Small Business Essay Example | Topics and Well Written Essays - 500 words

Small Business - Essay Example The major advantages are that a franchisee is able to establish and operate a well established business in a new area where the whole marketing system inputs and guidelines are provided by the franchisor on a continuous basis. The franchisee is able to start business with a relatively small initial investment that has prospects of good return with immediate effects. The recurrent training and proven marketing strategies provided by the franchisor boost the confidence of the franchisee and help him to expand his business significantly. The main limitations are the loss of independence in running the business as one wants and restriction in the operational area comprising mainly of the goods and services that can be sold in specific areas. Other conditions like the restrictions on resale of franchisee rights and the individual advertising efforts are hurdles that restrict further scope for the franchisee. The main advantages of franchisor are that they are able to expand their business and spread them in wider areas of operation in a relatively short time and with reduced capital cost. By facilitating goods and services to the franchisee, the franchisor is relieved of the pressures of day today operation and therefore is better able to focus on his core business and developing network activities and franchisee support programs and strategies. The major aspect is that he is able to control the appearance and operation of the franchisee outlets as per his standards, thereby help maintain the credibility and high standard of his brands. The limitations of the potential franchisor are that it needs to keep updated with the training and strategies for its franchisee to meet the emerging challenges of the advancing technologies. Though the profit margins are considerably reduced but the widening network of franchisee, selected judiciously, help increase the overall profit with considerably less stress. Another major limitation is that expanding in foreign

Theory paper for sociology Essay Example | Topics and Well Written Essays - 500 words

Theory paper for sociology - Essay Example Thus, family acts as an integrating mechanism. Secondly, family helps create social order. In this way family acts as a unit of stability for the society to function as a whole. Talcott Parsons takes this concept a step further by explaining two essential functions of family. These functions tell us the way the family behaves and tells us the behavior of the individuals in the family. The first essential function of the family is the primary socialization of the young. Parsons (1951) argues that families are like factories producing human personalities and identities. It is the family alone that provides the security and emotional covering to the individual at an early age. An example of such behavior is the christening of the child or when they celebrate birthdays. The child learns that society is like a human organism where pains and happiness is shared. The family is a miniature society and behaves in a similar way. The other function of family mentioned by Parsons is the stabiliz ation of adult personalities. According to him through the sexual division of labor family helps maintain adult personalities and stabilizes them. The man has the instrumental role of a bread winner and the female has an expressive role within the family.

Level of Stress Among Call Centre Employees Essay Example for Free

Level of Stress Among Call Centre Employees Essay Level of Stress among Call Centre Employees Submission date: 8th January, 2008 Submitted By: Ayesha Khalid Ayesha Sarfaraz Nazool-e-Tabassum Saira Khan Mussaffa Butt Submitted to Dr. Farah Malik Associate Professor Department of Psychology Government College University Lahore Introduction Stress is used as a general label for a vast complex, interdisciplinary area of interest and study, much of which is health related. Most often stress is related to personal discomfort associated with an over demanding or distressing lifestyle situation (Adams Bromley, 1998) stress is a part of everyday life, we experience stress each day, although it is acknowledged that the degree of stress varies considerably depending on the complexity of the situation and availability of support. For some, the stress is manageable and work or home life is not affected. For others, however, the stress reaches a critical point where there may be a need for medical or psychiatric assistance (Weiten, 2001). The causes of stress can include any event or occurrence that a person considers a threat to his or her coping strategies or resources. Researchers generally agree that a certain degree of stress is a normal part of a living organisms response to the inevitable changes in its physical or social environment, and that positive, as well as negative, events can generate stress as well as negative occurrences (Frey, 2002). There can be innumerable stress factors since different individuals react differently to the same stress conditions. Extreme stress situations for an individual may prove to be mild for another, for yet another person the situations might not qualify as stressing at all. (http://www. lifepositive. com/stress. html). The fact that women report and exhibit higher level of psychological distress than men has been explained in three major ways. The methodological artifact explanation suggests that women are socialized to be more expressive and therefore will admit more emotional symptoms than men in response to the standard psychological stress (Frey, 2002). The stress exposure argument suggests that women face more stressor in general or more severe, persistent stressors than men. Whereas the vulnerability argument suggest that women lack coping resources such as high self esteem, a sense of mastery or appropriate coping strategies for handling the stressors to which they are exposed. Newman (1984 c. f. Eckenrode, 1991) suggested that women over report minor symptoms that inflate over all distress scores (Eller, 2000). Stress in humans in general results from interactions between persons and their environment that are perceived as straining or exceeding their adaptive capacities and threatening their well-being. The element of perception indicates that human stress responses reflect differences in personality, as well as differences in physical strength or general health (Frey, 2002). Stress is often termed as a twentieth century syndrome, born out of mans race towards modern progress and its ensuing complexities. For that matter, causes such as a simple flight delay to managing a teenage child at home can put you under stress. Listing the causes of stress is tricky yet replete with practical diversity (http://www. lifepositive. com/stress. html). General cause of stress include primarily, Threat; a perceived threat will lead a person to feel stressed. This can include physical threats, social threats, financial threat, and so on. Fear; Fear leads to imagined outcomes, which are the real source of stress. Uncertainty; When people are not certain, they are unable to predict, and hence feel they are not in control, and hence may feel fear or feel threatened by that which is causing the uncertainty (http://www. workstress. net/causes. htm). Apart from certain general causes another reason is cognitive dissonance; it is when there is a gap between what people do and what they think, then the outcome experience is cognitive dissonance, which is felt as stress.

Leadership: Impact On A Healthcare Organization

Leadership: Impact On A Healthcare Organization The field of health-care is labor intensive and based on powerful know-how (Kanste, 2008). In contemporary medicine both therapeutic as well as nursing tasks are performed by a team, rather than an individual, being it a doctor or a nurse, respectively. No team work can be effective without a leader; this is also true for good nursing in which the leadership is very crucial and vital. All the results of good nursing à ¢Ã¢â€š ¬Ã‚ ¦may be spoiled or utterly negative by one defect, viz: in petty management (Florence Nightingale as cited in McEachen Keogh, 2007, pg.01). The health care environment becomes more competitive every day. There are few professions in which the complications of poor performance are as serious as in nursing and there are few professionals who feel the pressure of responsibility more keenly than nurses (Kenmore, 2008). This paper presents discourses on the contemporary leadership styles and highlights the characteristics and development of an effective leader a nd discusses the impact of effective leader on organisations potential to succeed. Leadership styles The continued search for good leaders resulted in the development of many leadership theories. Although leadership is not a new concept, and its fundamental function is well documented, there is no theoretical agreement or a universal definition of leadership (Farag, Mc Guinness Anthony, 2009; Mahoney, 2004 and Murphy, 2005). However, some scholars believe that certain leadership characteristics or personality traits are innate in effective leaders (Murphy, 2005). Thus the perspectives of Great man or trait theories which dominated until 1950s, states that leader are born and not made (Murphy, 2005). In the 1950s, behavioural and social scientists began to analyse leadership behaviour. The behavioural theory says that leaders are not born to lead, but learn leadership behaviour (McEachen Keogh, 2007). The efforts of these researchers were fundamental in isolation of three common leadership styles: autocratic, democratic and lassiez-faire (Murphy, 2005). The Contingency theory by Fi edler was further expanded by Herset, Blanchard and Johnson as the Situational theory (Murphy, 2005). Later, some contemporary leadership theories such as the charismatic, transactional, transformational and shared leadership theory gave rise to the contemporary leadership styles (Murphy, 2005). The contemporary leadership styles include quantum, charismatic, transactional, transformational, relational, shared and servant leadership (Murphy, 2005).Though there are many leadership styles identified in the literature, laissez-faire, transactional and transformational leadership styles are the primary leadership styles identified in the nursing and management studies (Farag et al., 2009). Laissez-faire leadership indicates the absence of leadership (McGuire Kennerly, 2006). This leadership style is ineffective in promoting purposeful interaction and it contributes to organizational demise (McGuire Kennerly, 2006). Transactional leaders view the leader-follower relationship as a process of exchange (McGuire Kennerly, 2006). On the other hand, transformational leadership is a process that motivates followers by appealing to higher ideals and moral values (Trofino, 2005). The transactional leader sets goals, gives directions and tends to gain compliance by offering rewards for performance (McEachen Keogh, 2007). Whereas, by inspiring a shared vision through clear roles, effective teamwork and providing feedback on individual or team performance transformational leaders enables the staff to explore their professional practice (Halm, 2010). The three elements of transactional leadership are: contingent reward, where the leader provides reward that is dependent on the performance; passive management by exception, where the leader takes corrective action when problems arise and active management by exception, where the leader takes corrective action in anticipation of problem (Chen, Beck Amos, 200 5; McGuire Kennerly, 2006; Rukmani, Ramesh Jayakrishnan, 2010). Similarly, the four elements of transformational leadership are idealized influence, inspirational motivation, intellectual stimulation and individualized consideration (McGuire Kennerly, 2006; Halm, 2010). The expected outcome of transactional leadership is enhanced role clarity, job satisfaction and improved performance (McGuire Kennerly, 2006). On the contrary, the ultimate outcome of transformational leadership is to change the mental model of employees, to link desired outcome to values held by employees and to build strong employee identification within the group or organization (McGuire Kennerly, 2006; Halm, 2010). There are also some pitfalls and limitations of transactional leadership. Transactional leadership might not yield the same results across culture; such as, most North American culture which emphasize individualism, whereas many Asian culture emphasize collectivism (McGuire Kennerly, 2006). Hence, transactional leaders need to understand at which level to establish their reward system- individual or collective reward (McGuire Kennerly, 2006). Transactional leaders cannot provide leadership over task areas in which they have no expert knowledge (McGuire Kennerly, 2006). Likewise, there are some limitations to transformational leadership. Transformational leaders need to be updated in their knowledge and skills (McGuire Kennerly, 2006; Halm, 2010). There is a growing demand for evidence-based decision making, where, to show leadership, a transformational leader need to cite hard and factual evidence, as transformational leaders have nothing worth saying without strong evidence. Fin ally, the transformational leaders will be needed to inspire flexible, multi skilled work forces to bridge the barriers established by rigid job description and functional departments (Trofinio, 2004). Transformational leadership is not an alternative to transactional leadership, but it augments transactional leadership (Spinelli, 2006). Therefore, an effective leader achieves a balance between transformational and transactional behavior, thus creating a leadership style which matches the needs of followers (McGuire Kennerly, 2006). The current shortage of nurses at the bedside magnifies the importance of having a strong, clear, and supportive and inspiration leadership across health care organization (McGuire Kennerly, 2006). Characteristics and development of effective leader While there is disparity amongst the theorist definitions of leadership, there is consensus pertaining to qualities necessary to realize effective leader (Murphy, 2005). There are various traits of an effective leader mentioned throughout the literature. Having a vision is a key feature of effective leadership and it is the clarity of vision evolved by the leader about the future of the organization that distinguish them as effective (Joyce, 2009). An effective leader has a vision for the future, which helps him to set objectives, aims, goals and standards and to achieve the set goals; the leader has a plan to implement (Fletner, Mitchell, Norris Wolfe, 2008). Tomey (2009) mentions some of the essential leadership traits which also empower people. These include accessible, collaborative, communicative, flexible, good listener, honest, influential, knowledgeable, positive, supportive and visible (Tomey, 2009). An effective leader should also posses job knowledge, positive attitude, d elegation skills, positive partnership and should be a role model, dependable, motivating, and compassionate (Fletner et al., 2008; Cook Leathard, 2004). An effective leader must recognize the individual strength and weakness of each person involved, shifting focus as necessary in an effort to elevate each persons level of effectiveness as an individual and as a part of a team (Fletner et al., 2008). As Joyce, 2008, rightly quotes that effective leaders walk the talk. Consequently, there is consistency between their values, vision, standards and behavior (Fletner et al., 2008; Joyce, 2008). A good leader should ideally possess all of the identified characteristics, or at least a majority of them (Fletner et al., 2008). Fletner et al. (2008) also reveal that any characteristics can be a leaders strength or weakness depending on the situational needs and persons involved in the given scenario. Neither there is just one characteristic that defines a leader, nor should, the entire identified characteristic be required when determining whether an individual would be an effective leader (Fletner et al., 2008). Likewise, to say one character istic is more important than the other is to fragment the idea of leadership (Fletner et al., 2008). A leader with insufficient leadership training might become exhausted in trying to achieve the organizational goals and thus, in turn, a leader might burnout and dissatisfaction among subordinates might increase (Chen, Beck Amos, 2005). One of the greatest challenges we face in nursing profession is to develop future nurse leaders (Jumaa, 2008; Kleinman, 2004; Mahoney, 2004; Murray DiCroce, 2003). Hence, training effective leaders has been proposed as a key to increase professionalism in nursing (Chen, Beck and Amos, 2005). Although it remains unclear, how to best prepare effective leaders, evidence suggest that graduate education may be an important precursor to the development of effective leadership style (Kleinman, 2004; Mahoney, 2004). Developing a relationship with specific academic provider of registered nurse to Bachelor of Science in nursing programs and graduate education in nursing administration may facilitate nurse managers returning for advanced education (Klienman, 2 004). Onsite and distance education programs may offset obstacles of scheduling and geography (Kleinman, 2004). The feasibility of mandating graduate education requirements for all practicing nurse managers is limited; therefore, continuing education strategies must focus on nurse manager leadership training (Kleinman, 2004; Mahoney, 2004; Wilson, 2005). An effective continuing educational program should consider providing monetary incentive and an organizational commitment that allows sufficient time to be spent on course work, in addition to management responsibilities (Kleinman, 2004). Conley, Branowicki and Hanley (2007), recommend a three component orientation for nursing leaders including nurse manger competencies, precepting by supervisor and written and classroom resources. Learning about the history of nursing, and especially about people who greatly influenced the development of nursing, has a fundamental meaning in fulfilling the vocation for nursing (Kosinska Niebroj, 2 004). In this context, the statement saying that history is a teacher of life seems to be true and of paramount importance for creating leaders (Kosinska Niebroj, 2004). The Leading Empowered Organizations(LEO) program, shared between United Kingdom and United State of America, is constructed around a model that identifies consensus decision making, interdependence, positive discipline, responsibility, authority and accountability as key areas of effective leading (Cook Leathard, 2004). Recognizing the need to invest in nurse managers to reduce turnover, the Pacific Northwest Nursing Leadership Institute was created in Washington State, in 2002, to support the development and preparation of nursing leaders (Wilson, 2005). Thus, there are various programs, education and institutions, to encourage the development of leadership skills among nurses; which highlights the impact that an effective leader can have on the organization. Impact of effective leadership on organization The inability of hospital to retain staff nurses threatens the adequacy of health care delivery and increases personnel and patient care costs (Kleinman, 2004). Many factors have led to rising health care costs, which have increased faster than the general inflation over the past three decades (Spinelli, 2006). Performance standards for effective leaders require them to be accountable for transactional processes such as budgets, productivity and quality monitoring; while at the same time displaying transformational characteristics by acting as a coach, mentor and a leader (Kleinman, 2004; Spinelli, 2006). A creative work climate has a strong relationship to job satisfaction and the nurse manager is an important link in creating such a climate (Sellgren, Ekvall, Tomson, 2006; DeCasterle, Willemse, Verschueren Milisen, 2008). Job satisfaction has been described as the most important predictor for nurses intention to remain employed (Sellgren et al., 2006; Carney, 2008). The perception of staff nurses towards the leadership behavior of their manager was significantly related to their job satisfaction (Sellgren et al., 2006; Klienman, 2004). Staff that perceives job satisfaction is essential for the ability to give high quality and safe care (Sellgren et al., 2006). Job dissatisfaction leads to absenteeism, problems of grievances, low morale and high turnover (Wong Cummings, 2007). On the contrary, poor leadership was found to be one of the main reasons for dissatisfaction and intention to leave (Neilsen, Yarker, Brenner, Randall and Borg, 2008 and Sellgren et al., 2006). Altered perfo rmance, affecting patient outcome, which in turn results in higher employment cost is also found to be associated with decreased job satisfaction (Wong Cummings, 2007). The findings of the study done by Wong and Cummings (2007) and Kenmore, (2008), suggest that there is a relationship between leadership and patient satisfaction, patient mortality and patient safety outcomes, adverse events and complications. Positive leadership behavior increased patient satisfaction, and decreased incidences of patient mortality, adverse events and complication (Wong Cummings, 2007). Effective nursing leadership is essential to the creation of practice environments with appropriate staffing level, that support nurses in preventing unnecessary death, adverse events and complications (Wong Cummings, 2007). A recent study done in mental health service organizations show that, both organizational culture and organizational climate impact work attitude and subsequently staff turnover (Wong Cummings, 2007). Effective leaders can also help in the recruitment process by recruiting staff as per the job description and thus help in the organizational development (Neilsen et al., 2008 and Sellgren et al., 2006). The study done by Wong and Cummings (2007), in Singapore, to determine the effect of leadership behavior on employee outcome, shows that in times of stress and chaos, leadership styles that transform, create meaning in the midst of turmoil and produce desirable employee outcome are more beneficial for organizations existence and performance. Conclusion In conclusion, it is apparent that nurses can lead the health care industry as they comprise the major component of all health care employees; being on the front line and having the most frequent direct contact with the patients and their families. The increasing emphasis on fiscal accountability in global recessionary times places even greater emphasis on measuring organizational effectiveness (Joyce, 2009). The need to move a health care organization forward in an era of declining profit margin, diminishing capacity, manpower shortages and technological expansion cannot be overstated. The call for the nurses to become recognized leaders of health care industry; possessing the knowledge, skills and attitudes relevant for effective leadership and the necessity to use the technology of the 21st century to aim for an essentially global community are the key perspective significant to nursing leadership and management(Jumaa, 2008). Effective leadership behavior is the key to productive and happily satisfied nurses with great organizational commitment. Nevertheless, it is how the leader leads in the context of the setting which is paramount. To sum up, positive or effective leadership is critical towards achieving and driving organizational effectiveness. Lymphatic Filariasis Disease: Causes and Treatments Lymphatic Filariasis Disease: Causes and Treatments Abstract Lymphatic Filariasis is a disease that is on the World Health Organizations (WHO) top ten list of diseases to eliminate by 2020. Left untreated and undetected, it can lead to a condition called Elephantiasis. The name comes from the severe swelling of the limbs that occurs during the chronic state of the disease. It is transmitted via mosquitoes to humans in tropical and sub-tropical climates and it is endemic in a large number of countries around the world. Prevention is possible via some very basic methods and early detection and treatment can prevent long-term consequences associated with the disease. Lymphatic Filariasis is a little known disease in the United States but it is on the World Health Organizations top ten list of diseases to eliminate along with Malaria and leprosy (Narain, J.P., Dash, A.P., Parnell, B., Bhattacharya, S.K., Barua, S., Bhatia, R. et al., 2010). A large portion of the population of the planet is at risk of contracting this often debilitating disease. Common Names Lymphatic Filariasis is also referred to as Bancrofts Filariasis and Elephantiasis when the disease it has progressed to its chronic state. (Elephantiasis, 2010). Causative Organisms The main causative organism is a microscopic parasitic roundworm. There are three different types of this worm: Wuchereria bancrofti (most common and makes up 90% of all cases), Brugia malay and Brugia timori (Longe, 2006). Wuchereria bancrofit lives in warm regions on every continent except North America (Callahan, 2002). Brugia malayi is primarily found in India, Southeast Asia and Indonesia (Callahan, 2002). Brugia timori is found to a very limited extent in Timor. Symptoms The disease has two stages, acute and chronic. When the disease is in the acute phase, the symptoms usually include a recurring fever and infections of the lymph vessels or nodes in the arms, legs or genitals which can lead to severe and permanent swelling of the lymph vessels and secondary infections (Elephantiasis, 2010). In the chronic stage, the worms block the lymphatic areas of the limbs which cause overgrowth of the limb or body part because the lymphatic system is not able to perform its function of draining fluid out of the area (Callahan, 2002). Males may also have swelling in the scrotum. This is how the disease gets the name of Elephantiasis because the limbs enlarge to the point where they resemble elephant limbs and the skin takes on a rough texture like elephant skin (Ferrara, 2010). Incubation Period The precise mechanism that causes the pathology of the disease is not known and some people who are infected may not show any signs or symptoms for many months and sometimes even years (Rajan, 2003). The parasite apparently only infects humans and has never been found to affect animals. The parasite migrates to the lymphatic vessels and takes up residence. It then matures into the worm over the course of a few months to one year and begin producing the microfilariae which is suspected of causing the initial fevers and chills that are the first symptoms of the disease (Rajan, 2003). Also, if a person is infected once, they may never actually develop any symptoms even though the worm is living in their lymphatic system and the microfilarasia are circulating in their blood. It is repeated exposure with multiple worms along with the worms excretions and blockage of the lymphatic system that seems to cause the disease to progress to its most severe form especially since the worm will norm ally die sometime after seven year (Rajan, 2003). Duration of Disease The duration of Lymphatic Filariasis varies depending on the number of re-infections suffered by a host. A person with Elephantiasis can live with the disease and usually dies from complications and secondary infections from the worms both living and dead (Wallace Kohatsu, 2008). The disease can last a lifetime and can worsen over time if left untreated. The disfiguring growth of the limbs or genitalia is another side effect as well as permanent damage to the lymphatic system, kidneys and secondary infections. There is also a social stigma to the deformities that accompany the chronic stages of the disease. Those who suffer from the disease are often ostracized. The adult worm normally lives from three to five years and the microfilariae will die after twelve months if not taken up by a mosquito to begin the next phase of the lifecycle (Longe, 2006). Transmission A person contracts the disease by being bitten by an infected mosquito of the genera Culex, Aedes or Anopheles. The mosquitoes are the intermediate hosts and when they bite someone, they inject the third-stage larvae into the blood of the host (Elephantiasis, 2010). Once injected into a human host, the larvae mature into worms which move to the lymphatic system and after about one year, produce embryo called microfilariae (Callahan, 2002). Adult worms live for about seven years (Ferrara, 2010). It is the buildup of adult worms in the lymphatic system over time that causes lymph fluid to collect which leads to severe swelling of the limbs and groin area (Ferrara, 2010). The microfilariae circulate in the blood stream waiting to be taken up by a mosquito. Interestingly, the microfilariae are at their most active in the blood at night when mosquitoes are also most active (Wallace Kohatsu, 2008). This increases the chance of being taken up by a mosquito and continuing the lifecycle. Whe n a mosquito bites and infected host, they take up the microfilariae along with the blood. The larvae mature to the second state in the mosquitoes. Repeated exposure and repeated transmission of larvae that can mature into adult worms is usually what brings on the symptoms (Ferrara, 2010). A person who is bitten once and infected may never actually experience any symptoms. Prevention and Treatment The disease is being attacked from many angles by the WHO. Those who have an active parasite are normally treated with the drug Diethylcarbamazine (DEC) which will both limit the number of microfilariae in the blood stream and gradually kill the parasite (Lammie, Milner Houston, 2006). The drug will cause some nausea and vomiting and sometimes fever depending on the level of microfilariae in the blood (Elephantiasis, 2010). However, because the treatment lasts for over one year, it is sometimes difficult to get the needed medical supplies to the areas with the highest incidence in a cost effective manner. Since the drug DEC seems to act as a deterrent as well as a cure, there is a proposal to add DEC to salt for distribution in the affected areas of the world in much the same manner that iodine was added to salt (Lammie, Milner Houston, 2006). Trials with DEC fortified salt have been carried out in China, Brazil, Haiti, India and Tanzania with great success since DEC laced salt acts as a protective measure as well as providing benefits for those already infected (Lammie, Milner Houston, 2006). Other drugs used in treatment include ivermectin and albendazole and more recently doxycycline (Wallace Kohatsu, 2008). Albendazole will kill the worms but does not have any effect on the microfilaria in the blood so the transmission cycle will continue unless the intermediate host is also reduced or eliminated (Wallace Kohatsu, 2008). In addition to drug therapies, movement of the affected limbs is encouraged along with antibiotics for any secondary infections caused by damage to the lymphatic system (Ferrara, 2010). There is little that can be done once the lymphatic swelling has set in other than attempting to force the lymph out via compression bandages (Elephantiasis, 2010). The other alternative is surgery to correct the affected limbs but this is sometimes not cost effective. Because the causative agent spends a portion of its lifecycle in the mosquito, the preventative measures that are being undertaken include the use of insect repellent and protective clothes in affected areas as well as water treatment to reduce the insect population that transmits the disease to humans (Wallace Kohatsu, 2008). Other measures include the use of mosquito netting, screens on windows and staying inside after dark when mosquitoes are the most likely to be active (Ferrara, 2010). In addition, while the mosquitoes are being dealt with, the population near the affected area can be given DEC as a preventative treatment so that the cycle of transmission is broken (Elephantiasis, 2010). Antibiotics have also been shown to be effective in the past but because antibiotics should not have any impact on a nematode, the effect of antibiotics was dropped until recently. There has also been some investigation into the possibility that a certain population of the worms themselves have a bacterial symbiont which is susceptible to the antibiotics (Rajan, 2003). The suspicion is that the two species have become dependent and if the symbiont dies, the host dies as well. If this is proven true, then antibiotics may also be used at some point in the future to treat lymphatic Filariasis in some cases. It is also suspected that some of the inflammation and other secondary infections might actually be caused by the symbiont rather than the nematode. Incidence: World, USA and Colorado Approximately eighty to one-hundred million people in 75 countries around the world are at risk of contracting Lymphatic Filariasis and forty million are in the chronic stages of the disease and suffer from the disfiguring disability known as Elephantiasis (Lammie, Milner, Houston, 2006). Lymphatic Filariasis occurs primarily in tropical and subtropical countries mostly in coastal areas with high humidity although it also occurs in Japan and China and come European countries (Elephantiasis, 2010). The area with the highest risk is south-East Asia. Lymphatic Filariasis at one point appeared in Charleston, South Carolina until about 1920 but then dies out before World War II (Elephantiasis, 2010). The reason for the disappearance in the United States is due to mosquito control and water sanitation (Elephantiasis, 2010). It occurs in the United States primarily where it has been contracted elsewhere and brought back to the United States (Elephantiasis, 2010). There does not seem to be any incidence of the disease in Colorado primarily because the climate and altitude and mosquito population do not generally offer a good climate for the life cycle. Mortality Rate: World, USA and Colorado Lymphatic Filariasis although impacting millions does not have a high mortality rate. The chief issue with the disease is the ongoing illnesses and secondary infections along with lost productivity and economic hardship suffered by those affected. According the World Health Organization, Lymphatic Filariasis is a targeted disease for elimination due to the large number of people at risk (Weekly epidemiological record, 2009). Those who contract the disease can live with it for all or most of their lives and it is the repeated infections via mosquito bites that eventually lead to the progression to the chronic state of the disease and eventual death ((Narain, J.P., Dash, A.P., Parnell, B., Bhattacharya, S.K., Barua, S., Bhatia, R. et al., 2010) Isolation Technique The disease is difficult to detect because the initial infection may not present any symptoms as the worm moves to the lymphatic system and matures. It can also take some time for the Microfilaria to show in the blood in sufficient quantity. The isolation technique will either focus on detecting the adult worm or the microfilariae. Blood samples can be taken and the sheathed microfilaria can be detected in a Giemsa stain which is a stain specifically used for detecting the presence of microfilaria in the blood (Wallace, Kohatsu, 2008). A methylene azure B. stain is used on the blood sample and if there is microfilaria in the blood, they will appear blue or purple. It is important that this blood be taken in the evening when the microfilaria is most active. The microfilaria can move out of the blood during the day so blood samples taken in daylight hours can sometimes result in false negatives (Longe, 2006). Also, it is possible that an infected person will not have any microfilaria in the blood. The worm itself is very hard to detect because it is buried in the lymphatic system. Another technique used is to look for what is called the filarial dance sign in the scrotum (Wallace Kohatsu, 2008). This is a visible detection of the worms movements via ultrasound. Conclusion Lymphatic Filariasis is a preventable disease that strikes poor countries in tropical and sub-tropical countries. Its debilitating effects have made it a target for elimination in the countries affected. Prevention methods are basic and include proactively spraying for the mosquitoes and treating the population with DEC laced salt or administration of DEC in tablet forms in order to break the cycle of infection. In addition, common precautions against mosquitoes can also be used such as protective clothing, netting and sprays.

Every Woman Is A Novel :a Jest Of God :: essays research papers

Rachel often addresses her thoughts to God. How does she imagine Him (Her or It)? Does Rachel's concept of God change during the course of the Novel? Explain. Rachel Cameron, the heroine of "A Jest of God", is not simply as an individual literary character but as a psychological portrayal of women of Rachel's time and inclination. Even we can easily find someone who has the same problem Rachel has in the friends of us, or maybe in an early morning when we get up; stand at front of the mirror; we will suddenly have a idea, "I am Rachel too." She has a common Cameron heritage. She is a gawky, introverted spinster schoolteacher who has returned home to Manawaka from university in Winnipeg, upon the death of her alcoholic undertaker father Niall Cameron, to care for her hypochondriac mother May. Nevertheless, the family resemblance is obvious: their shared Scots Presbyterian ancestry, which Laurence views as distinctively Canadian, provides an armour of pride that imprisons her within their internal worlds, while providing a defence against the external world. To overcome that barrier between personalities, she must learn to understand and accept their heritage in order to liberate her own identities and free herself for the future. She must also learn to love herself before she can love others. Rachel receive a sentimental education through a brief love affair: as a result of learning to empathize with their lovers, she learn to love herself and the people she lives with. Laurence's emphasis is, as always, on the importance of love in the sense of compassion, as each of her solipsistic protagonists develops from claustrophobia to community. The beginning of "A Jest of God" extends beyond its Canadian perimeters in Rachel's branching imagination, both into the fairytale dream world which gives depth and pathos to the disappointment and despair of her present and out into a wider world in time and space than the grey little town of Manawaka. The first lines of the novel tell us everything basic to Rachel's mind, her temperament, and her situation. The wind blows low, the wind blows high The snow comes falling from the sky, Rachel Cameron says she'll die For the want of the golden city. She is handsome, she is pretty, She is the queen of the golden city. They are not actually chanting my name, of course, I only hear it that way from where I am watching the classroom window, because I remember myself skipping rope to that song when I was about the age of the little girls out there now. Twenty-seven years ago... (p. 1) The reader is engaged in sympathy with Rachel by the sadness of the gap

The Temptations. Essay -- essays research papers

The Legends In Life An Artist or group’s talent can be defined by the way the listener is pulled into the music. Writing about fundamental emotions to a compound condition that happened in the past, the artist must grasp the listener and wrap them into a nostalgic trance from the lyrics. The type of lyrics that can convey the reader into the past, present, or future time. The Temptations has mastered this talent. From their time to the present day, the Temptation’s music can still be looked upon in the 21st Century culture. They became soul writers and masters of touching inner emotions that listeners held. The Temptations were a group of individuals that represented their culture in time. The smooth lead vocalist to, to the brawny brick toned baritone, the artist became a great influence to many groups and artist of the coming future. The rhythmic style of The Temptations can be heard in many Rhythm and Blues groups of the past decades. At their time, The Temptations were the group to be, and at present are considered legends in their genre of music. The legends manifested many hit songs that broke cultural barriers. Their songs played in countries where English was not the first spoken language. Thus, are praised as one of, or if not, the greatest soul groups that has ever existed throughout the world. If politics or government were not capable in breaking cultural barriers, the suave songs that many learned to love became a benefactor. As an individual, the songs by The T...

Globalization in Russia Essay

Globalization has done a lot to Russia not only in changing the economic parameters but also the social- cultural portfolio of life. Russia enjoys the sovereignty of a high state of integration within the community of the western world. The fight for high changes and maintenance of sovereignty is to maintain its high class phenomenon within its geographical neighborhood. The history of Russia is deeply founded on its Soviet country where the role of great leadership authorities reigned even across the national boundaries. In analyzing the globalization variable in Russia the role of women should not be over looked. As a general analysis however, the expectation of globalizations were not fully met. Long since the country went in such for globalization benefits, various rigidities have left it still lagging behind in the same aspects. Various economic downfalls and dissatisfaction have acted to compromise the adequate state of affairs in this state. (Brierley, 1) Broadly, females are greatly disadvantaged in this state full of political communism. From the UNICEF statistics, however, the women show a close difference with the male population. First the maternal mortality is as low as 32%. This is due to poor ante-natal care protection and poor attendant by skilled personnel during delivery. Only 96% of women are well attended by skilled persons at their delivery. The female mortality rate is around 7% which is a percentage almost equal to that of the male births. However, as the child ages 5 years, this ratio is considerably equal to that of the male children. Generally, Russia has a well proven medical care system. (Stoliaror, 43) Good medication systems make it vulnerable to deaths through ill-health compared to high percentage of the same in African and Asian countries. The female life expectancy has however showed a decreasing trend since 1970, with it being 72 years compared to 59 that of men. Either, the fertility rate in women is approximated to being 1. 4. Effect of globalization stretches its arms to the social autonomies were various social structures have radically changed to capture the changing effects in the national symmetry. At one level, marriage contraceptive prevalence is largely 34% with these varying between the literate and illiterate people. (Balcon, 27) High illiterates are vulnerable to low use of the same. Lower use of contraceptives has led to spread of various sexually transmitted diseases such as HIV whose total population is approximated to being 950,000. The ratio of marriage breakages between men and women is approximated to being 2 is to 3 (2:3) with two men for every three women. Either, teen marriage has been a social factor calling for various analytical consequences. Largely, 31% of the teen have showed in for marriage at their teen age. ( Robinson, 75) Out of this population 57% has been stated as being girls who even drop out of school above the consequences of early pregnancies. Such early marriages have been a big backbone of failed marriage coupled with inabilities to substantiate for family needs and requirements. The total fertility rate is however high as 1. 4. This has been precisely due to high standards of living and adequate medical attention. Education factor occupies a special place in studying the globalization and the social dispensation of Russia. However, the education statistics are high vulnerable and shows an equitable relationship between men and women (males and females). The ratio of adult literacy between men and women is almost equal and shows no much disparity. Statistic shows that, women through literacy have earned themselves a good place in the economic scenario where they have been voted as movers of wide range of governance activities. There is no discrimination between schooling for both sexes and every educational structure is modeled to provide equity and equality between men and women. Either, secondary school enrolment between males and females is equitable with a one to one ratio. The same attendance in the secondary school has also been found to been one is to one. High child education campaign and the good system of education providing equity for both sexes have ensured a high number of equal thresholds between males and females. The place for secondary school teaching has however favored females with the ratio being three is to two (60% for women). However, more men graduate for other occupations. Basically the university enrollment shows a small diversity with equal opportunity been provided for the both sexes. Generally, the level of literacy is subjectively equal with them sharing almost equally the various opportunities allied to education benefits. (Rozanora, 1) The female employment aspect is a critique issue in Russia. Various disparities between male and female employment draws various issues of concern. Broadly, the employment factor for females in Russia depend on critical issue of age, level of education and various social cultural autonomies. The general employment statistics in Russia are defined in terms of the level of professionalism. The major age bracket for women employment is between 20 and 55 years, though extremities below and above this fraction is evident. Any employment below 17 years is taken as child labor abuse. Either, some women population employment above 55 years is evident though few cases are available. Generally, the total women percentage is 43% of the total employment population in the country. Men are advantaged to get the better share of 57%. The female employment also shows a relatively equal ration between self-employed and professionals. Out of the total population of employed women, 54% are professional while the remaining ratio goes for self employment. However, men occupies the majority of the managerial position with around 2. 6% of the employed women population being managers (Fisher, 89) The wage and salary payment is depended on the professionalism and the level of position working for. Indeed, the general wage rate in Russia is substantially adequate which almost augers that of the United Nations and labor laws requirements. The existing state of Russia can be recommended of its high proficiency in factors of equity and equality in its structures. There is seldom equitable distribution of the natural resources between racial groups, sexes, social institutions and political structures. High political renaissance and motivation above the fight for sovereignty on individual rights has brought the absence or very minimal discrimination. (Taylor, 4) All the people founded on sexual disparities, religious orientations, educational indifferences and cultural autonomies above other parity orientations have enjoyed the fruits of equity and equality. The economic systems and structures are relatively distributed equally between the state groups. The political and legal processes have showered an equitable correspondence in providing support for everybody participation in the political interest. The legal system has ensured neutrality between the state groups in terms of education, cultural, religious and geographical orientations. Equity and equality also extends its arms to the marriage structures where a broad length in marriage regularities provides no discrimination to all. Neutrality in the states social structures provides adequate conditions with which people intermingle adequately with one another. (Smith, 47) Either, adequacy in people’s marriage has been provided with every person at his/her wish too choose marriage partner. At the marriage matrimony, equal rights between the couple have been founded on grounds of equity. Both the husband and the wife have equal role to play in the marriage activities. Ideally, globalization has done a lot in providing positive effects on health. The highly developed technology and research activity helps to provide high standards of medication. Generally, Russia is among the global states with high developments in health matters. However, globalization has yielded high standards in matter of health with high technology and medical attention been uncompromised. Health matters runs from household sanitation, drinking clean water, child immunization, malaria treatment, chronic disease treatments, HIV/AIDS statistics above others. (Duffy, 1) However, the general state of health is highly improved. As per the UNICEF statistics of 2006, Russian health variables have been characterized as among that of the developed countries which generally shows high states of health matters. However, HIV/AIDS campaign has below the hallmark of the health investigation, with 950000 million people been affected. Various health structures have been put into place to avoid its spread, through education on mother-child transmissions, use of sexual contraceptives and use of ARV’s above other medication pursuit for the affected people. Globally, Russia extends its arms even to other nations in providing health support. The country has various policies on population control and health support. (Passas, 1) Through its huge campaign it has set various health requirements and high standards for ensuring a controlled health population for its citizens. Various social-cultural inadequacies like literacy and political authorities have been in the fore front to shape the population growth and distribution. Russia defines various emigration policies and foreign citizen ownership. It has high controlled systems of monitoring migration exchange between its people and other nationals. Both emigration and immigration is captured at an outstanding perspective where various rules and regulations are never compromised in the acquisition of citizenry. Such policies streamline at one point to encourage or elsewhere to discourage immigration. This is based on the need for the observation of a high state of security. Any migration policy is also aimed at ensuring possible inadequacies which may have effect on the existing state resources. This is in the recognition of highly/excessive pressure of immigration and unexploited resources on high emigrations. Migration policies stretch its arms on refugees, where various laws have been put to cater for any refugee. They also observe the United Nations standards on their treatment to refugees. The neutrality in terms of laws has provided a high comprehensive observation of human rights. The United Nations Development Program has shown an explicitly adequate standard on the observation of human rights. The state legal process has a profound structure in which it elaborates the process system of the law and regulations defining human rights and freedoms. Either, it has been vulnerable in observing various rights allied to refugees as per the UNHCR regulations. The political system and the court autonomy have ensured a high implication in support for states which provide rationality in ensuring observation of people’s rights and freedoms. Summarily therefore, globalization has done a lot in shaping and determining the state of social structures in Russia. It various influences have helped to foster an improved state of living for both men women. Work cited Balcon, D. Solidarity without Pay in Russia. The Nation, vol. 266, April 27 1998. Brierley, N. Russia: Perceptions and Reality. a Round T able Discussion 13 February 2003 New Statesman, vol. 132, April 7,2003. Duffy, D. An assessment of Health Policy Reform in Russia. Policy Studies Journal, Vol. 25.