Laboratory Techniques and Measurements

Name: Kensley Shelley|Date: 9-17-12| Exp 2: Laboratory Techniques & Measurements|Lab Section: 0000| Data Tables: Step 1: Length and Measurements Object Measured|Length in cm|Length in mm| Key|5. 15 cm|51. 5 mm| CD|12. 0 cm|120. 0 mm| Fork Spoon|18. 05 cm 16. 30 cm|180. 5 mm 163. 0 mm| Step 2: Warm Temperature Measurements Hot tap water temperature49. 50_? C Boiling water temperature __immediately:104. 5; after 5 minutes: 103. 0__? C Step 3: Cold Temperature Measurements Cold tap water temperature_24. 5_? C Ice water temperature after 1 min:4. 5, after 5 min:1. 0 ? C Step 4: Volume MeasurementsVolume of half filled graduated cylinder__12. 5__mL Volume of completely filled small test tube __n/a__mL Number of drops in 1 mL___14_drops Volume of the micro pipet __28__ drops_2___mL Step 6: Density Measurements Part A Mass of empty graduated cylinder_16. 9_g Mass of graduated cylinder and water 21. 1_g Net mass of the water __4. 2_g Density of the water_0. 84_ g/mL Part B Mass of graduated cylinder and alcohol _20. 4_g Net mass of the alcohol __3. 5_g Density of the alcohol__0. 7__ g/mL Part C Mass of graduated cylinder and salt solution ____g Net mass of the salt solution____gDensity of the salt solution____ g/mL Part D Volume of half filled graduated cylinder__8. 0__mL Volume of half filled graduated cylinder and metal bolt_9. 1__mL Volume of the metal bolt_1. 1_mL Mass of the metal bolt __7. 2__g Density of the metal bolt__6. 55__g/mL Part E Mass of half filled beaker__89. 0__g Mass of water displaced by metal bolt__90. 1__g Volume of the metal bolt__1. 1__cc Density of the metal bolt__6. 55__g/cc Mass of half filled beaker__89. 0__g Mass of water displaced by magnet__89. 8__g Volume of the magnet _0. _cc Mass of the magnet __4. 0_g Mass when dropping the magnet in the beaker__92. 9__g Density of the magnet__5. 00__g/cc Calculated volume of the magnet using dimensions of length x width x height__0. 78__cc Density of magnet using the calculated volume_5. 13___g/cc C onclusion: Questions and Problems: A. Which method of determining density is more accurate, the water displacement method in Part D or Archimedes’ principle method in Part E? Why? For the metal bolt, I received the same answer for both experiments, so I would say both were equally accurate in my experiment.B. What is the relationship between mL and cm3? They equal each other; mL = cc C. Everyone knows that water is supposed to boil at 100 ° C. Why did your water sample boil at a different temperature? Water boils at different temperatures depending on the altitude. The higher pressure in the air keeps the molecules from escaping as easily. D. To help you get a feel for metric measurements, you need to know the relative magnitude of a few basic measurements. For example: 1 mm = thickness of a dime, a penny weighs 2 ? grams, and 20 °C = normal room temperature. Determine the following: . What is the mass in kilograms (kg) of a person who weighs 143 lb? 64. 86 kg 2. What wei ghs approximately 1 g? dollar bill, paper clip 3. What is approximately 1 cm long, wide or thick? fingernail is 1 cm wide 4. What weighs about 100 g? 20 nickels, 40 pennies 5. What weighs about 1000 g? 1 liter of water Conclusion: The experiment was designed to help acquaint the student with proper laboratory measurements and techniques. This was done by allowing the student to use the different lab tools in a variety of ways, such as: heating, measurements, volume, and density.In completing this lab, I am better aware of the different tools which will be used and how to properly use them, because a slight mistake in measuring can skew your data. I witnessed this in the density calculations in that the wrong mass or volume could greatly skew the results of the density. I first recorded 7. 6 g as the mass for the metal bolt, but on second glance I realized it was only 7. 2 g. While this may not seem significant at first, having a difference of 0. 4 g is very significant in determinin g the correct density. I also observed how important it is to account for one uncertain digit.When measuring items using the cm side of the ruler, I had to account for an uncertain digit when it measured in between two lines. Accounting for this uncertain digit helps to gain a more accurate reading. Also, reading at the bottom of the meniscus is also very important when measuring. When I first used the beaker, I did not get down to eye level and therefore I could not properly see the meniscus, but after putting it to eye level, I could see that I was slightly off on my measurement. I also learned how to determine the mass of certain objects that are not easily measured.I did so by first measuring the cylinder's mass and then measuring the mass of the cylinder with the liquid in it. I was then able to subtract the two and get a good measurement of the mass of the liquid. Another technique practiced was using displaced water to determine the volume and subsequently the density of an o bject. By putting the object on a string and placing it in the water, I was able to record the mass of the displaced water (90. 1 g), which i was then able to convert to the volume of the object (1. 1 mL). This number along with the mass of the object (7. g), could then be converted to the density of the object (6. 55 g/cc). There were a few potential errors that could have occurred while preforming the experiments. First, when calibrating my at home scale, I had to place an object that was 500 g on the scale. While I believe the object I placed on it was close to that mass, it could have been off slightly which could have skewed my results. Also, there is always the possibility of miscalculations when I was determining the volume of the magnet using the ruler. There is always the chance of miss counting something which can led to inaccurate results. Laboratory Techniques and Measurements Measurement:Length, Mass, Volume, Density, and Time Peter Jeschofnig, Ph. D. Version 42-0267-00-01 Lab RepoRt assistant This document is not meant to be a substitute for a formal laboratory report. The Lab Report Assistant is simply a summary of the experiment’s questions, diagrams if needed, and data tables that should be addressed in a formal lab report. The intent is to facilitate students’ writing of lab reports by providing this information in an editable file which can be sent to an instructor. Data Table 1: Estimation of various measurements| Measurement| Estimated| Actual| % Error| Length (m)| | | | Time (s)| | | |Mass (g)| | | | Data Table 2: Measurement of an object using various instruments| | Length(cm)| Width(cm)| Height(cm)| Volume(cm3)| Object Being Measured:| | | | | Hand (hand units)| | | | | Hand (cm)| | | | | Ruler| | | | | Meter tape| | | | | Data Table 3: Measurement of an object using various instruments| | Length(cm)| Width(cm)| Height(cm)| Volume (cm3)| Object Being Measured:| | | | | Hand (hand units)| | | | | Hand (cm)| | | | | Ruler| | | | | Meter tape| | | | | Data Table 4: Measurement of an object using various instruments| | Length(cm)| Width(cm)| Height(cm)| Volume(cm3)| Object Being Measured:| | | | |Hand (hand units)| | | | | Hand (cm)| | | | | Ruler| | | | | Meter tape| | | | | Data Table 5: Determination of ? | Object| DiameterD(cm)| CircumferenceC(cm)| Slope| % Error| | | | | | | | | | | | | | | | | | | | | | | | | | Data Table 6: Density measurements| Method| Volume of water in graduated cylinder (mL)| Volume of water+ bolt(mL)| Volume of bolt (mL)| Mass of bolt in air (g)| Mass of bolt in water (g)| Mass of bolt â€Å"lost† in water (g)| Density orS. G. ofbolt(g/mL)S. G. =unitless| Water- displacement method| | | | | | | | Archimedes’ principle method| | | | | | | | Data Table 7: Time measurements using visual cues| Drop time (s)| Trial 1| | Trial 2| | Trial 3| | Average| | Data Table 8: Time meas urements using auditory cues| | Drop time (s)| Trial 1| | Trial 2| | Trial 3| | Average| | Questions Exercise 1: Estimation of Various Measurements A. Why is it important to correctly estimate length, time, and mass? Exercise 2: Measuring Using Instruments of Varying Degrees of Precision A. Can you think of an occasion when it would be adequate to use your â€Å"hand† measurement? B. What would happen to your volume calculations if the length, width and height measurements were off a little? Exercise 3: Graphing data and the determination of ?Object Description| Diameter (cm)| Circumference (cm)| Measuring Device| Penny| 1. 90  ± 0. 01| 5. 93  ± 0. 03| Vernier caliper, paper| â€Å"D† cell battery| 3. 30  ± 0. 02| 10. 45  ± 0. 05| Vernier caliper, paper| PVC cylinder A| 4. 23  ± 0. 02| 13. 30  ± 0. 03| Vernier caliper, paper| PVC cylinder B| 6. 04  ± 0. 02| 18. 45  ± 0. 05| Plastic ruler, paper| Tomato soup can| 6. 6  ± 0. 1| 21. 2  ± 0. 1| Plastic ruler, paper| 5. Graph C vs. d using a computer spreadsheet program. 7. What is the slope of the line? What does it represent? 8. Calculate the percent error of your value from the true value of pi.Exercise 4: Density Measurements A. Which of the two volume determinations will be more accurate? Why? B. Research the Archimedes’ principle method. Write one paragraph explaining why it is called Archimedes’ principle Exercise 5: Time Measurements A. Which is more accurate, the individual times or the average? Explain. B. Sometimes many trials are run and recorded. Then the highest and lowest data points are disregarded when taking the average. Could this technique help in this experiment? How? C. Explain any differences that occurred between recording the data visually and aurally.

Organizational Performance Management Table Essay

After you have completed your individual research on your chosen type of health care organization, collaborate with your Learning Team to complete this table. Then, refer to this table as you collaborate to write your paper. Include this table as an appendix to your paper. Fill in the necessary information in each cell, but be as succinct as possible. 1.Provide names of or links to specific organizations. Summarize key products or services provided by each type of organization and identify the primary customers they serve. Organization OneOrganization TwoOrganization ThreeOrganization FourOrganization FiveOrganization Six Target Pharmacy. Key products and services provided by Target Pharmacy consist of: clear rx prescription bottles with ring selected ring colors. Auto-refill on all prescriptions. Four and ten dollar generics. Flu shots, free flavoring for reconstituted medication, and pet medications. Target Pharmacy serves a wide variety of patient from babies, children, teens, adults, elderly, and even pets. Pfizer- http://www.pfizer.com/partnering/areas_of_interest/consumer_healthcare †¢Advil †¢Centrum †¢Viagra Serves the public worldwide with a number of OTC drugs and other prescription needs.Kaiser Permanente: †¢Provide health care services. †¢Conduct own research †¢Educational programs †¢Pharmacies †¢Advanced technology †¢Practice of Well-care and Sick-care †¢Approx. 9 million members. †¢Also serves nonmembers too. http://www.kaiserpermanentejobs.org/default.aspxWalgreens Pharmacy http://www.walgreens.com http://www.walgreenshealth.com †¢Auto refills on prescriptions †¢Flu shots †¢Food products Serves a wide variety of people, from adults down to infants, and even some pets.Johnson & Johnson http://www.jnj.com/ Key products and services: consumer healthcare products, prescription and pharmaceutical products, and medical devices and diagnosis products. There is a wide range of primary consumers since their products/services target babies to adults.

Characteristics of the Romantic Music Period

It is arguable that some Romantic music made greater demands upon its listeners than did music of previous historical periods. What were those demands? Why did these changes come about? And what strategies can you formulate for listening to this music today? In consideration of the musical changes present in the Romantic era, this essay will contend that these changes are very much related to the wider social and technological changes in society around that time. Thus, it is important to identify the broad time period encompassed by this era. The definition of Romanticism in The New Grove Dictionary of Music and Musicians is: â€Å"A movement or, more commonly, period of cultural history. When understood as a period, Romanticism is usually identified with either the first half or the whole of the 19th century. The term is used with reference primarily to the arts, but it can also embrace philosophy, socio-political history and, more widely, the ‘spirit’ of the era. † [i] Consequently, this essay views that Romantic music encompasses the whole of the nineteenth century and will consider some of the key changes which occurred around that time period. It has been argued that these changes have resulted in music which makes greater demands upon its listeners and this essay will highlight these demands and how they were influenced by those social and technological changes of that time, concluding with strategies for listening to this music today. Some of the music which can be used to illustrate these changes are specific works by Beethoven, a composer, who is viewed as a major influence on the music of the nineteenth century. This can be evidenced by the Grove article on Romanticism, which deems it to be widely accepted that Beethoven â€Å"inaugurated a ‘Romantic era’†[ii]. The demands of Romantic music are characterised by several key changes. These changes can be summarised as follows: an increased intensity, both technical and musical; a greater use of radical contrasts in the music and a significant increase in the length of musical compositions. The increased intensity of Romantic music can be demonstrated by an analysis of the Diploma syllabus of the ABRSM[iii]. This syllabus provides an â€Å"authoritative assessment framework† [iv] for technical and musical ability and one can see that the vast preponderance of its pieces fall into the Romantic category. Furthermore, as one progresses through the levels of syllabus, the â€Å"repertoire becomes more demanding† [v] and the volume of Romantic pieces increases steadily. A major factor in this change is the related technological advancements of that time period which resulted in the upgrading of a number of musical instruments to more advanced forms. This can be illustrated with reference to the specific example of the piano, an instrument refined considerably during the Romantic period. Key changes incorporate the introduction of modern style pedals, greater string diameters and tensions, an extended number of octaves, the double escapement action and the cast iron frame[vi] [vii]. Thus, the instrument of the nineteenth century is far superior to its eighteenth century counterpart. The resultant musical changes include a greater quantity of octaves available and a greater range of power and dynamics made available to the composer. This had the obvious corollary of composers producing pieces with greater use of radical dynamic contrasts. According to Winter[viii], Romantic composers used their new piano to great effect: The single most important development in the sound of the Romantic piano was doubtless the new emphasis on the sustaining (or damper) pedal. † These key changes of distinctive contrasts and increased intensity were aided by the accompanying social change in music around the Romantic period, which can be characterised by the rise of the virtuoso. Franz Liszt, the legendary pianist, dazzled audiences across Europe, garnering rave reviews wherever he travelled, considered by The New Grove Dictionary of Music and Musicians to be â€Å"the greatest piano virtuoso of his time† [ix]. The improved piano was critical to his displays of technical prowess. Without it he would not have been able to play pieces as demanding on the instrument. The â€Å"hitherto unimagined difficulty† [x] of his Vingt-quatres grandes etudes pour le piano[xi], was considered too much by the composer, he revised the Etudes and later published his Etudes d'execution transcendante[xii], – the latter still ferociously difficult but surpassed in that respect by the former. Given that a key feature of Liszt’s playing style and compositions was technical skill, one could argue Liszt could not have been the performer, or composer, he was, in the preceding century. Nicolo Paganini was another virtuoso of the highest calibre – a violinist[xiii]. He, too, gave fantastic performances to rapturous crowds in numerous countries. William Ayrton, editor of The Harmonicon, remarked that: â€Å"[H]is powers of execution are little less than marvelous, and such as we could only have believed on the evidence of our own senses; they imply a strong natural propensity for music, with an industry, a perseverance, a devotedness and also a skill in inventing means, without any parallel in the history of his instrument. † [xiv] Paganini, similar to Liszt, composed works for his instrument, which were considered some of the hardest in its repertoire[xv] – pushing the boundaries of the Romantic violin to previously unseen heights. An excellent way for a virtuoso to show off their talents is a concerto. The concerto provided a perfect vehicle to showcase the new technically advanced instruments and the music that could be performed on them[xvi]. One characteristic of Romantic concertos is their length. Indeed, this increased length is another key aspect of Romantic music as a whole. To take one concrete example of this, Vladimir Askenazy’s interpretations of Beethoven’s piano concertos[xvii] are significantly greater in length than his interpretations of Mozart’s concertos[xviii]. Further illustration of this is the opening movements of Beethoven’s piano concertos numbers 4 and 5, which both last longer than a number of Mozart’s concertos in their entirety and are longer, by far, than any of Mozart’s first movements. Similarly, other forms of musical composition demonstrated increasing length during the Romantic era. Beethoven’s Piano Sonata number 29 ,‘Hammerklavier’, being a case in point, according to Marston[xix], the extremely long solo piece was â€Å"most likely the longest ever written at that time†. The Hammerklavier sonata is also a perfect example of the other previously stated Romantic characteristics. The use of pianississimo and fortissimo a bar apart in the final section of the first movement is but one example of the radical contrasts present in the piece as a whole[xx]. Another hallmark of Romantic music is present in this piece: extreme technical difficulty – Andras Schiff declared Hammerklavier â€Å"virtually unplayable† [xxi]. This increase in length was also evident in the Romantic symphony. One striking example being Beethoven’s Symphony number three, ‘Eroica’, first published in 1804 [xxii], at the very dawn of musical Romanticism – its opening movement â€Å"dwarf[s] any comparable previous movement† [xxiii]. According to Bonds[xxiv], Eroica is the start, for Beethoven at least, of music displaying profound Romantic characteristics: â€Å"Particularly from the ‘Eroica’ onwards, Beethoven was seen to have explored a variety of ways in which instrumental music could evoke images and ideas transcending the world of sound. Overall, these properties of Romanticism were influenced by the social changes of the nineteenth century. These changes meant that composers of the Romantic era had greater freedom than ever before. Unlike their counterparts in previous historical periods, they no longer had to be almost entirely dependent on the church or the state or weal thy, upper-class patrons[xxv] [xxvi]. As highlighted previously, musicians could support themselves by giving public concerts, â€Å"Paganini earned so much money in one year that he could have bought 300 kilos of gold. [xxvii] [xxviii] As we can see in this example from Grove, the orchestra of the Romantic age was distinctly different from its predecessors in that it was not for the personal amusement of royalty or a symbol of status: â€Å"During most of the 18th century orchestras had been an accompaniment to and an expression of aristocratic court culture; in the 19th century the orchestra became a central institution of public musical life. † [xxix] Given the demands illustrated through these changes, several strategies are suggested. One possible strategy would be to learn a piece. As reading music is a necessary precursor to this, it would be a required and fruitful use of one’s time to learn to do so if the skill has not already been learnt. Learning to play a piece of music would be the ideal realisation of this strategy. However, this is not always possible and would be impractical for a piece with a large number of parts – a symphony, for example. Nevertheless, one can study and appreciate the technical or musical difficulty involved in a piece without being able to master it. Once able, listening to a piece of music whilst consulting the score is also a useful tool for following a piece and picking out specific parts. This is especially true of any orchestral piece. Another related strategy would be to try and put oneself in the shoes of a listener of the Romantic era. Listening to recordings performed on period instruments would be an ideal method of doing this. Also, learning more about the people of the period and what it would have been like for a nineteenth century person to listen to a certain work for the first time would be a further way to pursue this strategy. To learn, and appreciate, any other art forms linked with a piece of music is another strategy for listening to Romantic music – for example, Beethoven’s Symphony number 9. Beethoven based the final movement on the poem ‘Ode to Joy’ by Friedrich Schiller[xxx] – the movement is scored for orchestra, four vocal soloists and a choir – who sing the words of the poem. The case can be made that, to fully appreciate this work, one must appreciate the poem on which it is based. Additionally, understanding of the language the words are in – German – would take this strategy even urther. Separating a piece of music into parts is another strategy for listening to Romantic music. For example, a symphony or sonata can be listened to as individual movements, easier to absorb than, perhaps, thirty minutes or an hour’s worth of music. Exploring huge compositions or collections at one time is not the correct strategy, the sheer volume of n otes can be daunting and there is a danger that listening to too much music dulls one to the finer points of that music, it simply becomes noise. The distinct movements many composers put in their music should be utilised when first discovering a work, only once more understanding is cultivated should one attempt to listen to an entire concerto, sonata or symphony. Conclusively, it has been shown that Romantic music made greater demands upon its listeners than did music of previous historical periods. These demands were: increased technical and musical intensity; the use of bold, vivid contrasts and a considerably augmented duration of musical compositions. These changes came about due to technological advancements of the period, less reliance on patronage and the ‘musician’ became a respected and viable profession in the nineteenth century. There are many strategies which can be devised for listening to Romantic music, in the present day. These are: learning how to read and play music; to put oneself in the shoes of a listener of the time period; to study any art forms which are linked to a piece of Romantic music and dividing a composition into more easily manageable sections. These strategies will further aid the listener in appreciating and understanding Romantic music. ———————- [i] Jim Samson, â€Å"Romanticism†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] [ii] Jim Samson, â€Å"Romanticism†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (1. History of usage) [iii] ABRSM, â€Å"Music Performance Diploma Syllabu s from 2005†, [Accessed 2 December 2009] [iv] Ibid. [v] Ibid. [vi] Philip R. Belt, Maribel Meisel/Gert Hecher, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (5. The Viennese piano from 1800. ) [vii] Michael Cole, â€Å"Pianoforte†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (6. England and France, 1800–60. ) [viii] Robert Winter, â€Å"Pianoforte†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (2. Romantic period) [ix] Alan Walker, et al. , â€Å"Liszt, Franz†, Grove Music Online. Oxford Music Online, , [Accessed 2 December 2009] [x] Howard Ferguson and Kenneth L. Hamilton, â€Å"Study†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] [xi] Franz Liszt, Vingt-quatres grandes etudes pour le piano, 1839, Vienna: Haslinger [xii] Franz Liszt, Etudes d’execution transcendante, 1852, Leipzig: Breitkopf & Hartel xiii] Edward Neill, â€Å"Paganini, Nicolo†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] [xiv] Edward Neill, â€Å"Paganini, Nicolo†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (7. France and Great Britain, 1831–4, and last years, 1835–40. ) [xv] Ibid. [xvi] Arnold, Denis and Timothy Rhys Jones, â€Å"con certo†, The Oxford Companion to Music Oxford Music Online, [Accessed 2 December 2009] [xvii] Ludwig van Beethoven, Beethoven: The Piano Concertos, Vladimir Ashkenazy, Chicago Symphony Orchestra, cond. by Georg Solti, (Decca, 1995) xviii] Wolfgang Amadeus Mozart, Mozart: The Piano Concertos, Vladimir Ashkenazy, Philharmonia Orchestra, cond. by Vladimir Ashkenazy, (Decca, 1995) [xix] Nicholas Marston, â€Å"Approaching the Sketches for Beethoven's ‘Hammerklavier’ Sonata†, Journal of the American Musicological Society, Vol. 44, No. 3 (Autumn, 1991), p. 404-450, University of California Press on behalf of the American Musicological Society, p. 404 [xx] Ludwig van Beethoven, Piano Sonata no. 29 ‘Hammerklavier’, 1891, Stuttgart: J. G. Cotta Final three bars of first movement – â€Å"Allegro† [pic] [xxi] Andras Schiff, Lecture on Piano Sonata no. 9 ‘Hammerklavier’ by Ludwig van Beethoven, Wigmore Hall, May 2006, Published by The Guardian, [Accessed 2 December 2009] [xxii] â€Å"‘Eroica’ Symphony†, The Oxford Dictionary of Music, 2nd ed. rev. Ed. Michael Kennedy. Oxford Music Online, [Accessed 2 December 2009] [xxiii] Mark Evan Bonds, â€Å"Symphony†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (II. 19th century, 2. Beethoven) [xxiv] Ibid. [xxv] Joseph Dyer, â€Å"Roman Catholic church music†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (V. The 19th century, 1. Catholic church music and the Romantic aesthetic. [xxvi] Joseph Dyer, â€Å"Roman Catholic church music†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (IV. The 18th century) [xxvii] John Spitzer and Neal Zaslaw, â€Å"Orchestra†, Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (7. The Romantic orchestra (1815–1900). ) [xxviii] Edward Neill, â€Å"Paganini, Nicolo†,Grove Music Online. Oxford Music Online, [Accessed 2 December 2009] (8. Playing style. ) [xxix] John Spitzer and Neal Zaslaw, loc. cit. [xxx] Ludwig van Beethoven, Symphony no. 9, ca. 1925, Leipzig: Ernst Eulenburg

Machiavelli’s Pyschological Game in “The Prince”

Machiavelli's â€Å"The Prince†: By Any Means Necessary Part 15 of Machiavelli's The Prince, entitled Of the Things for Which Men, and Especially Princes, Are Praised or Blamed, states that, in order for a man to maintain control of a government and better that territory, he must engage in certain actions that may be deemed immoral by the public he serves. Machiavelli argues a valid point, that the nature of man is twofold, encompassing good and evil, right and wrong. The effectiveness of his argument, however, relies on the fact that the person reading his essay is an objective observer of human nature. Not leaving this to chance, Machiavelli plays a psychological game with the reader in order to convince them of his argument. Machiavelli prefaces his thesis with commentary that attempts to place the reader in a subordinate state-of-mind. He confesses to the reader that he fears sounding presumptuous for writing about a subject covered many times before by others and differing from their opinion in the matter. This statement places the author at the mercy of the reader and prepares them to hear an idea that may not be popular. Having been asked forgiveness or the pride of the author, the reader drops barriers that he may have against arguments driven by ego and opens his mind to Machiavelli on a personal, sincere level. By placing himself at the feet of the reader, Machiavelli puts himself and his argument in a position of power. He wastes no time in using this power to gain more control over the reader. In the next sentence he states that his intention is to create an outline for behavior in public office † of use to those who understand†. This statement compels the reader to agree with the points that the trustworthy, orthright Machiavelli argues, or be relegated the ranks of those ignorant dullards that do not understand. Machiavelli then presents his thesis, that a ruler must use both good and evil in order to maintain his power over the state. The reader has almost no choice but to accept this idea before any proof has been given. With the reader in the palm of his hand, Machiavelli needs only to make a very general argument of his point to convince the reader of its validity. The author states that there are actions for which a prince is either praised or blamed. He lists many examples of good qualities and their opposing attitudes. Instead of labeling them good and evil, however, Machiavelli titles them imaginary and real. By calling the good traits and the leader who possesses them imaginary, he removes the bite that the mention of evil doing may have on the reader. Removing this emotional punch makes his thesis, that evil behavior is necessary to properly rule, obvious. Machiavelli applies the rules he sets out for successful management of a nation to his own writing. He is cautious not to offend the reader ith a statement that is too specific. He manipulates the mind of the reader in order to quell his emotions and make him more accepting of his opinion. He seems weak when he is most powerful and seems powerful when he has no legs to stand on. He is cautious and polite when his foe's defenses are up and attacks with all of his resources at his foe's weaknesses. Machiavelli writes a strongly convincing essay. The proof for his opinion lies not only in the words he speaks but in the flow and believability of the work itself through the utilization of the very techniques he exhorts.

Othello coursework

Throughout the course of the play â€Å"Othello†, Iago is portrayed as the typical sinister villain with no motives for his evil plans, but he also brings many comical aspects to the production. Many audiences would have disliked Iago because of the fact that he is the stereotypical villain, yet we are compelled to watch in suspense, his next move. He is definitely a very complex character to understand. He appears to lack motivation for his evil plans and bases his reasoning on ideas he has conjured up in his head, such as the idea of his loving wife Emilia having an affair with Othello. Jacobean audiences in particular would have been shocked by Iago's behaviour for the fact that he uses a lot of blasphemous language such as â€Å"S'blood†. This would have been frowned upon in Jacobean society due to the this religious era; whereas today, it would not be seen as such a sin to take the Lord's name in vain. Many directors such as Sam Mendes have chosen to present their adaptation of the play as a homoerotic thriller and have portrayed Iago as the lusty servant who is in fact jealous of Desdemona, whereas other performances like Michael Grandage's production portrayed Iago as simply a motiveless character. In my opinion, Iago is undoubtedly one of Shakespeare's most notorious villains; without him there would be no story line. It is him who influences the characters to carry out the terrible tasks that keep the play entertaining and full of suspense. In many productions of Othello, Iago is a Machiavellian. This term originates from a text called â€Å"The Prince† which was written in the early sixteenth century by a figure of the Italian renaissance named Niccoli Machiavelli. He wrote in one of his books that â€Å"the end justifies the means† which was misunderstood by audiences who interpreted it as â€Å"any evil action can be justified if it is done for a good purpose†. Niccoli Machiavelli insinuated that all the rulers that had remained in power had not been kind and caring men, concerned with justice and fairness, but were infact cruel individuals, willing to do anything to ensure the security of their state and their own personal power. Iago shows the audience his Machiavellian ways in Act two Scene one when he says â€Å"Make the Moor thank me, love me and reward me. For making him egregiously an ass. † This truly reveals his duplicitous nature and shows how much he enjoys other people's misery. Many critics have suggested that Iago may have been a warning to King James about his untrustworthy followers, as there was a lot of uncertainty about how he was ruling England at the time. Iago also reveals a duplicitous nature in Act one, scene two, when he swears to the Greek god â€Å"Janus†; the name of a Roman mythical God with two faces which could be reflected as a two faced image. Malicious is one of many adjectives used to describe Iago, but is it entirely accurate? Throughout most of the play, he is portrayed as an open and trustworthy person by every character; all of them refer to him as â€Å"honest Iago† Yet, as the audience are well informed by the end of the first act, he appears to be quite the opposite, as he states â€Å"I am not what I am† although ironically, he always tells the audience the truth In act one scene three, Shakespeare cleverly brings in the use of rhetoric as Iago tries to persuade Roderigo that Desdemona will soon tire of Othello. He states that â€Å"she must change for youth; which she is sated with his body she will find the error of her choice†, and then goes on to reveal his hatred for Othello and how he wishes for Roderigo to help him seek revenge. In a speech made by Iago, he mentions Roderigo's money eight times! He uses repetition to encourage Roderigo to make money, but the implication to the audience is that the money is for Iago and not Roderigo. Roderigo then says, â€Å"I'll sell all my land† which tells the audience that Iago's plan has worked. This prepares us for later on in the play when Iago uses his powerful manipulation to bring Othello to his downfall. Although Iago is often called the villain of the play, he also brings many entertaining moments; he is the only source of humour in the play. This may be perhaps, because he has caused all the misery in the play so is enjoying watching people suffer! He expresses his misogynistic views in Act Two Scene One in a heated discussion with Desdemona. Iago begins the discussion through the means of criticizing his wife, Emilia. He says â€Å"Sir, would she give you so much of her lips as of her tongue she oft bestows on me You would have enough† meaning Emilia often nags him. This shows that Shakespeare wished to amuse the audience too, as they would find this very entertaining possibly because they could relate to what Iago was saying, as it could be interpreted as a commonly stereotypical comment. Another scene where Iago is entertaining to the audience is in Act Two scene Three, where he pretends to be drunk in order to encourage Casio to drink more and become disorderly; in this scene Shakespeare is really playing to his audience. When the men are drinking, Iago makes a number of comments about the English, and what heavy drinkers they are compared to other countries, â€Å"Your Dane, Your German, and your swag-bellied Hollander – drink, ho! – are nothing to your English. † These comments would have met with a very wild reception from the crowd. This indicates to us that this play, despite its exotic settings, is very relevant to an English Jacobean audience. Also in this scene, Iago is at his best and plays a number of different parts to ensure the success of his plan. The three roles that he plays are: The ancient concerned for the sake of his master, the soldier desperate to maintain the peace of the city and the faithful friend of Cassio. The audience by now would be fully aware that he is really none of these roles, which brings us back to the idea that he is a complete machiavellian. Throughout the play, Iago uses his powerful language techniques to amuse and persuade the characters in order to get what he wants. During this process, Iago makes a number of powerful soliloquies that reveal his motives and plans. These soliloquies let the audience see the true personality and characteristic traits of the person speaking. Throughout, Iago is referred to as â€Å"honest Iago† or â€Å"good friend† but the audience are fully aware that these terms do not reflect Iago's true personality because they know what he is like as he has revealed his true self in his soliloquies. This brings a lot of dramatic irony to the play; the audience are fully aware of what has happened or what is about to happen, whilst the other characters remain unaware. A great example of this in the play, is in act 5 Scene 2. By this point, Othello had already killed Desdemona and had found out about Iago's lies; Othello then asks Iago, â€Å"why hath thus ensnared my soul and body? † ( meaning why have you done this to me? ) Iago replies, â€Å"demand me nothing; what you know, you know. From this time forth I never will speak word† This is hugely ironic because up to this, he had used words to his power, as the tool that caused Othello's downfall. This would be very frustrating for audiences who have been puzzled throughout the play as to what motivates Iago to cause such trouble. In conclusion, I believe Iago's character structures this play and creates the story line; some of the most exciting plots are centred around him – he murders his wife, arouses Brabantio, kills Roderigo and gets Othello's army drunk; His actions definitely drive the plot forward. His soliliques not only ensure he has a very intimate relationship with the audience, but they are the only dramatic device of the play. Although there is evidence to prove Iago is not racist, he is just jealous of Othello as he talks about Othello giving Cassio the promotion instead of him. To us, he is the character who keeps the plot alive and full of action. His character was used recently by a critic, Germaine Greer when she compared Shakespearian with current times to emphasise her point. She stated, â€Å"we no longer feel, as Shakespeare's contemporaries did, the ubiquity of satin, but Iago is still serviceable to us, as an objective correlative of the mindless inventiveness of racist aggression. Iago is still alive and kicking and filling migrants letterboxes with excrement† So, it really is a question of, should the play have been called â€Å"Iago† instead of â€Å"Othello†?

Montessori mathematics essay Example | Topics and Well Written Essays - 1500 words

Montessori mathematics - Essay Example Support for Piagets theory is also expressed in the Montessori emphasis for exploration so children can learn at their pace. At the core of Piagets theory is an assertion that "children construct, or create, logic and number concepts from within rather than learn them by internalization from the environment" (Kamii 2009 citing Piaget 1971, Piaget and Szeminska 1965, Inhelder and Piaget 1964, and Kamii 2000). Piaget distinguished three kinds of knowledge: physical knowledge, social knowledge, and logico-mathematical knowledge (Kamii 1996: 99). Piaget taught that the logico-mathematical knowledge is only partly acquired from objects because, for instance, the similarity between two blocks of different colours is not observable but is deduced by an individual through putting things in relationships with the relationships earlier discovered (Kamii 1996: 100). In other words, for Piaget, individuals or children use a logico-mathematical framework within their minds to acquire knowledge (Kamii 1996: 100). According to Kamii (1996: 100-101), through what Piaget described as logico-mathematical framework, a learn er or student or child acquires knowledge through: Applying Piagets teaching, Kamii concluded that children create their own arithmetic or mathematics in acquiring logico-mathematical knowledge using their ability to think and, thus, the goal of math education is to assist learners or children invent procedures for solving mathematical problems as well as in constructing "a network of numerical relationships" (Kamii 1996, 101). As pointed out by Piaget, mathematical knowledge is different from physical knowledge because the former is not observable while the latter is (Kamii 1996: 102). Following Piaget, Kamii said that "there is no such thing as addition fact" because sums are internalized or constructed from within (1996: 102). In illustrating Piaget thinking, Kamii said

Small business plan Research Paper Example | Topics and Well Written Essays - 1000 words

Small business plan - Research Paper Example Personal celphone users can be a profitable segment in the market given their sheer size. II. The marketing orientation that the business will follow and why you have chosen that particular path.   Marketing orientation is â€Å"an approach to business that centres its activities on satisfying the needs and wants of its customers† (Pearson 2008). By following this approach, all the activities of Mobile Plus Group Ltd will be directed toward customer satisfaction with a customer service that is second to none. The key element for a successful implementation of a marketing orientation is to know the customers of a business. Our customers are primarily composed of business people and are responsive to functionality, value and service. With this in mind, our company should strive to satisfy customer needs by always thinking of ways to source out products that could offer more functionality at a price that is lower than competition. To ensure customer retention, we should also co uple it with a customer service (a service center is also offered by the business) that is second none. Implementing this market orientation which is focused on exceeding customer expectation will ensure the company’s viability in the industry. III. At least three external environmental factors that will impact on your market. Given the nature of our business which is technology based that constantly change at a dizzying pace, we should always be on the lookout for external environmental factors that could threaten the business’ viability. The following are the three factors that are considered as a potent threat to the business. a) Obsolescence – technology innovates and changes so fast that what is â€Å"in† right now could become obsolete in just few months or weeks. Such, we should always be updated about the emerging trends and technology so that the business will be able to appropriately respond to new trends to remain viable and competitive in the market. b) Tariff – Mobile Plus Ltd market orientation is to give value to its customers. That entails offering functional celphones to customers at a lower cost. If tariff taxes will shoot up, will have an effect on our pricing which will have an impact on our competitiveness. c) Competition – If there is any external factor that could directly affect the competitiveness of a business, it would be its competitors. As such, competition should be should always be monitored to ensure that the position of the business in the industry is competitive. IV. Explain the characteristics of the chosen market. The business users segment in the celphone market can be demanding considering that they are aware of the various options and alternatives they have for our products. They know that if they are dissatisfied with our products and/or service, they can always go to the competition. The business segment market also has a greater purchasing power but appreciate getting value for their money knowing that money saved could be used for other important purchases. They require after sales support for product purchased anticipating the convenience of a customer service should they will have any issue with the product. They are also sensitive to the reliability of the products purchased from us. Time is important to

France's Resistance to the Membership of Turkey in the European Union Essay

France's Resistance to the Membership of Turkey in the European Union - Essay Example Since 1963, Turkey has had the privilege of being an associate member of the European Union. (ARIKAN, H. 2006). On 14 April 1987, Turkey officially forwarded an application to accede to the European Union. The events that followed the membership bid, has become a major controversy over the last two decades. Turkey, apart from the ten founding members, was one of the first countries to become a member of the Council of Europe in the year 1949. Furthermore, Turkey was also one of the founding members of The Organization for Economic Co-operation and Development (OECD). (JOSEPH, J. S. 2006). Since 1992, Turkey has had an associate membership with the Western European Union. Moreover, Turkey also fulfills its services in the United Nations, as a member of the Western Europe branch of the Western European and Others Group (WEOG). (BELKE 2004). In 1995, a Customs Union Agreement was signed between Turkey and the European Union. At European council’s summit held on 12 December 1999, Turkey was recognized as a candidate for membership in the European Union. Despite the fact that Turkey has contributed tremendously for the welfare of European countries, ironically its accession to the European Union remains at a standstill. Furthermore, France has always resisted Turkey’s membership in the European Union. (JUNG, D. et al 2008). The motive behind the resistance is not entirely based upon religious affairs. Moreover, the resistance has not stemmed due to a single reason, it is however, a cumulative result of numerous underlying issues. This Paper includes an overview on the ongoing enlargement process of the European Union and attempts to throw light at some of the major reasons forcing France to neglect strong Europe-Turkish ties and fiercely resist Turkey’s accession to the EU. The paper also attempts to weigh Turkey’s chances of accession to the European Union. Furthermore, the paper also attempts to speculate on whether France’s resi stance is justified. Overview: The long awaited accession negotiations finally opened on 3rd October, 2005. Turkey embarked on a long difficult journey of negotiations and it might take a decade before a decision is finalized. (ARIKAN, H. 2006). The terms of accession and the future benefits that turkey could give to the European Union, if its membership is confirmed, are two issues which have created an unclear and perplexed scenario. (JUNG, D. et al 2008). In order to become a member country, Turkey has to make tremendous efforts to fulfill the Copenhagen Criteria. Firstly, Turkey has to stabilize its political conditions by creating stable institutions which would ultimately guarantee and follow a democratic system and fulfill all the norms of a full European democratic country. Secondly, Turkey must transform into an economically strong country by creating a sound functioning market economy. Moreover, the EU expects Turkey to adopt and strictly adhere to the â€Å"acquis commun autaire† i.e. a set of EU laws. Thirdly, Turkey must reform its foundation in an effort to fully adopt and implement the political, economical and monetary Laws of the European Union. (TOGAN et al 2005). Opponents of turkey consider the country to be too big and too poor to join the European Union, on the other hand, some opponents consider Turkey to religious to be allowed to become a part of the European Union. Proponents of Turkey consider such opponent claims to be nothing but dubious notions because they recognize Turkey as an economically strong nation. Furthermore, they recognize the fact that Turkey is not bounded by a single religion as the Nation has no official religion thus, the issue of religion should not be treated as a major stumbling block to Turkey’s dream of accession to the European Union. (ENGERT, S. (2010). Turkey’s accession to the EU-A long, troubled journey: Since 200 years, Turkey has been trying to

Bare Bone Analysis Essay Example | Topics and Well Written Essays - 750 words

Bare Bone Analysis - Essay Example This is augmented by the partial dilatation which results in a sufficient opening to permit the fetus to descend into the pelvic canal. Furthermore, the patient undergoes premature progression and formation of myometrial gash junctions, in addition to inflammatory mediator enthused contractions. The other pathophysiology effect is atypical placental implantation and augmented ligamental laxity that results in back pain (Chao, et al, 2011). Physiology A normal physiologic scenario is one that is affected by innate human capability of the mother and fetus. Unlike in this scenario, Braxton-Hick or pre-labor contractions normally subside with rest or fluids and do not thus transform the cervix during actual labor contractions do. The mucus plug which keeps the cervix closed is lost, since the body facilitates the uterus contraction. Aches and provisional quick groin pains occur due to gentle straining of the ligaments attached to the pelvic bones, plus lower back. In addition, oxygen sup ply during labor is normally reduced due to interferences of supply of oxygenated maternal blood to placenta by the contractions (Kaimal, et al, & Cheng, 2011). There is also an increase in maternal blood supply, couple with lowering of systemic vascular resistance from blood vessels due to mounting intensity of hormones. Thus, cardiac output increases considerably leading to a decrease in blood pressure. Renal clearance is usually elevated resulting in lower-than-normal serum levels from renal markers referred to as blood-urea-nitrogen and creatinine (Kaimal, et al , & Cheng, 2011). Predisposing Factors There are numerous predisposing factors that could have led to Patience condition. First, the fact that she lost two previous pregnancies to first trimester miscarriages exposed her to preceding second-trimester dilation and evacuation, in addition to uterine anomalies like outsized fibroids and mullerian abnormalities. Second, Patience could have gone through short inter-pregnancy timeline of less than six months, considering that she may possibly have had a cervical injury, cervical insufficiency, diethylstilbestrol, or previous cervical surgery. Therefore, the premature effacement or shortening of vaginal section of Patience cervix and dilation could be due to structural weakness in her cervix) exposure, and anatomic abnormalities of the cervix (Maloni, 2012). Thirdly, fetal abnormalities or even untimely placental separation could be a causative factor, and are thus making the abruption. Other features could be demographic factors given that previous studies reveal that nonwhite races have a high probability of preterm birth, especially in Black race (Maloni & Damato, 2004). The concerns about anemia could possibly imply existence of uteroplacental insufficiency, such as hypertension, and this brought about trichomonas condition. Furthermore, she could be having low pre-pregnancy weight and body mass index, and her prenatal care was not as continuous or no ne at all. Others include, grave maternal infections like, urinary tract infection, placenta previa, bacterial vaginosis or intrauterine growth constraint. Moreover, hormonal changes especially mediated by maternal and fetal stress could also be a factor (Chao, et al, & Leven, 2011). Treatment Modalities Treatment modalities can begin with offering Patience prophylactic pharmacologic therapy, so as to extend her gestation and decrease her chances of getting respiratory distress syndrome or even intra-amniotic infectivity. Medicines are

Media and Terrorism Research Paper Example | Topics and Well Written Essays - 3750 words

Media and Terrorism - Research Paper Example The findings of the study demonstrate that media coverage on terrorism has got more of disadvantages than advantages. However, the implications of the research also make it clear that media can effectively be used as the tool for counter-terrorism. There have been a lot of studies and researches made on Terrorism and its social, economic and political impacts. Terrorism, a curse on the human race, is a global phenomenon and it has no boundaries. As terrorism is highlighted by the media, it is interesting to have a look into the relationship between media and terrorism. Media can be considered as the bread and butter for terrorism as it helps in giving a world-wide coverage on terrorist acts and thereby achieving their objectives and spreading their messages. Even a localized terrorist attack, celebrated by media gets coverage all over the world and thereby the responsible terrorist group gets benefited. In this regard, it becomes relevant to discuss the impact of conventional media l ike newspapers and television, as well as new generation media like internet on terrorism. In fact, one can observe a give and take the relationship between media and terrorism as both get benefited on the other. The success of a terrorist act is merely dependant on the coverage given by the media and it can be stated that without getting a widespread publicity, terrorists cannot achieve their goals and objectives to its fullest. On the other hand, media also gets benefited by terrorist acts.

Desribing a Social Institution Essay Example | Topics and Well Written Essays - 2000 words

Desribing a Social Institution - Essay Example In the institutions of man, aided by God’s guidance and graces, there are already installed safeguards and answers that if we only know how to discern, we would not go far or divert from where we are really going. One of these groups that have become institutions and instruments of God’s propagation of faith and love is the so-called charismatic group. From the small parishes spring small organizations or groups, others are called church-mandated organizations like the Familia, and other smaller groups that require assistance and cooperation of the so-called laity, such as the charismatic groups, or the traditional Cursillos in Christianity. In my journey to these groups in the Christian faith, I was most attracted to the charismatic group. I was so intrigued by the actuations of some of the members that I tried to observe their activities. From the start, I thought they were overacting their faith because in their actions they were trying to goad people into joining their seminars and â€Å"indoctrination†. Some members who are friends of mine have asked me to join their so-called healing sessions and prayer groups. Indeed, they laid their hands on me and on anyone who ask their prayer and help, like they were â€Å"real saints†. I attempted and I was really puzzled. So I tried to give them some time. And not only did I join them but later I became a part of them. Weekly prayer meetings, fellowships, and later on seminars filled up my activities. I soon forgot what I was previously busy about – the material things of this world. Soon I learned what this group was all about. The charismatic religious activity, whose members are the parishioners or the community members, is one of the phenomena in religious gatherings, in these times when other activities are perceived boring to the believers. Somehow the Church – to my opinion – has injected some lively touches into the

Liberal Government 1906-1914 Essay Example | Topics and Well Written Essays - 2000 words

Liberal Government 1906-1914 - Essay Example The Liberal Government came into existence in 1906 after a landslide victory over the conservatives. The Liberal government was led by Prime Minister, Henry Campbell Bannerman. The Liberal government passed various legislations once it came to power. All the legislations passed by the liberal government collectively came to be known as Liberal Reforms. The concept of 'new Liberalism' had begun to permeate through the party. The members unanimously began to promote appreciation of the interdependence and mutuality of modern society; collective action over individual action and sympathetic response to poverty. This report aims at enumerating the various liberal reforms that were outlined by the liberal government and its consequent impacts on people. The report in specific speaks about how the liberal government dealt with the problem of poverty. The liberal government went against the previously existing concept of Laissez Faire. The report also talks about how the new policies of the liberal government had an impact on the state of poverty. Solving the problem of poverty was a top priority objective of the liberal government. The report discusses the measures taken by the liberal government to tackle the problem. The conservative party that was in power before the liberals took over passed several legislations for social reforms. Particularly the 'Employment of Children' act in 1905 and Unemployed Workman's Act in 1903 aimed at alleviating the distress of the unemployed poor and destitute children (learningcuve.gov, 2005). However most of these reforms were carried out on the scale of local authorities and not by the Government as such. The liberal party too; before 1906, had assumed a Laissez Fare system of governance, according to which people are responsible for their own welfare. According to the Laissez Fare, prevalent conditions of poverty and illness were due to the ill practices of people themselves. The government never accepted responsibility for the prevalent hardships. The poor were seen by the wealthy as an unfortunate but inevitable part of society (Lednum, 2006). Although there were some prevalent acts and regulations; on the whole; the state did not do much to alleviate the lives of the poor class of people in UK. For instance, if the bread earner of a particular family died, the entire family would be plunged to doom. However, the state would not take any measures to rehabilitate the kin of the dead (Lednum, 2006). The main role of the then government was just to maintain the law and protect the country from foreign invasions. It was in the late 19th century and early 20th century that, several representatives of the state began to feel the importance of the state taking measures to deal with the problem of poverty. Several reasons can be enumerated for the upsurge of the notion of collective action to tackle the problem of poverty. Primarily the upper class and the MPs of UK feared that Britain would decline as a world power if the prevalent conditions persisted. They realized that if UK had to remain as a world power; they needed to obtain higher levels of

Enterprise Resource Planning (ERP System) Research Paper

Enterprise Resource Planning (ERP System) - Research Paper Example Such advances are well catered by adopting the use of Enterprise resource planning software. The software records data that enables consumers to have access to the hotels website thus making planning easier. It is the case that has been used by the Fairmont Hamilton hotels to spur its growth within the tourism and hospitality sector. It is one of the most performing hotels of Bermuda situated in the city of Hamilton. It comprise of beautiful guest rooms, boasting of the uninterrupted view of the harbors. The proximal location of the oasis, the enterprise possesses one of the most attraction centers around the globe if not the world (Howard, 2004). The bars and restaurants are provided for in an open air that soothes it even more to customers as they enjoy the breeze while dining in their leverages. The social amenities are neither not left out, the pools and existing rooms are up to the modern trends that can influence any person to have a visit to the facility. It is an experience worth remembering if not a dream resort to any individual with the information. And to be honest, where I sit, I am flabbergasted and anticipating taking my chances one day. While to my colleagues who are wandering, I guess you should pass by for lunch or start the day over there with a breakfast may be you will have a story to tell. Hence, due to the attractive nature of the environment, customer number have risen over the past that the human labor has found it even more hard to deal with in the Fairmount hotels. But the technology has become so much available nowadays and why should the organization suffer or even tirelessly overwork the staffs when the solutions are at hand. As a result, it prompts the use of enterprise resource planning software that can aid in the management. ERP is a system that enhances information flow that can be used for various purposes through data generation. It provides for records such as sales, inventories, and web based that consumers can access

History paper Essay Example | Topics and Well Written Essays - 1000 words - 3

History paper - Essay Example Looking at the speech â€Å"The Meaning of July Fourth for the Negro,† he gave on July 5, 1852, one gets a sense that he is very unhappy with the prevailing situations and the apparent lack of progress in the fight against slavery. He poignantly enumerates the ills the slaves are suffering at the hands of their masters in a way that echoes someone who has witnessed and endured such ills. He says ‘†¦ to rob them of their liberty, to work them without wages †¦ to flay their flesh with the lash †¦ to sell them at auction†¦ to sunder their families†¦ to burn their flesh.’1 This clear enumeration of the ills shows clearly that he understood what was going on, having witnessed firsthand some of this ills. To him, the aspirations of the American as espoused by the American Farmer2 that the American has moved from servile labour and useless toil to prosperity rings hollow for this group of Americans. The writing of Douglas, especially assertion that divinity and brutality cannot go hand in hand, and that one is either on one hand or the other must have been aimed at the radical abolitionists so well covered by Harris3. This abolitionist were mainly whites who had joined the blacks to bring an end to the slavery. The campaign was later to be taken up by religious revivalism with dominant figures being Arthur and Lewis Tappan4 who wanted to bring the religious approach to abolishing slavery through presenting the preaching of the bible that hold that all men are equal. The speech is inherently against the use of religious basis to perpetuate slavery through argument such as it is God ordained. But above all, he is very much against the fact that religious leaders, who ought to have known better, attended a ceremony to celebrate 4th of July knowing very well that there is nothing to celebrate in the country. The intended audience for this speech was mainly the blacks. He wanted them to know that things are getting out of hand and may not change

Leadership and Hero Essay Example | Topics and Well Written Essays - 500 words

Leadership and Hero - Essay Example In some ways, using my own hopes and romantic ideals, I had created an America that was, perhaps, more mythical than real. I imagined, for instance, a country and a system without serious problems or difficulties. I imagined a country with perfect education and tolerance of other peoples and other cultures. I was, in effect, defining America through my own preconceptions, without having ever truly experienced the country and her culture. Once I arrived in the United States, however, this mirror was removed; to be sure, as stated by Ronald Heifetz, the realities were much different than my original impressions. I learned that America was not all that much different from other countries. To be sure, there were wonderful opportunities for education and employment; on the other hand, there was fierce competition and expensive costs. There was, contrary to my initial beliefs, a very real possibility of failure. I have also learned that one needs to experience people, places, and things first-hand in order to truly understand. We need to remove the mirror, to peel away romantic mythologies, and look at things objectively. In sum, I have learned the value of true experience and the need to be careful about relying on second-hand information. In this essay, I will describe Prometheus and why his character is such a popular hero.

Ethics in Practice - Case Study Example | Topics and Well Written Essays - 2000 words

Ethics in Practice - - Case Study Example All expect one of the photos were accessible to other but only to a few friends. The paper is an attempt to get into the shoes of that reporter and help solve the ethical dilemma. The point, which is important here to note is that by not allowing that article to the published, one, would be upholding the principles of â€Å"liberty† and â€Å"freedom†. Analysis has indicated only a handful of prominent philosophers in the Western world that have not gone on to mention â€Å"liberty† as a value or virtue. Whether it is Karl Marx or John Stuart Mill, John Rawls or Kant, Nietzsche or Aristotle, they all believe that liberty and freedom is what makes the integral part of the human essence. In the absence of freedom and liberty, humans are very much similar to other animals. In fact, John Rawls, one of greatest philosophers of the 21st century has gone to elaborate the concept of liberty and its limits in a great manner, which says, â€Å"Liberty can only be restricted for liberty itself† (Corey, Corey & Callanan, pp. 64-67, 2010). Quite understandably, by posting those photos in the newspaper, Jane would be restricting the freedom of t hose teachers since those photos were not for the entire world but for a handful of friends. The only rational behind restricting the freedom of those teachers would be if their freedom had limiting someone else’s liberty of information, informed consent or others (Livingstone, pp. 85-89, 2009). However, this is not the case here. Their â€Å"lewd† photos are a matter of their personal life and not their public lives and whatever they do, after they are done teaching, should not be of any concern to others. Everyone has a right to live his or her private or personal lives with minimum interference from the outside (Gilliland, Steiner & Skarlicki, pp. 36-37, 2007). This article would be worth publishing and in fact, it would have become imperative to publish the articles if these photos

Simulation Based Learning in Nursing Essay Example | Topics and Well Written Essays - 500 words

Simulation Based Learning in Nursing - Essay Example Simulation is a new technology wherein you can practice your skills and knowledge on a simulated set up similar to the actual set up such as an operating room. Using a life size mannequin the training will be done base on the actual situation. The purpose of this study is to be able to compare the pre and post patient outcome training using the simulation as well as give pre and post test to the groups on training. The crisis team training may include healthcare professionals who are usually involve in crisis management. Nurses play an important role in crisis management. Technology is now the key factor in order to have an effective crisis management. Below is my proposal of how the training will undergo using simulation. Clinical simulation in crisis management training allows trainees to learn more than just clinical skills. Through role playing during crisis scenarios and detailed debriefing sessions, trainees can discover and gain useful insights into the various errors contributing to the initiation and evolution of a medical crisis. They can also learn other skills that are essential in managing a medical crisis, such as resource utilization, communication skills, teamwork, and leadership skills. David Kolb's Experiential Learning: Experience as the source of learning and development (1984) theorized that four combinations of perceiving and processing determine four learning styles that make up a learning cycle.

Strategic management Assignment Example | Topics and Well Written Essays - 3000 words - 1

Strategic management - Assignment Example In the last decade the company has progressively developed despite the challenges. However, within this period, the company has passed through different vicious contentions in the business, but it has still achieved growth enabling it to attain its current commanding status. There has been much interest in the German market, however, the state of affairs in Germany can be referred to as ‘a black hole’ since the market seems impenetrable by foreign firms. The same could apply to the Scandinavian market owing to non-existence of Indesit in these regions. However, the market in Turkey could be described as undeterminable yet rapidly advancing. This has forced Indesit to have minimal investment in these countries (Doole & Lowe, 2008). Despite establishing its presence in Europe, there are still some regions, such as Germany and Turkey, where the company has not established its presence, including recording poor performance in the Scandinavian countries. The Managing Director of the company acknowledged the fact that the location of the business disfavours the overall idea of innovative administrative practices, alongside adoption of technological solutions. This forces the company to rely on external concepts for the purposes of advancing the c ompany business. The expansion into the global market poses a major test to the firm and its assets. Such practice calls for the need to implement global marketing strategies such as adapting workable business models and theoretical constructs (Doole & Lowe, 2008). Indesit Company requires some theoretical concepts and business models for the purposes of penetrating Germany, Turkey and Scandinavian markets. In such a case, the company should consider cultural theory of buying behavior. In this case consumers make purchases based on their cultural backgrounds. Culture refers to set of values and beliefs defining a particular community. In such regions as Scandinavia, purchases are based on various aspects

Knowledge, Attitude and Breast Cancer Screening Practices in Ghana Essay Example for Free

Knowledge, Attitude and Breast Cancer Screening Practices in Ghana Essay INTRODUCTION   Ã‚   Breast cancer in its simplest definition is the cancer of breast tissue. It is the most common nonskin cancer that affects women in the United States and the highest fatality rates of cancer deaths among women in low-resource countries (Anderson et al 2006). Severity of breast cancer differs based on its level of tissue invasion. Ductal carcinoma in situ is the most common noninvasive breast cancer while infiltrating or invasive ductal carcinoma is the most common breast cancer that accounts for about 80% of invasive breast cancer. Breast lumps presentation is the commonest form of presentation regardless of the breast cancer type (ACS 2005). Epidemiologic factors are attributed to dietary and environmental risk factors, although association of diet and breast cancer had varied results. Environmental risk factors involve the exposure to several toxic elements which accounts for the increased incidence of breast cancer in Western countries. Alcohol intake is also considered to effect in the increase of the number of cases in the US population. Age is also considered as cancer risk factor and can be attributed to hormonal change. Genetic variation and ethnicity are not out of scope for the investigation of breast cancer risk factors (Barton 2005). Diagnosis and Pathology of Breast Cancer: In 2002, Breast Health Global Initiative (BHGI) together with panel of breast cancer experts and patient advocates develop a consensus of recommendations for the diagnosis of breast cancer in limited-resource countries (Shyyan 2006). Histopathologic diagnosis included fine-needle aspiration biopsy which was recognized as the least expensive, core needle biopsy and surgical biopsy and had a consensus of choosing the method based on the availability of tools and expertise. They gave emphasis on the correlation of histopathology, clinical and imaging findings. They agreed on the need of histopathologic diagnosis before breast cancer treatment. In 2005, BHGI panel recommended an additional strategy of breast cancer management. They stratify diagnostic procedure and histopathology methods into – â€Å"basic, limited, enhanced, and maximal—from lowest to highest resources†. Basic level includes medical history of the patient, clinical breast examination, tissue diagnosis and medical record keeping. Limited level includes the increasing resources that enable diagnostic imaging utilization such as ultrasound with or without mammography, tests that can evaluate metastasis, use of image-guided sampling and hormone receptor sampling. Enhanced level includes diagnostic mammography, bone scanning and an onsite cytologist. Maximal level includes mass screening mammography (Shyyan 2006). Treatment of Breast Cancer: Treatment includes surgery, radiotherapy or chemotherapy or combinations of these three treatment modalities. According to American Cancer Society (2005), treatment can be local or systemic. Local treatment of the tumor is done without affecting the rest of the body. Surgery and radiation are examples of this treatment. On the other hand, systemic treatment which includes chemotherapy, hormone therapy and immunotherapy, is given into the bloodstream or by mouth to reach the cancer cells that may have spread the beyond the breast.    Radiotherapy is a treatment of breast cancer with high-energy rays to help shrink the cancer cells. It can be given outside of the body (external radiation) or can be placed directly into the tumor as radioactive materials (ACS 2005). It may be given external to the body.   Radiotherapy requires safe and effective application requiring appropriate facilities, staff and equipment. Radiotherapy should be applied without delay, should be accessible to all but without prolongation of the overall treatment time exposure. It is part of an integral part of breast-conserving treatment. It is required in almost all women with the breast cancer, and therefore should be available (Bese 2006).   Ã‚  Chemotherapy is the use of anticancer drugs that are administered through injection in the vein or taken orally as a pill. It may be given before breast cancer surgery to reduce the size of the tumor or may be given after the surgery to reduce the chance of   recurrence (ACS 2005). This treatment is done in cycle the most common of which is 3-6 months. Most common side effects of these drugs usually stop   once the treatment is over such as in hair falling. Some of   drugs used as chemotherapy     are tamoxifen, cyclophosphamide, methotrexate, 5-fluorouracil doxorubicin, epirubicin, taxane and aromatase . These are usually prescribed in combination, and treatment is done with adjuvant therapy such as radiotherapy and pre- and post operation ( Eniu 2006).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Surgical management in breast cancer is very common. This is done to remove as much as the cancer as possible and to find out whether the cancer has spread to the lymph nodes under the arm. Surgery can also restore the appearance of the breast and relieve the symptoms of advanced cancer. ACS (2005) released some of the common surgical procedures in breast cancer. These are lumpectomy, partial or segmental mastectomy, simple or total mastectomy, modified radical mastectomy and radical mastectomy. RESULTS    Breast cancer patients in Ghana. The present study which included women with mean age population of 48 years   revealed an almost consistent perception with regards to breast cancer.  Ã‚   They were aware that breast cancer is highly increasing in their place but not informed of the cause of disease. All of the responders were not aware of family breast cancer history except one. Information about breast cancer was acquired through television and radio programs. Only after   consultation with doctors due to lumps or   pains in their breast and some due to liquid coming out of their breast, that they were informed that they have breast cancer. Most of them underwent breast tissue exam for confirmation of the disease. Afterwards, they were advised to undergo surgery with medical treatment. The responders were ignorant of the breast cancer screening and prevention. In fact, out of 10 responders, only 2 (20%) of them were aware of breast self examination and clinical breast examination and admitted that they occasionally practice BSE. None of the responders knew about mammogram except for one (10%) of them who has heard of it but never had tried one. The feeling towards the knowledge of acquiring the disease was also the same; the feeling of being a burden in the family was common. They were afraid to face the reality but have realized that they have to fight the disease through the encouragement and support of family members and   help of medical professionals. The sample population was aware of the herbalist and faith healers but they did not submit themselves into that kind of treatment because herbalist have not   proven cure for breast cancer.   The most common complaint of the responders was the high cost of therapies, hospitalization and doctor fees. The treatment cost ranged to    ¢250,000- ¢24 million except to one of them who received a free treatment for being enrolled to a clinical trial. Sentiments of the participants were the same. Delay of treatment was attributed to their distant place from the health clinics; some facilities like x-ray were not available in the clinics and   high cost of treatment. These people asked for the betterment of breast cancer management through education dissemination to the community by health care providers and a help from the government to provide financial support to those who cannot afford to submit themselves for treatment. Patients in breast cancer clinic. In this part of the study, women with mean age of 42 years who were in breast cancer clinic were included. Most common medical complaint was lump and pain in the breast while others submit themselves for screening because they have just heard it from the radio/TV.   The study revealed that women who were attending the clinic were not actually informed of the cause breast cancer but aware of its increasing rate of mortality. Misconception about the cause of breast cancer such as exposure to coins was not common but did not exclude the form of trauma due to manipulation of the breast. Others correlate breast cancer with smoking and taking alcoholic beverages. They were not aware of their family history of breast cancer.   Information regarding breast cancer was acquired through television and radio programs and others were through their friends and family members. Most of the respondents believed that early detection and prompt treatment of the disease can prevent the unfavorable outcome of breast cancer such as removal of their breast or the worst would be cancer death. Only one out of   10 participants (10%) actually practice breast self examination (BSE). Most of them were informed of BSE but not actually practicing it. They were also aware of healers and herbalist but they did not believe that they can cure breast cancer but did not disagree of the possibility that herbalist and healers could treat other diseases or illnesses like hypertension. The participants suggested that it would be better if the government would provide or establish more health care clinics for breast cancer screening and provide free screening programs especially to those who cannot afford to   pay for high cost of treatment of the disease and for an open-easy access to all especially to those in rural areas. One of the participants suggested   that doctors should study further about the treatment of breast cancer instead of resorting to breast surgery. Healers involved in breast cancer management. Many of the population of Ghana are still patronizing healers and herbalist as a resort   of treatment. Two healers from Ghana were interviewed regarding their management of breast cancer. The healers have been into this practice for about 20-50 years. According to them, breast cancer is very common in Ghana and they are aware of the increasing incidence of   the disease. They described breast cancer as an â€Å"obosam† disease and the other was a supernatural disease. Healers believed that their ability to cure   the disease inherited from their forefathers who taught them how to prepare herbs and provide them with dwarfs. They believed that doctors have no right treatment towards breast cancer because according to them they just remove the breasts of women   and subsequently die. According to the healers they do not promote breast   examinations to their patients because these are useless and cannot stop women from getting the disease. Despite the big machines available in the hospitals, women with breast cancer still die, according to them. Healers charge their patients with as much as  ¢200,000- ¢1( £15-60) million depending on the patients’ condition. The healers admitted that there were cases of recurrence of the disease due to lost to follow up and missed spiritual sessions. Healers do not refer patients to hospitals rather, they encourage hospital doctors to refer their patients to healers because they are more capable of treating breast cancer. Breast cancer consultants.   Medical health professionals play a significant role in the awareness of breast cancer. They have the power to influence their patients toward right management of the disease. In the present study, surgeon/breast cancer consultants were interviewed. Consultants as expected were aware of the increasing incidence of breast cancer but they cannot give an exact figure due to absence of cancer registry in the place however they were able to attend to 200-300 new cases of breast cancer annually with age range starting from 20 years and above. They revealed that women in Ghana associate breast cancer to death because after undergoing breast caner surgery they usually die. People in Ghana link medical intervention and death which made the women in this place afraid of   the disease and lead them to negative attitude towards the disease. Consultants believed that there were several misconceptions about the disease. They were also aware that healers and herbalist delay the   presentation of patients to   hospital which accounted for the late stage of diagnosis. National Screening Program would benefit the people in Ghana for early detection of breast cancer and prompt treatment, however, they did not deny the fact it would be difficult to establish such program due to lack of funds by the government at present time. Consultants were aware of the limited resources of the needed for the implementation of the program. They believe that it is much easier and feasible to educate the women on simple screening methods such as regular breast self examination and encourage practitioners to take advantage of examining the breasts of their patients. There are also NGOs who are engaged in some activities like providing health care assistance. Consultants revealed that they receive referrals from district regions and from private practitioners. All patients with breast cancer are candidates for surgery. There are just some procedures that lead to untoward incident which cause the people to blame the doctors. According to consultants, one big problem that they encounter is the delay of the result of tissue exam from the pathologists which sometimes lead them to acquire the high cost of private laboratory. According to consultants the 5-year survival rate in Ghan is 25% which is disappointing. According to radiology consultant, patients present themselves to treatment once they are already in advanced stage, most at stage 3 and 4. They revealed the common factors that influence the delay of treatment among Ghana women. Most of the patients were scared of the procedure of   breast cancer treatment like in breast surgery which have many social and marriage implications. The high cost of the procedure hinders the patient to go to the doctors. Consultants revealed that surgical procedure may cost    ¢2-3million   ( £ 150-200), radiotherapy is about    ¢3-4 million (  £ 200-300) and chemotherapy is around  ¢6 million ( £400). Although surgical treatment cost is covered in National Health Insurance, the cost of radiotherapy and chemotherapy are excluded. Mammography which is an effective tool in breast cancer screening costs  ¢400,000 ( £30) in private health institution and around  ¢250,000 ( £20). DISCUSSION WITH REVIEW OF RELATED LITERATURES   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The present study aimed to increase the awareness of the women in Ghana to breast cancer and the benefits that can be gained from breast cancer screening. The knowledge, attitude, behavior and practices of the women regarding early detection of breast cancer were analyzed. The ultimate aim of the study was to reduce the mortality rate of   breast cancer.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The study revealed that there were still misconceptions about breast cancer despite the information gathered from televisions and radio programs. Attendance of Ghanaian women in breast clinic did not mean that they were informed of the nature of their disease. Only few of them were also aware of preventive procedure in detecting breast cancer. Local healers and spiritualists also delayed the presentation of the patients to the hospital which contributed to the late diagnosis of the disease. Difference in the disease management of health professionals can be attributed to the location of practice and availability of resources. Several factors   thought to affect the breast cancer screening program were the poor education of the Ghanaian towards prevention awareness against breast cancer; lack of initiative of the people to spread the knowledge of   breast cancer screening such as simple breast self examination and clinical breast examination; the inaccessibility of the of primary health care and the organizers; the unavailability of the appropriate screening tools like x-ray and mammography in the community and its high cost   and the lack of support from the government.   The following   review of related literatures will help in the understanding of breast cancer and breast cancer screening. Because of the continuous increasing prevalence of breast cancer and high cost of treatment, breast cancer screening remains the most cost effective way of cancer management (Parkin and Fernandez 2006).   Most of the world faces resource constraints that hinder the capacity to improve early detection, prompt diagnosis and sufficient treatment of the breast cancer. Every country finds its way to develop evidenced based, economically feasible and culturally appropriate guidelines that can be utilized by countries of limited health care resources to improve breast cancer outcomes (Anderson 2006). Adaptive strategies should be applied to ease the growing burden of breast cancer. In 2005, according to Smith and his colleagues (2006), the Breast Health Global Initiative (BHGI) held its second summit in Bethesda, MD with the intention of reaffirming the principle of requiring all women of all resource levels to support in seeking health care and assuring the access to affordable and appropriate diagnostic tests and treatment intervention against breast cancer. They recommended breast health awareness to all women including the basic resources. They enhanced the basic facilities for effective training of relevant staff in clinical breast examination (CBE) or breast self examination and even the feasibility of mammography. MRI: Magnetic resonance imaging is one of the breast cancer screening procedures. It has been increasingly used as tool for early diagnosis of breast cancer. This screening tool has shown to detect cancers even they are small and potentially proven to be more curable than mammography alone. However, MRI is more costly than mammography and can lead to unnecessary breast biopsies, thus causing anxiety and discomfort to patient. On the other hand, a research study about the cost-effectiveness of breast MRI screening by cancer risk where they included the cancer detection ability of MRI, characteristics of women with dense breast tissue and women with high inherited breast cancer risk, revealed mortality reduction and cost effectiveness of breast MRI screening added to mammography in BRCA1 and BRCA2 mutation carriers (Kurian 2006).    The hallmark of morality and morbidity of breast cancer can be attributed to the late presentation of the patients at an advanced stage of breast cancer. It is when there is no or little benefit that can be derived from any treatment modality. In a study conducted by Okobia and colleagues (2006), the knowledge, attitude and practice of community dwellers of Nigeria towards breast cancer were analyzed. They recruited urban-dwelling women with conducted an interviewer-administered questionnaires to elicit sociodemographic information regarding knowledge, attitude and practice towards breast cancer. It was found out that the participants had poor knowledge of breast cancer. Only 214 out of 1000 participants knew that breast cancer is presented initially with breast lumps. Breast cancer examination practices were low. Only 432 participants were able carry out breast self examination while only 91 participants had clinical breast examination. This study revealed that participants with higher level of education were significantly more knowledgeable about breast cancer. Ethnicity or race-related culture and beliefs are factors that affect the increase in prevalence of breast cancer mortality. Paterniti (2006) investigated how ethnically diverse women who are eligible for tamoxifen prophylaxis because of their breast cancer risk decide about tamoxifen use for risk reduction. Prior to the study, there was discussion of the benefits and risks of tamoxifen as prophylaxis. The study which included African-American, White, and Latina women, of 61–78 years, revealed that fear of breast cancer was not prominent and they were not inclined to take tamoxifen as preventive therapy after receiving the information. Participants showed limited unwillingness to take the medication with potential adverse effects. This study revealed that women felt that they had other options other than taking the risk of tamoxifen to reduce their risk of breast cancer, including early detection, diet, faith and other alternative therapies.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Graham (2002) conducted a research about   the relationship between beliefs and practice of breast self examination (BSE in a black women population of 20-49 years of age. It was found out that health beliefs were much stronger in determining BSE performance for a given individual than were demographic characteristics. Breast self examination was related to increased perceived seriousness of breast cancer, benefit of the procedure and health motivation and was noted to have inverse relationship with perceived barriers. A related study was reported by Mitchell and colleagues (2002), about the effects of religious beliefs with other variables on breast cancer screening and the intended presentation of self-discovered breast lump. This study included women aging 40 years and above and were interviewed in their homes. Most of the interviewees believed that doctors cure breast cancer with God’s intervention which was labeled as â€Å"religious intervention with treatment†. This dimension was found out to be correlated with self-reported mammography but no clinical breast examination or intention to delay presentation of self-discovered breast lump. Minority of them believed treatment of breast cancer was unnecessary because only God could cure the disease which was labeled as â€Å"religious intervention in place of treatment†, and was significantly more common among African-American women who   are less educated and older. This was correlated with the strong intention of delaying the presentation of self-discovered breast lump. It was concluded that   religious intervention in place of treatment contributes significantly the delay presentation of breast cancer among African-American that contribute largely to the advanced-stage cancer diagnosis. The cause of breast cancer is still unclear. Adjei (2006) who grew up in Ghan and had some work about breast cancer. In his letter, he revealed his sentiments about the genetic differences in breast cancer. He had been aware of the incidence of breast cancer in Ghana since 1974 to 1999. He noted that the peak incidence of breast cancer in Ghana is in younger women with age range of 40-45 years while in United States and Caucasians, the peak incidence is in older age groups. Adjei (2006) pointed out that women of different places and environments, with different diets have similar epidemiology of breast cancer. In an argument which revealed number of breast cancer in African-Americans but rare in native African has been used to suggest that ethnicity is one factor of acquiring the disease, however, according to Adjei (2006), this information is leading because cancer has not been well-studied in Africa. Researchers are still finding their ways to fully disclose the correlation of genetic signature in breast tumors that are presently noted   to be a powerful predictor of cancer spread and cancer death. In a limited study conducted by Kolata (2002), she included few patients who are relatively. As she stated in her report, scientists said that the activity of a collection of 70 genes appear to predict cancer mortality   better than traditional measures like tumor size, cancer stage or lymph node spread to the axilla of women. She revealed in her study that 5.5% of women with good genetic signature died within the next decade while 45% of women are those of with bad genetic signatures. Adherence to the treatment regimen of breast cancer plays a big role in the improvement of disease outcome. There are no much literature about the factors associated to the behavior that influence the patient to delay or cause an incomplete adherence to the recommended follow up in patients with breast cancer. In a study conducted by Kaplan (2006), race/ethnicity, country of birth, financial issues fear of pain and difficulty of communicating with the healthcare providers are the barriers to seek follow up consultation Breast Cancer Screening: There was decline in breast cancer mortality rate of 0.9% in African American women while 2.1% was the decline in breast cancer mortality rate in non-Hispanic White women (Stewart et al 2004 as stated by Settersten , Dopp, and Tjoe, (2005).    On the contrary, De Koning (2000), questioned in his study the cost effectiveness of breast cancer screening. His idea came out when he analyzed his expectations of the reduction of breast cancer mortality after breast cancer screening. He stated in his study that the Dutch program of 2-yearly screening for women aged 50-70 would produce a 16% reduction in the total population. As stated in his research paper, the actual benefit that can be achieved from breast cancer screening programs is overstated. According to him breast cancer screening need to be carefully balanced against the burden to women and health care system. De Koning (2000) stated that â€Å"effects of breast cancer screening program depend on many factors such as epidemiology of the disease, the health care system, costs of health care, quality of the screening program and the attendance rate†. Groot, M. T. et al (2006) estimated the costs and health effects of breast cancer interventions in epidemiologically different regions of Africa, North America and Asia. They developed a mathematical simulation model of breast cancer using the different stages of cancer, its distribution and case fatality rates in the absence and presence of treatment as predictors of survival. The study resulted to a conclusion that untreated patients were the most sensitive to case fatality rates. This study suggest that treating breast cancer at stage 1 and introduction of an extensive breast cancer program are the most cost effective breast cancer interventions.   Ã‚   This study is supported by the research done by Aylin and colleagues (2005). They recruited women at the mammography clinic to evaluate the knowledge about breast cancer and mammography as breast cancer screening procedure. The striking result of this study is that most of the participants (95.3% of the total participants) were aware that women should have mammography screening periodically. They were informed of the fact that breast cancer screening such as mammography could help in the early detection of breast cancer. However, less than 50% of them admitted that they had never had mammography screening. Majority of the respondents (71.1%) were practicing breast self-examination. Another related study was conducted by Dundar and colleagues (2006), since breast cancer is the second leading cause of cancer deaths in Turkey , they determined the t the knowledge and attitudes of women in a rural area in western Turkey about breast self examination and mammography. They recruited women with age ranging from 20-64 years. Although majority of the participants have heard or read about breast cancer only 56.1% of them had sufficient knowledge about breast cancer and some admitted that they acquired the information from their health care professionals. Those with information of beast cancer were also those who practice breast self examination. This study revealed that health care professionals play a big role in information dissemination about breast cancer. Table 1. Recommendations for routine mammographic screening in North American women aged 40 years or older who are at average risk for breast cancer* Group (date of recommendations) Frequency of screening (yr) Included ages (yr) 40-49 50-69 70 Government-sponsored and private groups US Preventive Services Task Force (2002)** 1-2 Yes Yes Yes*** Canadian Task Force on Preventive Health Care (1998, 1999, 2001) 1-2 No Yes No National Institutes of Health consensus conference (1997) No+ American Cancer Society (1997) 1 Yes Yes Yes National Cancer Institute (2002) 1-2 Yes Yes Yes Medical societies American College of Obstetricians and Gynecologists (2000) 1-2 if aged 40-49 yr 1 if aged 50 yr Yes Yes Yes American Medical Association (1999) 1 Yes Yes Yes American College of Radiology (1998) 1 Yes Yes Yes American College of Preventive Medicine (1996) 1-2 No|| Yes Yes American Academy of Family Physicians (2001) 1-2 No+|| Yes No American Geriatrics Society (1999) 1-2 Yes*** Advocacy groups National Breast Cancer Coalition (2000) No + No National Alliance of Breast Cancer Organizations (2002) 1 Yes Yes Yes Susan B. Komen Foundation (2002) 1 Yes Yes Yes The above table   was taken from the study conducted by Barton (2005) There are several ways presented and studied for breast cancer screening. Its concern is to reduce the prevalence of cancer mortality and to improve the quality of life as a result of early detection, however, there are still people that are not aware of breast cancer screening In response to increase the worldwide awareness of breast cancer, breast cancer advocacy movement has been analyzing the common experiences of women with breast cancer around the world especially those with limited resources. They found out that although there are language barriers, sentiments were consistent across cultures; cancer survivors have the same experiences and fears. The beliefs and taboos about breast cancer hinder the awareness programs and treatment. There are also limited resources for public education and awareness. Difficulty in understanding and translating the concept of the disease into English also hinders them in the public awareness of breast cancer (Errico and Rowden 2006). In accordance with this, sociological review of the barriers experienced by the women from different traditional cultures is essential not just to understand patterns of late breast cancer diagnosis but also the importance of interventions and programs. This is necessary for them to understand the preventive health care, specifically in breast cancer. This is because many are still ignorant of the breast cancer. According to Remennick (2006), health care providers and policymakers should try to understand and influence women especially those who are cancer risk to be aware of the disease to detect and treat breast cancer early. There are many structural barriers that hinder women especially those living in rural areas. Socioeconomic factors include poor health insurance, distance to medical facilities and inability to take time off work. Organizational barriers include difficulty in navigating complex health care systems and interacting with medical staff. Psychological and sociocultural barriers are poor health motivation, denial of personal risk, fatalism mistrust of cancer treatments and fear of becoming a burden on the family members. Still in other cultural behavior, especially in Muslims, women are strongly controlled by men and therefore may prohibit women in breast cancer screening. Remennick (2006) includes in his study the different approaches that lower the mentioned barriers, including implementation of uplifting the educational programs that would enlighten people regarding cancer myths and fallacies. He suggests that health care professional must outreach to their co ethnics. Primary health care providers play a critical role in   determining the compliance with treatment and preventive practices through direct recommendations to their patients. Family physicians and general internists showed that 70% of women who received a provider referral completed a screening mammography within one year versus only 18% of self-referred women (Grady   et al 1997 as stated by Santora 2003). However, Over 90% of rural women report that a doctors recommendation to have breast cancer screening is important† (Sparks et al 1996 as stated by Santora 2003). It should be noted that clinician compliance is contributed by several factors such as relation with provider, guideline of the treatment, patient’s behavior and environmental factors. Several studies have been conducted to report the   differences of health services in rural, urban and suburban areas with regards to their   health care services in the family practice clinics. It has been pointed out that lower utilization has been a significant factor. Those rural health practitioners have less access to health care services.   In a study done by   Pol and his colleagues (2001), suggested that rural health services do not lag for patients with access after revealing that 9 out of 16 services examined were as high or higher in rural areas. Another   study to examine the variations in breast cancer screening among primary care clinicians by geographic location of   clinical practice was done by Santora (2003). Physicians, nurse practitioners and physician assistants were included in the study and were classified into urban, rural and suburban categories based upon practice location. The study revealed that although there was no significant difference in the practice location, there was evident variation in the practice of   breast screening. It was reported that urban and suburban health practitioners were less compliant with the use of breast cancer guidelines as compared to clinicians in rural areas.   Primary care clinicians, including physicians, nurse practitioners and physician’s assistants lack a consistent. This study revealed   that geographical location is not the main factor of inconsistent medical approach to breast cancer screening. Although the difference in the approaches to the procedure is uncertain in this study. A related study about General Practitioners’ (GP’s) knowledge, beliefs and attitudes toward breast screening, and their association with practice based-organizations of breast cancer screening, was conducted by Bekker, Morrisona and Marteau (1999). This study revealed that women’s attendance for breast cancer screening may be increased due to raising GP’s perceptions of the   threat of breast cancer. General practitioners addressed their concerns about the procedure and enhanced their views on the importance of primary health care in breast cancer screening programs. REFERENCE Adjei, A. A., 2006, â€Å"A final word about genetic differences†, American Association for Cancer Research, Available at http://www.aacr.org/page4444.aspx. American Cancer Society 2005, Available at: http://www.cancer.org/docroot/CRI/content/CRI_2_2_1X_What_is_breast_cancer_5.asp Anderson, B. O. et al, 2006, â€Å"BREAST HEALTH GLOBAL INITIATIVE Breast Cancer in Limited-Resource Countries: An Overview of the Breast Health Global Initiative 2005 Guidelines†, The Breast Journal, vol 12 no. 1, pp. S3–S15. Aylin et al, 2004, â€Å"Knowledge about breast cancer and mammography in breast cancer screening among women awaiting mammography†, Turkey Medical Journal Science, vol 35, pp 35-42, Available at http://journals.tubitak.gov.tr/medical/issues/sag-05-35-1/sag-35-1-6-0409-8.pdf Bakken, S. 2002, Acculturation, knowledge, beliefs, and preventive health care practices regarding breast care in female Chinese immigrants in New York metropolitan area. Barton, M. B. 2005, â€Å"Breast cancer screening: benefits, risks and current controversies, Symposium on Women’s Health, vol 118 no 2, pp. 27-36, Available at http://www.postgradmed.com/issues/2005/08_05/barton.htm Bekker, H., Morrisona, L. and Marteau, T. 1999, â€Å"Breast screening: GPs beliefs, attitudes and practices†, Family Practice, vol 16 no. 1, pp.60-65, Available at   http://fampra.oxfordjournals.org/cgi/content/full/16/1/60 Bese, N.S. 2006, â€Å"ORIGINAL ARTICLE: LIMITED-RESOURCE INTERVENTIONS Radiotherapy for Breast Cancer in Countries with Limited Resources: Program Implementation and Evidence-Based Recommendations†, The Breast Journal, vol 12 no. 1, pp. S96–S102. De Koning, H. 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