The Impact Of Oil Price Volatility On The Strategy Of...

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The Leadership Traits Of Post Traumatic Stress Disorder (...

Introduction How do you want to be remembered after you are gone? Will the military remember you as a leader or a looser? Audie Murphy is remembered by the military as the highest decorated Soldier in American history. He received every decoration for valor that this country had to offer and four more decorations from France and Belgium (DoA, 1999). This is only possible because Murphy possessed amazing visionary and ethical leadership traits which he displayed throughout his military career and after he retired. This paper is going to describe how Murphy demonstrated the visionary leadership traits of using cognitive flexibility and being an idealized influencer while he displayed various acts of valor during World War II. Then, the†¦show more content†¦Let’s begin with how Audie Murphy exhibited visionary leadership traits. Visionary Leader Audie Murphy is considered a visionary leader because he demonstrated the visionary leadership traits of cognitive flexibility and idealized influencing during battles fought against the Germans. Murphy consistently exhibited cognitive flexibility throughout his military career as an enlisted Soldier and officer. According to the Barnes Center for Enlisted Education article, Change Management (2014), one trait of a visionary leader is having cognitive flexibility. Cognitive flexibility is the ability to use different thinking strategies and mental frameworks (BCEE, 2014 C). As an enlisted Soldier, Murphy never shied away from a battle. He was first to the fight always finding the best battlefield strategies to keep his fellow Soldiers alive. On 05 Oct 1944, Murphy determined that the only way to win this battle was if he solely advanced towards the Germans in order to relay firing orders via his radio. While the Germans fired directly at Murphy, he continued to direct his men for over an hour until the battle was won. It is no surprise that shortly after that battle, Audie Murphy received a battlefield commission (Smithenra, n.d.). After many similar battles, it was proven that the Soldiers would follow Murphy into battle no matter the circumstances. As a transformational leader, Audie Murphy displayed the characteristics of an idealized influencer.

Occupational Therapy Efficacy After Stroke Health And Social Care Essay Free Essays

string(214) " for high blood force per unit area include: being overweight, imbibing inordinate sums of intoxicant, smoke, a deficiency of exercising, and emphasis, which may do a impermanent rise in blood force per unit area\." This meta analysis of the referenced surveies aim to measure efficaciousness of occupational therapy: whether it focused specifically on personal activities of day-to-day populating improves recovery for patients following shot and to cognize does.Occupational therapy aims to assist people make their maximal degree of map and independency in all facets of day-to-day life. Reviewing 07 surveies with 1178 participants, people who had a shot were more independent in personal activities of day-to-day life like feeding, dressing, bathing, toileting and traveling approximately and more likely to keep these abilities if they received intervention from an occupational healer after shot. We will write a custom essay sample on Occupational Therapy Efficacy After Stroke Health And Social Care Essay or any similar topic only for you Order Now Abstract ( around 200-250 words ) Aims A systematic reappraisal of surveies proving the effectivity of occupational therapy in station shot patient, focused specifically on personal activities of day-to-day populating improves recovery for patients following shot. Datas beginnings We searched EBSCOMEDLINE, EMBASE, CINAHL and the Cochrane Library ( 2000- 2010 ) . AMED: Choice standards Selection standards included surveies that used randomized controlled tests of an occupational therapy intercession compared to usual attention or no attention, where shot patients practiced personal activities of day-to-day life, or public presentation in activities of day-to-day life was the focal point of the occupational therapy intercession. Review methods A meta-analysis, utilizing a random effects theoretical account, of 24 programmes identified in 19 tests. Effect sizes were adjusted by reverse discrepancy weights to command for surveies ‘ sample sizes. Findings.Main Consequence We identified 64 potentially eligible tests and included nine surveies ( 1258 participants ) . Occupational therapy intercessions reduced the odds of a hapless result ( Peto odds ratio 0.67 ( 95 % assurance interval ( CI ) 0.51 to 0.87 ; P = 0.003 ) . and increased personal activity of day-to-day life tonss ( standardised mean difference 0.18 ( 95 % CI 0.04 to 0.32 ; P = 0.01 ) . For every 11 ( 95 % CI 7 to 30 ) patients having an occupational therapy intercession to ease personal activities of day-to-day life, one patient was spared a hapless result. Decisions Patients who receive occupational therapy intercessions are less likely to deteriorate and are more likely to be independent in their ability to execute personal activities of day-to-day life. However, the exact nature of the occupational therapy intercession to accomplish maximal benefit demands to be defined. . Chapter 1: Introduction: The overall purpose of this meta analysis was to measure the effectivity of OT in station shot patient. Extensive literature hunt was done by turn uping published shot rehabilitation direction intercession surveies that measured personal activities of day-to-day populating results among stroke patient. Datas were extracted from survey studies which included intercessions designed to better station shot activities of patient. From WHO ‘s study of planetary load of shot it was found that Worldwide 15 1000000s people suffer a shot yearly. 5milloin of these dices and another 5 million are left for good disabled, doing load on household and community. High blood force per unit area and baccy usage are considered as a major hazard factor for shot ( WHO, 2010 ) . The World Health Organisation ( WHO ) defines Stroke as â€Å" a clinical syndrome of resumed vascular beginning, typified by quickly developing marks of focal or planetary perturbation of intellectual map enduring more so 24 hours or taking to decease † ( WHO, 1978 ) . The causes of shot can be classified as: IschaemicA cause: blood supply to encephalon stopped due to formation of blood coagulum. It causes 70 % of all instances. Haemorrhagic: A encephalon harm caused due to spliting of blood vas which supply blood to encephalon There is besides a related status known as aA transient ischemic attackA ( TIA ) , which affect 35 people per 100,000 of population each twelvemonth and is associated with a really high hazard of shot in the first month of event upto one twelvemonth ( Coull, et al. , 2004 ) . In transeunt ischaemic onslaught the blood supply to the encephalon is temporarily interrupted due to inadequate intellectual or optic blood supply which is due to low blood flow, thrombosis or intercalation. Symptoms last for less than 24hours doing a kind of ‘mini-stroke ‘ ( Hankey and Warlow, 1994 ) . The hazard of decease due to stroke depends on its type like TIA has the best result whereas obstruction of an arteria is more unsafe, with rupture of blood vass. It has found that even if state is holding progress engineering and installations 60 % people die or become dependent doing high cost of intervention ( WHO, 2010 ) . Those of Afro-Caribbean beginning are at increased hazard of holding a shot, and the figure of people affected by the status is higher among this cultural group than any other. This is because people of Afro-Caribbean beginning have a familial sensitivity ( a natural inclination ) to developing diabetes and bosom disease, which are two conditions that can do shots. Ischaemic shots occur when blood coagulums block the flow of blood to the encephalon. Blood coagulums typically form in countries where the arterias have been narrowed or blocked by fatty cholesterol-containing sedimentations known as plaques. This narrowing of the arterias is known asA coronary artery disease. As the age progresss, our arterias become narrower, but certain hazard factors can perilously speed up the procedure. Hazard factors include: smoke, high blood force per unit area ( high blood pressure ) , fleshiness, high cholesterin degrees ( frequently caused by a high-fat diet ) , and a household history of bosom disease or diabetes. Diabetess is besides a hazard factor, peculiarly if it is ill controlled, because the extra glucose in the blood can damage the arterias. Haemorrhagic shots occur when a blood vas in the encephalon explosions. The chief cause of this is high blood force per unit area ( high blood pressure ) , which can weaken the arterias in the encephalon and do them prone to divide or tear. The hazard factors for high blood force per unit area include: being overweight, imbibing inordinate sums of intoxicant, smoke, a deficiency of exercising, and emphasis, which may do a impermanent rise in blood force per unit area. A individual ‘s cultural group can besides be a hazard factor for high blood force per unit area. One-half of all people of black-African or Caribbean beginning who are over 40 old ages of age are likely to hold high blood force per unit area. Research has suggested this is because people of African beginning have an increased sensitiveness to the effects of salt, which can do their blood force per unit area to lift. A hemorrhagic shot can besides sometimes occur as a consequence of a traumatic caput hurt ( NHS Choices, 2008 ) . Every twelvemonth, an estimated 150,000 people in the UK have a shot. That is one individual every five proceedingss ( Office of National Statistics, 2001 ) .The encephalon harm caused by shots agencies that they are the largest cause of grownup disablement in the UK. Peoples who are over 65 old ages of age are most at hazard from holding shots, although 25 % of shots occur in people who are under 65 old ages of age. It is besides possible for kids to hold shots ( NHS Choices, 2008 ) . Around 1000 people under 30 have a shot each twelvemonth. Stroke can ensue in many different disablements runing from motor control and urinary incontinency to depression and memory loss. Disablement has been conceptualized by the universe wellness organisation in footings organ disfunction ( damages ) , disablement ( trouble with undertaking ) , and disability ( societal disadvantage ) ( Post shot rehabilitation, 1995 ) . The analysis of cost of unwellness of shot by Saka et Al ( 2009 ) has found that shot has greater impact on economic system of UK, as intervention of and productivity loss originating due to stroke cost ?8.9 billion a twelvemonth. In which intervention cost is about 5 % of entire UK NHS costs. Direct attention including diagnosing, inmate attention and outpatient attention histories for about 50 % of the sum, informal attention costs 27 % and the indirect costs that is cost ensuing from premature decease due to stroke is 24 % . This survey concluded that chronic stage of shot is most dearly-won and hence suggested better apprehension of long-run attention in footings of its effectivity and cost-effectiveness is necessary. Due to stroke one side of the organic structure may be paralyzed or the musculuss on the affected side may weaken. After shot intervention is comprise of attention and rehabilitation ( Post shot rehabilitation, 1995 ) . During the period of acute inmate attention, patient will have rehabilitation and attention input from a assortment of qualified and unqualified nursing and allied wellness staff. It is hence of import that all staff should be familiar with the effects of shot, and able to efficaciously pull off jobs associating to stroke suitably within their functions. The effects of shot are manifold ; every bit good as the more seeable physical jobs ; stroke subsisters will probably hold a figure of emotional, cognitive, and communicating jobs ( Ross et al, 2009 ) Research shows that patients benefit from intervention in stroke units in the ague and rehabilitation stages ( Indredavik, 2008 ) . Rehabilitation is the procedure of get the better ofing or larning to get by with the harm the shot has caused. It is about acquiring back to normal life and accomplishing the best degree of independency by: relearning accomplishments and abilities ; larning new accomplishments ; accommodating to some of the restrictions caused by a shot ; and happening societal, emotional and practical support at place and in the community. The benefits of shot rehabilitation bundles are good documented ( SUTC, 2000 ) but small is known about the efficaciousness of the assorted constituents of such intercessions. Rehabilitation requires multidisciplinary attack affecting healer ( physical healer, speech healer, and occupational healer ) , physicians, psychologist and societal workers. Occupational healer teaches the patient day-to-day life accomplishments and how to utilize populating AIDSs such as Walkers or bathroom grab bars ( shot rehabilitation, 2010 ) . After stroke life become hard due to disablement caused by it. shot have high morbidity rates which means that patient with shot suffer from both mental and physical disablement following shot. It is the taking cause of lower quality of life in grownups. Rehabilitation offers a opportunity to reconstruct quality of life after shot. Brain damaged caused due to stroke can non be healed but rehabilitation helps a patient in keeping bing abilities and supply scheme for managing disablements cause by shot. Stroke intervention depends on clip continuance after shot, hazard factor that may impact intervention. Depending on these factors stroke intervention include blood dilutant medicine which can fade out a blood coagulum, or encephalon surgery for rupture blood vas. Rehabilitation after shot Begins after acute intervention. It helps in relearning the accomplishments lost due to stroke and counterbalancing for disablement caused by shot. It stroke includes memory rehabilitation, linguistic communication rehabilitation and emotional rehabilitation, motor and centripetal control rehabilitation ( Healthtree, 2010 ) . Functional damage following acute unwellnesss -such as shot – often have terrible physical effects for grownup and older patients ( Desrosiers, 2003 ) . Occupational therapy is an indispensable constituent for the rehabilitation of handicapped patients, holding a broad scope of intercessions available to help individuals towards independency ( cup, 2003 ) . The end of occupational therapy is to reconstruct functional independency when possible and to ease psychosocial accommodation to residuary disablement ( Landi, 2006 ) . The doctrine of occupational therapy is founded on the construct of business as a cardinal component of wellness and wellbeing. Practice in societal attention services embraces the societal theoretical account of disablement and is based on holistic and person-centered attention, stressing the publicity of autonomy and resourcefulness ( College of Occupational Therapists, 2008 ) . The Occupational therapy is normally used in the station shot patients by an occupational healer with the specific purpose of easing personal activities of day-to-day life to better the results for patients following shot. Different tests have been conducted in different states to turn out the effectivity of occupational therapy but there is deficiency of grounds proposing that occupational therapy intercessions can cut down the likeliness of such impairment and better patients ‘ ability to execute personal activities of day-to-day life. Therefore the purpose of this Meta analysis is to measure the efficaciousness of occupational therapy on shot rehabilitation. The chief purpose of occupational therapy ( OT ) is to keep, reconstruct or make a lucifer beneficial to the person between the abilities of the individual, the demands of his or her businesss and the demands of the environment ( Creek, 2003 ) Activity and engagement restrictions in shot typically diminish wellness and well-being As a consequence, betterment of functional abilities, betterment of engagement in society and an increased quality of life are of import results of OT intervention ( Steultjens, 2005 ) . Historically, several intervention attacks have been introduced and adopted by physical and occupational healers. The shot rehabilitation methods adopted by healers vary widely depending on their background cognition, clinical experience, clinical accomplishments, and personal penchants [ 6-9 ] . The handiness of a overplus of intervention methods shows that shot rehabilitation patterns are continually germinating. Previous surveies conducted in the United Kingdom used studies to find common intervention patterns in stroke rehabilitation among physical healers [ 10-11 ] . The consequence of the survey by Landi et Al. ( 2006 ) shows that patients with shot who received the combined plan of physical and occupational therapy had a greater degree of independency in activities of day-to-day life over a period of 8 hebdomads than patients who did non. It has been found from the Cochrane reappraisal of benefits of shot rehabilitation that it reduces about 22 % in decease or dependence and these benefits are more outstanding under and over 75 old ages of age, in both sexes. Length of infirmary stay is besides reduced due to early rehabilitation ( Scots intercollegiate guidelines web, 2002 ) . Stroke is a complex status where cognition base is continuously increasing. There is changeless progress in apprehension of the status, appraisal and intercession techniques. Occupational healers are a critical constituent in the rehabilitation of patient with this status ( Edmans, 2000 ) . Occupational healer work with persons who have conditions that are physically, mentally, developmentally, or emotionally disenabling. They help them develop, retrieve, keep day-to-day life and work accomplishments. The end of occupational healer is to assist their client have independent, fulfilling and productive lives ( Weeks and Zona, 2000 ) . Chapter 2: The Literature Search Choice standards – brief description of the chief elements of the inquiry under consideration. This is subdivided into: Types of surveies – eg: RCT ‘s Types of participants – the population of involvement. This subdivision may include inside informations of diagnostic standards, if desired or appropriate. Types of intercessions – the chief intercession under consideration and any comparing interventions. Types of result steps – any result measures/endpoints ( for illustration, decrease in symptoms ) that are considered of import by the referee, defined in progress ; non merely outcome steps really used in tests. Definition of Occupational therapy World federation of occupational healer ( 2004 ) define Occupational therapy as a profession concerned with advancing wellness and good being through business. The primary end of occupational therapy is to enable people to take part in the activities of mundane life. Occupational healers achieve this result by enabling people to make things that will heighten their ability to take part or by modifying the environment to better support engagement. The hunt scheme for systematic reappraisals of the efficaciousness of OT has identifies randomised test comparing occupational therapy with other intercession or no intercession. It has been done by seeking EBSCO host research database from 2000-2010. The other beginnings are Google Scholar and The Occupational Therapy Research Index and Dissertation Abstracts registry, scanned mention lists of relevant articles, relevant diaries. ( 1999-2010 ) . Fifty-three surveies were identified and abstracted. Four surveies reported entire haemorrhagic shot as the result, which includes intracerebral and subarachnoid hemorrhage.4,7,10,11 None of the surveies reported information on subdural hemorrhagic shots. We have used the term hemorrhagic stroke throughout the article. Two studies consisted of the same instance patients but different controls and were treated as 2 separate surveies. 23,24 From the 53 surveies, 18 were farther excluded for assorted grounds. Two surveies were excluded because combined hazard estimations were reported for work forces and adult females but degrees of intoxicant ingestion were non the same for work forces as for women.49,50 We excluded 5 surveies that examined merely the consequence of orgy imbibing or acute intoxicant ingestion ( within 24 hours before shot ) 51-55 because our survey assessed accustomed intoxicant ingestion and comparative hazard of shot. Five surveies that lacked sufficient informations for computation of comparative hazard estimations were excluded.56-60 The staying 6 excluded studies did non utilize ascetics as the mention group.61-66 We included 19 cohort surveies and 16 instance control surveies in our concluding analysis Types of surveies This survey included randomized controlled tests of shot patients having an occupational therapy intercession provided by an occupational healer. All of the selected surveies intend to better personal activities of day-to-day life compared to usual attention or no attention in station shot patient. If big randomized tests are impractical, we have to pull the most dependable decisions from smaller tests. Unfortunately, the conventional attack, the narrative reappraisal is undependable. Conventional reappraisal normally fails to specify the reappraisal inquiry, to guarantee that all relevant tests are explicitly based on the grounds. Systematic reappraisals set out to better upon narrative reappraisals by using scientific methods to the reappraisal of the research grounds ( Langhorne, et al. , 2008 ) . Types of participants: This survey included the test if the participant of the survey met the clinical definition of shot as defined by WHO â€Å" a clinical syndrome of resumed vascular beginning, typified by quickly developing marks of focal or planetary perturbation of intellectual map enduring more so 24 hours or taking to decease † . All of the included surveies have given clear inclusion standards. They include participant on the footing of clinical diagnosing, except Sackley et Al ( 2006 ) included occupants with moderate to severe stroke-related disablement by utilizing Barthel Activity of Daily Living Index mark ( BI score 4 to 15 inclusive ) . Participants with other acute unwellness are excluded from the surveies. Types of intercession: In this survey tests are include if they have following characteristics: aˆ? Occupational therapy intercession which specially focused on activities of day-to-day life and tried to better their personal activities of day-to-day life. aˆ? The tests are included in which control group receives normal attention or no intercession. aˆ? Interventions are provided under the supervising of qualified occupational healer. The survey by Sackley et Al ( 2006 ) has developed an intercession by utilizing bing grounds with the aid of a group of adept occupational healers delivered on single degree. The period of intercession was three month which include occupational therapy and carer instruction, wheras INCLUSION CRITEIA: Researcher included surveies that used randomized or controlled clinical designs, of an occupational therapy intercession, compared to usual attention or no attention. In which stroke patient ‘s public presentation in footings of activities of day-to-day life was the focal point of the occupational therapy intercession Datas beginnings Selected database is EBSCO host web research database this aggregation of databases provide entree to cardinal diaries, many holding links to full text diary articles. It contains assorted databases as follow: AMED British Nursing Index CINHAL plus with full text Medline with full text SocINDEX with full text The other beginnings are Google Scholar and The Occupational Therapy Research Index and Dissertation Abstracts registry, scanned mention lists of relevant articles, relevant diaries. ( 1999-2010 ) ( See Appendix 1 ) . Cardinal words or term used in literature hunt Kilowatts: Stroke in Title Rehabilitation in Abstract Randomised controlled trail in Abstract Choice standards Time frame: 2000-2010 Randomized controlled test Language or national context: English linguistic communication merely Main focal point of paper: Stroke rehabilitation Peer reviewed diary merely National and international surveies. Types of result step The out come step are that reflected the alteration in personal activities of day-to-day life in shot patient after having occupational therapy Primary result ( 1 ) Performance in personal activities of day-to-day life ( pADL including: eating, dressing, bathing, toileting, simple mobility and transportations ) at the terminal of scheduled follow up. ( 2 ) Death or a hapless result. Death or a hapless result is defined as the combined result of being dead or: aˆ? holding deteriorated, characterised by sing a impairment in ability to execute personal activities of day-to-day life ( that is, sing a bead in pADL mark ) ; or aˆ? being dependent, characterised by lying above or below a pre-defined cut-off point on a given pADL graduated table ; or aˆ? necessitating institutional attention at the terminal of scheduled follow up. Secondary results of involvement ( 1 ) Death at the terminal of scheduled follow up ( 2 ) Number of patients dead or physically dependent at the terminal of scheduled follow up ( 3 ) Number of patients dead or necessitating institutional attention at the terminal of scheduled follow up ( 4 ) Performance in drawn-out activities of day-to-day life ( community and domestic activities ) at the terminal of scheduled follow up ( 5 ) Patient temper at the terminal of scheduled follow up ( 6 ) Patient subjective wellness position or quality of life at the terminal of scheduled follow up ( 7 ) Carer temper at the terminal of scheduled follow up ( 8 ) Carer subjective wellness position or quality of life at the terminal of scheduled follow up ( 9 ) Patient and carer satisfaction with services We aimed to enter results that reflected resource usage ( that is the figure of admittances to hospital, figure of yearss in infirmary, AIDSs and contraptions provided, figure of staff required per caseload ) . Search methods for designation of surveies See: ‘Specialized registry ‘ subdivision in Cochrane Stroke Group Occupational therapy Secondary result Exclusion Standards: Documents excluded from the reappraisal were plants that focused preponderantly upon: Stroke rehabilitation surveies before 2000. Which are non published surveies Which are other than English linguistic communication Research Design A meta-analysis, by utilizing quantitative methods such as a random effects theoretical account, of 7 randomized controlled test identified literature hunt. Analysis of Datas Researcher will analyze binary results with a fixed-effect theoretical account, as odds ratios ( OR ) with 95 % assurance intervals ( CI ) . For uninterrupted results, a random-effects theoretical account will be used to take history of statistical heterogeneousness. As there is some heterogeneousness between the tests in footings of their design, continuance of follow up and choice standards for patients. Researcher will execute an purpose to handle analysis to cut down potentialA prejudices in footings of followup, publication, and describing prejudice associated withA pull outing informations from published studies. Publication prejudice will be assessed withA a rank correlativity trial and a funnel secret plan. Systematic reappraisals show that occupational therapy increases functional ability and/or societal engagement in aged people and in patients with shot or rheumatoid arthritis. For patients with progressive neurological diseases, intellectual paralysis or mental illnesses the efficaciousness of occupational therapy is still ill-defined because high-quality surveies are missing. Chapter 3 – Methodology Justification of methodological attack – qualitative or quantitative Methods of the reappraisal – description of how surveies eligible for inclusion in the reappraisal were selected, how their quality was assessed, how informations were extracted from the surveies ( evaluated ) , how informations were analysed, whether any subgroups were studied or whether any sensitiveness analyses were carried out, A major challenge with shot rehabilitation is that the intercession itself is likely to be really complex and non uniform. Any intercession developed by healer or multidisciplinary squad will affect many constituents which may interact in different ways. It is likely that these intercessions may a mixture of both effectual and uneffective elements so it is of import that we are cognizant of variableness between the different tests and we explore this variableness when analysing the consequence ( Langhorne, et al. , 2008 ) . Chapter 4 – The Surveies Description of surveies – how many surveies were found, what were their inclusion standards, how large were they, etc. ? Methodological quality of included surveies – were at that place any grounds to doubt the decisions of any surveies because of concerns about the survey quality? 4.1 Features of included surveies: Features of included surveies Survey Method Participants Intervention Result Cindy 2004 HongKong Pretest and posttest randomized control test design -53 participants -Age: 55 old ages or older. -Mean age: 72.1 -With primary diagnosing of shot -Living at place Intervention group received extra home-based intercession in the usage of devices instantly after discharge, but the control group did non. Subjects were assessed by 1.Functional Independence Measure and 2. The Quebec User Evaluation of Satisfaction with Assistive Technology. Gilbertson, 2000. Glassgow Single blind randomised controlled test. -138 participants -Mean age: 71 -with clinical diagnosing of shot -were admitted to Glasgow royal hospital NHS trust were Intervention group received 6wk domiciliary programme and control group received included inmate multidisciplinary Rehabilitation. Subjects were assessed by 1.Nottingham drawn-out activities of day-to-day populating graduated table 2. Barthel activities of day-to-day populating index. Landi, 2004 USA -50 Participants -Mean age: 78.3 – With primary diagnosing of ischaemic shot Intervention group received received 8 hebdomads of a combined rehabilitation plan based on occupational therapy and physical therapy received no input from the occupational healers Subjects were assessed by -MDS-PAC – ADL graduated table Logan,2004 United kingdom Randomised controlled test. -168 participants -Mean age: 74 – clinical diagnosing of shot in old 36 months Intervention group received cusps with appraisal and up to seven intercession Sessionss by an occupational healer. Control group received cusps depicting local conveyance services for handicapped people -Postal questionnaires – Nottingham extended activities of day-to-day populating graduated table, Nottingham leisure questionnaire, and general wellness questionnaire. Parker,2000 United kingdom Multicentre randomized controlled test. -466 Participants -Mean age: 72 .Randomization was done in three groups. two intervention groups received occupational therapy intercessions at place for up to six months after enlisting. The General Health Questionnaire ( 12 point ) , the Nottingham Extended ADL Scale and the Nottingham Leisure Questionnaire Logan,2004 United kingdom Randomised controlled test with hidden allotment and blinded appraisal. -168 Participants -Mean age:74 -patients with a clinical diagnosing of shot in the old 36 months Control group received one session consisting of advice, encouragement, and the proviso of cusps depicting local mobility services. intercession group received the cusps plus occupational therapy appraisal and up to seven intercession Sessionss for up to 3 months. Primary result was self-report, Secondary results were 1-self-report of the figure of journeys out-of-doorss in the past month, 2-Nottingham drawn-out activities of day-to-day populating graduated table, 3-Nottingham leisure questionnaire. 4-general wellness questionnaire. Sackley,2006 United kingdom bunch randomized controlled test -118 Participant -Residents with moderate to severe stroke-related disablement – Residents with acute unwellness and those admitted for end-of-life attention. Occupational therapy was provided to intervention group but included carer instruction. control group received usual attention 1-Barthel Activity of Daily Living Index ( BI ) tonss 2-Rivermead Mobility Index. Features of intercession included in survey Writer Sample size interventin control consent Randomization item Puting Cindy 2004 HongKong Meter F Gilbertson, 2000. Glassgow Meter F Landi, 2004 USA Meter F Logan,2004 United kingdom Meter F Parker,2000 United kingdom Meter F Logan,2004 United kingdom Meter F Logan,2004 United kingdom Meter F Chapter 5 Findingss / Consequences What do the information show? The synthesis of consequences – thematic analysis or statistical analysis. Accompanied by a graph to demo a meta-analysis, if this was carried out. Chapter 6 – Discussion Interpretation and appraisal of consequences. Chapter 7 – Decision Subdivided into Deductions for pattern and Implications for research. Stroke patients who receive occupational therapy focused on personal activities of day-to-day life, as opposed to no everyday occupational therapy, are more likely to be independent in those activities. Restrictions of the survey It is hard to plan and carry on high quality clinical tests of rehabilitation. First, the cover of therapies from patient and healer is hard, therefore allowing the debut of prejudice, peculiarly when the individual supplying the intercession is besides the individual making the research, as is the instance with many of the surveies in this reappraisal. Second, while usual or standard attention is recognised as an appropriate control, this may include intercessions that promote activities, which potentially reduces the estimation of the intercession effect.21 Third, it is more hard to obtain credence of randomization in an inmate scene, peculiarly where an occupational therapy service is already established. We excluded four tests that compared one occupational therapy intercession within an active concurrent control arm provided in inpatient scenes as they did non supply an unconfounded estimation of effect.w1-w4 Finally, tests of rehabilitation intercessions typically have drawn-ou t follow-up periods with a hazard of survey dropout. This makes executing a true purpose to handle analysis with complex tonss such as the Barthel index problematic as it is hard to hit for losing participants. Despite these possible concerns, nevertheless, the quality of the included tests was by and large good and the consequences were consistent between tests. Occupational therapy is a complex intercession. Practice includes skilled observation ; the usage of standardized and non-standardised appraisals of the biological, psychiatric, societal, and environmental determiners of wellness ; elucidation of the job ; preparation of individualized intervention ends ; and the bringing of a set of individualized job work outing intercessions. While we are confident that all the intercessions in this reappraisal were consistent with this wide construct of occupational therapy, we recognise that the exact nature of the intercessions in each survey differed harmonizing to the type of patient, the expertness of the healer, and the resources available. The intercessions tested were likely provided by experts and non peculiarly constrained by twenty-four hours to twenty-four hours service factors. Our reappraisal did non compare occupational therapy with alternate rehabilitation intercessions, nor did it analyze the consequence of occupational therapy c ombined with other intercessions. Reference List of Included Studies: Chiu, W. , Y. and Man, D. W. K. , 2004. The consequence of developing older grownups with shot to utilize home-based assistive devices. Occupational Therapy Journal of Research [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Gilbertson, L. , et al. , 2000. Domiciliary occupational therapy for patients with shots discharged from infirmary: a randomized controlled test. BMJ [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Francesco, L. , et al. , 2006. Effectss of an Occupational Therapy Program on Functional Outcomes in Older Stroke Patients [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Logan, P. , et al. , 2004 Randomised controlled test of an occupational therapy intercession to increase out-of-door mobility after shot [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] Parker, C. , J. et al. , 2001. A multicentre randomized controlled test of leisure therapy and conventional occupational therapy after shot. Clinical Rehabilitation [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? six [ Accessed 12th July 10 ] Sackley, C. , M. et al. , 2004. Occupational therapy in nursing and residential attention scenes: a description of a randomised controlled test intercession. British Journal of Occupational Therapy [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? six [ Accessed 12th July 10 ] Walker, M. , F. et al.,1999. Occupational therapy for shot patients non admitted to infirmary: a randomized controlled test [ Online ] Available at: hypertext transfer protocol: //web.ebscohost.com/ehost/resultsadvanced? [ Accessed 12th July 10 ] REFRENCE LIST Adamson, J. , Beswick, A. , Ebrahim, S. 2004. Is stroke the most common cause of disablement. Journal of Stroke and Cerebrovasculer Disease [ Online ] Available at: hypertext transfer protocol: //www.strokejournal.org/article/S1052-3057 ( 04 ) 00070-9/abstract [ Accessed 21st July 10 ] British Heart Foundation, 2005. Coronary Heart Disease statistics. London. British Heart Foundation [ Online ] Available at: hypertext transfer protocol: //www.heartstats.org/uploads/documents48160_text_05_06_07 [ Accessed 21st July 10 ] College of Occupational Therapy. 2004. What is occupational therapy? [ Online ] Available at: www.cot.org.uk [ Accessed 18th July 10 ] . College of Occupational Therapists ( 2008 ) COT place statement: the value of occupational therapy and its part to adult societal service users and their carers London: College of Occupational Therapists Available at: hypertext transfer protocol: //www.mayden.co.uk/house/apps/doclibrary/documents/pdf/ [ Accessed 18th July 10 ] . Coull, A. , Lovett, J. , and Rothwell, P. , 2004. Population base survey of early hazard of shot after transeunt ischemic onslaught or minor strpke: deductions for public instruction and administration of services. British Medical Journal [ Online ] Cup EH, Scholte op Reimer WJ, Thijssen MC, van Kuyk-Minis MA: Dependability and cogency of the Canadian Occupational Performance Measure in shot patients. Clin Rehabil 2003 ; 17: 402-409 Desrosiers J, Malouin F, Bourbonnais D, Richards CL, Rochette A, Bravo G: Arm and leg damages and disablements after shot rehabilitation: relation to disable. Clin Rehabil 2003 ; 17: 666-673 D’Souza, A. , et al. , 2002. Probiotics in bar of antibiotic associated diarrhea: meta analysis. Edmans, J. , 2000. Occupational Therapy and Stroke [ Onlone ] Available at: hypertext transfer protocol: //www.amazon.co.uk/Occupational-Therapy-Stroke-Judi-Edmans/dp/1861561989 [ Accessed 20th July 10 ] Egger, M. , Davey, S. , and Altman, D. , ( explosive detection systems ) . Systematic Reviews in Health Care. Meta-analysis in Context. London: BMJ Books, Glasziou, Paul, 2001. Systematic reappraisals in wellness attention: Apractical usher. United Kingdom: Cambridge University Press Gresham, G. , Duncan, P. and Statson, W. , 1995. Prioritie for future research, Clinical pattern guidelines figure 18. US section of wellness and human services, Agency for wellness attention policy and reseaech, Rockwell, Maryland, AHCPR publication Hankey, G. , and Warlow, C. 1994.Transient ischemic onslaughts of the encephalon and oculus. London: WB Saunders. Healthtree, 2010. Stroke rehabilitation [ Online ] Available at: hypertext transfer protocol: //www.healthtree.com [ Accessed twentieth September 10 ] Indredavik B, Bakke F, Slordahl S, Rokseth R, Haheim L. Stroke unit intervention improves long-run quality of life: a randomized controlled test. Stroke1998 ; 29: 895-9. Landi, F. , at el. , 2006. Effectss of an Occupational Therapy Program on Functional Outcomes in Older Stroke Patients Gerontology 2006 ; 52:85-91 Langhorne, Peter, D. , Martin, 2008. Stroke Unit of measurements: An grounds based attack John Wiley A ; Sons, Ltd NHS Choices, 2008. Stroke [ Online ] Available at: hypertext transfer protocol: //www.nhs.uk/Conditions/Stroke/Pages/Complications.aspx [ Accessed 20th July 10 ] Office of National Statistics, 2001. Stroke incidence and hazard factor in a population based cohort survey. Health statistics quarterly [ Online ] Available at: hypertext transfer protocol: //www.statistics.gov.uk/CCI/article.asp? ID=1512 A ; Pos=8 A ; ColRank= [ Accessed 20th July 10 ] Ross, J. Barton, J. , and Read, J. 2009. Staff in-service preparation on post-stroke psychological and communicating issues Sakai, O. , Mcguire, A. and Wolfe, C. Cost of shot in the United Kingdom [ Online ] Available at: hypertext transfer protocol: //ageing.oxfordjournals.org/content/38/1/27.full.pdf+html [ Accessed 20th July 10 ] Scots intercollegiate Guideline Network, 2002. Management of patients with shot: Rehabilitation, bar and direction of complication, and discharge planning. A national clinical guideline [ Online ] Available at: www.sign.ac.uk [ Accessed thirtieth September 10 ] Steultjens EMJ, Dekker J, Bouter Leemirjise, Cornelia, H. M. , 2006. Evidence of the efficaciousness of occupational therapy in different conditions: an overview of systematic reappraisals Stroke rehabilitation, 2008 Available at: www.stroke.org.uk [ Accessed 20th July 10 ] [ SUTC ] Stroke Unit Trialists ‘ Collaboration. Organised inmate ( stroke unit ) attention for shot. Cochrane Database of Systematic Reviews 2001 [ Online ] Available at: hypertext transfer protocol: //www2.cochrane.org/reviews/en/ab000197.html [ Accessed 20th July 10 ] Walker, M. , et al. , 2004. Individual Patient Data Meta Analysis of Randomised Controlled Tests of Community Occupational Therapy for Stroke Patient. Stroke: Journal of the American Heart Association. Available at: hypertext transfer protocol: //stroke.ahajournals.org/cgi/reprint/35/9/2226 [ Accessed 22nd July 10 ] . Weeks, R. , 2000. Opportunities in Occupational Therapy Careers. USA: N T C/Contemporary Publishing Company Wolfe, A. , Tilling, K. , and Rudd, A. , G. 2000. The effectivity of community based rehabilitation for shot patients who remain at place: a pilot randomized test. Clinical Rehabilitation 2000 World federation of occupational healer ( 2004 ) Definition [ Online ] Available at: hypertext transfer protocol: hypertext transfer protocol: //www.wfot.com/office_files/final % 20definitioncm20042.pdf [ Accessed 22nd July 10 ] . World Health Organisation, 1978. Cerebrovascular Disorder: A Clinical and Research Classification. Geneva. World Health Organisation. Offset publication [ Online ] Available at: hypertext transfer protocol: hypertext transfer protocol: //www.who.int/classifications/icd/en/GRNBOOK.pdf [ Accessed 22nd July 10 ] . World Health Organisation, 2010. Cardiovascular Disease: Death from shot [ Omline ] Available at: hypertext transfer protocol: hypertext transfer protocol: //www.who.int/classifications/icd/en/GRNBOOK.pdf [ Accessed 2nd September 10 ] . 6. Nilsson LM, Nordholm LA. Physical therapy in shot rehabilitation: Bases for Swedish physical therapists ‘ pick of intervention. Physiother Theory Pract. 1992 ; 8 ( 1 ) :49-55. 7. Carr JH, Mungovan SF, Shepherd RB, Dean CM, Nordholm LA. Physiotherapy in shot rehabilitation: Bases for Australian physical therapists ‘ pick of intervention. Physiother Theory Pract. 1994 ; 10 ( 4 ) :201-9. 8.Sackley CM, Lincoln NB. Physiotherapy intervention for shot patients: A study of current pattern. Physiother Theory Pract. 1996 ; 12 ( 2 ) :87-96. 9. DeGangi GA, Royeen CB. Current pattern among Neuro Developmental Treatment Association members. Am J Occup Ther. 1994 ; 48 ( 9 ) :803-9. [ PMID: 7526690 ] 10. Lennon S. Physiotherapy pattern in shot rehabilitation: A study. Disabil Rehabil. 2003 ; 25 ( 9 ) :455-61. [ PMID: 12745940 ] 11. Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath construct in shot rehabilitation: A study within the UK. D HL4066 Meta Analysis Practical This is a ego directed survey and practical. It gives the chance to rehearse meta analysis accomplishments which may be utile if you decide to utilize that methodological analysis in your concluding thesis. Read the information on Wolf in the meta analysis booklet Decide on a subject that you would wish to look into, place a research inquiry ( note this does non hold to be an original inquiry but it may assist your thesis and profileif it was Determine your hunt standards Determine your inclusion standards What type of informations will you pull out? Design a information extraction signifier Carry out a hunt, using your key words and inclusion standards Identify between 4 and 10 surveies to include in your meta analysis Decide what package you will utilize and obtain a transcript either by purchase, download or Cadmium from a book Extract your informations utilizing the information extraction signifier you have designed Input your informations to your package Trial for heterogeneousness Decide what theoretical account you are traveling to utilize based on the consequence of the heterogeneousness trial Carry out the analysis Trial for prejudice Meta Analysis Resources Cochrane Handbook 2009 hypertext transfer protocol: //www.cochrane-handbook.org/ The Cochrane Collaboration Open Learning Material hypertext transfer protocol: //www.cochrane-net.org/openlearning/HTML/mod0-3.htm Leandro, G ( 2005 ) Meta-analysis in Medical Research: The enchiridion for the apprehension and pattern of meta-analysis. BMJ Books Easy to read book with Meta analysis package Software A figure of commercial and free packages are available. Below is a choice but hunt cyberspace for more. Meta analysis 5.3 written by Ralph Schwarzer hypertext transfer protocol: //userpage.fu-berlin.de/~health/meta_e.htm MIX 1.7 Can be used with Excel hypertext transfer protocol: //www.mix-for-meta-analysis.info/ Stat pages reviews a figure of free packages hypertext transfer protocol: //statpages.org/javasta2.html Revman hypertext transfer protocol: //www.cc-ims.net/revman Interpret your resultsisabil Rehabil. 2001 ; 23 ( 6 ) :254-62. Researcher ID is: F-7307-2010 ( for rahila ) How to cite Occupational Therapy Efficacy After Stroke Health And Social Care Essay, Essay examples

Factors Influencing On Voting Behavior-Free-Samples for Students

Question: Discuss the Important factors that influencing on voting behavior during elections. Answer: Introduction In a democratic country, elections are one of the most importance event for citizens as well as the political parties as this has a direct impact on the democratic process and development of the country. People participate in elections so that they can choose their representative. Different people may have different rational to choose their own representative. However, in countries dominated by political parties, the voting behavior is no more a personal concept. Political figures play a key role in influencing the voting behavior and engaging in unique campaigns to catch the attention of the public. This report discusses the process of election and determines how different factors have an impact on the voting behavior of countries. Discussion on important factors influencing on voting behavior during elections The electoral process in different countries varies according to the type of government established in countries. Canada has a federal parliamentary democracy where the electoral system has evolved in response to countrys geography. The Constitution Act of 1867 and 1982 has defined the time interval after which federal elections should be held which is five year. The only exception to this rule is in the times of apprehended war or invasion. The role of geography is seen in the democratic representation because geographical divisions like electoral districts define the representation of members in the House of Common. This is a short description or overview for the elections process in Canada. Just like Canada, electoral process in other democratic countries is also defined by the constitution and certain constitutional Acts (Elections Canada Online | The Electoral System of Canada, 2017). However, the main focus of this report is not the regular electoral process in countries, but t he impact of certain political factors on voting behavior. The changes in voting behavior can be explained by proper understanding about the concept of electoral contestation. This is defined as the degree of election based competition in a political region. The presence of high and minimal contestation in a region also influences the voting behavior of people. In case of minimal contestation, the incumbent party always occupies the seat whereas in case of high contestation, frequent turnover in political power is seen (Gerring et al., 2015). It has also been found that voting behavior during the contestation process is also affected by size of unit. For example, larger geographical units have greater contestation and this in turn affects voting behavior. This can be said because larger unit has more chances of constituent diversity. Hence, political parties aiming to get the desired seat focus a lot on understanding voting behavior of citizens. This enables them to take the right strategy to bring public towards their side. The prediction o f voting behavior is mainly done by considering political, culture, religious and race of a group. In addition certain, inherent emotions, political campaigns, socialization of parties, political views and media affect the voting behavior (Gerring et al., 2015). On the basis of this explanation, it can be said that voting behavior is affected by both internal and external influence. The degree to which these factors affects voting behavior also determines whether correct democratic decision has been taken by citizens or not. Voting behavior is also modified according to type of elections. This can be said because people have different criteria while taking voting decision during presidential, legislative, local or referendum election. Therefore, the logic for taking voting decision changes if the voting is for national or regional elections. In case of national level elections, people mainly take decisions on the basis of political beliefs and in case of local elections, they try to evaluate the capability of the candidate to bring changes in the local region. In addition, evaluation of certain public policies, government performance and characteristics of individual candidates act as the major source of individual voting behavior (Mintz, Close, Croci, 2017). The evaluation of political parties or candidates by voters is again affected by attitudinal factors of citizens. For example, voters attitudes towards a party affect their ability to vote. Some citizens identify with a specific political party because of their loyalty towards the party. Hence, partisan loyalties can affect evaluation and assessment of candidates and perception of the partys contribution in the countries. Apart from this, there are certain ideological orientations too which affect voting behavior. For example, some people may have explicit understanding about political ideologies and they tend to critically analyze different factors while deciding to vote for a candidate. However, there are other sections too who have no political interest or lacks the knowledge and qualification to understand role of political parties in the development of their region. Hence, such voters are very liberals in their decision and they may be easily influenced by the current action or campaigns of political parties. On the whole, it can be said that on the basis of ideology and attitude of voters, the electoral behavior and the electoral dynamic change dramatically. One of the significant and long term change in electoral dynamics is seen when basic loyalties towards a party change all of sudden and complete realignment of the party system takes place. Personal background of voter such as their income level, occupation and upbringing also influence their decision. Race, education and religion also affects the decision to vote a candidate. There is controversial argument regarding allowing only educated people the right to vote. This is because educated people have better capability to choose the right candidate for their constituency compared to illiterate people (Mintz, Close, Croci, 2017). The relationship between socioeconomic status and voting behavior is an important topic in research. The level of education, income and occupation acts as a significant factor in influencing voting decision, voting behavior and attitude towards voting. For instance, educated voters have the best chance to have their view represented. However, there are socioeconomically disadvantaged group in the community too who rely on government programs and external provocation to engage in the voting process. Education is also considered the most importa nt socioeconomic factor in elections because it affects the voter turnout percentage. Educated people are aware about the role of the political system and the act of voting in connecting with realities of their lives. In addition they also have all the information regarding national and international events through social media (Cohen Chaffee, 2013). Hence, they regard voting as an opportunity and participate actively it. Less educated people on the other hand mostly tend to skip voting. The analysis of campaign issues and types of political campaigns during election also helps to study voting behavior. Political parties tend to use campaigns as a source to give important message to public and televisions, mass media, social media act as the major source to connect with voters and pass key political message to the public. Such campaign greatly influence voting behavior and voting decisions because it clarified the public regarding important party policies, vision and core political agendas. This helps voters to make informed choice during voting. With the advent of technology and the digital media, political leaders are taking innovative methods to disseminate campaign message to public. For example, currently advertising is regarded as a powerful tool to directly connect with public and inform them about their key political agenda (Mintz, Close, Croci, 2017). Therefore, political parties spend a huge amount in political ad campaigns to craft the best campaign messa ge and influence the choice of people during voting decision. The perception of voters regarding the candidate also has an impact on voting behavior during elections. The voter are loyal to specific parties only because of their influence on implementing important government policies or bringing significant changes in their life. However, with the use of mass media tools, political powers have taken the advantage and manipulated voters perception regarding a political figure or party. The advantage of mass media has been realized in elections because of number of reasons. Firstly, it helps to communicate political message to large group of people. Secondly, there is also scope for transmitting propaganda selectively. Thirdly, political leaders get the advantage to adopt different communication styles and format to pass the message. Hence, the way message are disseminated through media tools have an impact on voters attitude. Mass media act as powerful source to shape as well as change voting behavior (Cohen Chaffee, 2013). Several theoretical models have also tried to explain voting behavior. Political parties can take the help of sociological and psychosocial models to interpret and analysis voting behavior and develop their campaign plans accordingly. Conclusion: The report summarizes the dynamics of the electoral process by discussion about the impact of several factors on voting behavior. Apart from political ideologies and loyalty towards a party, many socioeconomic links between voting behavior and elections has also been found For instance, discussion has highlighted about the difference in voting behavior due to education, employment and religion. The attitude and perception towards political parties also challenges political powers to take innovative step to manipulate voters choice during voting process. The mass media has emerged as a powerful tool for political parties to disseminate important message and affect behavior. References: Cohen, A. K., Chaffee, B. W. (2013). The relationship between adolescents civic knowledge, civic attitude, and civic behavior and their self-reported future likelihood of voting.Education, citizenship and social justice,8(1), 43-57. Elections Canada Online | The Electoral System of Canada. (2017).Elections.ca. Retrieved 20 November 2017, from https://www.elections.ca/content.aspx?dir=cesdocument=part1lang=esection=res Gerring, J., Palmer, M., Teorell, J., Zarecki, D. (2015). Demography and democracy: A global, district-level analysis of electoral contestation.American Political Science Review,109(3), 574-591. Mintz, E., Close, D., Croci, O. (2017).Politics, Power and the Common Good: An Introduction to Political Science(4th ed.). Canada: Pearson Education.

10 Cheap Ways to Get Books for Class

10 Cheap Ways to Get Books for Class College classes are a chance to expand your mind, explore new subjects, meet new people and learn more than you ever wanted to know about just how expensive books can be. Luckily, there are plenty of ways to find books on the cheap. These helpful hints can trim down your book budget, see also how to find money for education, and help you to work smarter instead of harder. Find Out If You Need the Textbook First Plenty of courses have a recommended textbook and plenty of students know that doesn’t mean youll actually use them. Each year, thousands of students buy expensive textbooks they open once and then throw into a corner to collect dust until the end of the school year. Talk to former students or ask your professor or TA directly if youll need the textbook. Shop Online Secondhand books have become a huge industry online. Websites like ABE and Alibris specialize in out of print and hard to find titles – including textbooks. Amazon also offers quite a few options – including a marketplace solely dedicated to used and secondhand books. When shopping online for textbooks, there are a few tips that can help make sure you find a great deal. Ask About the Edition – Some textbooks go through major revisions every year. Others move the placement of a comma and release it as an Updated Edition. Trawl through the Table of Content, look for a list of updates and changes or simply ask your professor if an older version is fine for the course. Being able to buy an older edition could slash the cost of a textbook in half. Check the Condition – Secondhand books are, by their very nature, used. However, not all students go through a Highlight Fever phase so many textbooks are in great shape with little, if any, marks or highlights. Others, however, can be so marked up that youll start to think the previous owner fostered a deep seated marker scent addiction. If a textbook is priced especially low, be sure to check the notes on its condition. If youre able to ignore marks and notes in the margins, then a heavily used copy will be a lot cheaper than one with little or no marks. Cast the Net Wide – When looking for textbooks online, be sure to include websites that arent completely dedicated to books. Both eBay and Craigslist can be great places to find used textbooks, especially if you manage to search right after a semester ends. Plenty of students try to sell their own textbooks directly and some even sell them as a lot on sites like Craigslist. Factor in Shipping – When you buy books online, they could be coming from anywhere. If youve only started to look for textbooks a few weeks before class starts, be sure theyll arrive in time. Also factor in the shipping costs – textbooks are notoriously heavy. Get Local If your university is near a major city, be sure to check out the local thrift stores. Many students dont bother trying to resell their old textbooks and you may be surprised how many end up on the bookshelves of a local charity shop. While the editions may be older, if your course doesn’t require the most up to date edition, picking up a used copy at a thrift store could make a real difference in how much you end up paying for books. Consider International Editions International editions of major textbooks have the same content as domestic editions. The difference typically has to do with the quality of paper and other materials used to publish the book. These books are not available through US websites or stores. That means youll need to consider extra shipping costs and more shipping time since youll be ordering from abroad. Explore E-Book Options These days, more and more publishers are offering electronic versions of popular university and higher education textbooks. Although you wont be able to easily resell these books once the class is over, they are typically priced much lower than their traditional counterparts. Rent Them! Renting textbooks has become the newest way for students to help take the crunch out of their book budgets. Smaller websites like Textbook Rentals and Book Renter have become hot buzzwords on college campuses. Even the book giants Amazon and Barnes Noble are beginning to get into the textbook rental business. Although currently there are a limited number of books you can rent, its growing popularity suggests that soon students will be able to rent everything from Accounting 101 to Zoology 999. There are many expenses associated with getting a college degree. Paying for tuition and class fees is really the top of the iceberg. Books come a close second in terms of how much of your education budget but these tips can help lessen the sting of buying books for every class. Freeing up a bit of money by getting textbooks cheaper means less stress on your budget and your mind which can make your next semester a lot easier.

Charles Kingsford Smith essays

Charles Kingsford Smith essays Charles Kingsford Smith was born at Hamilton, Queensland 9th February 1897. Charles was the youngest of his six siblings, he was a small and energetic boy who would do anything for a dare and loved adventure. He was educated in Canada and Australia and graduated from Sydney Technical College as an Electrical Engineer at age 16. In 1915, Charles joined the AIF, and later he transferred to the Royal Flying Corps, and then he was commissioned in 1917. By this time he became widely known for his excellent flying skills. In World War 1, at Gallipoli, 1915 Charles served the Signal Corps as a dispatch rider. He was with the squadron for six weeks, and had four victories. He also had to amputate three of his toes because of a sortie over the Somme. After he was done at Gallipoli, Charles received the Military Cross from the King while he was on crutches. After the World War 1 Smithy, as he known as, did joy riding and stunts aboard before returning to Australia in 1921. He then gave joy rides and exhibitions at Wellington NSW, before joining the pioneer Western Australian Airways to fly a mail route between Geraldton and Derby, WA. At the end of 1926 Kingsford Smith purchased two small Bristol aeroplanes and returned to eastern Australia. In July 1927, Smithy traveled to America to organise finance for a Trans-Pacific flight. There he purchased a Fokker tri-motored aircraft, which he named Southern Cross. He and his friend, Ulm, took off from California on the 31st of May 1928 and after 83 hours and 28 minutes of flying they landed in Brisbane on the 9th of June. They were the first men to cross the Pacific by air. In 1930, still in partnership with C.T.P. Ulm, Smithy founded Australian National Airways and began a Sydney to Brisbane air service on 1 January, followed in by a Melbourne-Sydney service and a Melbourne-Hobart service. Later on Smithy returned to barnstorming for a living, and bec ...

Assess the major themes, based on article ''Sharing In The Global Essay - 1

Assess the major themes, based on article ''Sharing In The Global Economy -An Introduction'' written by Adam W. Parson edited by Rejesh Makwana - Essay Example These varied images figure into diverse representations of globalization by which it mean broad understandings of its characteristics, dynamics, causes, and consequences. Some representations are explicitly constructed, publicized, and defended against alternatives – as in the neoliberal narratives offered by the World Bank (WB) and the International Monetary Fund (IMF), or the critical narratives of groups that oppose corporate globalization, such as Global Exchange. But there are also what we can call implicit representations arising from media coverage of globalization-related issues, formed as people pass the images and ideas they encounter through the filter of their own perspectives and experiences, and build understandings of their own. These diverse representations – unfurled in different venues, to different audiences, with different ends matter in so far as they affect the dense networks of forces and relations that shape how globalization unfolds. Thus, for e xample, they may affect such varied processes as: the buying behavior of first-world consumers, the bargaining power of labor, the success and freedom from regulation of multinational corporations, the mandates of elected officials, the authority and funding of the international financial institutions, and shifts of authority for regulating international trade and investment from national into supranational domains. Globalization is almost always understood to be an acceleration of processes of economic integration, spurred by free trade, that have been underway for centuries. To be sure, there are lively debates within the economics profession about the levels and distributions of benefits from globalization and the extent to which it has excesses and inefficiencies that public policy should address. However, few mainstream economists would agree that new conceptual frameworks

How are game console interfaces assisting in creating an immersive Essay

How are game console interfaces assisting in creating an immersive gaming experience - Essay Example Games consoles are typically thought Ð ¾f as units that operate through a television or some other large, external screen or monitor. These units require an external power supply, thus severely limiting their portability. The games themselves are mounted on media that is inserted into the unit, such as a CD, DVD or cartridge, or in media such as a cassette, readable through a tape player. The console has a keyboard, sockets for joysticks or other games controllers, or both. Experimentation with current games console technology suggests that the PC is still, despite the considerable price disadvantage, a more realistic and usable device for serious, Network-based research. However, for beginners to the Internet who require only basic facilities, a games console with network access may prove a more fiscally viable option. As Ð ¾f September 2000, the one games console Ð ¾ffering online access possesses significant limitations in terms Ð ¾f browser functionality, and Ð ¾ffers no facilities for downloading files or data. While the computer gaming community is more interested in the speed and playability aspects Ð ¾f online gaming, it is the data and application storage and manipulation functionality Ð ¾f consoles that will need to be addressed, as well as data transfer capabilities, if such devices are to become a serious electronic library accessing option for the academic and research communities. Furthermore, the PC, with the Apple Macintosh a distant second, has a firm hold within the library, educational and other sectors as the system Ð ¾f preference for accessing the Internet. This is due to a combination Ð ¾f familiarity, longevity, educational sales discounts leading to PC prices being substantially cheaper than if bought by members Ð ¾f the public, and the absense Ð ¾f an alternative.

Labor and Birth Case Review Essay Example | Topics and Well Written Essays - 1500 words

Labor and Birth Case Review - Essay Example The process included conducting a pelvic exam in order to determine how the patient was progressing (Stevens, 2004). Notably, the active stage was faster than the latent phase with the patient experiencing contractions in every two minutes. However, the contractions were more painful. The transition to second stage began when the cervix dilated to about 8 – 9 cm. Second stage By the time the second stage started, the baby’s head had appeared at the top of the cervix. It is worth noting that the mother was advised on when to push. Notably, uterine contractions were also getting stronger (Tharp, 2000). With assistance from abdominal muscles contraction together with mother’s pushing, the baby passed through the birth canal. It was noted that active pushing played a significant role during the stage. More importantly, an epidural anesthetic was administered in order to make the mother to manage the abdominal muscles better. Consequently, crowning occurred as the inf ant filled the lower vagina. After the head was out, then the shoulders followed, and the baby’s mouth and nose was suctioned in order to ease the baby’s first breath. Third stage During the final stage of labor, the continuing uterine contractions push the placenta out of vagina. ... This called for use of a stethoscope known as fetoscope. Consequently, after child birth, the patient was given some pain relief. This involved an epidural being placed in the patient while she lay on her side. Then her back was scrubbed with antiseptic, while the local anesthetic was injected in the skin. The anesthesia provided complete pain relief. Natural birth preparation The patient together with the family selected Lemaze method for preparing for childbirth. The method entails practice of breathing exercises together with concentration at a focal point (Tharp, 2000). This was done to assist the patient to control her pain while at the same time being conscious. In addition, the method made the flow of oxygen possible in the baby as well as to the muscles. I coached the mother during the birthing process. Conclusion The birth process was successful as expected. The mother did not experience any complications although the baby was noted to have heart murmurs. All in all, all the procedure that are involved in the birth process were a success. References Korte, D. (1992).  A good birth, a safe birth. Harvard: Harvard Common Press.   Stevens, L. R. (2004). "Gimme a C: Is Choosing a Cesarean Section for a Nonmedical Reason Wise?"  Fit Pregnancy  April-May: 40-42. Tharp, A. J. (2000).  This giving birth: pregnancy and childbirth in American women's writing. Bowling Green, OH: Bowling Green State University Popular Press.   Evidence based care Evidence based care refers to an evidence based solution that addresses a clinical dilemma and calls for defining the problem, in addition to conducting an efficient search in order to obtain the best evidence (Walsh, 2007). This is then followed by appraisal of the evidence, which is then

An Analysis of Female Foeticide in India

An Analysis of Female Foeticide in India India is a country of incredible ironies. It is a land where people worship myriad forms of female Shakti in quest of wealth, wisdom and power. In this country it is a common sight to see thousands of couples making arduous journeys every year to shrines of goddesses in order to be blessed with a child. But strangely enough, in this country, a couple is said to be blessed only when it has a male child; for a girl is never considered a blessing in our society. Her birth seems to cast a pall of gloom over the entire family. Her birth is not rejoiced, instead the entire family moans. Gender biasness had been the typical attitude of the patriarchal Indian society since time immemorial. The Vedas contained passages which emphasized the necessity of son. May you be the mother of a hundred sons have always been a popular blessing by elders to young brides. It is indeed an undeniable fact that despite differences in social and intellectual status, almost all the sections of the society do stand on the same platform so far as their craving for male child is concerned. On the other hand, daughters are unwanted, they are considered burdensome and people who do not dare to carry this burden for long dispose them off as quickly as possible, for in Incredible India, killing of the girl child is no sin. Initially the girl child was put to death brutally, being throttled, poisoned or drowned in a bucket of water right after her birth. These had been the common practices followed particularly in the rural areas. However the evil of killing the girl child no longer remained confined to the rural people but equally attracted the urban population too who, despite being educated, seem to show a strong preference for the male child and the subsequent avoidance of the female child. The rapid advancement of science and technology proved a boon for these people as this had made the diabolic slaughter of the female child much easier and more sophisticated than before. The benefits of science, as usual, has again been misused by mankind and today by dint of the pre-natal sex determination tests, the female fetuses are selectively aborted. Hence we can say that in the modern era another shameful chapter has been added to the saga of oppression and exploitation meted out to women, in the form of Female Foeticide. It is indeed heartening that in recent times when India boasts of its scientific achievements and discoveries, when the pages of textbooks are flooded with slogans of Shining India, women in India are not only facing inequality and inequity in every sphere but they are denied even the right to be born. What is Female Foeticide? As a medical term, foeticide is destruction of a fetus  [1]. The term Female Foeticide may be defined as the elimination of a female foetus at any stage of pregnancy, after determining its sex. It is also defined as killing of female foetus through induced abortion.  [2]  Hence Female Foeticide refers to the process of aborting a foetus if, after undergoing sex determination tests or pre-natal diagnostics tests, it is revealed that the foetus is female. In other words, it implies the barbarous act of killing the girl child in the womb itself, unseen and unheard, only for the fact that she is female. The misuse of medical science has facilitated the rapid growth of this heinous crime in the society today. A number of medical procedures are carried out to determine the sex of the unborn child such as: Amniocentesis Ultrasonography Foetoscopy Chorionic villi biopsy Placental tissue sampling etc. Out of these the most commonly used sex-determination test is amniocentesis. It was meant to be used as an aid to detect any abnormality in the unborn child. But over the years, especially since 1978, amniocentesis has become a widely used test by doctors to determine the sex of the foetus between 14-18 weeks of pregnancy. The ultrasound technique has also gained huge popularity. The trans-vaginal sonography has enabled to determine the sex of a foetus within 13-14 weeks of pregnancy and through abdominal ultrasound, sex determination is possible within 14-16 weeks. Whatever be the method employed, the reality is that these methods have made sex determination quite easier and cheaper, thereby encouraging the growth of Female Foeticide at a high rate. Reasons for High Rate of Female Foeticide in India: It has been widely accepted nowadays that girls are emotionally more attached to parents, more responsible in society and by no means less competent than boys. However withstanding all this, the typical orthodox Indian attitude accompanied with several socio-economic-cultural factors pervading in the society has always upheld the need of male child and disfavored the birth of girl child in the family. This has immensely contributed to the rampant growth of female foeticide in the country, thus making India one of the worst nations in the world plagued with skewed sex ratio. The most prominent factors encouraging Female Foeticide in India are listed below: i) Religious factors: The Hindu religion lays great stress on the birth of a son. In a Hindu patriarchal society it is the son who continues the family lineage or Vansh. According to Manu, a man cannot attain moksha unless he has a son to light his funeral pyre. Also, it says a woman who gives birth to only daughters may be left in the eleventh year of marriage.  [3]  Such gender biased customs and practices in the traditional Hindu society has over-emphasized the birth of sons and discouraged the birth of girl child in the family, thus paving the way for Female Foeticide. ii) Evil of Dowry: Dowry is essentially one of the factors which has encouraged the practice of Female Foeticide to a great extent. Parents find it a better option to avoid the female fetuses itself than to pay exorbitant rates in the form of dowry while marrying off their daughters. Hence in order to escape from dowry people desperately go for sex selection tests and eliminate the female foetus. To most of the couples, especially the middle-class ones, it appears that paying Rs. 500 at present is better than to pay Rs.5,00,000 in future. Conversely, the boy is viewed an asset to fetch fabulous dowry for the parents. Hence boys are naturally preferred to girls. iii) Financial Dependence of Females on Husband or In laws: In India, the socio-economic background has also been the villain behind the tragic female foeticide. Certain communities want to get rid of female child compelled by the circumstances of dehumanizing poverty, unemployment, superstition and illiteracy. iv) Secondary status of women in society: It is generally expected that sons would carry the family lineage forward, provide security and care to parents especially in old age, enhance family wealth and property and perform the last rites and rituals. Whereas daughters would go to anothers house draining out all the family wealth. Moreover they always need to be protected, defended and taken care of , thus imposing an extra burden over the family. Such conservative attitude of the Indian society which essentially regards women a burden is one of the most potent factors which has induced strong son preference and hence encouraged Female Foeticide. All this factors clearly point out that the ever existing gender biasness in our country favoring the male and the stereotype notion of women as burden is the primary cause acting behind the shocking statistics of Female Foeticide in India. Genesis and Growth of Female Foeticide in India: The Chilling Reality The devil of Female Foeticide first crept into the Indian society through the corridors of the northern states which engaged in gross misuse of amniocentesis. Amniocentesis first started in India in 1974 as a part of a sample survey conducted at the All India Institute of Medial Sciences (AIIMS), New Delhi, to detect foetal abnormalities. These tests were later stopped by the Indian Council of Medical Research (ICMR), but their value had leaked out by then and 1979 saw the first sex determination clinic opening in Amritsar, Punjab. Even though women organizations across the country tried their best to put a stop to this new menace, but were helpless because of the Medical Termination of Pregnancy Act 1971 which permitted the amniocentesis test as it claimed to be used for detection of foetal abnormalities,. According to the MTP Act, if any abnormality is detected between 12 to 18 weeks of gestational period in the foetus, an abortion can be legally carried out up to 20 weeks of pregn ancy.  [4]  Owing to this provision, amniocentesis could not be banned and its gross misuse continued. Although responding to the situation certain legal steps had been initiated by the government, however, the evil of Female Foeticide could not be curbed out but rather with the passage of time it has become all the more sdangerous. Today the issue of Female Foeticide in India is no longer only an issue of violation of womens rights only but rather it has become a chronic disease. It has become so widespread all over the country today that day by day we are actually inching closer to a nation without women. Weird it may sound, but the shocking statistics revealing the distorted sex ratio in our country compel us to accept this truth. According to the United Nations an estimated 2,000 unborn girls are illegally aborted every day in India. Another glaring example is the demographic profile of India which clearly indicates the profoundness and wide spread prevalence of female foeticide. India is a country of 102.7 crore population, out of which 53.1 crores is of males and 49.6 crores is of females, clearly indicating a deficit of 3.5 crore women. The sex ratio is 933 women /1000 men and child sex ratio is 927 girls for 1000 boys  [5]. The intensity of this heinous crime in our country is revealed by the following figures: Sex Ratio (females per thousand males), India: 1901-2001 Year Sex-Ratio 1901 972 1911 964 1921 955 1931 950 1941 945 1951 946 1961 941 1971 930 1981 934 1991 929 2001 933 Thus as per these statistics reveal, the overall sex ratio in India is 933 females for every 1000 males, showing a marginal increase of 4 points from the 1991 census of 929. However, this is a very sorry state indeed and we are doing much worse than over a hundred years ago when the sex ratio was 972 in 1901, 946 in 1951 till the 933 today. The Trend of sex ratios in the age group of 0-6 years all over India Years Sex Ratio 1961 976 1971 964 1981 962 1991 945 2001 933 The above table clarifies that more and more baby girls have either been aborted or killed as infants since 1961 and that this trend continues strong even today. The intensity of sex ratio imbalance in the 0-6 age group in some states of India is indeed horrifying. In Punjab the sex ratio is (793 F: 1000 M), in Haryana it is (820 F: 1000 M), in Himachal Pradesh it is (897 F: 1000 M), in Gujarat it is (878 F: 1000 M). Recent government figures show that in South Delhi, the sex ratio is 762 females per 1000 males, while in Mumbais Borivalli its 728 females per 1000 males. In Jaipur itself, an average of 3500 instances of female foeticide is supposed to be carried per year. These figures undoubtedly point out that the country, is witnessing today the systematic extermination of the female child on a large scale. All most the whole of the country is under the grip of this menace. The following table estimates the intensity of Female Foeticide in the various states of India: States Showing High Foeticide Percentage State Female Foeticide ( percent to All India) Maharashtra 45.1 Madhya Pradesh 15.4 Haryana 14.3 Rajasthan 9.9 Andhra Pradesh 8.8 From the above table we find that ironically the developed and the richest states of India are the toppers in the list where female foeticide is extensive. According to UNICEF study done over 3 years (1994-1996), there are only five states in India where no case of foeticide or infanticide have been reported which are Sikkim, Nagaland, Meghalaya, Mizoram and Jammu Kashmir. An improvement in the child sex ratio whatsoever has only been marked in one state, Kerala, and two Union Territories, Lakshwadeep and Pondicherry. The reports published by various agencies also throw considerable light on this grim reality. The UN reports reveal that between 35 to 40 million girls missing from the Indian population. According to a study conducted recently in India, the first systematic study on female foeticide by an Indo-Canadian team, 10 million female foetuses have been aborted in India, What all the more shocking is according to its report every year, about 50,000 unborn girls-one in every 25-are aborted in India.  [7]   The UNPFA report on India Towards Population and Development Goals published in 1997 also expressed its concern over the issue. It is estimated that 48 million women were missing from Indias population. The report states If the sex ratio of 1036 females per 1000 males observed in some states of Kerala in 1991 had prevailed in the whole country, the number of would be 455 million instead of the 407 million (in the 1991 census). Thus, there is a case of between 32 to 48 million missing females in the Indian society as of 1991 that needs to be explained. It further stated that, The 1991 census is only indicative of this disturbing trend when elsewhere in the world women outnumber men by 3 to 5 percent. There are 95 to 97 males to 100 females in Europe; the ratio is even less, 88 males to 100 females, in Russia, mainly due to causalities of World War 2.  [8]   According to the UNICEF report, 40 to 50 million girls have gone missing from Indian population since 1901 as a result of systematic gender discrimination in India.  [9]   Thus in consideration of all these facts it is quite evident that Female Foeticide has taken a disastrous shape in India. It is the distressing reality of Shining India that the mass depletion of the fairer sex is being carried on boldly without any hesitation, without any fear. Laws in India to Check Female Foeticide: In India in order to stop the indiscriminate abortion of female fetuses several laws have been enacted. The essential provisions relating to the prevention of Female Foeticide are laid down in: Indian Penal Code 1860 The Medical Termination of Pregnancy Act,1971 The Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 a) Indian Penal Code 1860: Under the IPC adequate provisions have been made for the protection of mother and unborn child. Under Section 312  [10], 313  [11]  and 314  [12], the IPC provides to save the women from miscarriage. Miscarriage means the expulsion of the child or foetus from the mothers womb at any period of pregnancy before the term of gestation is completed. Though the term miscarriage is not defined in the I.P.C in its popular sense, it is synonymous with abortion, and consists in the explosion of the embryo or foetus, i.e. the immature product of conception. The stage at which pregnancy has advanced and the form which the ovum or embryo may have assumed are immaterial.  [13]  Any act intended, not in good faith to cause miscarriage is punishable under IPC. The punishment for this offence is further enhanced if the woman is quick with child. The term Quickening refers to the peculiar sensations experienced by a woman about the fourth or fifth month of pregna ncy. The symptoms are popularly ascribed to the first perception of the movement of the foetus. According to Section 312 if any person causes a miscarriage of woman, he shall be punished with the imprisonment up to three years or fine or with both, and if the woman be quick with child, he shall be punished with imprisonment up to seven years and fine also. Under this section a woman who causes her miscarriage or gives consent to miscarry is also liable for punishment. Section 313 provides the punishment for life or ten years and fine, who causes the miscarriages of a woman without her consent. In the case of Tulsi Devi v. State of U.P  [14], the accused women kicked a pregnant woman in her abdomen resulting in miscarriage. She was held to be convicted under Section 313. Section 314 further provides that if the act directed to cause miscarriage results in death of the pregnant woman, the offender is punishable with imprisonment of ten years as well as with fine. However the IPC permits abortion  [15]  for saving the life of the pregnant women. Section 312 allows the termination of pregnancy in good faith for saving the life of the pregnant woman. The term good faith, however, is not a constant term but it is varied from case to case. The General Clauses Act 1897  [16]  defines good faith as, A thing shall be deemed to be done in good faith where it is, in fact done honestly. IPC  [17]  defines good faith as Nothing is said to be done or believed in good faith which is done or believed without due care and attention. In addition to these, Section 315  [18]  and 316  [19]  provides for protection against injuries to the unborn child. Section 315 lays down that any person doing an act without good faith with the intention of preventing a child to be born or to cause it die after birth is punishable with imprisonment of ten tears or fine or both. Section 316 provides if a person causes the death of a quick unborn child by an act amounting to culpable homicide he shall be punishable with imprisonment for ten years as well as be fined. Like the Indian law, protection to the unborn child has also been recognized and guaranteed in other countries too. Such as in the United States thirty-five states currently recognize the unborn child or fetus as a homicide victim. 25 of those states apply this principle throughout the period of pre-natal development  [20]  while 10 establish protection at some later stage, which varies from state to state. For example, the Supreme Court of California treats the killing of a fetus as homicide, but does not treat the killing of an embryo (prior to approximately eight weeks) as homicide  [21]. The Unborn Victims of Violence Act enacted in 2004 recognizes the child in utero as a member of the species homo sapiens, at any stage of development, who is carried in the womb. This child in utero is recognized as a legal victim if he or she is injured or killed during the commission of any of 68 existing federal crimes of violence and offered legal remedy as per the state laws. However, the federal and state courts have consistently held that these laws do not apply to apply to legal induced abortions and do not contradict the U.S. Supreme Courts rulings on abortion.  [22]  But unlawful abortion however may be considered foeticide, even if the pregnant woman consents to the abortion.  [23]. Similarly the English law also gives protection to the unborn child. It recognizes Child Destruction as a crime. Child destruction refers to the crime of killing a child capable of being born alive, before it has a separate existence  [24]. The Crimes Act 1958 defined capable of being born alive as 28 weeks gestation, later reduced to 24 weeks. b) The Medical Termination Of Pregnancy Act, 1971: The MTP Act is another attempt to prevent high rate of female foeticide in India. This Act aims in preventing large number of unsafe abortions. The Act clearly states that an abortion can be termed legal only when- Termination is done by a medical practitioner approved by the Act Termination is done at a place approved under the Act Termination is done for conditions and within the gestation prescribed by the Act Other requirements of the rules regulations are complied with. It permits termination of pregnancy only when Continuation of pregnancy constitutes risk to the life or grave injury to the physical or mental health of woman or there is a substantial risk of physical or mental abnormalities in the fetus as to render it seriously handicapped or if pregnancy caused by rape (presumed grave injury to mental health) or due to contraceptive failure in married couple (presumed grave injury to mental health).However termination of pregnancy is possible Upto 20 weeks of gestation period only With the consent of the woman. If the woman is below 18 years or is mentally ill, then with consent of a guardian With the opinion of a registered medical practitioner, formed in good faith, under certain circumstances With the opinion of two RMPs  [25]  required for termination of pregnancy between 12 and 20 weeks. Also such abortion is to be conducted either at a hospital established or maintained by Government or at a place approved for the purpose of this Act by a District-level Committee constituted by the government with the CMHO as Chairperson. Thus this Act on one hand positively aims to improve the maternal health scenario by upholding the validity of legally induced abortions and negatively, on the other hand, seeks to reduce illegal abortions. Also it is to be noted that such strict principles laid down by the Act for the regulation of abortion is a bold attempt by the Indian Legislature to check Female Foeticide. The Act seeks to put an end to the menace of illegal abortions carried out primarily for the elimination of female fetuses. c) The Pre-Natal Diagnostic Techniques (Regulations and Prevention of Misuse) Act 1994: The PNDT Act is the outcome of the realization of the Parliament that a central piece of legislation had become mandatory for stopping the abuse of pre natal diagnostic techniques. When it was quite evident from the mushroom growth of clinics all over that the pre-natal diagnostic techniques were not restricted for the purpose of detection of genetic disorders or chromosomal abnormalities or congenital abnormalities or sex-linked diseases only but was actually leading to female foeticide, for the first time in India, in 1986, a social action group in Mumbai namely the Forum Against Sex Determination and Sex Pre-selection (FASDSP), initiated a campaign. On its pressure the Maharashtra government enacted the Maharashtra Regulation of Pre-Natal Diagnostic Techniques Act 1988, which was the first anti sex determination drive in the country. This was followed by a similar Act being introduced in Punjab in May 1994. However both these Acts were repealed by the enactment of a central legislation, i.e. the Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act 1994, which came into effect from 01.01.1996, banning sex determination tests all over the country. This Act was renamed in 2002 as the Pre- Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PCPNDT Act) which came to effect from 14.02.2003. The PCPNDT Act chiefly provides for: a) Prohibition of sex selection, before and after conception. b) Regulation of prenatal diagnostic techniques (e.g. aminocentesis and ultrasonography) for detection of genetic abnormalities, by restricting their use to registered institutions. The Act allows the use of these techniques only at a registered institutions .The Act allows the use of these techniques only at a registered place for a specified purpose and by a qualified person, registered for this purpose. c) Prevention of misuse of such techniques for sex selection before or after conception. d) Prohibition of advertisement of any technique for sex selection as well as sex determination. e) Prohibition on sale of ultrasound machines to persons not registered under this Act. f) Punishment for violations of the Act. This Act requires that all diagnostic centres must be registered with the authorities. They are required to maintain detailed records of all pregnant women undergoing scans there. These records must include the referring doctor, medical and other details of the woman, reason for doing the scan, and signatures of the doctors. These records must be submitted to the authorities periodically. For implementing the Act, appropriate authorities are appointed at the state level and work with the director of health services, a member of a womens organization and an officer of the law. At the district level, the appropriate authority is the medical officer or civil surgeon. Advisory committees consisting of doctors, social workers and people with legal training assist appropriate authorities. Supervisory boards at the state and central levels look at the implementation of the Act. The appropriate authority may cancel the diagnostic centres registration, make independent investigations, take co mplaints to court, and take appropriate legal action. It may demand documentation, search premises, and seal and seize material. Courts may respond only to complaints from the appropriate authority. Under the Act the following people can be charged-everyone running the diagnostic unit for sex selection, mediators who refer pregnant women to the test, and relatives of the pregnant woman. The pregnant woman is considered innocent under the Act, unless proved guilty. So far as penalties under the Act are concerned, it consists of imprisonment for up to three years and a fine of up to Rs. 10,000. This is increased to five years and Rs. 100,000 for subsequent offences. Doctors charged with the offence will be reported to the State Medical Council, which can take the further necessary action including suspension. These are the three chief legislative measures initiated in India for combating the evil of Female Foeticide. Judicial Response to Female Foeticide in India: The Indian Judiciary has from time to time come up with ingenious ways to provide protection to the fairer sex and this essentially includes the group of unborn girls too. The Supreme Court in the case of Centre for Enquiry into Health and Allied Themes (CEHAT) and others v. Union of India  [26]  which was filed under section 32 of the Constitution of India under PIL issued directions to Central Supervisory Board, all State Governments and Union Territories for proper and effective implementation of the PCPNDT Act which mandates that sex selection by any person, by any means, before or after conception, is prohibited. Since 2001, the judiciary has been closely monitoring the implementation of its various orders passed regarding the ban on the use of ultrasound scanners for conducting such tests. Subsequently, it had sought status reports from all states and Union Territories. The Supreme Court also directed 9 companies to supply the information of the machines sold to various cl inics in the last 5 years.. Addresses received from the manufacturers were also sent to concerned states and to launch prosecution against those bodies using ultrasound machines that had filed to get themselves registered under the Act. The court directed that the ultrasound machines/scanners be sealed and seized if they were being used without registration. The Supreme Court also asked three associations viz., The Indian Medical Association [IMA], Indian Radiologist Association [IRA], and the Federation of Obstetricians and Gynecologists Societies of India [FOGSI] to furnish details of members using these machines.  [27]  It is to be noted that since the Supreme Court had issued such directives, 99 cases were registered and in 232 cases ultrasound machines, other equipment and records were seized Today there is an estimated 25000 ultrasound machines in the country, of these 15000 have been registered, owing to the efforts of the Judiciary. The Supreme Court in the case of Mr. V ijay Sharma and Mrs. Kirti Sharma vs. Union of India  [28]  the Supreme Court has recently quoted that foeticide of girl child is a sin; such tendency offends dignity of women. It undermines their importance. It violates womans right to life. It violates  Article  39(e) of the  Constitution  which states the principle of state policy that the health and strength of women is not to be abused. It ignores Article  51A (e) of the  Constitution  which states that it shall be the duty of every citizen of India to renounce practices derogatory to the dignity of women. The architects of the MTPA, 1971, have not taken into consideration the fundamental rights of the foetus to be born. It is submitted that life exists in the foetus while in the womb of the mother and in this context Article 21 of the constitution of India is applicable to unborn person as well. Current Scenario of the extent of Female Foeticide in India subsequent to the Legislative initiatives and Judicial attempts: It is quite unfortunate that in India despite enactment of effective laws there has been a little change in the psychology and behavior in the people who still have a damn care attitude in causing the death of that most vulnerable being in India the female foetus. The PCPNDT Act has not been successful to curb out this menace completely but has somewhere or the other contributed to the mushroom growth of private clinics all over the country where people desperately visit for conducting sex selective abortions. Another shameful picture which has come out is that of the doctor community, more often labeled as Gods in our country, are seen to commit a blatant violation of law as well as medical ethics. The zeal with which Female Foeticide has been pursued in the last few decades is indeed a matter of grave concern. The 2001 census registered a decline in the child sex ratio in 80% of the districts in India. The juvenile sex ratio, which stood at 976 in 1961, fell to 927 in 2001, for th e country as a whole. According to a popular survey, there are 2,379 registered scan centres in Tamil Nadu alone. In Chennai itself, 147 private nursing homes are allowed to carry out medical termination of pregnancy and sterilisation. What actually happens in our country is that laws remain as mere paper legislations only. For example, the PCPNDT Act mandates the seizure of all equipment/machines for non-registration. But what usually takes place in our country is release of machines after payment of a fine. Considering another situation, the Act also mandates that any person conducting ultrasonography or any other pre-natal diagnostic technique must maintain proper records. The Act requires the filling up of a written form, duly signed by the expectant mother, as to why she has sought diagnosis. But in reality there is hardly any forms fi