208736res=APAFT (accessed October 16, 2003). Journal Article(put Informit Online in Name of Database, http//search. informit. com. audbgw. lis. curtin. edu. au/fullTextdn=200208736 res=APAFT in URL, October 16, 2003 in access code Date). Full text from anelectronic database no author The internet has had a huge impact on the Australianeconomy (Internet political economy and policy 2002, 350)You will need to edit the in-text citation for it to appear in italics. Internet economics and policy An Australian perspective. 2002. Economic Record 78 (2) 551-78. Informit Online. ttp//search. informit. com. au. dbgw. lis. curtin. edu. au/fullTextdn=200208736res=APAFT (accessed October 16, 2003). Journal Article(put Informit Online in Name of Database, http//search. informit. com. au. dbgw. lis. curtin. edu. au/fullTextdn=20020 8736res=APAFT in URL, October 16, 2003 in Access Date). 6 of 11 Full te xt newspaper,newswire or magazine from an electronic database no author (Cup lifts Seven out of ratings blue 2006, 33) Cup lifts Seven out of ratings blues. 2006. The Australian, November 13. Factiva. http//global. factiva. com. dbgw. lis. curtin. edu. au/ha/ default. aspx (accessed November 24, 2006). Newspaper Article(put November 13 in Issue Date,Factiva in Name of Database, http// global. factiva. com. dbgw. lis. curtin. edu. au/ ha/default. aspx in URL, November 24, 2006 in Access Date). Full text from the Internet It was proposed by Byrne (2004, 2) that Byrne, A. 2004. The end of history Censorship and libraries. The Australian Library Journal 53 (2). http//www. alia. org. au/publishing/alj/53. 2/full. text/ byrne. html (accessed November 13, 2004). Journal Article(put http//www. alia. org. au/publishing/ alj/53. 2/full. text/byrne. html in URL). Article from Curtin E- Reserve (Andersen 2002, 343) Andersen, J.A. 2002. Organizational design twain lessons to learn before r e-organizing. International Journal of Organizational Theory and Behavior 5 (3/4) 343. Curtin University Li-brary E-Reserve. http//edocs. lis. curtin. edu. au/eres_display. cgi? universal resource locator=DC65012621. pdf (accessed November 24, 2006). Journal Article(put Curtin University Library E-Reserve in Name of Database, http//edocs. lis. curtin. edu. au/eres_display. cgi? url=DC650 12621. pdf in URL, November 24, 2006 in Access Date). Article from databaseon compact disc read-only memory (BPO) (La Rosa 1992, 58) La Rosa, S. M. 1992. merchandise slays the downsizing dragon.Information Today 9 (3) 58-9. UMI caper Periodicals Ondisc (accessed November 24, 2006). Journal Article(put UMI Business Periodicals Ondisc inURL). Secondary Sources In-Text Example Reference List Example EndNote X (which reference type? ) Book (Lewis and Carini 1984)Cite the source the quotation is from. Lewis, E. N. , and P. V. Carini. 1984. Nurse staffing and patient salmagundi strategies for succ ess. Rockville, Md Aspens Systems Corp. Quoted inG. A. Thibodeau and K. T. Patton, eds. , The hu- man physical structure in health and disease (St Louis, Mo. Mosby, 2002), 77. interject the in-text citation manually. of 11 Journal Article (Ebell 2006) Patton, K. T. neuralgia and headaches. Science 314 (celestial latitude 2006) 2153-5. Ebell, M. H. 2006. Diagnosis of migraine headache. American Family Physician 74 (Dec. ) 2087-8. Quoted in Patton 2006, 2153. Enter the in-text citation manually. World Wide blade In-Text Example Reference List Example EndNote X (which reference type? ) inventory on web Its indwelling you learn how to reference (Dawson et al. 2002). Dawson, J. , L. Smith, K. Deubert and S. Grey-Smith. 2002. S journey 6 Referencing, not plagiarism. http//studytrekk. lis. curtin. edu. au/ (accessed October 31, 2002). blade Page scroll on network No author ( spiny-leaved seadragons and weedy seadragons 2001) Leafy seadragons and weedy seadragons. 2001. http //www. windspeed. net. au/jenny/seadragons/(accessed July 14, 2001). wind vane Page Document on WWW No date (Royal Institute of British Architects n. d. ) Royal Institute of British Architects. n. d. regulate the future Careers in architecture. http//www. careersinarchitecture. net/ (accessed whitethorn 31, 2005). Web Page(put n. d. in Year) Image on the web The image of the bleached coral (Coral bleaching and massbleaching events 2002) Coral bleaching and mass bleaching events Image. 002. http//www. gbrmpa. gov. au/corp_site/ info_services/science/bleaching (accessed September 2, 2005). Web Page(type Image manually after the title of the image) 8 of 11 government Publications In-Text Example Reference List Example EndNote X (which reference type? ) guess of Parliament The Commonwealths copyright make believe 1968future references do not include date Legislation is included in a list of references only if it is important to an accord of the work. Setthe list apart from the main(prenominal) body of the reference under the subheading Legislation. congenital elements Short title Date (Jurisdiction) eg.Copyright Act 1968 (Cwlth). If legislation is obtained from an electronic database, add a URL as forelectronic journal articles. Enter in-text citation manually. Cases The State of New southeastward Wales v. The Commonwealth (1915) 20 CLR54 jural administration are included in a list of references only if they are important to anunderstanding of the work. Set the list apart from the main body of the reference under thesubheading Legal Authorities. Case(put 1915 in Year, The State of New southeast Wales v. The Commonwealth in Case Name, 20 in newsperson peck, CLR in Reporter Abbreviation, 54 in Page Cited). Australian self-assurance ofStatistics Bulletin (Australian say-so of Statistics 1999) Australian Bureau of Statistics. 1999. Disability, senescent and carers Summary of findings, Cat. no. 4430. 0. Canberra ABS. Report(put Cat. no. 4430. 0 in plus Number, ABS in Institution). Australian Bureau ofStatistics from AusStats (Australian Bureau of Statistics 1999) Australian Bureau of Statistics. 1999. Disability, ageing and carers Summary of findings, Cat. no. 4430. 0. Canberra ABS. http//www. abs. gov. au/Ausstats/ emailprotected nsf/94713ad445ff1425ca25682000192af2/e4cb97884898ec4bca2569de00221c84OpenDocument (accessed November 20, 2002). Report Census Information (Australian Bureau of Statistics 2001) Australian Bureau of Statistics. 2001. Census ofpopulation and hold B01 selected characteristics (First release processing) postal area 6050. http//www8. abs. gov. au/ABSNavigation/ prenav/ViewData&action=404&documentproductno=POA6050&documenttype =Details&tabname=Details&areacode=POA6050& routine=2001& producttype=Community20Profiles&&producttype= Community20Profiles&javascript=true&textversion=false&navmapdisplayed=true&breadcrumb=LPD& basal%20Community%20Profile (accessed November 20, 2002). Report of 11 governan ce Report (Resource assessment commissioning 1991) Australia. Resource Assessment Commission. 1991. Forest and timber doubtfulness draught report. Volume 1. Canberra Australian Government Publishing Service. Report(put Australia. Resource Assessment Commission in Author, Forest and timber inquiry Draft report in Title, Volume 1 in Accession Number, Australian Government Publishing Service in Institution). Patent (Cookson 1985) Cookson, A. H. 1985. Particle trap for wedge gas insulated transmission systems. US Patent4,554,399, filed Nov. 28, 1985, and issued Feb. 11, 1988. Patent(put Cookson, A.H. in Inventor, US inCountry, Patent 4,554,399 inPatent Number, Nov. 28 1985 in Date, Feb. 11 1988 in Issue Date). measuring rod (Standards Australia 1997) Standards Australia. 1997. Size coding scheme for infants and childrens clothing underwear andouterwear. AS 1182-1997. Standards Australia Online. http//www. saiglobal. com. dbgw. lis. curtin. edu. au/online/autologin. asp (access edJanuary 10, 2006). Report(put AS 1182-1997 in Accession Number Other Sources In-Text Example Reference List Example EndNote X (which reference type? ) Personalcommunication, e-mail and password lists with no web archive. It was confirmed that an outbreak occurred in London in 1999 (S. Savieri, pers. comm. ). Not included in the reference list. Enter in-text citation manually. UnpublishedInterviews (Campbell 2006, 2) Campbell, B. 2006. Interview by A. confiscate. Tape recording. December 1. CurtinUniversity of Technology, Perth. Personal Communication(put Campbell, Billie in Author, Interview with Andrea Bond in Title, Tape recording in Description, December 1 in Date, Curtin University of Technology in Publisher, Perth in City). Films and videorecordings (Grumpy meets the orchestra 1992) Grumpy meets the orchestra. 992. DVD. create verbally and directed by G. Smithson. MelbourneAustralian beam dope. Film or Broadcast(put DVD in Format, Written and directed by George Sm ithson in Credits, Melbourne in Country, Australian Broadcasting Corporation in Distributor). 10 of 11 goggle box and radioprogrammes (What are we going to do with the bullion? 1997) What are we going to do with the bills? 1997. television program. Sydney SBS idiot box, 8August. Film or Broadcast(put television program in Format, Sydney in Country, SBS Television in Distributor, 8 August in Date Released). Podcasts (The wings of a bray children, teenagers and anxiety2005) The wings of a butterfly children, teenagers and anxiety. 2005. podcast radio program. SydneyABC Radio National, 10 September. http// www. abc. net. au/podcast/default. htmmind (accessed September 16,2005). Film or Broadcast(put podcast radio program in Format, Sydney in Country, ABC Radio National in Distributor, 10 September in Date Released, September 16, 2005 in Access Date). CD-ROMS (Kingsley 1998) Kingsley, S. 1998. Dr genius thinking games. Torrance, California Knowledge Adventure Inc.CD-ROM. C omputer Program(put Kingsley, S. in Programmer, Torrance, California in City, Knowledge Adventure Inc. in Publisher, CD-ROM in Type). ERIC document (microfiche) Davis and Lombardi (1996)put forward the marriage offer that Davis, R. K. & T. P. Lombardi. 1996. The quality of life of rural high school special education graduates. In Rural goals 2000 Building programs that work. microfiche. ERIC Document No. 394765. Generic(put Rural goals 2000 Building programs that work in Secondary Title, microfiche in Type of Work, ERIC Document No. 94765 in Publisher). E-mail discussion list web archive consort to John Littles post on the ECPOLICY discussion list onApril 16, 2002 (http// www. askeric. org/Virtual_Listserv_Archives/ECPOLICY/2002/Apr_2002/Msg00003. html), it was dictated that Provide all the details in the in-text citation no need for an entry in the reference list. Enter the in-text citation manually. It is very important that you check your departments or schools assignmen t guide as some details e. g. punctuation, may vary from guidelines on this