Clinical Educational Experience Essay

Educating the family and or the community is a role that every nurse must participate in to promote, maintain, and restore health among them. To accomplish such requires family members receive and have a practical understanding of health-related information. One method to accomplish such is to develop a health educational plan. The health education plan based upon information collected from a windshield survey and Friedman family assessment conducted, Areas that will be discussed include, a description of the educational need based upon assessment findings, educational goals and objectives, educational methods that will be used to implement the health educational plan, and the methods applied to evaluate the educator and process used in the development and implementation of the health education plan. I also include the health tools used to educated family, and Identification of a Health Educational Need. MBG elderly Diabetic type I, smoker, strike, demanding, uncaring, undetached from the family. JBG also elderly depressed and heavy drinker, son flat affect with family, dysfunctional family. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the family framework. Being old fashion hard cord Catholic is hard to make them understand that what you preach in the community you have to practice at home. According to NANDA, Nursing diagnosis for this family that I have encounter: 1) Impaired verbal communication as evidence by controlling, undermining from mother and lack of family connectedness. 2) Stress overload evidenced by busy work day, lack of time to relax, and sleep deprivation, and 3) Risk for suicide as evidence by father excessive drinking and mopping around wondering what is the point. Resolutions as follow: 1) Establish common goals, complementary roles, and ongoing  constructive relationships between the health provider and family members, family counseling and individual counseling. 2) Mental health is essential to a person’s well-being, healthy family and interpersonal relationships, and the ability to live a full and productive life. People, stress with untreated mental health disorders are at high risk for many unhealthy and unsafe behaviors, including alcohol or drug abuse, violent or self-destructive behavior, and suicide. Brochure was given to the family, Stress overload and attempted to cover depression and communication into the education knowing that dinking, depressing, and risk of suicide are very touchy subjects. Family was hesitant at the beginning but did pay attention and glanced over brochure gave them names of hospital and web site that they can surge for help. Nurses must be conscious of their responses and actions that may inadvertent ly affect the patient’s response. Jean Watson’s Theory of Human Caring uses a contemporary, holistic framework designed by using multiple disciplines to care for individuals and those within a community. So as a nurse we must be always be considerate about of the family as whole and include the community that will be affected. A learning motivation based upon personal need. The adult’s motivation to learn is derived from the developmental needs of the individual. â€Å"The adult †¦comes into an educational activity largely because he is experiencing some inadequacy in coping with current life problems† (Knowles, 1972, p. 36). References Depression and how to help out. Retrieved from: www. http://lib.calpoly.edu/support/how-to/find-articles/Depression. Healthy People 2020.gov (June, 2014) US Department of Health and Human Services retrieved from http://healthypeople.gov/2020/LHI/injuryViolence.aspx Knowles, M.S. (1972). Innovations in teaching styles and approaches based upon adult learning. Journal of Education for Social Work, 8, 2, 32-39. Nanda: nursing diagnosis Care Plan/Nursing Diagnosis/ Nursing Diagnoses List 2013 retrieved From www.nanda.org Nursing Diagnosis Handbook, 9th Edition: By Betty J. Ackley, MSN, EdS, RN and Gail B. Ladwig, MSN, RN ISBN: 9780323089210, copyright: 2014, Mosby. The Friedman family assessment model form retrieved from: https://portal.phonex.edu/mediallibrary/embedreader.urn:isbn9780130608246: friedman University of Illinois library. Retrieved from: http://openurl.library.uiuc.edu/sfxlcl3?rft.object_id=17160000000000289&svc.fulltext

Awakening Study Guide

Section 1: Due Wednesday, March 8 Chapter I 1. What does the parrot say? What does it mean? How might these comments foreshadow what will occur in the novel? 2. Describe Leonce Pontellier. Specifically describe his reaction to the parrot, how he speaks to his wife, and his reaction to Mrs. Pontellier's question about dinner. 3. Describe the Pontellier children. 4. What is the role of the â€Å"quadroon†? 5. Who is Robert Lebrun? What is his part in this story? Chapter II 1. Describe Edna Pontellier. What does she look like? Where is she from? Where does she live now? 2. What is Robert Lebrun like?What are his plans for the future? Do you think he will ever follow through with his plans? Why, why not? 3. Describe Edna and Robert's relationship. Chapter III 1. How does Leonce feel when he returns home? 2. How does he feel about Edna's mothering skills? 3. Why does Edna cry? 4. How do others feel about Leonce? Chapter IV 1. What is a mother-woman? Why is Edna not one? Who is a mo ther-woman? 2. How is Edna different from Creole women? Chapter V 1. How does Robert relate to women on the island? 2. How does Edna feel about sketching? 3. Do you think Adele faked fainting? Why,or why not?Chapter VI 1. â€Å"A certain light was beginning to dawn dimly within her – the light which, showing the way, forbids it. † Analyze the above sentence. What does the light represent? How does the light forbid as it compels? 2. What does Edna come to realize about her â€Å"position in the universe†? 3. What is the ocean's effect on Edna? Chapter VII 1. How does Edna have an â€Å"outward life which conforms, and the inward life which questions†? 2. What does Edna blame her change upon? 3. How do Edna’s and Adele's outward appearances represent their inward lives? 4. How does Adele treat Edna's sadness?What does this say about her? 5. Describe Edna's sisters. Chapter VIII 1. Why does Adele tell Robert that Edna is not one of them? 2. Who is Alc ee Arobin? What stories does Robert tell about him? 3. Describe Robert's relationship with his mother. 4. How is Robert affected by the letter from Montel? Chapter IX 1. Early in this chapter the parrot speaks, and the Farival twins play songs from Zampa. Why do you think Chopin repeats these events? 2. Again, Edna sees the ocean and remarks on its restlessness. How does the ocean reflect Edna's own feelings? 3. Describe Mademoiselle Reisz.How does Edna feel about her? 4. Describe the story Mlle Reisz's playing conjures for Edna. 5. How does Mlle Reisz's playing affect the audience? Chapter X 1. Edna cannot swim. What are the implications, then, of her focus on the ocean? 2. â€Å"She wanted to swim far out, where no woman had swum before. † Analyze the above sentence. List the different meanings it has for Edna’s life. 3. Why does Edna have an encounter with death? Chapter XI 1. How does Leonce feel when Edna returns from swimming? 2. Now that Edna is awakening from a dream, how does her everyday life affect her? Chapter XII 1.Edna says, â€Å"He'd never be in bad humor if it weren't for me,† referring to Leonce. Why does Edna think this? 2. Where are Robert and Edna going, and why is it unusual? 3. Describe Mariequita's encounter with Robert. Chapter XIII 1. Where does Robert take Edna after they leave church? 2. Describe Madame Antoine and her life. Section 2: Due Friday, March 11 Chapter XIV 1. Who took charge of Edna's children while she was on the island? 2. What doesn't Edna realize about herself? 3. What does Robert's song, â€Å"si tu savais† (if you knew), represent? Chapter XV 1. Describe Edna's reaction to hearing Robert is going to Mexico. . Does her reaction surprise you? Why, why not? Chapter XVI 1. How does Mlle Reisz react to Edna? 2. Do you agree with Edna's idea that a woman should never sacrifice herself for her children? 3. What does Mlle Reisz think about Madame Lebrun's relationships with her sons? 4. What new information did you learn about Mlle Reisz? Chapter XVII 1. The setting has changed. Where does the story take place now? 2. Leonce is angered when Edna tells him she went out. Why is he angry? 3. What does Leonce think Edna should do about the cook? 4. Why does Edna try to destroy her wedding ring?What change is taking place in her? Chapter XVIII 1. How does Edna feel about the house and her domestic chores? 2. How does Adele feel about her domestic chores? 3. Reflect upon the difference between the two women. 4. Compare and contrast the Pontellier marriage with the Ratignolle marriage. Chapter XIX 1. After her visit with Adele, what does Edna do about her domestic obligations? Does this surprise you? Give evidence as to why you think Edna's reaction is expected or not. 2. How does Leonce react to Edna's actions? 3. Of what does Chopin say Leonce is not aware? 4. What does Edna spend her time doing?Chapter XX 1. What does the neighborhood grocer think of Mlle Reisz? Why do you thi nk he feels this way? 2. Describe the altercation between Victor Lebrun and the black woman. 3. The Lebruns comment that Edna looks better. Why do you think Edna looks healthier? Chapter XXI 1. Describe Mlle Reisz's apartment. 2. How does Mlle Reisz react to Edna's arrival? 3. Mlle Reisz says to Edna, â€Å"To be an artist includes much; one must possess many gifts – absolute gifts – which have not been acquired by one's own effort. And, moreover, to succeed, the artist must possess a courageous soul. The brave soul.The soul that dares and defies. † Do you think Edna has such a soul? Why or why not? 4. Do you think Mlle Reisz has such a soul? Why or why not? 5. What do you think is in Robert's letter to Mlle Reisz? Why has he not written to Edna? Chapter XXII 1. Describe the conversation between Leonce and Doctor Mandelet. 2. Why would Edna tell Leonce that â€Å"a wedding is one of the most lamentable spectacles on earth†? Chapter XXIII 1. Describe Edna' s father. 2. What is the doctor's assessment of Edna's health? 3. What story does Edna tell at dinner with the doctor and her father? Chapter XXIV 1.Edna's father gives Leonce the following advice concerning Edna, â€Å"Authority, coercion are what is needed. Put your foot down good and hard; the only way to manage a wife. † Do you think this would be an effective way for Leonce to relate to Edna? 2. Who is Emerson? What kind of literature did he write? Why would Edna be reading his works? Chapter XXV 1. Who is Arobin? What kind of man is he? 2. Describe Edna's encounter with him after the races. 3. Edna imagines her time with Arobin means she is being unfaithful to Robert. Does Edna ever think of her husband? Chapter XXVI 1. Mlle Reisz mothers Edna; why does Edna let her treat her that way? . Chopin says of Edna that she â€Å"resolved never again to belong to another than herself. † Do you think this is an accepted way for women to think in the late 1800s? 3. Edna ad mits to Mlle Reisz that she is in love with Robert. How does Mlle Reisz react? Section 3: Due Tuesday, March 15 Chapter XXVII 1. Edna says to Arobin that she would like to â€Å"determine what character of a woman† she is. He replies, â€Å"Why should you bother thinking about it when I can tell you what manner of woman you are. † Think about Edna's comments concerning wanting to be her own woman, to be possessed by no one.Why would Chopin not have Edna protest such a comment? 2. Mlle Reisz tells Edna, â€Å"The bird that would soar above the level plain of tradition and prejudice must have strong wings. It is a sad spectacle to see weaklings bruised, exhausted, fluttering back to earth. † Do you think Edna is strong enough to soar? Why, why not? 3. Arobin kisses Edna. What are the implications? Remember what the doctor said about Arobin. Chapter XXVIII 1. How does Edna feel after the kiss? Chapter XXIX 1. Who are the â€Å"thousand muffled voices† tellin g Edna to leave her home? 2. Describe Edna's demeanor concerning moving.Chapter XXX 1. We learn the second line in the song Robert sang to Edna. What is that line? Why is it important? Why does Edna not want Victor to sing that song? Chapter XXXI 1. Arobin walks Edna to her new house. How does he treat her when they arrive? Chapter XXXII 1. How does Leonce react to Edna's move? 2. What is Leonce most worried about? What actions does he take? 3. Edna is pleased to see her children. Does this surprise you? Why, why not? Chapter XXXIII 1. What is the advice Adele gives Edna? How does Adele feel about Arobin? 2. Describe the meeting of Robert and Edna. 3.Robert sees Arobin's photograph in Edna's â€Å"pigeon house. † How does he react? Chapter XXXIV 1. Describe the meeting of Arobin and Robert. 2. Arobin declares his love to Edna. Does she believe him? Should she? 3. Which man does Edna fantasize about? Chapter XXXV 1. Edna spends time with Arobin. He feels her â€Å"latent sens uality. † What does she feel? Chapter XXXVI 1. Edna meets Robert by chance at an outside cafe. Describe their meeting. 2. They return to Edna's house where she kisses him and declares she is possessed by no one. What else does she tell Robert? Chapter XXXVII 1. Edna goes to Adele's sick bed.How does this make her feel? 2. Why does Adele say to Edna, â€Å"Think of the children†? Chapter XXXVIII 1. Doctor Mandelet speaks to Edna as they leave Adele's house. What advice does he give her? What does he speak to her about? 2. What keeps Edna awake? Chapter XXXIX 1. Why does Chopin begin the last chapter with Victor Lebrun and Mariequita? 2. In this last chapter, the novel seems to be repeating itself. Which quotes are similar to or are repeats of previous lines? 3. How does the novel end? What is Edna's fate? Is the ending appropriate for the purpose of the book? Explain.

Bloom, Gardner and Gauge

Gagne introduced instructional design that should center on different delivery methods. Benjamin Bloom at around the same time discovered that educational activities were divided into three domains. Clark, 1999) Later Howard Gardner established the theory that instead of all intelligence being the same, each person was blessed with trengths in different areas. Each of these three educational theorists had a huge impact on educational practices. Though each theorist had a distinct theory, all seem to address the idea that students are not made from the same cookie cutter mold, and teaching should be adjusted accordingly. Robert Gagne Robert Gagne stated, â€Å"Learning is something that takes place inside a person's head-in the brain. (Robert Gagne, 2005) Robert Gagne proposed there were many different ways to learn. There are five major categories of learning: intellectual, cognitive, motor, verbal, and attitudes. In order for each type of learning to occur, ertain conditions must b e in place. His theory was named â€Å"Conditions of Learning† after this particular idea. Additionally, depending on the objective, specific tasks must be followed in order to meet the objective. When referring to the five major categories of learning, Gagne spends quite a bit of time discussion the intellectual category.He specified that tasks that require intellectual aptitude could be structured in a â€Å"hierarchy according to complexity. † (Kearsley, 2005, p. 1) The implication of using the hierarchy is to recognize fundamentals that must be completed in order to produce successful earning. Another interesting idea Gagne propounds is Task Analysis. To do this, the accomplished, if the instructor follows a set task analysis, the student's chance of being successful is greatly enhanced. Gagne stated there are nine steps in a task analysis, instructional design, which must be present. (Kearsley, 2005, p. ) There are, in order, â€Å"Gaining attention (reception), informing learners of the objective (expectancy), stimulating recall of prior learning (retrieval), presenting the stimulus (selective perception), providing learning guidance (semantic encoding), eliciting performance responding), providing feedback (reinforcement), assessing performance (retrieval), enhancing retention and transfer (generalization). † (Kearsely, 2005, p. l) This can be viewed as a framework for any instructors lesson plan, and interestingly enough looks like the traditional Madeline Hunter model of instructional design.Benjamin Bloom Benjamin Bloom stated, â€Å"The purpose of education is to change the thoughts feelings and actions of students. † (Benjamin Bloom, 2005, p. 1) Bloom revolutionized education with his taxonomy, which state that in order for learning to occur each lower level must be mastered before moving up to the next level. The levels are in ascending order are knowledge, application, understanding, analysis, synthesis, and evaluation . He also found that â€Å"95% of the test questions students encounter requires them to think only at the lowest possible level†¦ he recall of information. † (Bloom's Taxonomy, n. d. , p. 1) Instructors are encouraged to build into their lessons each level of the taxonomy in order to promote a greater mastery of the objective. Many educators, when reading Bloom's taxonomy, assume that they must always have questions and activities, which are geared towards analysis, synthesis, and evaluation. Unfortunately, they do not understand Bloom well. The lower levels such as knowledge, application, and understanding must be mastered before using the higher three levels.Logically, the student must have knowledge of the information, understanding of it, and be able to apply it before he or she is able to analyze the information. In addition to the cognitive domain, Bloom also identified the affective and psychomotor domains as equally important. The affective domain is how people deal with information emotionally. This domain is particularly useful when explaining insight. Insight allows people to have inspiration and â€Å"a-ha† moments. Confucius best describes the psychomotor domain, â€Å"l hear and I forget. I see and I remember. I do and I understand. (Confucius Quotes, 2005, p. 1) These basic motor skills are mastered with repetitive practice. Howard Gardner Howard Gardner challenged the view that there was only one type of levels of multiple intelligences. He also argued that intelligence is the â€Å"capacity to solve problems or to fashion products that are valued in one or more cultural settings. † (Gardner & Hatch, 1989 as cited by Smith, 2002, p. 4). Gardener listed (Smith, 2002) seven separate intelligences. They are linguistic, logical/mathematical, musical, spatial, interpersonal, intra personal, and kinesthetic.Recently he has suggested that naturalist be added to the list. Linguistic and logical intelligences are most valued and therefore rewarded by educators. IQ and state tests generally test these two intelligences. Gardner proposes (Smith, 2002) discovering each child's intelligences and fostering them rather than stifling them which is often the case. Gardner encourages instructors to break out of the mold of formal education. â€Å"School doesn't have to be the way we remember it,† Gardner stated. Teachers Should Diversify Approaches to Teaching, Gardner says, n. d. , p. ) When information is presented in multiple formats, children have a greater chance for success. (Teachers Should Diversify Approaches to Teaching, Gardner says, n. d. ) Theoretical Differences The three theorists who have Just been introduced have many ideas, which are the same. Chief among them is the idea that intelligence can no longer be defined as being the same for everyone. Each theorist, though they worded it differently, each proposed that differentiated instruction is necessary to a student's success in school. B oth Bloom and Gagne agreed that there are cognitive, affective and psychomotor intelligences.Gardner agreed that those three intelligences existed, but he took it a step further adding four more intelligences into the mix. . All three theorists acknowledge that there is a certain intelligence, which is rewarded in education. In fact, both Bloom and Gardner acknowledge the fact that most instructors test the intellectual or linguistic/logical intelligences almost exclusively. However, all three theorists differ on a few points. First, Gagne suggests that there is a definitive method to conduct instruction. His list of instructional events is rigid and methodic.Gagne points out that strict adherence to the events will increase the likelihood of success. Additionally, Gagne assumes that â€Å"external instructional learning conditions support internal learning conditions. † (Maeir, n. d. , p. l) Gagne had suggested that there was a hierarchical order to learning types, not intel ligence. Bloom did not dwell too much on intelligence as much as how learning was presented. He postulated that instruction should be built on a hierarchy of mastery. Goal attainment was far more important than comparing a student's intelligence.Kinnes, 2005) Gardner suggests that differentiating the instruction to fit each separate intelligence is much more beneficial to the student. He also propounds that if a student is strong in musical intelligence, he or she should be allowed to work solely on that intelligence. Current Practice in my classroom. Before this assignment, I was unaware of Gagne's Conditions of Learning. Upon researching Gagne, I discovered that his theory was eerily close to Madeline Hunter's Essential Elements of Instruction model. Gagne's theory reflects good teaching practice.I might not follow them to the letter on a daily basis, but I do ollow a set pattern. When planning for a lesson, I frequently reference Bloom's Taxonomy as a guide. Bloom's idea of conce pt attainment is one that I firmly believe in and use. It is ludicrous to suggest that instructors should teach a lesson with no idea of what students should walk away with at the end of a lesson. However, many teachers do just that when they instruct. They cite time pressures as an excuse not to plan a lesson. I find that I am most effective when I plan with the end in mind. Both the students and I are more focused on the goal or objective.In addition to teaching eventh grade science, I also teach induction week classes on Madeline Hunter's Essential Elements of Instruction. The lesson I am most passionate about is writing and teaching to effective objectives. I frequently endeavor to apply Gardner's theory of multiple intelligences in my science classroom. I give multiple ways for students to answer and solve problems. For instance, students are given choices on how to do their vocabulary. They can draw the meaning of the word, or summarize the definition. I build into the hour op portunities for students to move around, act out theories, build something, or take otes.When children are in my classroom, they know that the traditional passive reception and regurgitation of facts is not the norm, and enjoy the class as a result because it addresses their different intelligences. Conclusion Intelligence as defined by the dictionary as â€Å"The capacity to acquire and apply knowledge, especially toward a purposeful goal. An individual's relative standing on two quantitative indices, namely measured intelligence, as expressed by an intelligence quotient, and effectiveness of adaptive behavior. † (Lexico Publishing Group, LLC, 2005, p. Although the three theorists, Gagne, Bloom, and Gardner viewed intelligence differently, they all agree that the teacher is the decision maker in the classroom, and ultimately decides how to apply their theories for student success. Referenceshttps://en.wikipedia.org/wiki/Benjamin_Bloomhttps://www.iup.edu/WorkArea/DownloadAsse t.aspx?id=25837https://www.brainyquote.com/quotes/quotes/c/confucius136802.htmlhttp://www.nwlink.com/~donclark/hrd/bloom.htmlhttp://www.dictionary.com/http://www.instructionaldesign.org/theories/conditions-learning.htmlhttp://health.usf.edu/medicine/educationalaffairs/pace_files/TIP_Theories.htmlhttps://www.pdx.edu/sba/http://weac.org/   

Descriptive paper on metal of honor Essay Example | Topics and Well Written Essays - 750 words

Descriptive paper on metal of honor - Essay Example Smith renowned himself in 1864 after saving his regimental colors; this is after the killing of the color bearer during the Battle of Honey Hill in South Carolina. On the same day in the afternoon, the 55th regiment was pursuing the enemy and in the process they found themselves in a swampy region where the Confederate Army was waiting. The thick underbrush and the surrounding woods obstructed artillery support and infantry movement. The 34th and 55th regiments created columns to progress towards the enemy in a side movement. The other units were repelled by the Confederates but the 34th and 55th regiments persistently moved into the tanking positions. They were forced by the enemy into a narrow gorge and this is where the 55th’s Color-Sergeant was murdered by an exploding shell. The Regimental Colors held by the slain soldier were taken Corporal Smith and he carried them through intense canister and grape fire (Richardson 3). Despite the fact that almost half of the unit was wounded and killed by the enemy, Corporal Smith continued to expose himself to the enemy by carrying the Regimental Colors throughout the fight. Through Corporal Smith, the 55th Infantry Regiment Regimental Colors were not taken by the enemy (Richardson 4). Lieutenant Colonel Theodore Roosevelt His rank was lieutenant colonel in the United States Army and his organization, the First Cavalry Regiment. His citation for the award was â€Å"for conspicuous gallantry and intrepidity at the risk of his life above and beyond the call of duty† (Gomez-Granger CRS-3). Lieutenant Colonel Roosevelt renowned himself by his acts of gallantry in 1898 in the Republic of Cuba while directing a courageous charge up in San Juan Hill. Risking his personal safety and escorted only by five men, he lead a heroic and desperate charge up in San Juan Hill. He encouraged his troops to go on with the assault through contemptuous enemy fire over the open landscape. In the face of the opponent’s he avy fire, he showed astonishing bravery throughout the charge. He was the first among his troops to reach the rival’s trenches. In the trench he murdered one of the enemies using his pistol and this gave room to his men to go on with the assault. His courage and leadership brought unexpected results in the Battle for San Juan Hill (Gomez-Granger CRS-3). The Differences The two officers displayed extraordinary courage in the fight against the enemy. However, there are differences in the way these soldiers showed their gallantry. In Corporal Smith’s case, he took a position that was not assigned to him. Corporal Smith was not the carrier of the Regimental Colors but after the killing of the bearer of the Regimental Colors, he took it and carried it throughout the battle. Thus, the corporal saved the Regimental Colors from being taken by the enemy. He did this despite the fact that most of the men were either wounded or killed. On the other hand, Lieutenant Colonel Roosev elt showed extraordinary courage by leading only four or five men in a charge up in San Juan Hill. Though there was intense exchange of fire in the battlefield, he courageously encouraged his men to advance towards the enemy. He was able to open

Consideration Essay Example | Topics and Well Written Essays - 1000 words

Consideration - Essay Example The extant practice of the courts is to reject a transaction even if there is consideration for the promise; if it is illegal in nature. Furthermore, it has become accepted practice to refuse enforcement of a promise, for the reason that it had not been the objective of the promisor to create any legal association by that promise. As such, consideration is no longer perceived to be a concise term that indicates the presence or absence of justification for enforcing a promise2. Albeit, consensus demands unconditional acceptance of an offer, consideration is also required, if a valid contract is to come into existence. Consideration is related to various legal concepts and provisions. A mere inclusion of consideration in the contract is insufficient to make it valid. Consideration should be either in a monetary form or in a form that can be estimated monetarily. A promise that lacks consideration is not capable of being legally enforced3. In general, the provision of goods or services constitutes the consideration on account of one of the parties to the contract. The other party pays money for these goods or services. Agency law terms such financial consideration as commission. Such consideration is known as price in sale of goods; receipt of wages or salary by employees in employment contracts; freight in the carriage of goods; and premiums in insurance contracts4. As such, persons, who are under a legal obligation to perform some duty, need not be provided with consideration, in order to perform the same. This is due to the reason that they are legally bound to complete the duty. Thus, anyone who is under a legal obligation to do something cannot make a good consideration by merely completing it. Performing a duty beyond a person’s legal obligation can constitute good consideration. This principle was established in

Atomic bombings of Hiroshima and Nagasaki Essay

Atomic bombings of Hiroshima and Nagasaki - Essay Example As commonly perceived, atomic bombs were intended as a deterrent to the German threat, but ended up as an offensive weapon of mass destruction against Japan in order to force an unconditional surrender and to end WWII (Zuberi 623).This paper explores the horrors of bombings and whether it was justifiable to use atomic bomb against Japan during WWII. The morning of August 6, 1945, U.S. Air Force B-29 bomber dropped bomb on Hiroshima, the primary target, at 8:15 A.M. Aircrafts pilot, Colonel Paul Tibbets, named it after his mother, Enola Gay (Langley 8-10). United States of America dropped two atomic bombs on Japanese cities, Hiroshima and Nagasaki, within a short time span to three days. The bombings killed more than 115,000 people (possibly 250,000) and injured 100,000(Bernstein 135). Later, thousands died because of injuries and radiation exposure. The bomb was called Little Boy that exploded about 2,000 feet above the city. Within fraction of a second, the bomb produced enormous fireball and temperature underneath that fireball reached 5,400 0F (2,982 0C). The flash of heat caused instant death of those who where in half a mile. Their skin was parched to carbon and their internal organs boiled away. Flying birds turned into ashes in midair. Even the heat caused severe burns on exposed skin of the people who were at a distance of 2 miles from the centre of the blast. At the same time, blinding flash of light worked like a giant camera. This light was three thousand times more powerful than sunlight which bleached the surface of the whole city. People who looked directly at the flash suffered from permanent damage to their eyes. After extreme heat and light, Hiroshima experienced the shockwaves caused by the explosion. From the centre, these shockwaves shot outward at a speed of 2 miles per second (Langley 12-15). This was the first atomic bomb used in combat. The consequences led Japanese government to announce unconditional

Chicago a place to see Speech or Presentation Example | Topics and Well Written Essays - 750 words

Chicago a place to see - Speech or Presentation Example Magic Chicago where magicians gather to revive the hallmark art form of Chicago, the Chicago River, which is a long eyesore that attracts large numbers of tourists while the Sears tower is a complex architectural structure in the city where people come to watch other states from the city. These and many other sites makes Chicago the place to be, hence the phrase, â€Å"Chicago the place to see† The Viola is a four-story monolith standing on Bryn Mawr Avenue that was built before the depression. What makes it a major tourist attraction site is the irony of the purpose of the reason for its construction, and its structural design in its interior. The building was built as a church by the Edgewater Presbyterian church, making it an unlikely place for some of the world’s most renowned magicians to appear and foreshow their talent. The architectural design of the theatre is what is even more spectacular, with the audience members having to walk up a long flight of stairs and wait in the hallway, making them feel like they are attending a Sunday school (Pang, 2009). Once the audience is inside, they discover the revelation of the city lit theatre, with its ornate, charmingly old-time performance space with wrap-around and an elevated seating for a hundred people. Nobody would expect such a theatre in a place like that. There is a monthly showcase of magicians and novelty acts that occupies the theatre on the first Wednesday of every month unlike the norm that was in the city about 50 years ago when magic used to be performed in restaurants and bars, Chicago nowadays sees less of such jostle due to the few options available, with comedy performances having taken over the performance arts stage. The Viola thus fills this gap and gives people a treat of magic performances by the worlds’ most famous magicians. What is even catchier about these performances is the difference in the setting to that of popular magic performances. Actually, â€Å"There is no glitzy Vegus production with tigers and industrial circular saws. More often than not, minds are blown in the audience, and the performers are close enough to catch the splatter† (Pang, 2009). The Chicago River is yet another tourist attraction site, with its long eyesore waterways turning to be a centre of tourist attraction, which are being reclaimed. Tourists have to walk past abandoned warehouses, cross-dusty railroad tracks and side step trashed mattresses in order to follow the course of the river (Valente, 1992). Dwellers of the city and concerned citizens have come up together to pull efforts together in order to rehabilitate the river, a wave that has spread across America with campaigns and initiatives to rehabilitate urban rivers. The river attracts some of the most passionate fans, which include a class of devoted poets, artists and writers. Although some of the river art have been met with a lot of problems, artists’ still believe that the river is a great place to show art. The coming into existence of the river in the city is what attracts more numbers of tourists to the city. The story is told of how for years, Chicago built a tourist attraction as being the city on the lake. Then without a warning, the underground tunnel collapsed and water came gushing into the basements of downtown offices, causing businesses to shut down for days. The course of the river is similar to most of urban waterways, where part of it flow alongside trash dumps

10 short answer question Assignment Example | Topics and Well Written Essays - 1250 words

10 short answer question - Assignment Example It is normally measured through human Development Index, Index of economic well being (IEWB) etc. The economic growth and economic development of Newfoundland is recorded to be almost 3% per year which is the highest during 1981 and 2010, whereas British Columbia had the lowest with 0.5 % per year during the same period. the five major resources of energy available currently in industrialized countries are Coal, natural gas, oil, gathering under fossil fuels which are non-renewable ,Nuclear and hydroelectric which are renewable and other renewable sources like solar, wind, geo-thermal, tidal and waves energy. Safe and sustainable energy is crucial for the sustainability of world economy. Today, an average person in an industrial market economy consumes approximately 80 times more than as much energy as someone in sub-Saharan Africa and about quarter of a world consumes three quarters of primary global energy which has led to uneven distribution of energy consumption. Low energy path is the best way towards a sustainable future. As per the current development rate the countries with in next 50 years could produce same levels of energy services with as little as half the primary supply currently consumed. However, this would require crucial decision making in socio-economic structure and institutional arrangements. 3. Describe the issue(s) associated with the salmon fishery (renewable resource) on the west coast of British Columbia. Describe the mitigation/management actions that are being applied currently? Have the mitigation management changes been successful? Issues associated with salmon fishery include potential ecological interactions as well as disease concerns owing to climate change. Local over fishing along with climate change and fresh water habitat loss has severely hampered the marine fish species including

Environmental Problem - Water Shortages Essay Example | Topics and Well Written Essays - 2500 words

Environmental Problem - Water Shortages - Essay Example Jury and Vaux (2007) posited that if the present rate of water consumption continues, the situation of water shortage will only get worse. They went on to postulate that by the year 2025, over two-thirds of the world’s population will most likely be faced with the challenge of water shortages. The world’s ecosystems will also be significantly affected as a result of the shortages. Water pollution comes from many sources, and this renders the water unusable or reduces the amount available for use. Ocean litter, for instance, from landfills blowing into the streams, containers from ships in the course of storms, and trash that normally washes off city streets end up in the ocean. While in the ocean, this debris undergoes decomposition slowly over the years leading to accumulation in large patches and washing on the beaches (Kundzewicz & Kaczmarek, 2000). Pesticides and fertilizers that are used in firms mostly end up in water sources. According to Chaturvedi (2000), the u se of these substances in crop production has increased substantially and is largely due to the increased demand for food production to sustain the increasing human population. While can argue that pesticides and fertilizers are used for noble causes, their effects on the environment are quite devastating. Indiscriminate application of these chemicals ends up polluting not only the lands where they are used but also water sources as they are washed into the nearby streams and waterways (Chaturvedi, 2000).

Java applets and JavaScript scripts Essay Example | Topics and Well Written Essays - 750 words

Java applets and JavaScript scripts - Essay Example There are few links to visit java applets: java.sun.com/applets and csis.pace.edu/~bergin/Java/applets.htm Java Applets presents a rich familiarity on the user/client area as well as there are a lot of activities they are able carry out like that graphic manipulation, custom data streaming, advanced GUIs and threading. The Java is able to talk to JavaScript by means of the Live-Connect Application Programming Interfaces (APIs) (AjaxProjects, 2009). Java Applets are utilized to give interactive distinctiveness to web applications that can not be presented by using HTML. They are able to have powers that counter to the client input, as a result re-computing the given web based graphic content. This creates Java-applets well appropriate for visualization, expression as well as teaching reasons. Java Applet is able to as well make use of JFrame to go away the devoted area as well as execute like detached window (Ackermann, 2002). For the commercial settings of the Java applets Java application developers are able to debug and build up an applet straightly and basically through developing a major routine. This main routine is built in applets class or in a different class as well as call start () and init () on the applet, for that reason permitting for development and customization for the commercial setting in their preferred J2SE development setting (Sosnowski, 2009). The most important commercial settings of the Java applets we can use same applet that will work on "every" installed edition of Java at the similar time, and will carry out same activities in all operating system working environments (Ackermann, 2002). Java script is an interpreted language that facilitates a programmer to insert dynamic components and interactive elements to a web page. These elements consist of alert messages, animations, drop down menus, scrolling text, data input forms, interactive

Leading and Managing in Nursing Essay Example | Topics and Well Written Essays - 500 words

Leading and Managing in Nursing - Essay Example The use of improved technologies enables our organization to reduce the risks of the healthcare-associated diseases, helps to identify the individuals who have severe conditions during admission to the hospital. According to Yoder-Wise (2015), the use of better electronic technologies enables the medical staff to apply universal protocol to avoid wrong procedures, wrong sites, and wrong patient in non-surgical and surgical procedures. The hospital in New York is among the best in the area because they have a systematic plan meant to maintain quality services for the patients since it is essential for the provision of improved healthcare. Our facility has various formal quality committees that ensure the provision of better services at the health center. The committees in my hospital include; the risk management and patient safety, ethics, infection control, quality of care, and disaster committees among others. The nurses are involved in the quality committees by complying to the rules and regulations set by the heads of the committees, for instance the ethics committee advocates for patients and members of staff to be treated with respect and provided with affordable health care while the quality care committee ensures that patients are safe and get the right medication when they are sick. Issues are brought to the attention of the quality committee when the patients complain about the conduct of a certain employ ee at the hospital, when the employees feel they are overworked and need more resources and manpower to help in the delivery of services, and when the hospital needs to upgrade their facilities due to advancement in technology. I think the quality improvement process could be enhanced by ensuring that all members of staff are part of at least one or more committees and take part in the decision making roles in order to feel appreciated and strive to meet the  goals and objectives of the facility.  

The Role of Mass Media in the 2008 U.S. Elections Essay Example for Free

The Role of Mass Media in the 2008 U.S. Elections Essay The United States of America rejoiced on the outcome of the recently concluded 2008 Presidential Elections which made Former Senator Barack Obama victorious over his political opponent Senator John McCain. The election was considered as one of the most memorable in the history of politics in the United States for it was the first time that an African American won over the dominating White race in the very powerful and elite field in the society. In a society that has a rich history of racisms and discrimination; it is hard to believe that people will allow such event to happen. It just proves that parity among races and ethnicity is almost at hand. The mass media is one of the most important tools that play a significant role in the presidential election that happened last November. Through the mass media, people were able to keep tabs of their candidates if they are winning or losing the race. Media also informed the public of the polls that are being counted in various states all at once. Thus, making the acquisition of relevant and useful information is a lot easier through the use of mass media. They have a duty to inform the public of the recent important events that bear relevance and concern of the people’s daily lives. Media will always play an important part in every election or any important event that will happen, because the media is tasked to record any important events that will shape the contemporary society. Mass Media Mass media has been around for generations and its importance in the society is recognized over the years as it participated in some of the most significant events that shaped the contemporary society to what it is now. Mass media is a collection of tools that is used in mass communication to disseminate vital information and messages that is perceived by the people. Mass communication and mass media are partners in informing, entertaining and educating the public. Mass communication is the process of transmitting messages and information through a medium or a channel to a large and diverse audience or market (Lane). It is a special section of the media intended to use in reaching a very large audience. Mass media is a tool of communication that is utilized in facilitating mass communication. It is composed of eight mass media industries which include Magazines, Newspapers, Books, Recordings, Film, Radio, Television and the Internet (Lane). These eight media industries are grouped in three main categories which are the print, broadcast and digital medium. It is not easy to define and describe the various aspects encompassing the functions and roles of media since it is an industry that is most adaptable to change. The emergence of digital communication technology which is a recent addition to the collection mass media tools, manifests that the media industry adheres to the dynamicity of the modern society. Recently, there are another additions in the collection of mass media tools due to the advancement of human technology which invents and innovates tools and gadgets that are capable of reaching a large audience all at the same time. A cell phone is one of the most wonderful products of technology. Mobile phones or telephones are technically considered as tools for mediated-interpersonal communication. Conventionally, it was only capable of bridging two people together in an exchange of messages. But because of the technology that is responsible for the recent features that are added to the typical mobile phones, some phones nowadays are equipped for internet browsing, radio streaming and camcorders that are classified as tools for mass communication. The media have so many functions that it helped the public in attaining relevant information in an instant. Media also serves other functions in the contemporary society such as informing the public. During the times of war, acquisition of information is very difficult and some of the information obtained by the public is often filtered by the government officials. The government also imposed restrictions to what type of information the media can impart to the public. This process is also known as â€Å"gatekeeping†, which means filtering of information by either the government or the media itself. During these years, media is controlled by the government. When a war has ceased, reconstruction of the casualties and damages caused by the war should follow. In this light, amendments on the governing laws of the government are done and freedom on media activities is provided. However, the freedom that is provided is not absolute, because there are still laws that are being drafter to ensure that freedom abuse by media will not occur. The First Amendment of U. S. Constitution states that â€Å"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances† (â€Å"U. S. Constitution: First Amendment† n. p. ). The others functions of the mass media is to entertain and educate its audience. To entertain is to provide leisure to the audience in various forms like programs and advertisements. The media also educates the public in several ways, such as through the programs being broadcasted and through articles that are published by the print media. Mass Media: The Fourth Estate The media is often accused of imposing a culture that is far from reality. It is often criticized by leftists and supporters of the Marxist ideologies and communism which control all the functions and aspects of the state. In communist and socialist countries like China and Russia, respectively, the media serves as a medium wherein the role of the government is emphasized and its intentions are being made clear for the public. However, in democratic countries that allow the media and the press in exercising freedom of speech, they serve a function of fulfilling the important roles of being the fourth estate of the nation. They become the watchdog of the government, â€Å"the guardians of democracy, and defenders of the public interest† (â€Å"The Mass Media as Fourth Estate†). The phrase Fourth Estate is attributed to the 19th century historian Carlyle who expounded Edmund Burke’s statement about the Three Estates of the Parliament. But Carlyle then referred to the reporters in the gallery of which he described that acquired equal powers as the other estates. The press is considered as the Fourth Estate or the fourth power who watches the checks and balances of the three other wings of the government which are the executive, legislative and the judiciary (â€Å"The Mass Media as Fourth Estate†). The media closely watches over the activities of the government officials and public figures ready to expose any of their misconduct and wrongdoings for the public, in order to come up with necessary actions to be imposed against the committed delinquency. As such, the role of the press is to inform the public of the government’s activities and in turn, become the public’s voice in order to express their opinions and stand on the issue. Roles of Media in 2008 U. S. Elections The mass media takes part in every significant event that happens in the society. The mass media is able to record every detail of a particular event. As such, the media has a strong impact on the political landscape of the United States. Media greatly influences the outcome of political events and participates greatly in political decisions. Media played a significant role in the recently concluded 2008 U. S. Presidential Elections. From the first step of choosing the candidates for the political parties in the United States, towards the campaign period and until the Election Day and tallying of votes; the media takes a huge participation. The people have seen how Senator Barack Obama and Senator Hilary Clinton fought over the presidential bet of the Democrat Party. The people were informed of how they debated many times presenting their platforms and ideologies that hopefully would win the hearts of the Democrats and the supporters. It was broadcasted in television and radio and printed in newspapers. The entire world has heard how the critics commented on the huge change that will be brought by the Democratic Party – whoever of the two will make it on the Presidential seat – either Obama will become the first African American president of the United States, or Clinton will emerge as the first female president of the country. The campaign period was put into motions and people have seen how the candidates utilized the various media outfits to gain an advantage over their political opponent. People have witnessed how the candidates infiltrated the different mass media industries to increase their popularity and win over the race. The common tools of political campaigns are the television, radio and newspapers. The faces of the politicians are to be seen everywhere promising political reforms and national development. Even the digital communication technology was also used due to its prevalence and popularity especially to the young people. Even though the utilization of broadcast media increased exponentially, this is the first Presidential election wherein the social networks in the internet such as MySpace, Facebook and YouTube were utilized to persuade the electorate (â€Å"Social Media and Presidential Election: Impact of YouTube, MySpace†). The utilization of these tools is new and convenient. First, the use and access of the various social networks is free. As such, this can cut off the costs for the campaign fund. Second, it reaches a large audience because the internet is used by people every now and then. Plus, the social networking in the internet is very popular especially to the young people and that every voting population has a registered account. It is traditionally known that people will turn to the conventional media to acquire information about a candidate and obtain political information pertinent in making their political decisions. But nowadays, people are also turning to internet sites and personal social network accounts to see the views of their friends on who to vote for. The information they find in the internet, especially on social network accounts, are information they find more credible and persuasive (â€Å"Social Media and Presidential Election: Impact of YouTube, MySpace†). There are also discussions pertaining to how media presents and determines the outcome of the Presidential Race. The media greatly influences the people and has a huge tendency to shape the public opinion solely based on their concentration on a particular political candidate. This is why media popularity is considered most important. It is important that you are able to reach people even in the farthest places and make them know the candidates well (â€Å"The Involvement of Mass Media in Political Campaigns†). The voter’s view can also be altered by political advertisements that do not merely focus on the real political issues but only of trivial concerns. This may cause voters to either dislike the candidate or develop sympathy towards them. With the involvement of media, elections often become popularity contests due to the popularity polls that are being shown in the broadcast and print media prior to the actual voting. Commercial advertisements were also used in election campaigns to get the voters to believe and take the position of a particular politician. Politicians have a difficult time in guiding the voters’ opinions due to these particular actions of the mass media (â€Å"The Involvement of Mass Media in Political Campaigns†). Media also plays a significant part in covering the counting and tallying of votes during the Presidential Elections. The coverage of mass media involves two key elements which are news reporting and paid advertising. The combination of the two makes an important and influential factor in the election process. The media looks forward on the election for news and revenues they will gather because the candidates rely mainly on the media to reach the largest number of voters possible (â€Å"Mass Media Coverage of Presidential Election†). The media plays a very powerful and justifiable role during elections. Despite of being accused on focusing not on the main political issues but on the unnecessary personal lives of the candidates and other criticisms thrown against the media, it still performs its duty to the public as the watchdog of the government. Their job is simply to present the truth and detect any misconducts or wrongdoings done by any of the political figures aspiring for a seat. Conclusion Mass media continues to play significant roles and functions in the conventional and contemporary society. Mass media enables people to acquire necessary information in an easy and fast way. Mass media also plays significant roles and functions during elections. They perform their duties from the start of the campaign up to the counting of the electoral votes. The mass media has been an important part in the recently concluded 2008 U. S. Presidential Elections wherein Senator Barack Obama obtained victory and as such, became the first African American president of the United States. The participation of mass media in the campaigns marked the presidential elections. It was the first time that the candidates utilized all the available mass media means just to reach the largest voting population as much as possible. It is undeniable that the mass media will always continue to record history and shape and mold the society. Works Cited Lane, Beth. 29 June 2007. â€Å"What is Mass Media? † Suite101. com. 11 December 2008 http://medialiteracy. suite101. com/article. cfm/what_is_mass_media_. †¢ The article defined mass media and mass communication and examined the recent additions to the mass media industry which is the digital communication technology. â€Å"Mass Media Coverage of Presidential Election†. 19 December 2001. OPPapers. com. 11 December 2008 http://www. oppapers. com/essays/Mass-Media-Coverage-Presidential-Election/22555.

FORD MOTORS PHILOSOPHY vs TOYOTA MOTORS PHILOSOPHY

FORD MOTORS PHILOSOPHY vs TOYOTA MOTORS PHILOSOPHY Introduction A manufacturing/production system consists of a conversion system, which transforms inputs into output. The way conversion is done depends upon the nature of product/service and the nature of demand for such product/service. Thus the types of production are broadly classified into two categories, the continuous and the intermittent. The first category is appropriate where large scale production is required and the second is suitable where demand is non-uniform and seasonal and the product is not standardized. Ford Motors, as it is poised for mass producing standardized automobiles, naturally embraced the continuous production system. This essay attempts to compare and contrast the production philosophies and systems adopted by Ford Motors during 1930s and Toyota Motor Company during recent times. As Kanigal, Robert [1997] laid the basis for the concept of assembly line, Henry Ford, adopted the concept in1914 with due consideration to Adam Smiths philosophy of division of labour. He over simplified the tasks which led to specialization and business success (William A. Levinson, 2009). On the other hand, Toyota, which emerged as a different socio-industrial system, ironically had its roots in Henry Fords philosophy (James P.Womack, Daniel T.Jones, Daniel Roos, 2007) However, TMC digressed from the traditional Detroit philosophy based on the concept of lean manufacturing and thus carved a niche for itself and grew to such an extent that the American automobile industry shook. Henry Fords Contribution Earlier, cars were a specialized luxury, available only to the elite. Fords mass production scheme made the automobile accessible for the common man even, by virtue of Fords vision, a car for every man. This philosophy got extended to the whole range of consumer products and services which came into the reach of every common man. Henry Fords team nurtured innovation in all the 4 Ps (Product, Process, Position and Paradigm) to happen concurrently. The T-Model, which Ford and his team evolved formed the basis for emergence of an altogether completely new realm of thinking as regards manufacturing, which resulted in elimination of need for skilled labour (Joe Tidd, John Bessant, 2009). Though the basic elements existed earlier, Fords success lay in synthesizing them into a new form. The philosophy encompassed not only assembly operations, but supply chain and logistical aspects also. Features of Ford System of Manufacturing Standardization of products, components, equipment, process, tasks and tasks of control. Time and work study, to identify the optimum conditions for carrying out a particular operation and job analysis, to break up the task into small, highly controllable and reproducible steps. Specialization of functions and tasks within all areas of operation .there was considerable narrowing and re-utilization of individual tasks and an extension of division of labor. Uniform output rates and systematization of the entire manufacturing process. Payments and incentive schemes based on results. Elimination of worker discretion and passing of control to specialists. Concentration of control of work into the hands of management within a bureaucratic hierarchy with extensive reliance on rules and procedures. The Toyota production philosophy The system of production which, though had its roots in that of Ford Motors, has evolved as a distinctive one with unique features such as lean manufacturing, is known as Toyota Production System [TPS]. Sakichi Toyoda, his son, Kiichiro Toyoda and Taiichi are the founders of Toyota Motors. The founders and the engineer, Taiichi Ohno are the ones who appreciated and embraced the concept of Lean Manufacturing, founded on the original concept, being, JIT production (Sorensen, 1956). The founders of Toyota based heavily on the work of Edward Deming and the literature written by Henry Ford. Lean manufacturing (Simon, 1996) concept was even seen during the times of Benjamin Franklin. The business success and opulence of Detroit drove the Toyota team to be inquisitive about witnessing the assembly line and mass production. When the Toyotan delegation visited the US, they were not impressed. The Toyotan philosophy (Shigeo, 1996) aims at rationalizing the design of the manufacturing process and so it envisages elimination of three elements, being overburden [muri], inconsistency [mura] and waste [muda]. This entails that the process is flexible enough to be free from stress as it is supposed to generate waste. The Toyota system identified seven types of wastes, popularly called the Seven Wastes. They are over-production, motion (of operator or machine), waiting (of operator or machine), conveyance, processing itself, inventory (raw material), and correction (rework and scrap) Of the three lapses, i.e. overburden, inconsistency and waste, the latter, muda, seems to dominate the thinking of man as they see the fruitful effects of TPS. Origin of the concept of TPS It is known that Toyota Motor Company has got its inspiration not from the Detroit Philosophy, but rather from their observations made on their visit to the US in 1950s. The Toyota delegation first visited the automotive plants of Ford Motor Company located in Michigan. But they convicted that many methods adopted by the industry leaders were not satisfactory or effective. Some of the lapses they identified were: large amounts of inventory on site, the way the work was performed in various departments uneven pattern, i.e., with intervention of waiting between one operation and another operation resulting in islands of idleness, re-work in huge quantities at the end of the process. Later, the Toyotan delegation visited Piggly-Wiggly, the supermarket and observed how inventory management was carried out. The supermarket maintained scanty amounts of stock sufficient to cater to the customers and its employees for a short duration, stocks were reordered and instantly replenished. This indicated an important dimension, i.e., eliminating the need to maintain huge stocks and it was all done just-in-time. Taking cue from this philosophy, many US businesses made a direct attack on high inventory levels but ended in fiasco. This was because the American businesses did not understand the underlying issues. A principle of maintaining low levels of inventory also implies that proper alignment should be made with the vendors such that they were in a position to supply materials and components just-in-time. A complete delineation with the entire supply chain is necessary. This important aspect was ignored by the American automobile industry. It cannot be achieved overnight. Toyotans admitted that it took 20 years for them to implement JIT programme. Tenets of Toyotan Philosophy CONTINUOUS IMPROVEMENT Challenge: Work without challenge makes people indolent and lackadaisical and nonchalant. Kaizen: Capabilities, skills, efficiency and the like are not constant. They keep improving over time. Hence benchmarks need to be revised constantly. Innovativeness is a natural propensity. Genchi Genbutsu: Try to find the root cause before making correction of the apparent defects. RESPECT FOR PEOPLE Respect: Others must be respected. There should be mutual understanding and a readiness to accept responsibility to build mutual trust. Team work: Working together to achieve organizational and individual objectives through commitment. LONG-TERM PERSPECTIVE Short-term goals are mere derivatives of the long-term ones and the former are dependent on the latter and hence, priority shall be given to pursue/revise long-term goals. THE RIGHT PROCESS PRODUCES THE RIGHT RESULTS Creation of a continuous process flow facilitates inherent problems to be apparent at surface. Lacunae, if any, will come to surface; unevenness in loading of work stations will be indicated. Adopting pull system of production prevents overproduction. Under pull system of production, production scheduling is not done for large scale manufacturing. Master production schedule is made based on the current orders on hand. Once these orders are processed, the production process is stalled and rescheduled upon receiving new orders. Thus, products are pulled out of the system by customers. As long as production goes, care should be taken to avoid unevenness of flow of the process. This requires every material, tool, equipment and labour to be readily available at the respective work station to avoid interruption. Defect to be nipped in the bud. This means that if the job on the assembly line or at a work center is found to be defective, the same cannot be passed to the next work station/center without being rectified of the defect. This gives two-fold advantage; first, all the output that comes out will be defect free and secondly, there is no need to invest on a quality assurance system. Line stopping Where, on an assembly line, if any defect is noticed by the operator[s], he is given discretion to stop the assembly line by means of a switch and hold it till the defect is rectified. Continuous improvement is based on standardization of operations/tasks and employee empowerment. Standardization of operations facilitates fixing benchmarks for employees and thereby provides for comparison of performance against benchmarks. Once they are met by the employees, the benchmarks will be revised. This way, performance and efficiency keep increasing year by year, leading to ever increasing performance and productivity. Visual control system: This system alarms the workers of any lapse or defect that my arise during the production process. When the system identifies a defect, it alarms the workers through visual devices. Using fool-proofed technology: The Toyotan philosophy calls for using equipment of proven technology to ensure a steady and uninterrupted flow of the process as well as to get the output of the desired quality. DEVELOPING PEOPLE AND PARTNERS ADDS VALUE TO THE ORGANIZATION Leaders should be developed from among the employees who relish the philosophy, understand it thoroughly and are willing to share it with others. Exceptional personnel and teams who imbibe and nurture the aspirations of the company should be developed. Network partners and suppliers by sharing expertise should be honored and challenging assignments should be given to help them improve. A SUSTAINED EFFORT TO RESOLVING ROOT PROBLEMS DRIVES ORGANIZATIONAL LEARNING A personal involvement in a situation provides a thorough understanding of an issue. Decision making shall be done coolly through consensus, taking into consideration all possible options. Implementation shall be done quickly. This is based on the belief that collective wisdom is always superior to the individuals. Creating an environment in the organization so, that every employee indulges in learning things and improves performance on a sustained basis. This makes the whole organization, a learning organization. How Toyota Is Comparable To And Discernible From Ford Production Philosophy Toyota Relies on piece-meal style of production, i.e., produces only when there is pull from the customer Ford Whereas Ford manufactured in large scale to create stock based on estimated demand Nature of work Toyota Designed the work so, that workers had to be multi- skilled to perform complex tasks. Ford Over simplified complex operations such that workers needed low level skills Standardization Toyota Though was influenced by the writings of Edwards Deming and Henry Ford, was embarrassed on eye-witnessing the assembly lines of Ford Motors facilities in Michigan. Ford Could demonstrate business success through the policy of standardization of products, components, equipment, process and control. Pace of output Toyota production system was continual and produced in small quantities as each customer merited. No pile up of finished goods. Ford Held the policy of turning over at uniform pace to create huge pile up of stocks. Set up time cost Toyota Fundamentally designed for continual flow meriting frequent changeovers and set ups, but this could be offset by the extra costs of blocking capital in the form of huge pile up of stocks, characteristic of Ford Motors. Ford As the scheduling is done for continuous run, changeovers are less frequent and so, low set up time and cost. Workers discretion Toyota Allowed certain amount of discretion to workers on the assembly line such as empowering them to inspect the job for defects and to stall the flow on the assembly line to rectify the defect then and there and then let it go to the next work station to ensure zero defect situation and to eliminate the need of rework division. Ford Eliminated the scope for workers discretion to be used at the work place since each worker on the assembly line had to perform only a single task and the next task had to be done by the next worker. Workers had no authority to stop the flow of work as such, an incidence of defect is allowed to pass till the end of the process and the defective item is sent to rework division. Process design Toyota Focused on three criteria while designing its production system, i.e., overburden, inconsistency, and waste. These words are simple, but have far reaching effects. The last criterion is pivotal for the success of the company. The seven wastes concept indicates a treat amount of insight of the Toyotans and it is unique of Toyota. But, ironically, Toyotan inspiration is rooted in the writings of Edward Deming, who happens to be the American. The fun lies in the fact that American automobile industry did not pay heed to Demings philosophy, but non-Americans exhibited faith in it. Ford Bureaucratized as far as administration/control is concerned. All employees have to observe scalar chain and abide by the rules and procedures Long-term perspective in planning Toyota Ford Both companies look into far future. Developing people Toyota Promotes development of exceptional individuals and teams. Ford Does not focus on developing experts as it has over simplified the tasks, rather, workers might gain efficiency as they do the single task repeatedly. Pay and incentives Toyota Provides ample scope for personnel to grow as it nurtures innovation, employee participation and so on. Ford The policy is to pay and provide incentives based on results. Problem solving Toyota Employees are nurtured in such a culture that they address a problem through the root cause instead of taking a perfunctory look. Ford Employees are not trained along making deeper efforts in addressing problems. They used to leave the problem at perfunctory levels. Summary The world has witnessed a constant transformation as regards the automobile production/operations philosophy. The Fords mass production (produce to stock) philosophy received ample appreciation and was convicted to be the right path by most other manufacturers (1914). This has been evidenced by the way the Big Three, (Ford Motors, General Motors and Chrysler) flourished during early and mid 20th century. But the onset of Toyota production system, which is based on the philosophy of lean manufacturing, started sending tremors into the well complacent American automobile industrys regime. The principle of Toyota Motor Company (TMC) to eliminate wastes and subsequent TMCs success attracted other manufacturers who tried to copy, but in vain. They could not imitate the whole TMCs philosophy as it is.

Immediate and Late Effect of Cryotherapy on Balance

Immediate and Late Effect of Cryotherapy on Balance immediate and late effect of cryotherapy on balance IN HEALTHY SUBJECTs Abstract Background: cryotherapy application is commonly used as a physical therapy tools with many known advantage, however several research have reported decrease in subject balance which affect quality of movement following cryotherapy application, therefore the purpose of study to investigate the immediate and late effect of cryotherapy on ankle dominant joint on static balance and test the difference in static balance change between both sexes. Methods: thirty normal subjects, Subjects had their static balance tested during two conditions: (1) an experimental condition where the subject received the cryotherapy application by using cooled gel pack to the dominant ankle joint for 15 minutes immediately before static balance testing and (2) a control condition finished at room temperature. The order of testing condition was randomized by using a coin flip. Biodex balance system was used to measure static balance. Result: analysis of data using ANOVA and unpaired test ,show insignificantly statistically effect in all aspect of static balance within female group with p value of overall stability index =0.669,Anterior/posterior stability index =0.196 and medial/lateral stability index =0.989,insignificantly statistically effect in all aspect of static balance within male group with p value of overall stability index =0.382,Anterior/posterior stability index =0.552 and Medial/lateral stability index =0.46 and insignificant statistically difference between male and female in all aspect of static balance. Conclusion: The result of current study suggest that fifteen minutes of cold gel pack on ankle dominant extremity have no effect on static balance on both sexes . Key words: static balance, cryotherapy Introduction: cryotherapy therapy is a popular non-pharmacological intervention, The term cryotherapy was used in year 1908 by A.W. Pusey to describe the treatment of skin injuries with low temperatures[1,2] , The primary aim of cryotherapy is the removal of heat energy from the site of injury, in order to facilitate a therapeutic effect [3] by produces a number of physiological effects to the human body including a reduction in blood flow, edema, hemorrhage[4], cellular metabolic rate, hypoxia, enzymatic activity and tissue damage[5]. Cryotherapy has also been demonstrated to significantly increase the pain threshold and pain tolerance by reducing nerve conduction velocity and muscle spasm [6]. Cryotherapy often used in athletic and rehabilitation cases to manage injury during the immediate and rehabilitative phases [7]. Cryotherapy treats the muscle damage caused by High-intensity exercise including predominantly eccentric activity, unaccustomed activity, and exercise of long duration and/or high intensity which has been shown to induce an inflammatory response [8]. In spite of the characterized treatment advantage of cryotherapy, there are reduction in subjects performance variables are likely to occur after returning to normal movement immediately after cryotherapy application,[9]especially , decrease speed of running, muscle strength speed and agility measures have been noted after cryotherapy application over many anatomical areas and studies[10,11]. The ability to conserve postural control or balance is important for the correct carrying out of all daily activity ranging from standing and walking to sitting and standing from a chair [12]. Possessing the ability to conserve several positions, to react automatically to voluntary movements of the body, and to react to external disturbance represents a postural control domain needed in daily life [13]. The maintenance of balance is important in the prevention of injuries and this ability depends on proprioceptive input from capsuloligamentous and musculotendinous mechanoreceptors in combining with vestibular and visual input to the central nervous system (CNS)[14,15] . This input used in feedback and feed-forward loops to provide the proper neuromuscular response [16-17]. Variations in any of these inputs would disturb balance and increase the risk of injury [18]. There is also growing awareness that rehabilitation using cryotherapy has deleterious effects on balance, or return patients to their previous functional levels [19, 20].Quality of movement is important as strength of movement, and the key of movement quality is balance [21]. Even if a patient has regained full strength and range of motion, if they still have poor balance and proprioception, they are at risk for re-injury. During the management of acute distortion, cryotherapy is commended after the injury and in rehabilitation, ice application is supposed to promote the beginning of active exercise and its progression [7]. In practice it can happen that sportsmen are sent back to exercising or competition immediately after cryotherapy. Although the question is controversially discussed, if physical activities after ice application can be re-established without risk or increase liability to injury. This study takes up the problems if cryotherapy application at the ankle disrupts static balance so that an increased risk of injury could result and the study also clarify the immediate and late effect and test the difference in static balance between both sex. Methodology The current study was conducted at biomechanics laboratory at faculty of physical therapy, modern university, in the period from December 2015 to April 2016 to investigate the immediate and late effect of cryotherapy application on dominant ankle joint on static standing balance and test the difference in static balance between both sexes. Design of study Cross over (single repeated measurements) design used in this study to determine the immediate and late effect of cryotherapy application on dominant ankle joint on static standing balance and test the difference in the static standing balance between both sexes. Subjects A sample of thirty healthy normal subjects (fifteen male and fifteen female), subjects were recruited using publically distributed posters and by online social media. Subjects had their static balance examined during two situations: (1) an experimental situation where the subject received the cryotherapy application by using cooled gel pack to the dominant ankle joint for fifteen minutes immediately before static balance testing and (2) a control situation finished at room temperature. The order of examining situation was randomized by using a coin flip. Participant finished the control situation first immediately finished the experimental situation following assessment. Participants randomized to the cryotherapy situation first had the control session arranged at a separate time to confirm no lingering effects remain from the cryotherapy procedures. Subjects participate in the current study after approval of ethical committee of faculty of physical therapy, Cairo University with number P.T.REC/012/001035 and all subjects provided written informed consent. Subjects were included if their age range from 18 to 40 years [22] free from musculoskeletal diseases and neurological diseases affecting the lower limb. Excluded if had musculoskeletal disorders in lower limb, had infected skin diseases and loss of sensation, had Metabolic or vascular disease with neurological component such as diabetes, had previous ankle operation and had recent injury of ankle joint. Instrumentation Measurement instrumentation The device used in this study (Biodex Medical Systems Inc., Shirley, New York, USA) was a foot platform (circular in shape with a diameter of 21.5΄, which permits up to 20 ° tilting from horizontal in all directions), support rails that were adjustable from 25΄ to 36.5΄ above the platform, and could be swung away if desired, a display module whose height was adjustable from 53΄ to 68΄ above the platform and angle was adjustable from vertical back to 45 °, with a display viewing area of 24.8 ÃÆ'- 18.4 cm and a printer. This testing machine has 12 dynamic levels plus locked for static measurements [23]. Stability indexesthe stability index represents the variance of platform displacement in degrees from level. An increase in number indicate considerable motion, which indicates a problem with balance [24] . The participants ability to control the platforms angle of tilt was measured by the system and noted as a stability index. The data on the balance of the tested participants were supplied to the system. These data included anteroposterior stability index (APSI), mediolateral stability index (MLSI), and overall stability index (OSI). The smaller the amount of sway, the lower the numerical value of these indexes [24]. OSI: represented the variance of foot platform displacement in degrees, from level, in all motions during the test. A high number was indicative of considerable movement during this test. APSI: represented the variance of foot platform displacement, in degrees, from level, for motion in the sagittal plane. MLSI: represented the variance of foot platform displacement, in degrees from level, for motion in the frontal plane [24] . Therapeutic instrumentation: Reusable cold gel pack 25.4 x 48.1 cm. 5 +/- degree C [25] was frozen and wrapped with a towel and supported with elastic strap around the ankle joint of dominant lower extremity. Procedure Each participant received a verbal explanation about the test steps. When the system was on, the first displayed screen was the main menu. It allowed us to choose entering testing, training, or system utilities. Choosing to enter testing showed the next screen, which allowed determination of the test parameters such as test duration and the stability level chosen. The weight and height of the participant were recorded and the next screen was used for the centering process. The next screen was the stability test screen, where the start key was pressed to lock or unlock the platform and begin the test. A cursor appeared during the test tracing the movement of the platform while the clock counted till the time of the test ends. The next screen showed a menu. The examiner chooses the numeric report option on this screen to allow the participants numeric screen appear. Pressing start while on this screen initiates printing of the report, which includes the numeric values of the APSI, MLSI , and OSI (operation and service manual). Step 1: balance assessmentthe participants were tested without footwear and asked to perform two test trials before a specific test condition for the purpose of instrument familiarity before data collection. Then, the participant was first asked to assume the test position (standing on dominant foot) with arms held at the sides, eye closed and to attempt to control his/her balance as much as possible. Each participant was asked to center him/herself on the foot platform before starting the test. The test parameters introduced into the device were: Participants age , weight and height Stability level: all participants were tested on stability level 0 for 15 s. Then, the start key was pressed in the control panel (which took 5 s) with an auditory alarm just before the beginning of the test. The participant was instructed that the test was started just after the alarm. Each participant was instructed to maintain his/her balance for the period of the test. Three trials were performing prior to the measurement. There was report obtained at the end of each test include information on OSI, APSI, and MLSI. Step 2: cryotherapy application Reusable cold gel pack 25.4 x 48.1 cm. 5 +/- degree C was employed as the cryotherapy modality in this study. Application duration will be 15 minutes. Wrapping of pack by towel will applied all around ankle joint of domain extremity with towel in between .Two elastic straps will used to secure the ice pack. The subject will asked to relax during cryotherapy application to limit activity of muscle and lessen any change in temperature of tissue.Step 3: balance reassessmentthe participant was asked to repeat the same balance testing procedures directly after cryotherapy application, 30 minutes later and 60 minutes later to measure post OSI, MLSI, and APSI. Statistical analysis All statistical analysis were carried out by using SPSS,version 23 for windows; SPSS Inc., Chicago,Illinois,USA.the normality of data distribution was tested through the Shapiro-wilk test.Descriptive data for participants, characteristics was calculated as the mean, standard deviation and range minimum maximum of measured variables, ANOVA tests used to compare between pretest and posttest. Unpaired test used to compare between male and female. Level of significant will set at Results: General characteristics of the subjects: In this study, thirty subjects were assigned randomly, the range of the ages is between 18 to 40 years overall. There was no statistically significant differences between the groups in their ages as the p-value are 0.412. The range of the weight is between 50 to 105 kg. There was no statistically significant differences between the groups in their weight as the p-value are 0.214. The range of the Height is between 156 to 195 cm. There was no statistically significant differences between the groups in their weight as the p-value are 0.366. Table (1): Demographics Distribution Items Male Female Comparison Significant Mean ±SD Mean ±SD T-value P-value Age (years) 26.4  ± 6.08 25.533  ± 5.41 0.412 0.682 No Significant Weight (Kg) 70.89  ± 14.57 77.2  ± 5.41 -1.270 0.214 No Significant Height (cm) 165.27  ± 4.57 166.66  ± 6.41 -0.411 0.366 No Significant Figure. (1): Demographics Distribution As for the gender distribution, 15 subjects (50%) were male and 15 subjects (50%) were females. In addition, 26 subjects (86.7%) had their dominant right leg tested, and 4 subjects (13.3%) had their dominant left leg tested. Static Balance Pre-test The results are shown using the following table (2) and illustrated in figure (2). 1) Overall Stability Index Independent t-test was used to show difference between pretest for females and males. The female mean value of overall stability index (3.47à ¯Ã¢â‚¬Å¡Ã‚ ±1.42) was significantly different from (5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.31) with t test = -2.242 and p value = 0.033*. 2) A/P Stability Index Independent t-test was used to show difference between pretest for females and males. The female mean value of A/P Stability index (2.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 0.85) was significantly different from (3.393à ¯Ã¢â‚¬Å¡Ã‚ ±1.65) with t test = -2.157 and p value = 0.043. 3) M/L Stability Index Independent t-test was used to show difference between pretest for females and males. The female mean value of M/L Stability index (2.01 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.08) was insignificantly different from (2.99à ¯Ã¢â‚¬Å¡Ã‚ ±1.72) with t test = -1.887 and p value = 0.072. Table (2): The pre-test results for the Stability Indices Static Stability Index Overall Stability Index A/P Stability Index M/L Stability Index Pre-test for Females 3.67à ¯Ã¢â‚¬Å¡Ã‚ ±1.41 2.407à ¯Ã¢â‚¬Å¡Ã‚ ±0.85 2.01à ¯Ã¢â‚¬Å¡Ã‚ ±1.08 Pre-test for Males 5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.3 3.39à ¯Ã¢â‚¬Å¡Ã‚ ±1.65 2.99à ¯Ã¢â‚¬Å¡Ã‚ ±1.72 Independent t-value p value -2.492 0.033* Significant -2.157 0.045* Significant -1.884 0.072 Insignificant Data are expressed as mean  ± SD. P> 0.05= insignificant. *P Figure (2): The pre-test results for the Stability Indices Static B) Within Group (Females) The results are shown using the following table (3) and illustrated in figure (3).ANOVA F-test was used to show difference between pre and post-test in the stability indices. Overall Stability Index: The mean value was pretest (3.47à ¯Ã¢â‚¬Å¡Ã‚ ±1.42) when compared with its corresponding no significant difference after assessment immediately (3.78à ¯Ã¢â‚¬Å¡Ã‚ ±1.868), after 30 minutes (3.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.27), and after 60 minutes (4.29 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.86) with f test = 0.521 and p value = 0.66. A/P Stability Index: The mean value was pretest (2.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 0.85) when compared with its corresponding no significant difference after assessment immediately (2.47 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.52), after 30 minutes (2.14 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.27), and after 60 minutes (3.27 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.43) with f test = 1.616 and p value = 0.196. M/L Stability Index: The mean value was pretest (2.01 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.08) when compared with its corresponding no significant difference after assessment immediately (2.2 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.07), after 30 minutes (2.12 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.84), and after 60 minutes (2.13 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.98) with f test = 0.04 and p value = 0.989. Table (3): The mean values and S.D of Stability Indices before starting and after the test for Females Static Data of evaluations Overall Stability Index A/P Stability Index M/L Stability Index Pre-test 3.47 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.42 2.41 à ¯Ã¢â‚¬Å¡Ã‚ ±0.85 2.01à ¯Ã¢â‚¬Å¡Ã‚ ± 1.08 Post-Immediate 3.73 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.868 2.47à ¯Ã¢â‚¬Å¡Ã‚ ± 1.52 2.2à ¯Ã¢â‚¬Å¡Ã‚ ± 1.07 Post-30 minutes 3.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.27 2.14à ¯Ã¢â‚¬Å¡Ã‚ ±1.27 2.12à ¯Ã¢â‚¬Å¡Ã‚ ± 1.84 Post-60 minutes 4.29 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.86 3.27à ¯Ã¢â‚¬Å¡Ã‚ ± 1.43 2.13à ¯Ã¢â‚¬Å¡Ã‚ ± 1.98 F-value ANOVA 0.521 1.616 0.04 p value 0.669 Insignificant Difference 0.196 Insignificant Difference 0.989 Insignificant Difference Data are expressed as mean  ± SD. P> 0.05= insignificant. *P Figure (3): The mean values and S.D of Stability Indices before starting and after the test for Females Static D) Within groups (Males) The results are shown using the following table (4) and illustrated in figure (4). ANOVA F-test was used to show the difference between post-test in the stability indices. Overall Stability Index: The mean value was pretest (5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.3) when compared with its corresponding no significant difference after assessment immediately (5.01à ¯Ã¢â‚¬Å¡Ã‚ ± 1.765), after 30 minutes (4.42à ¯Ã¢â‚¬Å¡Ã‚ ±2.22), and after 60 minutes (3.95à ¯Ã¢â‚¬Å¡Ã‚ ±1.56) with f test = 1.039and p value = 0.382. A/P Stability Index: The mean value was pretest (3.39à ¯Ã¢â‚¬Å¡Ã‚ ±1.69) when compared with its corresponding no significant difference after assessment immediately (3.4à ¯Ã¢â‚¬Å¡Ã‚ ±1.42), after 30 minutes (3.11à ¯Ã¢â‚¬Å¡Ã‚ ± 1.78), and after 60 minutes (2.67à ¯Ã¢â‚¬Å¡Ã‚ ± 1.416) with f test = 0.707and p value = 0.525. M/L Stability Index: The mean value was pretest (2.99à ¯Ã¢â‚¬Å¡Ã‚ ± 1.72) when compared with its corresponding no significant difference after assessment immediately (3.02à ¯Ã¢â‚¬Å¡Ã‚ ±1.28), after 30 minutes (2.52à ¯Ã¢â‚¬Å¡Ã‚ ± 1.55), and after 60 minutes (2.33à ¯Ã¢â‚¬Å¡Ã‚ ± 1.02) with f test = 0.874and p value = 0.46. Table (4): The mean values and S.D of Stability Indices before starting and after the test for Males Static Data of evaluations Overall Stability Index A/P Stability Index M/L Stability Index Pre-test 5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.31 3.39à ¯Ã¢â‚¬Å¡Ã‚ ±1.65 2.99à ¯Ã¢â‚¬Å¡Ã‚ ± 1.72 Post-Immediate 5.01à ¯Ã¢â‚¬Å¡Ã‚ ± 1.765 3.4à ¯Ã¢â‚¬Å¡Ã‚ ± 1.42 3.02à ¯Ã¢â‚¬Å¡Ã‚ ± 1.28 Post-30 minutes 4.42à ¯Ã¢â‚¬Å¡Ã‚ ± 2.229 3.11à ¯Ã¢â‚¬Å¡Ã‚ ± 1.78 2.52à ¯Ã¢â‚¬Å¡Ã‚ ± 1.55 Post-60 minutes 3.95à ¯Ã¢â‚¬Å¡Ã‚ ±1.56 2.67à ¯Ã¢â‚¬Å¡Ã‚ ± 1.42 2.33à ¯Ã¢â‚¬Å¡Ã‚ ± 1.02 F-value ANOVA 1.039 0.707 0.874 p value 0.382 Insignificant Difference 0.552 Insignificant Difference 0.46 Insignificant Difference Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (4): The mean values and S.D of Stability Indices before starting and after the test for Males Static D) Post test results Static The results are shown using the following table (5) and illustrated in figure (5). Independent t-test was used to show difference between post-test in the stability indices. 1) Overall Stability Index Independent t-test was used to show difference between immediately post-test for females and males. The female mean value of overall stability index (3.73  ± 1.868) was insignificantly different from (5.01  ± 1.765) with t test = -1.913and p value = 0.063. Independent t-test was used to show difference between 30 minutes post-test for females and males. The female mean value of overall stability index (3.41  ± 2.27) was insignificantly different from (4.42  ± 2.229) with t test = -1.227and p value = 0.23. Independent t-test was used to show difference between 60 minutes post-test for females and males. The female mean value of overall stability index (4.29  ± 2.86) was insignificantly different from (3.95  ± 1.56) with t test = 0.415 and p value = 0.682. Stability Index Immediate 30 Minutes 60 Minutes Overall Stability Index Post-test for Females 3.73  ± 1.868 3.41  ± 2.27 4.29  ± 2.86 Post-test for Males 5.01  ± 1.765 4.42  ± 2.229 3.95  ± 1.56 Independent t-value p value -1.913 0.063 Insignificant -1.227 0.23 Insignificant 0.415 0.682 Insignificant Table (5.a): The mean values and S.D of Overall Stability Index post-test for both Females and Males-Static Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (5.a): The mean values and S.D of Overall Stability Index post-test for both Females and Males-Static 2) A/P Stability Index Independent t-test was used to show difference between immediate post-test for females and males. The female mean value of A/P Stability index (2.47  ± 1.52) was insignificantly different from (3.4  ± 1.42) with t test = -1.699and p value = 0.1. Independent t-test was used to show difference between 30 minutes post-test for females and males. The female mean value of A/P stability index (2.14  ±1.27) was insignificantly different from (3.11  ± 1.78) with t test = -1.723and p value = 0.096. A/P Stability Index Immediate 30 Minutes 60 Minutes A/P Stability Index Post-test for Females 2.47  ± 1.52 2.14  ± 1.27 3.27  ± 1.43 Post-test for Males 3.4  ±1.42 3.11  ± 1.78 2.67  ± 1.42 Independent t-value p value -1.699 0.1 Insignificant -1.723 0.096 Insignificant -0.925 0.363 Insignificant Independent t-test was used to show difference between 60 Minutes post-test for females and males. The female mean value of A/P stability index (3.27  ± 1.43) was insignificantly different from (2.67  ± 1.42) with t test = -0.925 and p value = 0.363. Table (5.b): The mean values and S.D of A/P Stability Index post-test for both Females and Males-Static Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (5.b): The mean values and S.D of A/P Stability Index post-test for both Females and Males-Static 3) M/L Stability Index Independent t-test was used to show difference between immediate post-test for females and males. The female mean value of M/L Stability index (2.2 ±1.07) was insignificantly different from (3.02  ± 1.28) with t test = -1.898and p value = 0.068. Independent t-test was used to show difference between 30 Minutes post-test for females and males. The female mean value of M/L stability index (2.12  ± 1.84) was insignificantly different from (2.52  ± 1.55) with t test = -0.656and p value = 0.518. Independent t-test was used to show difference between 60 Minutes post-test for females and males. The female mean value of M/L stability index (2.13  ± 1.98) was insignificantly different from (2.33  ± 1.02) with t test =0.097and p value = 0.729. Table (5.c): The mean values and S.D of M/L Stability Index post-test for both Females and Males-Static M/L Stability Index Immediate 30 Minutes 60 Minutes M/L Stability Index Post-test for Females 2.2  ± 1.07 2.12  ± 1.84 2.13  ±1.98 Post-test for Males 3.02  ± 1.28 2.52  ± 1.55 2.33  ± 1.02 Independent t-value p value -1.898 0.068 Insignificant -0.656 0.518 Insignificant 0.097 0.729 Insignificant Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (5.c): The mean values and S.D of M/L Stability Index post-test for both Females and Males-Static Discussion: The purposes of the study were To determine the immediate and late effect of cryotherapy on the dominant ankle joint on static balance and To determine the difference in static balance changes between both sexes. Our result revealed that the females have significant difference in static balance than male when measured before application of cold gel pack to ankle dominant extremity with p value of overall stability index = 0.033 , p value of A/P stability index=0.043 and not for ML stability index with p value of =0.072. Our result revealed that after using cold gel pack to ankle dominant extremity for 15 minutes has no statistically significant difference on all aspect of static balance in female group. In over stability index there was no statistically significant difference after assessment immediately, after 30 minutes and after 60 minutes with p value =0.66. In over A/P stability index there was no statistically significant difference after assessment immediately, after 30 minutes and after 60 minutes with p value =0.196. and In over M/L stability index there was no statistically significant difference after assessment immediately,

Dialectical Journals- Things Fall Apart Essay -- essays research paper

Dialectical Journals 1. â€Å"His fame rested on solid personal achievements.† Pg. 3 paragraph 1 All fame begins when you do something noticeable. For example, actors and actresses build upon their careers and reputations by achieving excellence in their personal goals, as well as perfecting their public performance. 2. â€Å"†¦It was said that when he slept, his wives and children in his houses could hear him breathe.† Pg. 4 paragraph 1 One question that comes to mind when I read this is if he alternates between homes on certain days or months. From what I understand, it used to be socially acceptable to have many wives and children, but they all lived together in one home, scattered among different chambers within the house. The use of the word â€Å"homes† is what made me wonder. 3. â€Å"He always said that whenever he saw a dead man’s mouth he saw the folly of not eating what one had in one’s lifetime.† Pg. 4 paragraph 2 I think that what the author was trying to imply in this passage was that in his personal experience, he has noticed that many people take many things for granted and that they don’t live their lives according to what they want and need to do. So much is wasted during one’s lifetime, and people just allow their lives to pass them by. 4. â€Å"As he broke the kola, Unoka prayed to their ancestors for life and health, and for protection against their enemies.† Pg. 6 paragraph 5 The impression that I got was that Okoye just came over on a whim. Is it customary to honor and pray to the ancestors whenever you have company; expected or unexpected? This seems awkward. 5. â€Å"Okoye was also a musician. He played on the ogene. But he was not a failure like Unoka.† Pg. 7 paragraph 6 I can compare this selection to my personal life in both the resent and the past. Even though I have many things in common with my friends, I often feel like a failure in comparison to them, as if they are better than I am at things that we do regularly, much like Unoka in comparison to Okoye. 6. â€Å"A snake was never called by its name at night, because it would hear.† Pg. 9 paragraph 2 The act of fear is much more common in the dark. In the dark, people expect things to be lurking around the bend, waiting for someone to summon it. I can relate this selection to my past experiences with my friends. When we were in elementary school, we would go into a dark bathroom and say the name, ... ...hy, disgusting insects. If the villagers knew what the small, disaster-riddled pests were capable of doing, then they would fear the swarm’s return instead of praising and rejoicing it. 25. â€Å"My daughter’s suitor is coming today.† Pg. 65 paragraph 7 Why is a ten-year-old child getting married? Is the â€Å"man† also ten years old? Why would an adult want to marry someone who hasn’t even reached adolescence yet? It made sense to them to sell their daughters for marriage once they started menstruating, but why would they sell off a child who probably wouldn’t start to do that for up to two years after the marriage. 26. â€Å"You might as well say that the woman lies on top of the man when they are making the children.† Pg. 74 paragraph 3 This shows that in the days of this book, sex was just for making children; not for fun. Now a day, men like sex in a variety of positions. They often like domineering women who are on the top rather than the bottom. I suppose that back then, the men had little respect for the women so they felt that they should be below them. If they were on top during sex, then the men may feel intimidated by the woman’s strength and be disgusted that they have no shame. Dialectical Journals- Things Fall Apart Essay -- essays research paper Dialectical Journals 1. â€Å"His fame rested on solid personal achievements.† Pg. 3 paragraph 1 All fame begins when you do something noticeable. For example, actors and actresses build upon their careers and reputations by achieving excellence in their personal goals, as well as perfecting their public performance. 2. â€Å"†¦It was said that when he slept, his wives and children in his houses could hear him breathe.† Pg. 4 paragraph 1 One question that comes to mind when I read this is if he alternates between homes on certain days or months. From what I understand, it used to be socially acceptable to have many wives and children, but they all lived together in one home, scattered among different chambers within the house. The use of the word â€Å"homes† is what made me wonder. 3. â€Å"He always said that whenever he saw a dead man’s mouth he saw the folly of not eating what one had in one’s lifetime.† Pg. 4 paragraph 2 I think that what the author was trying to imply in this passage was that in his personal experience, he has noticed that many people take many things for granted and that they don’t live their lives according to what they want and need to do. So much is wasted during one’s lifetime, and people just allow their lives to pass them by. 4. â€Å"As he broke the kola, Unoka prayed to their ancestors for life and health, and for protection against their enemies.† Pg. 6 paragraph 5 The impression that I got was that Okoye just came over on a whim. Is it customary to honor and pray to the ancestors whenever you have company; expected or unexpected? This seems awkward. 5. â€Å"Okoye was also a musician. He played on the ogene. But he was not a failure like Unoka.† Pg. 7 paragraph 6 I can compare this selection to my personal life in both the resent and the past. Even though I have many things in common with my friends, I often feel like a failure in comparison to them, as if they are better than I am at things that we do regularly, much like Unoka in comparison to Okoye. 6. â€Å"A snake was never called by its name at night, because it would hear.† Pg. 9 paragraph 2 The act of fear is much more common in the dark. In the dark, people expect things to be lurking around the bend, waiting for someone to summon it. I can relate this selection to my past experiences with my friends. When we were in elementary school, we would go into a dark bathroom and say the name, ... ...hy, disgusting insects. If the villagers knew what the small, disaster-riddled pests were capable of doing, then they would fear the swarm’s return instead of praising and rejoicing it. 25. â€Å"My daughter’s suitor is coming today.† Pg. 65 paragraph 7 Why is a ten-year-old child getting married? Is the â€Å"man† also ten years old? Why would an adult want to marry someone who hasn’t even reached adolescence yet? It made sense to them to sell their daughters for marriage once they started menstruating, but why would they sell off a child who probably wouldn’t start to do that for up to two years after the marriage. 26. â€Å"You might as well say that the woman lies on top of the man when they are making the children.† Pg. 74 paragraph 3 This shows that in the days of this book, sex was just for making children; not for fun. Now a day, men like sex in a variety of positions. They often like domineering women who are on the top rather than the bottom. I suppose that back then, the men had little respect for the women so they felt that they should be below them. If they were on top during sex, then the men may feel intimidated by the woman’s strength and be disgusted that they have no shame.