Thursday, November 28, 2019

Analysis of the Hounds of Tindalos essays

Analysis of the Hounds of Tindalos essays The Hounds of Tindalos is a short science fiction story containing many and varied elements that have been long associated with the genre of science fiction. This essay will identify these elements, examining their placement within this short text and also the interchange of these elements with the characteristics of other genres, more specifically, horror. Belknap Long, the author, was clearly intent of incorporating the elements of horror within the genre of science fiction and this amalgamation of these two genres was a popular combination employed by future horror and SF writers. Perhaps the inclusion of horror within the SF genre is a comment in itself about perceptions of SF held by writers, the elements of horror being a cautionary warning to those in the science world. Longs main character is Halpin Chalmers, a self proclaimed rebel and champion of originality and lost causes. From the start it is clear there are present within this text some elements of the SF genre that seem to be in just about every SF story, beginning with the main character. Many writers have as their main characters people who are non-conformists, who wish to boldly go where no one has gone before and who are willing to take seemingly illogical and irrational risks in the hope of furthering makinds scientific discoveries. Chalmers is no exception in this as he willingly partakes in an ancient Chinese drug that is a known powerful hallucinogen in a bid to go back in time. There is of course the proverbial wet blanket in the shape of the narrator, known only as Frank, who believes his friend Chalmers to be quite mad, but who never-the-less agrees to aid his friend in his bizarre experiment despite the risks he is taking. Frank represents all those characters in SF stories who are the skeptics, the non believers, who have a solid faith in the science of the present, and who consider characters like Chalmers to be eccentr...

Sunday, November 24, 2019

buy custom Theodore Roosevelt essay

buy custom Theodore Roosevelt essay When the name of the 26th head of the United States, Theodore Roosevelt is mentioned, what normally comes to mind is the progressive era. While there is no doubt that he was among the admired leaders during that era, the most striking legacy of Theodore Roosevelt was the expansion of the Federal Government. At the time of independence, the founders of the United States had envisioned a less powerful government that was more concerned with the protection of individual liberty of its citizens (Paul and Buckley 1). During that early period, the state and local governments were more prominent in the daily lives of the American citizens as they played a bigger role of promoting and protecting their social and economic welfare. However, President Theodore Roosevelt is among the American Presidents considered to have championed the need to expand the powers and authorities of the Federal Government so as to play a chief role in supporting the social and economic welfare of the American peop le. Although, the expansion of the Federal Government had begun during the Civil War through President Abraham Lincoln, President Theodore Roosevelt assisted by the popularity of the Progressive ideologies, reinforced the idea of big government in the minds of American citizens in addition to the American political arena (Big-Government Man). Theodore Roosevelt birth and death was on October 27, 1858 and January 6, 1919 respectively. He was recorded to be the 26th head of the United States at the age of 42 after the death of the former President William McKinley who was assassinated in 1901. President Theodore Roosevelt had earlier served in the American Navy before venturing into public life and serving in his country in many capacities especially in New York City. However, his star as a national leader started to rise in 1898 when he was elected the governor of New York State in a hotly contested election (Powell 82.) As a governor, he was credited with weeding the state of corruption in politics and business as well as numerous scandals that were common during his predecessors. President Theodore Roosevelt soon became the Vice-President of the United States when President William McKinley chose him as the running mate in the 1900 presidential elections. Being a progressive and a popular one for that matter, he helped P resident William McKinley assume the highest seat in the United States, but soon found himself running the country after President McKinley was assassinated in 1901 (Paul and Buckley 1). Upon assuming office as the President of the United States, Theodore Roosevelts aspiration to spread out the powers and authorities of the Federal Government were effective within only some months into the office. He used his first address to the Congress to express his desire for strong antitrust policies. On numerous occasions during his Presidency, Theodore Roosevelt asserted that the President of the United States should use without hesitation every power the position yields (Powell 89). President Theodore Roosevelt believed that politicians would be able to solve all the worlds problems if they were granted enough power. Powell notes that the reign of Presient Theodore Roosevelt steered in a fresh period of improved government concern in the monetary and societal circumstances of the country (90). While President Theodore Roosevelt was not the first U.S. President to expand the supremacy and influence of the Federal Government over the state and local governments, he is consider ed to be the first to have done so during peaceful times. The expansion of the Federal Government was started by President Abraham Lincoln. However, unlike President Theodore Roosevelt who served during peaceful times, he was forced to expand the powers of his office in order to respond to the devastating effects of the Civil War, which according to him required extraordinary measures so as to protect the citizens of the Union (McDonald 56). While President Theodore Roosevelt used to make known his beliefs on what roles should be performed by the Federal Government, he reinforced those believers through many deeds during his tenure as the President. At different times during his Presidency, Theodore Roosevelt argued that the office of the President is allowed to wield all powers so long as such powers are not forbidden by the constitution. This argument has continued to be replicated by many subsequent Presidents (notably by his distant cousin Franklin D. Roosevelt) through their deeds. While President Franklin D. Roosevelt is considered to have greatly contributed to the expansion of federal powers and authority in the history of the U.S. Presidents through his New Deal programs, he drew a lot of inspiration from the deeds and beliefs of his distant cousin, President Theodore Roosevelt (McDonald 70). Through President Theodore Roosevelt, the idea of big government was institutionalized in the American political landscape as the deeds of most of his successors would attest. After the Presidency of Theodore Roosevelt, the expansion of the Federal Government continued through expansion of federal programs and agencies. For instance, towards the end of the progressive era, a number of policies and laws were initiated by the Federal Government with an aim of promoting the monetary and social provisions of the American people. For example, the Federal Reserve (1913) and the Federal Trade Commission (1914) were formed to look into the welfares of the American citizens (McDonald 78). The creation of the United States Food Administration in 1917 was predominantly imperative in demonstrating the extension of the Federal Government in the standards of living of the American citizens .The body was charged with regulating the food industry by controlling agriculture, distribution, as well as sale of food products in the United States. Similarly, other bodies were formed to regulate production, distribution and sale of fuel in the United States and later, regulation was extended to the entire American economy, something that was more prominent during the Presidency of Theodore Roosevelt (Paul and Buckley 1). President Theodore Roosevelt was probably the first President in the record of the United States to have presided over the biggest expansion of powers and authorities of the Federal Government. While earlier governments had started to show intention of increasing the involvement of the FFederal Government in the way of life of the American people, President Theodore Roosevelt came out openly to support and reinforce programs that would increase the powers and authorities of the U.S. Federal Government. His antitrust policies were particularly important in enforcing the antitrust laws passed in the previous decade (Big-Government Man). In 1903, President Theodore Roosevelt created a new cabinet position, Department of Commerce and Labor that would address labor and business issues in the country. The Bureau of Corporations which falls under the department was empowered during his Presidency to investigate and make reports on the illegal activities undertaken by corporations. On the sa me year, President Theodore Roosevelt oversaw the enactment of the Elkins Act which authorized the Interstate Commerce Commission to deal with the discriminating rebates which was caused by the railroads abuse of economic power (Paul and Buckley 1). In addition, the Meat Inspection Act passed in 1906, allowed for sanitary and federal regulations as well as inspections of meat production in the meat packing facilities. With this act, the Federal Government provided avenues to protect the consumers of meat products from frauds of drugs, food and meat packing, as well as from poisonous industries. The expansion of Federal Government during the reign of President Theodore Roosevelt cannot be complete without a discussion on the role of the government on land use and conservation. Being a conservationist, he challenged the dominant view at the time that decisions on land use should be left to private owners since they have a high stake in order to improve the worth of their businesses (Paul and Buckley 1). President Theodore Roosevelt expanded the powers of the Federal Government to stifle the privatization of American lands that had been common for many decades. In 1905, he created the U.S. Forest Service that was entitled to manage thousands of acres of government land that were earlier managed by the Department of the Interior. Although the move was popular at the time and is considered as one of the greatest accomplishments of President Theodore Roosevelt, he was able to keep on with the development of the federal powers and authorities in the everyday lives of the American people. Conclusion President Theodore Roosevelt being one of the most commemorated heads of the United States is no doubt. He is particularly known for his progressive ideals that not only propelled him to power but also helped him gain a respectable honor from American people for many years and even to date. While he may not be faulted for having introduced numerous programs and agencies with an aim of enhancing the economic and social conditions of the American people, his deeds and words were particularly important in reinforcing the idea of big government in the United States. He not only expanded the powers and authorities of the Federal Government during his Presidency, but also instilled the notion that the Federal Government must increase its involvement in the daily lives of the people so as to improve their social and economic welfares. The idea has remained prominent to date. Buy custom Theodore Roosevelt essay

Thursday, November 21, 2019

Modern nation-state and transnational entities Essay

Modern nation-state and transnational entities - Essay Example The emergence of the modern nation state dates back to the 1700s. Before the emergence of nation-states, monarch systems were the governing tools, but later sovereignty came to change people’s way of life. Sovereignty recognized people as citizens with a role to play in government rather than subjects. The issue of nationalism is also viewed by many as a political ideology. The French revolution played a significant role in the emergence of modern nationalism (ZÃ ¼fle, 2011). Nationalism has many positive attributes in any nation-state. One of the attributes is that nationalism promotes democracy. This occurs because nationalism advocates for popular sovereignty and supports the idea that political power is legitimately held by people. People use the political power to put others in power to work as their agents. Nationalism also promotes economic growth within a country. Therefore, nationalism offers the opportunity to build a colonial power, to use resources to improve people’s life as well as economic infrastructure. The other impact of nationalism is that it promotes diversity and experimentation. This is evident in democratic nations through the way people from different walks of life maintain their own culture and values (Godfrey, 2004). Characteristics of modern nation-state In order to understand the concept of modern nation-state, it is necessary to define a nation, state and country. This is because the four terms apply to refer to political, economic, social and cultural contributors in the international system. Modern nation-state refers to single or multiple nationalities that come together to form a political union. The nation-state is responsible for identifying official languages, laws, currency system, and ordering elements of society through bureaucracy. A nation-state is only recognized when a nation of people forms its own country or state. Japan qualifies to be a nation-state (Chernilo, 2007). A nation state is highly politically oriented. Nation states refer to the political units comprised of national groups. A nation state also shows a highly centralized public administration. Traditionally, a nation state exists to ensure that there is a self- governing territory within a nation in an aim to attai n any power. For example, in Japan, the population is of Koreans and Chinese blood, but there is a recognized language and culture. This fact makes a nation-state more powerful and organized than a nation. A nation-state provides a political personification as well as wider scope of power. In a nutshell, a nation-state is a hybrid of a nation and a state (Teichova, 2003). On the other hand, a nation refers to a group of people who share similar demography and culture similar to those of a community, and are able to make independent political decisions. People within a nation just believe of its existence making it intangible. A nation has members who have a common identity that make them different from others. In some situations, the term nation is exclusively used to refer to ethnic grouping. Unlike a nation-state, a nation is a socio-cultural entity comprised of people sharing a common language and culture. An example of a nation is the Basque, which forms part of northern Spain a nd southern

Wednesday, November 20, 2019

Gulf Regional Legal Environment of Business Essay - 2

Gulf Regional Legal Environment of Business - Essay Example For example, Sadah (2010) has pointed out those countries like Oman lacks in proper legal framework which can not only protect domestic players but also attract foreign investors. Hence, it can be said that providing a stable legal framework to domestic and foreign companies is related to Oman’s growth and prosperity. McConnaughay (2001) has defined law as a structure and combination of principles which provide guidance to companies on how to do business and also takes care of the interest of investors. In Oman, Commercial Companies Law under the Royal Decree No. 4/1974 takes care of most of the business entities such as Joint-stock Companies, Limited Liability Companies (LLC), joint venture between partners etc (Morison Muscat, 2010). However, such an old prescription is not helpful for Oman to solve the entire pertinent and current day business problem. For example, the age old Royal Decree No. 4/1974 is not helpful to guide business operation of commercial companies which m ight or might not have principal operation in Oman. Another important thing is that, in last 20 years, rapid industrialization in Oman has increased interest of foreign investors to invest money in order to expand business in the country (Morison Muscat, 2010). ... Part 2 Research scholars such as Siviglia (1993), Fox (2009) and Christou (2009) have pointed out that, commercial agreement between countries is important facet of international trade policy for government of any country. Careful analysis of the work done by Fox (2009) shows that commercial agreement between Sultanate of Oman and any foreign Country is exposed to both advantages and disadvantages. Commercial agreement between Sultanate of Oman and international countries comes under the Royal Decree No. 102/94- FCIL and foreign capital investment policy (Morison Muscat, 2010). According to the law, foreign companies need to get license from Omani government in order to commence business in the country. Investors of foreign countries are allowed to invest in tourism, construction, infrastructure, technology or own share of Omani company. Commercial agreement between foreign countries and Oman also includes the clause that, foreign investors will be eligible for tax holidays if their service is found to be necessary to economic growth of Oman by the Council of Ministers (Morison Muscat, 2010). There are plenty of advantages associated with signing commercial agreement by Sultanate of Oman with international countries such as, foreign partners will invest additional fund to the Oman economy which will positively impact the gross domestic product growth of Oman, technological partnership between foreign companies and domestic players will ultimately increase the overall technological capacity of the Oman, foreign investors will create job opportunity by investing money in Oman which will significantly improve the labour market condition

Monday, November 18, 2019

Dewey has a concept of body-mind very different from Plato. What is Essay - 1

Dewey has a concept of body-mind very different from Plato. What is body for Dewey- what is soul Explain how Dewey attempts to account for human intelligence, and why he rejects old notions of dualism - Essay Example In philosophy, the word dualism is used to represent the differences between body and mind. â€Å"In dualism, ‘mind’ is contrasted with ‘body’, but at different times, different aspects of the mind have been the centre of attention†(Stanford encyclopaedia of philosophy-Dualism). Famous philosopher Rene Descartes has put forward the idea of dualism. He believed that mind is a non physical substance whereas body is a physical substance. He argued that brain is the origin of intelligence and the mind, the origin of consciousness and self awareness. Plato, another famous philosopher, supported and elaborated the arguments of Descartes. He argued that our perceptions of distinct and immaterial objects are nothing more than shadows. Even though Plato succeeded in defining soul as an entity imprisoned in the body, he failed to give a clear answer to the question; what binds a particular soul to a particular body. The questions like; ‘what happens to th e soul and mind once the body faces death’ and ‘what happens to the soul and mind if all the materials used in the making of our body is substituted with some other materials from another planet’ are difficult to answer with the help of dualism theory. John Dewey rejected the dualism theory because of the above concerns and argued in favor of a single entity consisting of body, mind and soul. Dewey has elaborated his arguments with the help of following example. The being who eats and digests is also the one who at the same time is sorrowing and rejoicing; it is a commonplace that he eats and digests in one way to one effect when glad, and in another when he is sad. Eating is also a social act, and the emotional temper of the festal board enters into the alleged merely physical function of digestion. Eating of bread and drinking of wine have indeed become so integrated with the mental attitudes of multitudes of persons that they have assumed a

Friday, November 15, 2019

Pestel Analysis On Petroleum Industry Economics Essay

Pestel Analysis On Petroleum Industry Economics Essay ABSTRACT: In the history of the mankind, the need of resources was the most important factor for political, technological, economic, social evolutions. In modern times need of energy resources become more significant than other industries who were more important during the past like the production of wood, stone, horse breeding, productions of ships, weapons, constructions of buildings and even gold production. The primary energy source is represented by petroleum, commonly known as oil. Petroleum is most used in transport, energy, petrochemical, agriculture and other industries that need oil products in the production of goods. Example: Metallurgy. In this paper it will be present the need of a macro-environmental analysis at the petroleum industry and the external factors that have a powerful influence on this industry. KEYWORD: environment, factors, oil, resource, PESTEL analysis, influence JEL CLASSIFICATIO: L71, L72, N01, N10, N30 1. INTRODUCTION In pre-industrial revolution time, oil was used for making and maintaining the fire, in the blacksmith, in constructions and in the period of war as a weapon (fire traps, fire projectiles of bows or siege engines and even a component of the substance used for medieval flamethrower named Greek fire, which was used in naval warfare). With the development of electricity and transport, the need for the oil rise very much and surpasses the need for coal or natural gas, which were used for the same purpose. Petroleum (oil) industry represents one of the most important components of the energy industry who is like the circulatory system of the human body to the modern economy. Oil industry is divided in: upstream (exploration, development, extraction of oil and natural gas), downstream (transport by oil tanks or pipelines, refineries, retailers and consumers). PESTEL analysis represents of the most important method used to analysis external environment within an organization or an industry sector (Moldoveanu, 2007). Necessity of using the PESTEL analysis on the petroleum industry is represented by the important role that this industry has on the economic, political and social systems around the world. 2. IMPORTANT In this paper, I want to show the importance of the external factors of macro-environment on petroleum industry and complementary industries. I would use PESTEL analysis because it responds to the questions: Are only political, economic and social factors that influence the petroleum industry? The oil industry by could be influenced by the modification of a factor that has no direct contact with industry? 3. PESTEL Analysis on Petroleum Industry PESTEL analysis is used by organizations for identifying the factors of external environment of the market that could influence the organization and entire industry. PESTEL analysis is formed by six macro-environment group of factors: political factors, economic, social, technological factors, environmental factors and legal factors. Other authors add new group factors, named international (Moldoveanu, 2007), but I dont want to split to add this factors because all PESTEL groups of factors contain both national and international description. Macro-environmental factors are less influenced by companies than micro-environmental factors (customers, employee, suppliers, shareholders, media and competitors), but companies of oil industry can have bigger influence of macro-environment than companies from other industries. This fact is resulted because of the need for energy resources for political, economic, social, technological, environmental and legal activities. 3.1. Political factors Political factors are represented by the influence of a political entity (party, country, organizations or other type of faction) on the national level, regional level or international level. Most of the countries consider that the oil industry (upstream and downstream) is a strategic point in political, economic and social needs of a country, because this industry has a great influence on transport capacity, energy production, industrial production, chemical production, agriculture and social welfare. The energy independence is a priority objective of every country who wants to be free from a political blackmail from other countries or international organization. The most influent organization in oil production is OPEC (Organization of the Petroleum Exporting Countries) who has more than 42, 8% of world oil production, other considerable producers of oil or of another substituent, products are United States of America, Countries of European Union, Russia, China, Canada and Brazil. T he consumers who have a great influence on the oil markets are United States of America, China and western European Union countries. For mutual gain, some countries make trade agreement for exchanging of energy resources for money, technology other resources or even protection. A powerful influence over the production of oil and the price is made by instable situation from the Middle East, where every conflict could disturb oil production and transport, resulting in the rising of oil price. Another region that has a great influence upon the petroleum market is ex-soviet space, where disputes are likely resolved by energetic and political blackmail. The policy of foreign oil independence of the United States diminished energetic resource imports, because of that in Alaska were build new exploitations of oil or natural gas and development of substitutes. The austerity programs of European Union have reduced the need for fuels, because of declining of the economic activities and the so cial welfare. The economic crisis made the need for cheap fuels became a priority for the major players of the global stage. Because of this situation, many territorial disputes reappear between countries for oil and natural-gas reserves like: the Falkland Islands dispute between United Kingdom and Argentina; the Arctic plateau dispute between United States of America, Canada, Iceland, Norway and Russia; the Senkaku islands dispute between China, Taiwan and Japan; the South China Sea dispute between numerous Asian countries. National politic factors are represented by grade of authority of the state, political parties, non-governmental organizations and in some cases different factions (rebels, paramilitary entities). Grade of authority of the state represent the power that have the government upon the society, economy, technology, laws. The authority of the state is higher in authoritarian states like dictatorships, theocracies, non-constitutional monarchies, tribal society and is lower in democratic republics and constitutional monarchies were the political power is given by people of the country to the elected politicians. Political parties influence the petroleum industries by imposing state strategy for electoral or economic gains. The non-governmental organizations influence the oil market by promoting anti-pollution campaigns or liberalization of the fuel market. Paramilitary factions use influence on oil industry for blackmailing or for imposing some fees in territories that are controlled by the m, cutting the transport of oil for political gains. Oil companies can have influence on political factors in regions or countries were oil in primary source of making income and in regions or countries were the energy resource are scarce and attracting additional one is need for good function of economic activities. In modern economic, because of the globalization, the state canà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢t protect the external market like in mercantile system(Strange S., 1996), resulting that companies can occupy new markets or acquire new resources alone. 3.2. Economic factors Economic factors are represented by the: influences of the supply and demand on the oil price; influences of the supply or demand of the complementary goods; influence of the supply and demand of substitute resources; the USD exchange rate (petrol-dollar policy); the price of the oil barrel on the important stock exchanges; economic situation on regional and global stages; value of the known reserves, interest rate for financing; value of stock market indexes (DOW Jones, StandardPoor). The demand for fuels is influenced by variation of transport activities (road, rail, aviation, naval) that represent almost 60 %(OPEC,2011), petrochemical industry, other industries, agriculture and energy production. Variation of need for road transport activities is influenced by the number of the auto vehicles used by population or organizations; the earns of every car owner, the frequency of using his own car, the customer culture for fuels effect on the environment, the road infrastructure, seasons, touring activities. Rail transport is represented by trains that use fuels for transport; this kind of transport is used in developing countries that have big oil production. Aviation is one of the transport sectors that grown very rapidly, representing 6% of total oil demand (OPEC,2011), two thirds been represented by OECD (Organization For Economic Co-Operation And Development). Oil demand for naval transport is represented in big proportion by cargo ships that transport goods from developing countries (goods and resources producers) to developed countries (services producers). Petrochemical industry represents approximately 10% of total oil demand and the products that are produced by this industry are: plastics, synthetic fibers, synthetic rubber, detergents, paints, adhesives, aerosols, insecticides, pharmaceuticals and others. Others industry sectors which demand oil or complementary products from oil are iron and steel industry, cement industry, auto vehicles industry, naval industry, mining, construction and many others. In agriculture demand for oil and complementary products are for a wide range of activities like farming, pasturing, animal husbandry, fishing, hunting, beekeeping and many others. Table 1. Vehicle and passenger car ownership in 2008 Name Population Millions Auto vehicles Millions Cars Millions Cars per 1000 1 North America 457.7 299.9 265.5 580.1 2 West Europe 542.2 274.2 236.0 435.3 3 Pacific OECD 200.8 111.2 85.9 427.8 OECD 1,200.6 685.3 587.4 489.2 4 Latin America 421.7 76.2 59.7 141.5 5 Middle East and Africa 824.1 35.0 22.4 27.2 6 South Asia 1,595.4 24.9 16.6 10.4 7 South-East Asia 641.5 53.1 33.7 52.5 8 China 1,337.4 49.5 36.0 26.9 9 OPEC 384.8 39.8 28.7 68.5 Developing countries 5,205.0 278.4 197.0 37.9 10 Russia 142.0 34.8 29.5 207.8 11 Other transition economies 198.8 38.2 34.7 174.6 Transition economies 340.7 73.0 64.2 188.4 World 6,746.3 1,036.7 1848.6 125.8 SOURCE: adapted from World Oil Outlook 2011, p. 80 Table 2. Aviation oil demand prediction Name People that travel with planes Millions in 2008 People that will travel with planes Millions 1 North America 1.7 2.0 2 West Europe 1.1 1.3 3 Pacific OECD 0.4 0.6 OECD 3.3 3.8 4 Latin America 0.2 0.3 5 Middle East and Africa 0.2 0.3 6 South Asia 0.1 0.3 7 South-East Asia 0.5 0.8 8 China 0.3 0.7 9 OPEC 0.3 0.4 Developing countries 1.5 2.7 10 Russia 0.3 0.4 11 Other transition economies 0.1 0.1 Transition economies 0.3 0.5 World 5.1 7.0 SOURCE: adapted from World Oil Outlook 2011, p. 95 The financial system has influenced the petroleum industry in 2008 very much, making oil price to drop from history peak price of 141 USD per barrel, in July, to 33 USD per barrel only at the end of the year. This fact is explained by the beginning of financial crisis that influenced negatively the income of the companies and of the population, making the companies and people to cut the cost, or to become insolvent, resulting to diminish of economic activities across the world who make the demand for transport to fall that making the fall of oil price. 3.3. Social factors Social factors are represented by demography, culture, ethnic structure, religion structure, inter-cultural relation, structure of family, ideological view, literacy, urbanization, income distribution, migration, use of communication technology, cultural view to the different products. All around the world, do not exist a culture that is against oil exploitation and for using the oil products, most of the population saw the oil industry like a necessity for development and welfare, but are segments within the population who see the oil industry as an important factor of pollution of the environment. Population which has culture of the protection of the natural environment is located in developed countries, because not need a high rate of developing. In the countries were populations are more friendly with environment; government imposes pollution fees and pollution reduction laws and norms to petroleum industry, and complementary industries. Many companies which make complementary products, like cars, invest in reduction of fuel consumptions or start to produce hybrid products. In the developing countries, populations from see the need for development and growing rate of welfare more important than environment protection; they accept the pollution like a cost for e conomic growth. Table 3. Population level and growth forecast Name Population Millions 2010 2035 1 North America 466 555 2 West Europe 547 576 3 Developed countries of Pacific 201 194 Developed countries 1,215 1,325 4 Latin America 431 516 5 Middle East and Africa 882 1,422 6 South Asia 1,644 2,144 7 South East Asia 657 809 8 China 1,354 1,462 Developing countries 5,372 6,939 9 Russia 141 126 10 Other economy in transition(Eastern Europe and Ex-soviet space) 199 201 Economies in transition 340 327 World 6,927 8,590 Source: adapted from Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, http://esa.un.org/unpp/ panel_population.htm and World Oil Outlook 2011, p. 38 In table above, Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat forecast that the population of developed countries will have a smaller population growth then the developing countries, which will rise from 5372 millions people to 6939 millions people (higher rise been in south Asia) and countries that are in transition will have a population in decrease, resulting in a growth of the population from 6,927 millions in 2010 to 8,590 in 2035. The populations of developed countries that consume most of the fuels and energy, in these days, are growing slow and are ageing very rapidly, resulting in diminish of the need for oil in future. However, the growth of the population, in developing countries, will impose the rise of the energy resources for growing transport, petrochemical industries and electricity production needs. So de results will be that the need from developing countries for oil will surpass the reducing of need from developed countries, so the demand for oil will grow. Urbanization is another factor that influences the need for energy, because urban population consumes more energy resources for transportation, electric energy or petrochemicals (plastics, fibers) than rural population. Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat forecast that in 2035 the urban population will grow with 50,69% and rural will decrease with 4,17%. In developing countries growing of urban population will be larger than developed countries with almost 1432 millions. Rural population in developed countries will decrease with almost 16 milions and in developing countries will remain almost the same. Table 4. Population forecast by urban/rural classification Name 2010 2035 Millions Millions Urban Rural Urban Rural 1 North America 384 83 488 67 2 West Europe 398 149 461 115 3 Developed countries of Pacific 145 56 154 40 Developed countries 928 287 1102 222 4 Latin America 362 69 462 55 5 Middle East and Africa 353 529 751 671 6 South Asia 500 1,144 944 1,200 7 South East Asia 284 373 455 354 8 China 636 717 949 513 Developing countries 2394 2978 4001 2938 9 Russia 103 38 99 27 10 Other economy in transition(Eastern Europe and Ex-soviet space) 116 83 134 67 Economies in transition 219 121 232 95 World 3541 3385 5336 3244 Source: adapted from Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, http://esa.un.org/unpp/ panel_population.htm and World Oil Outlook 2011, p. 43 Petroleum industry has a great impact on social welfare, because it fuels the transports and electricity production, activities that have a great impact on human development, production of goods and services and communication. 3.4. Technological factors Technological factors are represented by technologies, techniques and methods that influence the activities within an organization (Palmer A. Hartley B., 2009). The technological factors could influence an organization from inside the industry, by making the need to acquire the last technologies (by buying equipment), techniques and methods (by hiring a trained human resource in new techniques or train the old human resource with the new techniques and methods). Once acquired, these factors will influence the organization from inside. In oil industry, the technologies are used exploration, in exploitation, transport( roads, oil tanks, pipelines), in refineries, in storage, in promoting marketing strategies, in selling; in researching and development of the brand-new products or in upgrading the old ones, in reducing the time of production the losses from the production process. Secondary technologies and techniques could be used in environment protection, workers protection, in impr oving the efficiency of the management by using of new software and hardware, improving the maintaining and repairing activities. All these factors could be used against an oil company, if a rival company owns them like a competitive advantage. Because of that will result in a perpetual race (Nicolescu Verboncu, 2009) for acquiring the news and the most efficient technologies, techniques and methods that will have the results of takings a greater share from downstream market and a greater share from the upstream market, to acquire more oil reserves or to impose the price. Technologies that influence the oil company from outside the oil industry can influence entire oil industry (upstream and downstream). These technologies are represented by the complementary products and substitutable products. The complementary products influence the demand for oil by developing technologies that will reduce the consumption of oil products or replaced them with other a substitutable product. The complementary products are represented by auto vehicles, airplanes, ships, petrochemicals (plastics, synthetic fibers, synthetic rubber, detergents, paints, adhesives, aerosols, insecticides and pharmaceuticals), energy, agricultural product or other industrial products. The substitutable products are represented by-products of the rest of energy industries. These industries are: the coal industry, natural-gas industry (which includes the new shale gas industry), nuclear industry, biomass industry, hydro industry and other renewable-energy industry (solar, wind, geothermal). Like the many coal and gas industries, the oil industry in life phase of maturity, because development of the new technologies became very hard and oil reserves are half depleted. Table 5. Forecast of world supply of primary energy level mboe/d (equivalent of a million barrels per day) Growth % per year Fuel share % 2008 2035 2008à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬35 2008 2035 Oil 80.6 101 0.8 35.2 28.4 Coal 66.6 101.5 1.6 29.1 28.5 Gas 52 90 2 22.7 25.3 Nuclear 14.3 22.5 1.7 6.2 6.3 Hydro 5.5 10.3 2.3 2.4 2.9 Biomass 8.5 20.3 3.3 3.7 5.7 Other renewables 1.5 10.4 7.5 0.6 2.9 Total 229 355.9 1.6 100 100 Sources: adapted from World Oil Outlook 2011, p. 50 The analysis from table above will result that the need for primary energy will grow from 2008 to 2035 with 51%( from 229 mboe/d to 355,9 mboe/d) The fossil fuels (oil, gas, and coal) will decrease from 87%(199,2 mboe/d) to 82%(292,5 mboe/d) from the total of the energy supplies, but the oil will remain the most-used resource. Nuclear will almost double the production, but more use of atomic energy will be limited because of fear of nuclear disasters like Chernobyl and Fukushima. Biomass will grow with almost 240%, but the principal problem of this resource is that will compete with the need for food production, because plants, which made biomass, are using the same soil that is used in agriculture for cultivating the wheat and corn or pastures of domestic animals. Hydro will almost double in 25 years, but the great difficulty will be to find new efficient places for building hydro centrals, because most of the rivers will also have hydro central. Rest of renewable-energy production will grow will approximately seven times, from 2008 to 2035; the main issues of renewable energy are: investments are high in comparison with fossil fuels, efficiently is lower, in most of the world region renewable energy can be produced only in some seasons, and it has a dependence to weather conditions. 3.5. Environment factors Environment factors are represented by the geographical position, landform, climate, fauna, flora, rock structure and natural resource that are in case of petroleum companies represented by oil reserves. Geographic position influence the activity of oil companies because it defines the distances between exploitation, refiners and consumers (for example, oil from Middle East can be transported half the world, exploitation to refiners), or could influence the demand for oil because of transports, international trade and migration. Landform influences the difficulty of exploitation, transportation to the refiners and consumers; demand is influenced by the consumption of the fuel in heavy terrains. Climate influences the difficulty of oil exploitation in time of the cold season in north climates, or hot seasons of desert climate, demand for oil grown in winter because of low speed traffic or energy consumption. Flora and fauna influence cost oil exploitation because of existing of the oi l reserves in natural parks, or because of existing difficult access area because of vegetation and dangerous animals. Rocks structure made difficulties of exploration and exploitation oil. World oil reserves are estimated to 1481.526 billion barrels according to OPEC Annual Statistic Bulletin 2012. The biggest oil reserves are in Saudi Arabia, Canada, Iran, Kuwait, Arab Emirates, Venezuela Russia, Libya, Nigeria, United States of America, China, Qatar, Mexico, Algeria and India. These countries have own 95% of oil reserves. One specification of the environmental factors is represented by natural disasters: hurricanes, tornados, cyclones, snow storms, sand storms, extreme temperatures, earthquakes, tsunamis, volcanic eruption that could make material loss and casualties, but could disturb economic activities. Economic activities that could be disturbed are road, rail, naval, air traffic, could decline the demand for unnecessary goods and raise the demand for the primary need goods l ike water, food, pharmaceutics, construction materials, fuels, clothes. Petroleum industry influences the natural environment because of pollution and capacity of changing from natural to artificial environment by fueling the developing of modern economy. Pollution is represented by fuel emission from uses of auto vehicles, airplanes, ships and emissions from refineries that produce fuels or other petrochemical products that have a great influence on climate changing. Other pollution events are represented by accidents that can happen in activities of exploration, exploitation, refining and transport, contaminating the water, air and soil with oil, fuels or wastes. 3.6. Legal factors Legal factors are represented by constitutions, laws, norms and regulations of the local authorities, governments, international institutions, international communities (European Union, the North American Free Trade Agreement, the African Union and the Association of South East Asian Nations). This factors influence the modalities of exploration, of exploitation, of the refiner, of transportation and of commercialization of oil and oil products. The legal factors also impose laws and regulations for pollution, social protection, work protection, work regulation, competition regulation, anti-trust regulation, consumer protection, international trade (trade agreements between nations or embargoes to some countries), subsidies, the taxes( like the excise rates for fuels and oil price or taxes and fees over profit to the energy companies). Table 6. Tax rate in comparison with price Country Oil price USD per liter Tax rate Tax United Kingdom 1.76 65.1% 1.15 Germany 1.53 66.3% 1.02 Italy 1.418 66.3% 0.94 France 1.49 63.7% 0.95 Japan 1.14 49.6% 0.57 Canada 0.90 33.3% 0.30 USA 0.75 16.0% 0.12 Source: Who get What from imported oil (2011) http://www.opec.org/opec_web/en/publications/341.htm 4. CONCLUSION In conclusion, the importance of knowing the macro-environment on an industry such as important like petroleum industry is crucial in the modern economy, because these factors represent the opportunities and threats of this economic sector. Many specialists think that the change from fossil fuels to the renewable resources would resolve many of the problems and threats that the oil industry has. So the transition from oil to renewable resources should be faster, omitting many variables upstream and downstream of this industry. If a change of the principal energy resources will be made, it will be required to take caution steps, because this could make a shortage of the energy resources that could destabilize the entire world social-economic-system. For changing main energy resource will be necessary to reconvert many equipments and machinery, training the human resource, make social campaign to encourage the people to use new fuel, invest in new research about efficiency of the new f uel, the environment impact, search for new reserves and make new regulation for the use of this resource.

Wednesday, November 13, 2019

The Internet Effect: How Has It Affected You? :: essays research papers fc

Commonly known as the Internet, the world’s largest network is used extensively throughout the world today. Since its creation in 1983, the Internet has continued to grow in popularity and use as a commercial and private communications medium. Millions of people throughout the world use the Internet in a variety of ways, ranging from personal conversations to on-line shopping. According to a survey compiled by Nua Ltd in 1999, the number of Internet users rose from 26 million in 1995 to 205 million in 1999, an increase of almost 700% (Nua Ltd)! With such an explosive increase, how then has the Internet affected us personally, and how has it affected the way we do business? The answers to these questions include changes in the way people obtain information, interact, work, learn and conduct business.Given the Internet’s original purpose is to share information, it is no wonder that the most important asset of the Internet is the wealth of information that can be found o n the Internet (Maney 3). Information previously found only in libraries and encyclopedias is now available on the Internet; in addition, news, weather, and movie listings are also made available on the Internet. Internet users constantly remain informed of the world around them by reading news from the New York Times, USA Today, San Jose Mercury News, Los Angeles Times and many other newspapers found on-line. Even those like myself who are far away from home can keep in touch by reading local newspapers published on the Internet.Along with the vast amount of information, the Internet also provides almost instant sharing and distribution of information. Through the use of electronic mail, people all over the world can â€Å"send information to far-away places cheaply, easily and in great volume – much more than any medium before it† (Maney 3). This form of communication known as email is the most widely used tool of the Internet today. Another invention of the Internet is the chat room. From within a chat room, people make friends with others throughout the world and share information with one another in real time. Because of email and chat capability, employees can work together without requiring that everyone work in the same place or even at the same time (Maney 4). On a more personal level, email and chat allow families and friends to stay in touch, keeping relationships intact. Being an international student myself, email and chat rooms have greatly benefited me as they enable me to constantly keep in touch with my family and friends in Singapore.

Sunday, November 10, 2019

Occupational Therapy Efficacy After Stroke Health And Social Care Essay

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

Friday, November 8, 2019

How to Change a Column Size or Type in MySQL

How to Change a Column Size or Type in MySQL Just because you made a MySQL column one type or size doesnt mean that it has to stay that way. Changing the column type or size in an existing database is simple.​ Changing a Database Column Size and Type You change a column size or type in MySQL using the  ALTER TABLE  and  MODIFY commands together to make the change.   Lets say, for example, that you have a column named State on a table named Address and you previously set it up to hold two characters, expecting people to use 2-character state abbreviations. You find that several people entered entire names instead of 2-character abbreviations, and you want to allow them to do this. You need to make this column larger to allow the full state names to fit. Here is how you do it:   ALTER TABLE address MODIFY state VARCHAR(20) ; In generic terms, you use the ALTER TABLE command followed by the table name, then the  MODIFY command followed by the column name and new type and size. Here is an example:   ALTER TABLE tablename  MODIFY columnname  VARCHAR(20) ; The maximum width of the column is determined by the number in parentheses. The type is identified  by VARCHAR as being a variable character field. About VARCHAR The VARCHAR(20) in the examples can change to whatever number is appropriate for your column. VARCHAR is a character string of variable length. The maximum length- in this example  it is 20- indicates the maximum number of characters you want to store in the column. VARCHAR(25) could store up to 25 characters. Other Uses for ALTER TABLE The ALTER TABLE  command can also be used to add a new column to a table or to remove an entire column and all its data from a table. For example to add a column, use:   ALTER TABLE table_name   ADD column_name datatype To delete a column, use:   ALTER TABLE table_name   DROP COLUMN column_name

Wednesday, November 6, 2019

Who Can Write My Essay for Money

Who Can Write My Essay for Money You may ask, Who can write my essay for money? Websites abound for writing papers for profit. However, as a student, you do not simply want someone to write an essay for you to submit for your course assignment. You want a quality essay that adheres to your teacher’s instructions and that is original, that is, non-plagiarized. Therefore, you must exercise some good judgment in what site you utilize for your writing needs. First, visit the site offering essays for money. Does the site clearly state prices in relationship to the educational level of the buyer, the kind of service needed, cost per page, and time-frame for the order? Are you offered a free quote? In addition, does the service guarantee an original essay, free of plagiarism? Is there a Frequently Asked Questions (FAQ) page? Under what circumstances can you receive a refund or request a revision? How is your order placed and paid for? What is the privacy policy? Finally, make certain that you are easily able to contact the service. Does it have an online chat feature with stated hours of access? Does it provide an email address and a toll-free number? Does it provide a physical address? In addition, read several pages on the Website. Check for how well the site utilizes the conventions of writing. The articles on the site should be free of mechanical errors. Each section of a Web page should have a stated purpose, and the information in that section should support that purpose. Another indication of the quality of the service is what the service says about its writers. You do not want just anyone writing your essay. You will want an experienced writer who knows how to write on a scholarly level and how to use quality sources, such as found in peer-reviewed journals, for example. The experienced academic writer also understands the most commonly used writing style formats, such as APA, MLA, Harvard, and Chicago/Turabian. Does the site name some of the discipline areas it can address, as well as the kinds of writing it can provide? For example, the site may state that it provides original papers for literature, psychology, sociology, medicine, finance, and marketing, to mention a few. It may also say that it can provide essays, research papers, reports, literature reviews, and other coursework related writing, including presentations. Plus, the site should provide samples of papers it has produced, plus testimonials from customers. There are many reasons for purchasing an essay. Simply make certain that you are employing a reputable company in satisfying your writing needs. After all, the final outcome is to receive a good grade for your coursework. You can request us: Please write my essay for money and we will find the best academic expert for you.

Monday, November 4, 2019

Adult development Essay Example | Topics and Well Written Essays - 250 words - 1

Adult development - Essay Example This is for the reason that the adult learners are able to relate to those experiences. The adult learners are, in this case, presented with numerous learning preferences that support learning for varying needs. Motivating adult learners is possible through advocating for teamwork among the adult learners. Learners are challenged to the achievement of various tasks through sharing ideas. The proposed ideas can, hence, be learnt with a lot of ease; thus self actualization of an individual’s needs. Additionally, since the adult learners are best taught using problem-solving approaches, learn experientially, and have reasons for learning, then discussion is of great value to the adult learner. Since adult learning is androgogical- focuses less on the content and more on learning processes- the educator has no alternative but to apply strategies that would boost motivation for learning, for instance, role playing, individual evaluation and simulations. Adult learners must always be kept curious and motivated to learn (Wlodkowski,