Parenting Module six free essay sample

What is a family? What is family composition? A family is a bunch of people that are either related, live together, or affectionate towards each other. Family composition is about the people in the family, having to do with their ages, number of people, and relationships towards each other. 2. What is cultural bias? What is an example of this? Cultural bias is what you have when you are judging someone else’s culture because of the standards of your own. For example, saying that certain religious groups and their forms of conduct are weird because they are different from our own. What are stereotypes? How are they different from prejudice? Stereotypes are quick to the point assumptions about someone mainly because of what they look like. They are different from prejudice because prejudices are assumptions that are made before getting to actually know someone. 4. What is the difference between a nuclear family and an extended family? A nuclear family is a traditional family. We will write a custom essay sample on Parenting Module six or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page An extended family is a family of multiple generations whom all live together. Critical Thinking Questions 1. How can families assimilate to a new culture? Families can assimilate to a new culture by starting to accept the other culture’s ideas and beliefs. 2. What are some of the problems with stereotypes or cultural bias when looking at families? Some of the problems with this are that you are basically judging people that you don’t actually know. You are making up ideas about them based on how they look, and this means that you could be missing out on getting to know some wonderful people. 3. Adversity affects today’s family, just as Black Death affected families from earlier times. What kinds of adverse challenges do today’s families face and how can they manage the situations? Families today face a number of adversities. For example, they may have very little money. They now have to work more to provide for the entire family. 4. Why are families diverse in composition? How are family lifestyles of today different than the past? Families are more diverse in composition now because there aren’t as many nuclear or traditional families. There are so many different living arrangements nowadays which can include many people from many backgrounds living together.

The Relationship Between Personality Types, Test Anxiety and Self-Esteem with regards to Academic Achievement

The Relationship Between Personality Types, Test Anxiety and Self-Esteem with regards to Academic Achievement Free Online Research Papers This study was performed to determine if there is a relationship between personality type, test anxiety, self-esteem and academic achievement, which was measured by the students GPA. The study was conducted at a university in Indiana using undergraduate volunteers. The study used a scale from the MBTI to help determine personality types (introvert or extrovert), also Rosenberg’s 10 item scale for self-esteem, and Spielberger’s test anxiety inventory. The hypothesis was that extraverts who have a higher self-esteem, and low test anxiety would have better success with academic achievement than those who are introverts with low self-esteem and high test anxiety. It was found in this study that there was no significant relationship between personality type, test anxiety, self-esteem and academic achievement. The Relationship Between Personality Types, Test Anxiety and Self-Esteem with Regards to GPA. Cognitive styles have been used to explain individuals’ behavior most notable using Carl Jung’s psychological types, as operationalized by Myers (1965) with the Myers – Briggs Type Indicator (MBTI). Using personality theory, individuals’ dispositions for certain behaviors and actions can be understood. Recent research application of the MBTI include such areas as counseling, communications, learning education, empathetic response, decision making, business investments, general theory of the MBTI, construct validity of the MBTI scales, and convergent validity of the MBTI scales with other personality constructs. Despite the MBTI’s mixed validity and weak predictive value, it has been used extensively over the past 35 years in research and training efforts worldwide (Barbuto Plummer 1998). The MBTI is used to present four scales representing four pairs of preferences: Extraversion and Introversion; Sensing and Intuition; Thinking and Felling; and Judging and Perceiving. These preferences result in 16 learning types. A type is the combination of the four preferences. The Myers-Briggs Type Indicator is one of the most popular instruments for assessing these preferences. This study will only be using one of the four scales. Extraversion – Introversion preference tells us how people are energized. Extraverts prefer to focus on the outer world of people and things. Extraverts find energy in things and people. They prefer interaction with others and are action oriented (Vincent Ross, 2001). Myers (1980) defined extraverts are the after thinkers; they cannot understand life until they have lived it. Their attitude is relaxed and confident. They expect the waters to prove shallow, and plunge readily into new and untried experiences. Minds outwardly directed, interest and attention following objective happenings, primarily those of the immediate environment. Their real world therefore is the outer world of people and things (Myers, 1980). Introverts focus on the inner world of ideas and impressions. Introverts find energy in the inner world of ideas, concepts, and abstractions. They can be sociable but need quiet to recharge their energies (Vincent Ross, 2001). They are the fore thinkers, and cannot live life until they understand it. Attitude reserved and questioning. They expect the waters to prove deep, and pause to take soundings in the new and untried. Minds are inwardly directed, frequently unaware of the objective environment, interest and attention being engrossed be inner events. Their real world therefore is the inner world of ideas and understanding (Myers, 1980). Extraversion and introversion have their own special dynamics and both attitudes have progressive and regressive properties (Ryckman, 1982). Speilberger (1979) states that an anxiety state may be defined in terms of the intensity of the subjective feelings of tension, apprehension, nervousness, and worry that are experienced by an individual at a particular moment, and by heightened activity of the automatic nervous system that accompanies these feelings. Anxiety will also vary in duration and also in intensity, and fluctuate over time as a function of the amount of stress that impinges upon an individual and that individual’s interpretation of the stressful situation as personally dangerous or threatening. Many students feel anxious or nervous when taking tests in college. Self-Esteem refers to an individual’s personal judgment of his or her own worth (Englert, Weed, Watson 2000). Before the 1980’s, most researchers typically computed correlations between children’s self-esteem and academic success. One comprehensive review of research up to them found that most studies reported positive correlations, usually form 0.20 to 0.40 on a 1.00 scale. But since correlations between IQ and academic performance range from 0.50 to 0.70, such results show, at best, a moderate relationship between self–esteem and academic performance (Moeller 1994). Although this is important, my study will use college students and not children. Asendorpf and Wilpers (1998) found that extraversion and socialablity predicted the overall interaction rate, the number of new peers, and various aspects of relationships with opposite – sex peers. Whether the students reported a partner or not and the number of quality of their non-peer relationships were not affected by their personality. The study that will be conducted here will focus on all aspects of extraverts and introverts, also their self-esteem. Individuals with achieving personality priorities had higher self–esteem than individuals with pleasing personality priorities and individual with detaching personality priorities. They also had higher social interest than individuals with outgoing personality priorities and fewer dysfunctional attitudes than those with pleasing personality priorities and those with detaching personality priorities (Alderian, Kottman, and Rice 1998). Ashby (1998) also found personality types were significantly different on self–esteem, social interest, internal locus of control, and dysfunctional attitudes. In general, these differences were consistent with the theoretical descriptions of each of the personality priorities. This study will also be focusing on achievement and self–esteem, but also that personality types indicated by the MBTI. Speilberger (1979) found that students with high-test anxiety tend to blame themselves for their poor performance, while low test-anxious students did not. He also found that high test- anxious students apparently respond to examination stress with intense emotional reactions and negative self-centered thoughts that impair the performance, while those low in test anxiety react with increased motivation and concentration. Gaudry and Speilberger (1971) found that at the college level, there is evidence that anxiety tends to be associated with lower grades and higher dropout rates. As cited in an article written by Kwan, Bond, Singelis (1997) there has been relative research in which links have been found between self-esteem and the five factors of personality. Concerning the effects of personality on self-esteem, previous work on American samples has found that self-esteem is positively correlated with Extraversion (strong), Openness to Experience (weak), and Conscientiousness (moderate) and is negatively correlated with Neuroticism (strong) (Costa, McCrae, Dye, 1991; Digman 1990; McCrae Costa, 1988). The same personality correlates with self-esteem were also found is Chinese student samples (Ho, 1994; Luk Bond, 1992). It thus seems that the relations between self-esteem and Neuroticism, Extraversion, Openness to Experience, and Conscientiousness are quite robust across cultures. Therefore they expected that the effects of Neuroticism, Extraversion, Openness to Experience, and Conscientiousness on life satisfaction be meditated through self-esteem acros s the two cultures. (Kwan et al, 1997) Other relevant research has found that Individuals with achieving personality priorities had higher self-esteem that individuals with pleasing personality priorities and individuals with detaching personality priorities. Ashby et al. also had higher social interests than individuals with outgoing personality priorities and fewer dysfunctional attitudes than those with pleasing personality priorities and those with detaching personality priorities. (Ashby, Kottman, Rice, 1998) There has been much debate regarding whether personality variables exist as discrete classes or on a continuum. Much of the criticism surrounding the MBTI is its treatment of personality variables as discrete classes (Barbuto, 1997). Ross and Broh (2000) found that academic achievement boosts self–esteem and the sense of personal control, but the latter influences subsequent academic achievement. Most previous research on adolescent self–concept has included self–esteem or, less commonly, the sense of personal control but not both. Ross and Broh also stated that the sense of personal control and self–esteem are highly correlated but may have different consequences for academic achievement. My study believes that self-esteem does improve academic achievement. Battle (as cited by Ross and Broh, 2000) stated that in the self–esteem model, adolescents who feel good about themselves do better in school than do those who have low self–worth. Proponents of this model contend that self-esteem leads to academic success. Of course there have been alternative views such as the one cited by Ross and Broh. In contrast to the effectiveness theory of personal control presented her e others have argued that self-esteem does affect academic performance and that the consequences of self–esteem are real, not spurious, for a number of reasons. First according to self- consistency theory, self-esteem shapes our behavior because of the self–consistency motive (Rosenberg 1989), that is people act in a way that is consistent with their self-concept, so that adolescents with high self–esteem would act in ways that maintain their self-esteem (like getting good grades). My variables that are being examined in this study are personality type, test anxiety, self-esteem and it’s relationship to GPA. This research study is designed to find a relationship, if any, between the following variables: self-esteem and test anxiety, introvert / extrovert and test anxiety, GPA and test anxiety, self-esteem and GPA, extrovert / introvert and GPA, extrovert / introvert and self-esteem. The hypothesis was that Extraverts who have a higher self-esteem and low test anxiety would have better success with academic achievement than those who are introverts with low self-esteem and high test anxiety. Methods Participants There were 60 volunteers, 20 males and 40 females, who have participated in this study. The ages ranged from 18 – 44 with a mean age of 22. The participants were students who were enrolled in undergraduate courses at a university in Indiana. Participants who volunteered in this study signed an informed consent form. Questionnaire Rosenberg’s (1965) Self–Esteem scale is a well validated, 10-item measure of global, personal self – esteem. Its average type reliability analysis is greater than .80. Responses were made on a 4- point scale with the anchors of 1 (strongly disagree) and 4 (strongly agree). Half of the items have been formulated and scored in reverse direction to reduce the possibility of an acquiescence response set (Kwan, Bond, Singelis, 1997). The alpha measure for this scale in this research was .856. The Myers – Briggs Type Inventory (MBTI), which is composed of sixteen four letter combinations that represents characteristics about someone’s personality type (Myers 1965). These combinations include Extroverts and Introverts, intuition and Sensing, Thinking and Feeling, Perceiving and Judging. This research only focuses on the scales using Extroverts, Introverts. Gardner (as cited in Hill, 1999) found that test-rest reliability for continuous scores of the MBTI usually exceed .70 and often will surpass .80. Costa and McCrae (as cited in Hill, 1999) found that the MBTI is related to NEO-PI scale and found positive correlations for the E-I scale of .72. Speilberger (1979) Test Anxiety Inventory (TAI) is a self-report inventory designed to measure test anxiety (TA) as a situation-specific personality trait. The TAI consists of 20 item or statements, and the respondents indicate on a four-point scale how often they experience the feeling described in each statement. The TAI provides a measure of total TA (TAI-T) as measures of two TA components worry (W) and emotionality (E). Sapp (1993) found that unlike traditional test anxiety measures, the TAI suggests that worry is not the most important component to interfere with test performance. It is the combination of high worry and emotionality scores that affect test performance. Speilberger (1979) found a test-rest reliability of .80 to .81 for two-week to one-month periods, and .62 after six months. Alpha coefficients ranged from .92 to 96. Validity for the TAI was established with a relationship between TAI and other anxiety measures, such as Sarason’s Test Anxiety Scale an d the Liebert and Morris’ Worry and Emotionality Questionnaire. There was also found to be a high correlation of .82 to .83, between the TAI score and the Test Anxiety Scale (Speilberger 1979). The alpha measure for this scale in this research was .94. Academic achievement will be measured on a 4.0 scale. All volunteers will be asked to write their current GPA in a provided space on the survey that will be passed out during normal class hours. The university GPA scales are 0.0 – 4.0. All participants were asked their age, gender, year in college, and department major. Participation was optional and those who wished to decline involvement in the study were given the opportunity to decline. All participants were also assured that their responses would be completely anonymous, that there are no right or wrong answers to any of the questions, and that their true responses are very important for the study. The questionnaires were passed out and respondents were given a week to fill out and turn back in. Results Bivariate correlations were computed for GPA, personality type, test anxiety, self-esteem, sex and age. There were no significant correlations found among the variables being studied. The mean for GPA’s extroverts was 3.03, SD = .47 and for an introvert it was 3.03, SD = .57. The mean for self-esteem’s extrovert was 1.62, SD = .48 and for introvert it was 1.77, SD = .46. The mean for test anxiety for extroverts were 2.06, SD = .68 and for introverts it was 1.89, SD = .62. Discussion The purpose of this study was to determine if there were any correlations between GPA, self-esteem, test anxiety and personality types. There were no correlations found between the variables listed above. In contrast to Ashby (1998) who found that personality types were significantly different in self-esteem, I found no such correlations. In summary, the Myers-Briggs Type Indicator is a powerful tool in examining differences in personality. If there were a higher response rate in the return of the surveys, it is possible that some significance would have been found. Some other recommendations for future research would be to replicate this study with a larger sample regarding other colleges or universities, also to conduct this study comparing universities or colleges to one another. The results may have been affected by the participant’s year in school because a higher-level student may have experienced or developed techniques regarding test anxiety that a freshman may no t have yet developed. Also because this was a voluntary self-report measure, an introvert may be less willing to participate in the survey and less willing to report anxiety levels. The measure’s length may have also been a factor in the results because potential subjects may have been less willing to participate or accurately fill out the MBTI. An alternate scale of introversion / extroversion may have been more appropriate for this study and could have provided more accurate results. A future study involving the MBTI would be to measure the relationship between personality type to those students who complete college to those who withdraw from colleges or universities. References Asendorph, J., Wilpers, S. (1998). Personality effects on social relationships. Journal of Personality and Social Psychology, 6, 1531-1544. Ashby, J. (1998). Adlerian personality priorities: Psychological and attitudinal differences. Journal of Counseling and Development, 76, 467-475. Barbuto, J.E., (1997). A critique of the Myers – Briggs indicator and its operationalization of Carl Jung’s psychological types. Psychological Reports, 80, 611 – 625. Barbuto, J.E., Plummer, B.A. (1998). Mental boundaries as a new dimension of personality. Journal of Social Behavior and Personality, 13, 421-437. Englert, D.R., Weed, N.C., Watson G.S. (2000). Convergent, discriminate, and internal properties of the Minnesota Multiphasic Personality Inventory (2nd ed.). Low Self-Esteem Content Scale. Measurement and Evaluation in Counseling and Development, 33, 42-55 Guadry, E., Spielberger, C. D., (1971). Anxiety and educational achievement. Sydney: John Wiley Sons. Hill, A. B., (1999). Personality characteristics associated with academic achivement among developmental college students. (Doctoral dissertaton, The Fielding Institute, 2000). Dissertation Abstracts International, 60, 3288 Kwan, V.S.Y., Bond, M.H., Singelis, T.M. (1997). Pancultural explanations for life satisfaction: Adding relationship harmony to self-esteem. Journal of Personality and Social Psychology, 5, 1038-1051. Moeller, T.G. (1994). What research says about self – esteem and academic performance. Education Digest, 59, 34-38. Myers, I.B. (1965). Manual: The Myers – Briggs Type Indicator. Princeton, N.J: Education Testing Service. Myers, I.B. (1980). Gifts Differing. Palo Alto, CA: Consulting Psychologists Press. Nezlek, J.B., Kowalski, R.M., Leary, M.R., Blevins, T., Holgate, S. (1997). Personality moderators of reactions to interpersonal rejection: Depression and trait self-esteem. Personality and Social Psychology Bulletin, 23, 1235-1244. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. Rosenberg, M., Schooler, C., Schoenbach, C., (1989). Self – esteem and adolescent problems: Modeling reciprocal effects. American Sociological Review, 54, 1004 – 1018. Ross, E.R., Broh, B.A., (2000). The roles of self-esteem and the sense of personal control in the academic achievement process, Sociology of Education. , 73, 270 –284. Ryckman R.M. (1982). Theories of personality. Belmont, CA: Brooks/ Cole. Sapp, M., (1993). Test anxiety: Applied research, assessment, and treatment interventions. Lanham: University Press of America. Spielberger, C. D., (1979). Understanding stress and anxiety. New York: Harper. Spielberger, C.D., (1980). Test Anxiety Inventory. Palo Alto, CA: Consulting Psychology Press. Spielberger, C. D., Diaz-Guerrero, R., (1976). Cross cultural anxiety. Washington DC: Hemisphere. Vincent, A., Ross, D. (2001). Personalized training: Determined learning styles, personality types and multiple intelligence online. The Learning Organization, 8, 36 – 43. Research Papers on The Relationship Between Personality Types, Test Anxiety and Self-Esteem with regards to Academic AchievementThree Concepts of PsychodynamicResearch Process Part OneStandardized TestingThe Relationship Between Delinquency and Drug UseEffects of Television Violence on ChildrenInfluences of Socio-Economic Status of Married MalesMoral and Ethical Issues in Hiring New EmployeesBionic Assembly System: A New Concept of SelfIncorporating Risk and Uncertainty Factor in CapitalComparison: Letter from Birmingham and Crito

Even Grammar Gurus Make Mistakes

Even Grammar Gurus Make Mistakes Even Grammar Gurus Make Mistakes Even Grammar Gurus Make Mistakes By Mark Nichol I’ve noticed that I’ve been overlooking more mistakes in these posts recently or perhaps it’s just that I haven’t been making fewer errors as I go along, as I would have expected after six months’ worth of almost daily submissions. Thanks to astute site visitors who (usually) politely point out typographical errors, I note that occasionally I type the wrong form of a word (necessary instead of necessarily, for example), or that, when I provide a sample sentence with an error and then provide an annotated correction, sometimes I forget to actually correct the sentence. (Does that jive I mean, jibe with your observation?) I’d like to be able to tell you, â€Å"I meant to do that I just wanted to see if anybody was paying attention,† but the truth is, I make mistakes. And, like most bloggers, I don’t have an editor to sweep up after me. And, as I’ve often said, especially to people unfamiliar with the professional publishing world’s writing-editing-proofreading protocol, everybody needs an editor even editors. But before you send me your resume, note that we’re not hiring blogs are, by their nature, a more or less spontaneous medium of communication (though I try to review my work carefully), and, anyway, DailyWritingTips.com doesn’t have the resources to implement a more traditional editorial procedure (not yet, at least). I realize all too well that in my advisory capacity, I have a responsibility to strive for rigorous flawlessness a nearly impossible task I will nonetheless continually attempt to accomplish, but I also thank you in arrears and in advance for your (good-natured, I hope) comments about each lapsus clavis. Speaking of slip-ups, there are mechanical errors, and there are errors of fact. I do not claim to be an unimpeachable authority on every topic I write about. But I have spent many years intensively acquiring a practical knowledge of language, and by teaching editing (which I used to do), writing about composition (which I do now), and researching language usage (which I have always done), I have learned and processed much about writing and editing. In this forum, I welcome the opportunity to share that knowledge and insight with you, and in this forum, you are welcome and encouraged to respond in kind. Note this well, however: If you disagree with anything I write about writing, that’s your prerogative. But don’t rely on your assumptions or your education. (Those influences often coalesce imperfectly, and educators make mistakes, too.) The best way to learn is to consult multiple sources and develop your own understanding at a point where those sources intersect and note that I didn’t refer to a fixed point. I endeavor to be consistent yet flexible, and I heartily recommend that attitude to all. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the General category, check our popular posts, or choose a related post below:Comparative Forms of Adjectives34 Writing Tips That Will Make You a Better WriterTypes of Plots

Locate and Identify Black Locust in North America

Locate and Identify Black Locust in North America Robinia pseudoacacia, commonly known as the black locust, is a prickly tree within the subfamily Faboideae of the pea family called  Fabaceae and is considered to be a legume with flattened pea pods several inches long. Black locust is native to the southeastern United States, but has been widely planted and naturalized elsewhere in temperate North America, Europe and Asia. The original range of the locust is in the Appalachian, Ozark and Ouachita range  located in the middle mountains of Eastern North America.  They are now considered an invasive species in some areas even within the natural range. Black locust was introduced into Britain in 1636 where it has slowly garnered a universal appeal to tree lovers. Black Locust Identification One major identifier is the long compound leaves with up to 19 leaflets which present  the typical and unique locust leaf profile (not to be confused with the twice compound leaves of honey locust). The other ID marker is a small stout briar spine  on branches, often curved and in pairs at each leaf node. Late spring to early summer flowers can be showy, white and drooping  with 5-inch flower clusters. These flowers are fragrant with a vanilla and honey scent. The leguminous fruit developing from the flower has 4-inch papery thin pods with small, dark-brown, kidney-shaped seeds. These autumn seeds will persist until the next spring. You will find this tree primarily  in areas where it colonizes open fields and roadsides. Its ability to grow in poor soils, fast growth, ornamental foliage and fragrant flowers make for a favorite tree to plant. More on Black Locust Black locust is sometimes called yellow locust and grows naturally on a wide range of sites but does best on rich moist limestone soils.  Black locust is not a commercial timber species but is useful for many other purposes. Because it is a nitrogen fixer and has rapid juvenile growth, it is widely planted as an ornamental, for shelterbelts, and for land reclamation. It is suitable for fuelwood and pulp and provides cover for wildlife, browse for deer, and cavities for birds. We must recognize that black locust is not an important tree for logging purposes as there is very little timber value and it has little lumber or paper pulp potential. We still need to remember that the tree has and is used  in the United States to be manufactured into a wide variety of products. Robinia pseudoacacia is planted for many specialized purposes. Black locust is used for fence posts, mine timbers, poles, railroad ties, insulator pins, ship timber, tree nails for wooden ship construction, boxes, crates, pegs, stakes, and novelties. Pulp with satisfactory mechanical properties can be made from the tree, particularly by the sulfate process but commercial value awaits  further investigation.

Global business environment Essay Example | Topics and Well Written Essays - 2000 words

Global business environment - Essay Example This raises questions in the minds of many people about the place and future of CSR (Horrigan 2010, p. 12-30). Corporate Social Responsibility (CSR) is an obligation for a business to pursue the long term goals in the society beyond those stipulated by law. The desire of all business establishments is the making of profit. However, this goal seems threatened whenever the return on investment and return on sales show a discouraging trend. The main aspects of any business are to enhance productivity of the human resource and the creation of a positive image of itself and become a household name, taking over the hearts and minds of its main consumer base (Anderson, 2007). CSR involves, among other things, the need for the business to conduct the operations ethically and also in the interest of the larger and greater community from which the business operates. Therefore, it is necessary for the establishment to ensure that they offer higher quality products than their competitors. As a result, the organization has more options to ensure that they enhance their consumer brand loyalty. This will then ensure that the most loyal consumers will still do business with the enterprise rather than shop around for better offers by competitors. In the long run, the services and products offered to the consumer will not only make the business thrive in economic crisis, but will also enhance the profitability of the business, thus saving the enterprise the possibility of running out of operations (Horrigan, 2010, p. 12-30). On the other hand, ethical issues with regard to the employee or human resource management are of considerable importance. The business should also ensure that it looks at every employee first as a person deserving of respect and fair treatment and not as another input to the production practices. Therefore,

QI strategies in performance measurements Essay

QI strategies in performance measurements - Essay Example The other methodology necessary for integrating QI strategies and performance measures is the use of a framework. The framework should contain various guidelines on how the two above can be integrated effectively and even the dangers involved if the process and guidelines presented are not stipulated. The framework is the most effective and requires less technical expertise. This is however too simple to yield a good integration since some issues are not incorporated. The third methodology is having a combination of different methodologies. Since different methodologies have their own pros and cons when used on their own and may prove ineffective in integrating QI strategies and performance measures, a combination of several methodologies (for example the use of framework and information technology) will ensure that the pros of the methodologies are more than the cons and hence integration will be more successful. The disadvantage of this is that it will take more time for the combin ation to occur and also will require more technical expertise compared to just using a single methodology (Lighter and Fair, 2007). The use of information technology is most effective in the recreational facilities plan. This is because it requires less health care staff hovering around the patients and reminding them of their health conditions. It will also ensure that patients have freedom to enjoy the facilities without constant monitoring and also constantly being taken to their rooms for medication.

Project Management White Paper Report Essay Example | Topics and Well Written Essays - 1000 words

Project Management White Paper Report - Essay Example Application of project management tools, techniques and skills will generally increase the probability of success over a wide range of projects. The Project Management Institute (PMI) has produced a guidebook to project management which contains recognized best practices standard for project management. It is incumbent upon the urban planners to apply the practices in a way befitting urban planning and development projects. 1.2 Urban Planning Project Characteristics Urban planning projects can generally be characterized as complex, interdependent projects which are mostly dependent on public needs and urban policies. Rapid transformations in the urban environment through new developments, population increases, improvement in technology and concern for environmental conservation make urban planning projects highly reliant on high quality project managers. ... The white paper anticipates that application of these project management principles will ensure that urban planning projects are acceptable to the beneficiaries of the projects, mainly urban developers and dwellers. This paper will briefly highlight the most critical principles and procedures of project management that are applicable in urban planning while providing examples of tools and guidelines that are already being used in urban planning project management. Basically, a structured approach to the execution of urban planning projects produces results that are beneficial to both the planners and beneficiaries of the project. 3. DISCUSSION 3.1 Technology Readiness in Urban Planning Technological development is now advanced in all fields including urban planning where various kinds of new technology are available for use in various areas. It is quite useful to apply structured evaluation of technology readiness in urban planning project execution. A Technology Readiness Scale (TRL ) can be applied in the assessment and communication of technology readiness in urban planning. This is a simple scale that is graded to measure the technology ranging from its lowest level of readiness (First application after development) and its highest level where application of the technology has been proven through successful implementation and operation. It is through technology readiness measurement that project teams can identify critical technology to assist in the accomplishment of urban planning project goals. 3.2 Progressive Scope Urban Planning projects can generally be characterized by two main phases where development plans are prepared through research and development of architectural, and implementation which largely consists of demolitions and construction. The key

Microsoft Company Analysis Essay Example | Topics and Well Written Essays - 2000 words

Microsoft Company Analysis - Essay Example A lot of criticism has been raised about the practices of the management but the company still continues to experience rapid growth. Some of the biggest issues have been Labor Practices, Licensing Agreements, Acquisitions and Court Litigations (Salop & Romaine, 1999). Microsoft violated anti-trust laws and was charged with illegal conduct. Despite the court ruling, economic and legal justifications continue to be a subject of debate amongst the different entities from both sides. Today, companies are reviewed and judged not only on their economic performance, but also how well they are maintaining ethical standards. The management at Microsoft has been focused on not only adapting to the changing environment but maintaining a high level of ethical conduct while doing so. Studying the Microsoft case is important for two reasons, firstly the outcomes of this case may have severe consequences on the future of this industry. The laws and policies that come out of this case will not only influence how Microsoft works but also other computer hardware/software manufacturers like IBM and Apple. Secondly, as a legal case, it determines the standards of monopolization for all future generations. Technological Changes The biggest challenge recent technological change has been the increase in the use of mobile devices. In April 2011, Microsoft, once the dominant technology company, saw revenue from its core operating system software slip in the first three months of 2011 as consumers begin to shift to buying tablet computers that do not run on Microsoft software. Microsoft has been severely lagging behind in this industry with Windows Mobile not being used by many of the handheld PDAs or cell phones (Markus & Robey). With Apple and Google growing rapidly with their own respective systems, Microsoft needed to bounce back which it did with a strategic collaboration with Nokia which means that all new Nokia handsets will be supplied with support for Windows Media Audio and Wi ndows Media DRM 10 (Digital Rights Management). This will enable users of the new mobile music service from Nokia and to play songs on Windows XP. Nokia has moved away from RealPlayer that brings together the leading companies (Nokia and Microsoft) in the market. This is Microsoft’s door to a large part of the mobile phone market, a region that was not really successful the last two years. Even before this deal was made speculation had started whether Nokia was being purchased by Microsoft simply because of the fact that many did not see Microsoft using a collaborative strategy as it has never done in the past. But this step is extremely positive because the deal made between the two giants ensures constant development in the future, and Microsoft will remain competitive in the mobile OS industry. One of the latest events that Microsoft has entered into is by acquiring Skype, a kind of software that can be used to make telephone calls using the internet. This actually has bee n viewed as a mixed strategy by analysts. While many say that it is a good expansion for the company, others argue that it is once again the Microsoft way of adapting to challenges, i.e. they lack the ingenuity to come up with original products/services, and chose to acquire smaller firms without actually thinking about whether they fit with the company’s strategy. This is however a step by Microsoft to diversify somewhat into the mobility and networking sector, where it

High Renaissance and Baroque Period Art Essay Example | Topics and Well Written Essays - 1000 words

High Renaissance and Baroque Period Art - Essay Example Ugolino Martelli. 1535 has a background with a balcony and two other windows. The interesting point is the fact that he used the same points to draw pillars and what looks like a balcony in Portrait of Bartolomeo Panciatichi. 1540. The material used in this painting was tempera on wood which was a mixture of pigment with egg yolk.In these three paintings, other parallels can be drawn. They are all holding books. The two young boys have marble skin and exquisite black clothes showing the richness of their families. Third-dimensional background for three other paintings. Their eyes are not looking in the same direction. This artist was chosen of the Italian Renaissance as a portrait artist who could not paint exact likeness because he had to flatter his subjects. (Haughton 233) The next period in art history, the Spanish Baroque period allowed its artists to paint more realistically. Two portraits have been chosen and one large paintingDiego Velasquez, Portrait of Juan de Pareja, 1650 has far more freedom than Bronzino in his work. He was the court's principal painter and considered a diplomat as he traveled for the king. This painting was chosen to compare first to the Portrait of the Young Man. When Velasquez was in Rome to paint the Pope Innocent X, he wanted to practice, he did a life portrait from his assistant, slave, mulatto painter Juan de Pareja." (Rousseau 1) There is such realism in his facial expression, the sweat on his face, the hole in his painter's smock, the beard, the bushy hair.

Primary School classroom Essay Example for Free

Primary School classroom Essay These Poets write Honestly about their Experiences. Explore the Memories Expressed in their Poems and consider what Views they are sharing about Growing Up  Carol Ann Duffy expresses her views and gives her true experiences to do with childhood and growing up. She uses a range of techniques in her poems, like similes to emphasize her feelings and emotions and imagery, where she uses metaphors to help create the picture and mood of the atmosphere of each poem. For example, the Primary School classroom. Simon Armitage also writes about everyday experiences, childhood, growing up, changes and regrets. He uses less imagery than Carol Ann Duffy, but in one particular poem Kid, he uses a great more rhyme. They both include experiences towards school life, where Carol Ann Duffy writes about the younger years and Simon Armitage writes about the older years at school. These two poets are similar in some ways, but can be quite different in others. For example, in Duffys Stealing it shares the feelings of a child who steals for no reason and Duffy adds comments from her own experiences. It can make the reader feel quite depressed and sad, whereas in I am very Bothered by Simon Armitage, it is again about a child with regret for something he did at school, but instead of being sad it uses black humour and is more horrible stench of branded skin In Mrs Tilschers Class, Carol Ann Duffy starts with you, which makes it personal and sets the scene travel up the Blue Nile.  She identifies things like Primary School aspects very well with your finger, tracing the route This is a good reminder to what children do when they are little. She creates the picture of the blackboard chalky Pyramids rubbed into dust. This suggests break time and the laugh of a bell swung by a running child creates a jolly, happy time that all the kids look forward to. This gives a comparison between home and school. This was better than home. There are more interesting things to be found at school, like enthralling books, which is obviously what she doesnt have at home.  She uses similes to describe the classroom. The classroom glowed like a sweet shop. This creates the idea of colour that a sweet shop would have.  She tells of a negative memory Brady and Hindley, which faded, like the faint, uneasy smudge of a mistake. School has so many good memories that it is able to make the bad ones disappear. She uses emotion Mrs Tilscher loved you, and alliteration good gold star, which makes the poem flow easier. It also sounds a bit like a childs expression.  A xylophones nonsense gives the impression of tuneless playing, which kids do in Primary School, they dont care about accuracy, just about having fun. It also appeals to the senses by using sounds as well as visual images.

Causes of Whooping Cough

Causes of Whooping Cough Abstract Introduction The genus Bordetella contains species of bacteria which are related serologically each displaying similar characteristics such as morphology, size and staining reactions (Website 1). The Bordetella genus is responsible for respiratory infections that are common in both people and animals (journal 1); Bordetella pertussis was first isolated in pure culture in 1906 and was long considered the sole causing factor of whooping cough. However, further studies revealed that mild forms of whooping cough could be caused by Bordetella parapertussis and on occasions Bordetella bronchiseptica (website 1). Whooping cough is a highly contagious respiratory illness that affects humans caused by the gram negative bacterial pathogen Bordetella pertussis. This particular pathogen is a strict human pathogen with no evidence of an impact on animals or the environment (journal 1). The disease can be characterised by bronchopneumonia, paroxysmal coughing and the distinctive ‘whooping’ intake of air. Pertussis is more prevelant in developing countries where essential medical care is often not available and disease (journal 2) Species Associated with Bordetella Bacteria that belong to the genus Bordetella are of importance to both paediatric and veterinary medicine due to their ability to colonise and multiply on the ciliated epithelial cells of the respiratory tract (journal 4) Nine species have been identified within the Bordetella genus to date, only three additional members, B. bronchiseptica, B. parapertussis and b. homlessi (journal 3). B. pertussis and B. parapertussis are extremely closely related according to their genomes; B. bronchiseptica, which by DNA-DNA and DNA-rRNA hybridisation are also closely related to the two previous species. A more recent addition to the genus includes B. avium (formerly known as Alceligenes faecalis) (website 1) which is described as a bird pathogen causes turkey coryza and other respiratory infections in fowl (journal 2). Another late addition includes B. hinzii (formerly known as A. faecalis type II), which can lead to respiratory disease in poultry and is very rarely found in humans (website 1). B. trematum has recently been proposed for a novel species isolated from human wounds and ear infections; although none of the new species identified were associated with respiratory infections, they are phylogenetically si milar to other members of the genus (journal 2). Transmission Infection typically begins with the bacterium entering the airways of the host via airborne droplets derived from the cough of an infected individual. The pathogen proceeds down the respiratory tract and adhering to ciliated epithelial cells of the trachea and nasopharnyx in the host. Once attachment has occurred, the pathogen proceeds to replicate and colonise any adjacent areas. As part of Bordetella’s extensive range of virulence factors, it secretes toxins that damage the epithelial cells, which results in the loss of ciliated cells; this process induces the characteristic coughing (journal 2). Virulence Factors The main objective of any pathogenic bacterium is to colonise and replicate by exploiting its environment to the fullest extent. This can be achieved by the bacterium controlling and producing specific factors that enable it to infect the host (journal 2). Many of the virulence factors characterised in the bordetellae are common across the three species (B. pertussis, B parapertussis and B. bronchiseptica). These include adhesions such as filamentous hemagglutinin (FHA), pertactin tracheal colonisation factor and fimbriae, and toxins including adenylate cyclasehemolysin, dermonecrotic and tracheal cytotoxin. Other virulence factors are expressed by just one of the species, such as the pertussis toxin and serum resistant protein secreted by B. pertussis or a type III secretion system expressed by the species B. bronchiseptica (Journal 5) Bvg Regulation The majority of virulence factors displaced by this genus are controlled by BvgAS regulatory locus, a two-component regulatory system. BvgA is a 23 kDa (journal 9) DNA binding response regulator (journal 8). BvgS is a 135 kDa (journal 9) transmembrane sensor protein kinase (journal 8). This system assists the transition of B. pertussis between its virulent phase of Bvg+ and its Bvg phase which is avirulent (JOURNAL 10). For both B. bronchiseptica and B. pertussis, in order for sufficient respiratory tract colonisation the Bvg+ phase is necessary (journal 8), this phase can be demonstrated when bacteria is grown on a rich media at 37Â °C (journal 11) BvgAS undergoes a series of phosphorelay signal transduction events in response to an environmental stimulus that leads to differential transcriptions of target genes. This regulatory system has a distinct intermediate phase, Bvg1 that can be achieved with the growth of bacteria in that conditions are between Bvg+ and Bvg phases (journal 11). BvgS undergoes autophosphorylation when there is an absence of modulators, after several steps the phosphate group is transferred to the amino terminal domain of the second component. The phosphorylation activates BvgA and binds to promoter regions located on B.pertussis virulence activated genes (Journal 12). Filamentous Haemagglutinin Many virulence factors of Bordetella pertussis are well characterised and any mutations in these factors causes significant reduction or complete loss of virulence. The bacteria adhere to ciliated cells of the epithelium in the upper section of the respiratory tract. The filamentous haemagglutinin (FHA) is the major adhesion present across B. pertussis, B. parapertussis and B. bronchiseptica (journal 6). This particular virulence factor is crucial in order for B. pertussis to attach the pathogen to the host cell. FHA is a 220-kDA surface associated protein that is secreted to the extracellular environment to assist the adherence to ciliated epithelial cells, therefore initiating the pathogenic cycle (Journal 2). However, in recent studies using the closely related species Bordetella bronchiseptica it has shown that other adhesions are just as important in initiating an infection; any deletion of any of the four adhesions (FHA, Pertactin, fimbriae, Brk A) results in the decreased abil ity of B. bronchiseptica to bind to host cells (Book 1) Pertactin Pertactin can also be known as aliases p.69 and OMP 68 due to its electrophoretic mobility in SDS-Page, pertactin is a 60-kDa outer membrane protein which assists bacterial adherence. Similar molecules are produced by other members of the same genus; B. parapertussis produces p.70 and p.68 in B. bronchiseptica (Journal 2). In a comparison of the prn gene sequences of B. bronchiseptica, B. pertussis and B. parapertussis, the precursors were found to be homologous (journal 6). The mechanism in which pertactin promotes the adherence to the ciliated epithelial cells is unknown and no receptor has been found, It has been demonstrated by a number of groups that pertactin can be described as an immunoprotective antigen (Journal 2). Adenylate cyclase toxin/haemolysin Adenylate cyclase toxin, a 177 kDa polypeptide (book 1) is a highly toxic potent repeats in toxin (RTX) family and is a substrate of T1SS. This particular toxin consists of two functional molecules; adenylate cyclase domain which binds calmodulin and catalyses unregulated conversion of ATP to cAMP, and an RTX haemolytic domain which is responsible for the binding to target cells and translocating adenylate domain into the cytosol (journal 7). Evidence suggests that the increasing levels of cAMP produced can lead to a decrease in phagocytosis as well as inhibition of chemotaxis; this therefore affects a major part of the innate immune response book 1). ACT has the potential to play a role in adhesion by modifying a carbohydrate binding domain of FHA leading to an increased ability to bind to host cells. However, the main function of ACT appears to be its ability to inhibit the function of neutrophils (book 1). Pertussis Toxin (PT) – Type IV Secretion Pertussis toxin is a member of the AB5 toxin family, indicating it consists of five different subunits (book 2), with two copies of the subunit 2 together with single copies of S 2, 3 and 5 forming a pentameric ring. This mediates host cell receptor binding and the translocation of the S 1 subunit (ADP ribosyltransferase) (BOOK 4), it is considered the most complex bacterial toxin. Pertussis toxin is essential for bacterial virulence; it interferes with the mechanism used by host cells to remain in communication with the rest of the host’s body. Other affects include weight loss, elevated igE production, and increased sensitivity to histamine, serotonin and cold. While the pertussis toxin alters the behaviour of both human and animal cells, its ability to inhibit activation of the immune system in response to infection best explains its role in human whooping cough (book 2). A full understanding of Type IV secretion is yet to be achieved; however, it does provide a good example of the ability of bacteria to adapt groups of proteins to its new needs (book 4). Epidemiology In terms of epidemiological quantities, there are two fundamental aspects: the transmission rate and the length of the infectious period; these values determine the basic reproductive rate R0 (journal 13). The mucous membranes of the human respiratory tract are the natural habitat for Bordetella bacteria, although B. pertussis can survive outside the body for up to a few days and can be transmitted via contaminated items. Majority of infectors occur through direct contact with an infected individual (website 1). Prior to the 20th century was considered a terrible childhood disease, in 2008 it still occurs for approximately 195,000 deaths worldwide. Of these fatal cases 95% occurred in developing countries. Outbreaks have been found to be linked with incomplete or reduced immunisation of individuals. The vaccine formerly used was known as DTP and included antibodies diphtheria toxin (D), tetanus toxin (T) and pertussis (P); however, this vaccine has been replaced with a safer DTaP vaccine, reducing the side effects (website 2). Discussion Although many advances have been made, much remains to be discovered as to how the adhesions and toxins produced by the Bordetella species establish and maintain infection and development of disease.in host cell organisms. http://www.ncbi.nlm.nih.gov/books/NBK7813/ WEBSITE 1 http://www.who.int/immunization/topics/pertussis/en/index.html WEBSITE 2 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1082800/ JOURNAL 1 JOURNAL 2 http://cmr.asm.org/content/18/2/326.full.pdf+html JOURNAL 3 JOURNAL 4 JOURNAL 5 http://ac.els-cdn.com.ezproxy.tees.ac.uk/S1438422104700168/1-s2.0-S1438422104700168-main.pdf?_tid=39b13536-78ce-11e3-a0ea-00000aab0f6bacdnat=1389231467_08ec4f32bf03d5b1bbcd2962a3d8df69 JOURNAL 6 http://ac.els-cdn.com.ezproxy.tees.ac.uk/S1369527409000022/1-s2.0-S1369527409000022-main.pdf?_tid=5086535e-78ce-11e3-a61d-00000aacb35eacdnat=1389231506_264d1d5985a0ebc34a51cd5e2841829b JOURNAL 7 http://jb.asm.org/content/189/10/3695.long JOURNAL 8 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC108527/pdf/ii004367.pdf JOURNAL 9 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC98121/pdf/ii001983.pdf JOURNAL 10 http://jb.asm.org/content/186/17/5692.full.pdf JOURNAL 11 http://ac.els-cdn.com/S1369527400001697/1-s2.0-S1369527400001697-main.pdf?_tid=51d25790-79a9-11e3-86be-00000aab0f02acdnat=1389325568_31e8be38dfd04481d06fa83d877cb8dd JOURNAL 12 http://ac.els-cdn.com/S0966842X05001654/1-s2.0-S0966842X05001654-main.pdf?_tid=4baef94c-79ac-11e3-a8e6-00000aacb361acdnat=1389326846_4eecbd9c825cd7b16b288d3acc79fd7e JOURNAL 13 http://books.google.co.uk/books?id=axeJ8Q9eJ3kCprintsec=frontcoverdq=bordetellahl=ensa=Xei=PlHNUqfFJMSt7Qa_-YCQCAredir_esc=y#v=onepageq=bordetellaf=false BOOK 1 http://books.google.co.uk/books?id=sTsC65kCJbUCpg=PA648dq=bordetellahl=ensa=Xei=PlHNUqfFJMSt7Qa_-YCQCAredir_esc=y#v=onepageq=bordetellaf=false BOOK 2 http://books.google.co.uk/books?id=FwGmyh2OUToCpg=PT575dq=bordetellahl=ensa=Xei=PlHNUqfFJMSt7Qa_-YCQCAredir_esc=y#v=onepageq=bordetellaf=false BOOK 3 BOOK 4 BACTERIAL MECHANISMS

New Reproduction Technologies :: essays research papers

During the debate on March 15, 2000 which discussed new reproductive technologies (NRTS) issues were raised regarding the positive and negative effects of NRTS. Issues raised by the advocates of NRTS were surrounding infertility, homosexuality, disease, and cloning. All of these factors raised were concerning the moral rights of individuals who were unable to have children of their own without the help of NRTS. The debate continued by stating that denying individuals the right to utilize NRTS was immoral and in effect discriminated against them due to their “unfavorable'; situation. In contrast, the opposition against NRTS raised very negative concerns which included the commercialization of human reproduction, quality control, generating waste products, and the rights of the pre-embryo. These issues suggest that through NRTS children were being commodified and the rights of the pre-embryo were being ignored. The debate generally focused on the rights of the individual, man or woman, versus the rights of the unborn child. The debate was very interesting which led me to look at the impact of NRTS at another angle. After examining the issues raised in the debate I was left questioning why NRTS exist in the first place? Whose interest do they serve? Who won/lost and what was at stake? The reason I am focusing on these issues is because while I was reading the NRTS articles something stuck in my mind. In What Price Parenthood? Social and Ethical Aspects of Reproductive Technology by Paul Lauritzen there are some issues covered which seem to be left out of the class debate. The societal pressures to utilize NRTS once they are presented to an individual are overwhelming. Paul Lauritzen raises issues regarding the social aspects of NRTS that I had never considered. I have therefore decided to further research the social impacts of NRTS. My essay has two objectives: first I would like to prove that no one has the moral right to engage in NRTS, it follows under the freedom of choice but it is not the “ri ght'; of an individual. Second I will debate whether, due to societal influences, any individual actually “chooses'; NRTS or if they are coerced.   Ã‚  Ã‚  Ã‚  Ã‚  Rejecting the claim that it is an individual’s moral right to engage in NRTS is based on the definition of a moral right. A moral right is an opportunity to choose an option that is available to everyone else. To deny a person the right to engage in an activity that every other person can do is morally wrong.

Indian Essay -- essays research papers

In American Asian Indians form one of the smallest minorities, yet in their homeland has the largest population in the world. America was influenced by their beliefs before the first immigrant. Many of the Indians came to American as early as the turn of the century, in which they where denied citizenship until a congressional act granted it in 1946(Lee 106). Most of them are now artists, writers, musicians, and scientists. Asian Indians have supplied numerous contributions to the culture and immaculate being of US; majorities of these contributions regulate to the science field. Asian Indians immigrated in the period of 1830- 1890. In this time India was in admirable shape. However the British took over India, they emptied the country of all her wealth and forced the Indians to leave. America at this time was a strong magnet to immigrants, with offers of jobs and religious freedom (Takaki 42). Consequently, America was referred to many countries as the " Land of Opportunity."(43) This reference glazed into the eyes of Asian Indians; therefore, in research came to America for opportunities. Many Asian Indians faced hardships upon their arrival. In recent years, Asians have been among the victims of violence fueled by prejudice (42). While many of these people have become self-employed entrepreneurs by choice, others have found themselves pushed into self- employment by discrimination. Similarly, an Asian Indian engineer who had worked for a company for some twenty years told his friend, "They [management] never give you [Asian Indians] an executive position in the company. You can only go up so high and no more (Lee 69)." Frustrated by limited opportunities to advance in their careers, many Asian Indian professionals have turned to opening their own businesses(70). For Indians to see the racist acts towards them hurts and not to be able to show there true talent. Assimilation has been a powerful source in American life, particularly in policies and attitudes towards immigrants in the twentieth century (Brands 23). Furthermore, members of American minorities had learned that assimilation is not an all-or nothing processes (Bagai 12). To complete the process, the enterprising minority individual must jump through severa... ... in hospitals and working in universities has changed the future of USA. Some have changed there beliefs from there eastern to the western and in this process they changed USA in teaching US about the culture and making a multicultural society to live in. Living both Indian and American life's can be frustrating at times when can't decide to go by which rules and what to think and feel. For some parents, pray that their children don't lose their culture in them. Growing up in two cultures is a great challenge, yes; yet it is a difficult experience, but not one without its benefits. WORKS CONSULTED Bagai,B. Leona. The East Indian and the Pakistanis in America. Minneapolis Lerner Publications Company, 1967. Brands, H.W. India and the United States. Boston: Twayne Publisher, 1990. Lee, Faung Jean Joann. Asian American Experiences in the United States. North Carolina: MC Farland Company, INC. 1991. Takaki, Ronald. Spacious Dreams. New York: Chelsea House Publisher, 1989. Takaki, Ronald. Strangers at the Gate Again. New York: Chelsea House Publisher, 1989. Indian Essay -- essays research papers In American Asian Indians form one of the smallest minorities, yet in their homeland has the largest population in the world. America was influenced by their beliefs before the first immigrant. Many of the Indians came to American as early as the turn of the century, in which they where denied citizenship until a congressional act granted it in 1946(Lee 106). Most of them are now artists, writers, musicians, and scientists. Asian Indians have supplied numerous contributions to the culture and immaculate being of US; majorities of these contributions regulate to the science field. Asian Indians immigrated in the period of 1830- 1890. In this time India was in admirable shape. However the British took over India, they emptied the country of all her wealth and forced the Indians to leave. America at this time was a strong magnet to immigrants, with offers of jobs and religious freedom (Takaki 42). Consequently, America was referred to many countries as the " Land of Opportunity."(43) This reference glazed into the eyes of Asian Indians; therefore, in research came to America for opportunities. Many Asian Indians faced hardships upon their arrival. In recent years, Asians have been among the victims of violence fueled by prejudice (42). While many of these people have become self-employed entrepreneurs by choice, others have found themselves pushed into self- employment by discrimination. Similarly, an Asian Indian engineer who had worked for a company for some twenty years told his friend, "They [management] never give you [Asian Indians] an executive position in the company. You can only go up so high and no more (Lee 69)." Frustrated by limited opportunities to advance in their careers, many Asian Indian professionals have turned to opening their own businesses(70). For Indians to see the racist acts towards them hurts and not to be able to show there true talent. Assimilation has been a powerful source in American life, particularly in policies and attitudes towards immigrants in the twentieth century (Brands 23). Furthermore, members of American minorities had learned that assimilation is not an all-or nothing processes (Bagai 12). To complete the process, the enterprising minority individual must jump through severa... ... in hospitals and working in universities has changed the future of USA. Some have changed there beliefs from there eastern to the western and in this process they changed USA in teaching US about the culture and making a multicultural society to live in. Living both Indian and American life's can be frustrating at times when can't decide to go by which rules and what to think and feel. For some parents, pray that their children don't lose their culture in them. Growing up in two cultures is a great challenge, yes; yet it is a difficult experience, but not one without its benefits. WORKS CONSULTED Bagai,B. Leona. The East Indian and the Pakistanis in America. Minneapolis Lerner Publications Company, 1967. Brands, H.W. India and the United States. Boston: Twayne Publisher, 1990. Lee, Faung Jean Joann. Asian American Experiences in the United States. North Carolina: MC Farland Company, INC. 1991. Takaki, Ronald. Spacious Dreams. New York: Chelsea House Publisher, 1989. Takaki, Ronald. Strangers at the Gate Again. New York: Chelsea House Publisher, 1989.

Last Sacrifice Chapter Thirty

I DIDN'T RUN INTO HIS arms like I usually did. How could I? After what I'd done? No. I couldn't playact anymore. I still wasn't entirely sure what the future held for Dimitri and me, not until he answered my ultimatum. I did, however, know I had to cut Adrian loose. My feelings for him were still strong, and I wondered if it was even remotely possible for us to be friends. Regardless, I couldn't lead him on after sleeping with Dimitri. It hadn't been murder, no, but it had certainly been dishonorable. Yet †¦ I couldn't say any of that to Adrian now, I realized. I couldn't break up with him in a dream. That was almost as bad as a text breakup. Besides, I had a feeling that †¦ well, I'd probably need his help. So much for honor. Soon, I swore. Soon I'll tell him. He didn't seem to notice my lack of embrace. But he did notice something else. â€Å"Wow.' We stood in St. Vladimir's library of all places, and I gave him a puzzled look across the study tables stretching before us. â€Å"Wow what?' â€Å"Your †¦ your aura. It's †¦ amazing. It's shining. I mean, it always shines, but today †¦ well, I've never seen anything like it. I didn't expect that after everything that happened.' I shifted uncomfortably. If I lit up around Dimitri normally, what on earth happened to my aura post-sex? â€Å"After what happened?' I asked, deflecting the comment. He chuckled and approached me. His hand reached unconsciously for his cigarettes, paused, and then dropped to his side. â€Å"Oh, come on. Everyone's talking about it. How you and Belikov kidnapped Jailbait–what's up with that anyway?–and coerced that Alchemist. It's the hottest news around here. Well, aside from the elections. The last test is coming up.' â€Å"That's right †¦' I murmured. It had almost been twenty-four hours since Lissa had received the riddle. There was only a little time left, and last I knew, she had no answer. â€Å"Why are you sleeping in the middle of the day anyway?' he asked. â€Å"I didn't really expect to catch you. Figured you'd be on a human schedule.' â€Å"It †¦ it was kind of a rough night, what with escaping a legion of guardians and all.' Adrian caught hold of my hand, frowning slightly when I didn't squeeze his in return. The frown lightened quickly into his easy smile. â€Å"Well, I'd worry more about your old man than them. He is pissed that you didn't stay put. And that he can't get in to see the Alchemists. Believe me, he's been trying.' That almost made me laugh, except it wasn't the outcome I'd wanted either. â€Å"So he's not all-powerful after all.' I sighed. â€Å"That's what we need. Sydney. Or, well, that guy who's with her. The one who allegedly knows something.' I flashed back, again seeing the recognition on Ian's face. He knows the man who attacked Lissa and bribed Joe. â€Å"We need him.' â€Å"From what I picked up,' said Adrian, â€Å"the guardians are just kind of lingering around the hotel, mostly concerned with the Alchemists leaving. But they're controlling who's getting in. They won't let any of us–or other Alchemists–get through. There are lots of other human guests, and I guess Abe tried to disguise himself–and failed.' Poor Zmey. â€Å"He should have had more faith in the guardians. They aren't going to let anyone but themselves get in and out.' My own words brought me to a halt. â€Å"That's it †¦' Adrian eyed me suspiciously. â€Å"Oh no. I know that look. Something crazy is about to happen.' I caught hold of his hand, now out of excitement, rather than love. â€Å"Get to Mikhail. Have him meet us †¦' I blanked. I'd seen the town the Alchemists were staying in. As the closest to Court, we often drove through it. I racked my brain, trying to think of some detail. â€Å"At that restaurant with the red sign. It's on the far side. Always advertising buffets.' â€Å"Easier said than done, little dhampir. They're using every guardian at Court to keep the elections under control. If Lissa hadn't been attacked, they wouldn't let your mom stay with her. I don't think Mikhail can get out.' â€Å"He'll find a way,' I said confidently. â€Å"Tell him this is it–it's the key to the murder. The answer. He's resourceful.' Adrian looked skeptical, but it was hard for him to refuse me anything. â€Å"When?' When indeed? It was almost noon, and I hadn't paid much attention to where we'd stopped. How long would it take us to reach Court? From what I knew about the elections, those who passed this last test would give speeches when the Moroi day started. In theory, they'd then go straight to voting–except, if our plan worked, Lissa's involvement would slow that down for days. Provided she passed. â€Å"Midnight,' I said. If I was guessing correctly, the Court would be completely wrapped up in the election drama, making it easier for Mikhail to get out. I hoped. â€Å"Will you tell him?' â€Å"Anything for you.' Adrian swept me a gallant bow. â€Å"Although, I still think it's dangerous for you to be involved directly with this.' â€Å"I have to do this myself,' I said. â€Å"I can't hide.' He nodded, as though he understood. I wasn't sure he did. â€Å"Thank you,' I told him. â€Å"Thank you so much for everything. Now go.' Adrian gave me a crooked grin. â€Å"Boy, you don't waste any time kicking a guy out of bed, huh?' I flinched, the joke hitting a little too close to home. â€Å"I want Mikhail to be prepared. And I also need to watch Lissa's last test.' This sobered Adrian. â€Å"Does she have a chance? Will she pass?' â€Å"I don't know,' I admitted. â€Å"This is a tough one.' â€Å"Okay. We'll see what we can do.' He gave me a small kiss. My lips responded automatically, but my heart wasn't into it. â€Å"And Rose? I mean it. Be careful. You're going to be awfully close to Court. Not to mention a bunch of guardians who have you on their most wanted list and will probably try to kill you.' â€Å"I know,' I said, choosing not to mention that there was no â€Å"probably' about it. With that, he vanished, and I woke. Strangely, what I found in my own world seemed almost more dreamlike than what I'd experienced with Adrian. Dimitri and I were still in bed, snuggled under the covers, our bodies and limbs still wrapped around each other. He slept with that rare peaceful look of his and almostseemed to smile. For half a second, I considered waking him and telling him we had to hit the road. A look at the clock happily squashed that thought. We still had time, plus it was getting close to the test. I had to go to Lissa and trusted Sonya would come by if we overslept. Sure enough, I'd gauged the testing correctly. Lissa was cutting across the Court's lawns, marching like someone going to a funeral. The sun, flowers, and birds were lost on her. Even her company did little to cheer her up: Christian, my mom, and Tasha. â€Å"I can't do this,' she said, staring ahead at the building that held her fate. â€Å"I can't do this test.' The tattoo kept her from giving out any more information. â€Å"You're smart. Brilliant.' Christian's arm was around her waist, and in that moment, I loved him for his confidence in her. â€Å"You can do it.' â€Å"You don't understand,' she said, with a sigh. She'd come up with no answers to the riddle, meaning the plan was at stake–and her desire to prove herself. â€Å"For once he does,' said Tasha, a slight teasing tone in her voice. â€Å"You can do it. You have to do it. We have so much riding on it.' Her confidence didn't make Lissa feel better. If anything, it added to the pressure. She would fail, just like in the Council dream the chalice had shown her. She'd had no answer there either. â€Å"Lissa!' A voice brought them to a halt, and Lissa turned to see Serena running toward them, her long athletic legs quickly covering the distance between them. â€Å"Hi Serena,' said Lissa. â€Å"We can't stop. The test–‘ â€Å"I know, I know.' Serena was flushed, not with exertion, but with anxiety. She proffered a piece of paper. â€Å"I made your list. As many as I could remember.' â€Å"What list?' asked Tasha. â€Å"Moroi that the queen was having trained, to see how well they could learn fighting.' Tasha's eyebrows rose in surprise. She hadn't been around when they'd discussed it last time. â€Å"Tatiana was training fighters? I never heard about anything like that.' I had a feeling she would have liked to be one of the ones helping with instruction. â€Å"Most didn't,' agreed Lissa, straightening the piece of paper. â€Å"It was a big secret.' The group crowded around to read the names, listed in Serena's neat handwriting. Christian let out a low whistle. â€Å"Tatiana might have been open to the idea of defense but only for certain people.' â€Å"Yes,' agreed Tasha. â€Å"This is definitely an A-list.' All the names were royal. Tatiana hadn't brought in â€Å"commoners' for her experiment. This was the elite of the elite, though as Ambrose had noted, Tatiana had gone out of her way to get a variety of ages and genders. â€Å"Camille Conta?' asked Lissa in surprise. â€Å"Never saw that coming. She was always really bad in P.E.' â€Å"And there's another of our cousins,' added Christian, pointing to Lia Ozera. He glanced at Tasha, who was still in disbelief. â€Å"Did you know that?' â€Å"No. I wouldn't have guessed her either.' â€Å"Half the nominees too,' mused Lissa. Rufus Tarus, Ava Drozdov, and Ellis Badica. â€Å"Too bad they–oh my God. Adrian's mother?' Sure enough: Daniella Ivashkov. â€Å"Whoa,' said Christian. That summed up my reaction too. â€Å"Pretty sure Adrian didn't know about that.' â€Å"Does she support Moroi fighting?' asked my mom, surprised as well. Lissa shook her head. â€Å"No. From what I know about her, she is definitely in favor of leaving defense to dhampirs.' Neither of us could imagine beautiful and proper Daniella Ivashkov in a fight. â€Å"She already hated Tatiana,' noted Tasha. â€Å"I'm sure this did lovely things for their relationship. Those two bickered all the time behind closed doors.' An uncomfortable silence fell. Lissa looked at Serena. â€Å"Did these people see the queen a lot? Would they have had access to her?' â€Å"Yes,' said Serena uneasily. â€Å"According to Grant, Tatiana watched every training sessions. After he died †¦ she started debriefing with the students individually, to see how well they'd learned.' She paused. â€Å"I think †¦ I think she might have met with some the night she died.' â€Å"Had they progressed enough to learn to use a stake?' asked Lissa. Serena grimaced. â€Å"Yes. Some better than others.' Lissa looked back at the list, feeling ill. So much opportunity. So much motivation. Was the answer here on this piece of paper? Was the murderer right before her? Serena had said earlier that Tatiana had purposely picked people resistant to training, probably to see if the obstinate could still learn. Had she gone too far with someone? One name in particular kept scrolling across Lissa's mind. â€Å"I hate to interrupt,' said my mother. Her tone and stance indicated sleuth time was over; it was back to business. â€Å"We've got to move, or you'll be late.' Lissa realized my mom was right and shoved the piece of paper in her pocket. Being late to the test meant failure. Lissa thanked Serena, reassuring her that this had been the right thing to do. Then, my friends moved away quickly, feeling the press of time as they hurried toward the testing building. â€Å"Damn,' muttered Lissa, in a rare show of swearing. â€Å"I don't think that old lady'll tolerate any lateness.' â€Å"Old lady?' My mother laughed, surprising us all. She could move faster than everyone and was obviously restraining her pace for them. â€Å"The one running most of the tests? You don't know who she is?' â€Å"How would I?' asked Lissa. â€Å"I figured she was just someone they recruited.' â€Å"Not just someone. That's Ekaterina Zeklos.' â€Å"What?' Lissa nearly stopped but still had their time crunch in mind. â€Å"She was †¦ she was the queen before Tatiana, right?' â€Å"I thought she retired to some island,' said Christian, just as surprised. â€Å"Not sure if it was an island,' said Tasha, â€Å"but she did step down when she thought she was too old and went off to live in luxury–and away from politics–once Tatiana was on the throne.' Too old? That had been twenty years ago. No wonder she seemed ancient. â€Å"If she was happy to get out of politics, then why is she back?' asked Lissa. My mother opened the door for all of them when they reached the building, after first peering inside for any threats. It was so instinctual for her that she continued the conversation without missing a beat. â€Å"Because it's custom for the last monarch to test the new one–if possible. In this case, it obviously wasn't, so Ekaterina came out of retirement to do her duty.' Lissa could barely believe that she'd been chatting casually with the Moroi's last queen, a very powerful and beloved queen. As soon as her group entered the hallway, Lissa was escorted by guardians and hurried toward the testing room. Their faces showed they hadn't thought she'd make it. Several spectators, also apparently worried, cheered at her appearance giving the usual shouts about Alexandra and the dragons. Lissa had no chance to respond or even say goodbye to her friends before she was practically pushed into the room. The guardians looked relieved. The door shut, and Lissa found herself staring once more at Ekaterina Zeklos. Seeing the old woman had been intimidating before, but now †¦ Lissa's anxiety doubled. Ekaterina gave her a crooked smile. â€Å"I was afraid you wouldn't make it,' she said. â€Å"Should have known better. You aren't the type to back down.' Lissa was still starstruck and almost felt the need to ramble out an excuse, explaining about Serena's list. But, no. Ekaterina didn't care about that right now, and one didn't make excuses to someone like her anyway, Lissa decided. If you screwed up, you apologized. â€Å"I'm sorry,' said Lissa. â€Å"No need to be,' said Ekaterina. â€Å"You made it. Do you know the answer? What must a queen possess in order to truly rule her people?' Lissa's tongue felt thick in her mouth. She didn't know the answer. It really was just like the Council dream. Investigating Tatiana's murder had taken so much time. For a strange moment, Lissa's heart burned with sympathy for that prickly queen. She'd done what she thought best for the Moroi and had died for it. Lissa even felt bad now, staring at Ekaterina. This former queen had probably never expected to be taken away from her–island?–retirement and forced back into Court life. Yet, she had come when needed. And just like that, Lissa suddenly knew the answer. â€Å"Nothing,' she said softly. â€Å"A queen must possess nothing to rule because she has to give everything she has to her people. Even her life.' The widening of Ekaterina's gap-toothed grin told Lissa she'd answered correctly. â€Å"Congratulations, my dear. You've made it through to tomorrow's vote. I hope you've got a speech ready to win over the Council. You'll have to give it in the morning.' Lissa swayed slightly, not sure what to say now, let alone in a formal speech. Ekaterina seemed to sense how in shock Lissa was, and the smile that always seemed so mischievous turned gentle. â€Å"You'll be fine. You made it this far. The speech is the easy part. Your father would be proud. All the Dragomirs before you would be.' That nearly brought tears to Lissa's eyes, and she shook her head. â€Å"I don't know about that. We all know I'm not a real candidate. This was just †¦ well, kind of an act.' Somehow, she didn't feel bad admitting that in front of Ekaterina. â€Å"Ariana's the one who deserves the crown.' Ekaterina's ancient eyes bored into Lissa, and that smiled faded. â€Å"You haven't heard then. No, of course you wouldn't have with how quickly this is all happening.' â€Å"Heard what?' Sympathy washed over Ekaterina's face, and later, I'd wonder if that compassion was because of the message she delivered or because of Lissa's reaction. â€Å"Ariana Szelsky didn't pass this test †¦ she couldn't solve the riddle †¦' â€Å"Rose, Rose.' Dimitri was shaking me, and it took several seconds for me to shift from being a shocked Lissa to a startled Rose. â€Å"We have to–‘ he began. â€Å"Oh my God,' I interrupted. â€Å"You will not believe what I just saw.' He went rigid. â€Å"Is Lissa okay?' â€Å"Yeah, fine, but–‘ â€Å"Then we'll worry about that later. Right now, we have to leave.' I noticed then that he was fully dressed while I was still naked. â€Å"What's going on?' â€Å"Sonya came by–don't worry.' The shock that my face must have shown made him smile. â€Å"I got dressed and didn't let her come in. But she said the front desk called. They're starting to realize we had an unusual check-in. We need to get out of here.' Midnight. We had to meet Mikhail at midnight and get the last piece of the mystery that consumed us. â€Å"No problem,' I said, tossing the covers off me. As I did, I saw Dimitri's eyes on me, and I was kind of surprised at the admiration and hunger I saw there. Somehow, even after sex, I'd kind of expected him to be detached and wear his guardian face–particularly considering our sudden urgency to leave. â€Å"You see something you like?' I asked, echoing something I'd said to him long ago, when he'd caught me in a compromising position at school. â€Å"Lots,' he said. The emotion burning in those eyes was too much for me. I looked away, my heart pounding in my chest as I pulled my clothes on. â€Å"Don't forget,' I said softly. â€Å"Don't forget †¦' I couldn't finish, but there was no need. â€Å"I know, Roza. I haven't forgotten.' I slipped on my shoes, wishing I was weaker and would let my ultimatum slide. I couldn't, though. No matter what had passed between us verbally and physically, no matter how close we were to our fairy-tale ending †¦ there was no future until he could forgive himself. Sonya and Jill were ready and waiting when we emerged from our room, and something told me Sonya knew what had happened between Dimitri and me. Damned auras. Or maybe you didn't need magical powers to see that kind of thing. Maybe the afterglow just naturally showed on someone's face. â€Å"I need you to make a charm,' I told Sonya, once we were on the road. â€Å"And we have to stop in Greenston.' â€Å"Greenston?' asked Dimitri. â€Å"What for?' â€Å"It's where the Alchemists are being held.' I had already started slinging the pieces together. Who hated Tatiana–both because of her personality and for having Ambrose? Who resented her wanting Moroi to fight Strigoi? Who feared her endorsing spirit and its dangerous effects on people, say, like Adrian? Who wanted to see a different family on the throne to support new beliefs? And who would be happy to have me locked away and out of the picture? I took a deep breath, scarcely believing what I was about to say. â€Å"And it's where we're going to find proof that Daniella Ivashkov murdered Tatiana.'

Non Commissioned Officers in the Army

With the attack on Pearl Harbour in December 1941, the United States found itself in another major war. Mobilization greatly increased the numbers of Army non-commissioned officers. Ironically, mobilization, combined with other factors, created a staggering growth in the percentage of non-commissioned officers to total forces. The proportion of non-commissioned officers in the Army increased from 20 percent of the enlisted ranks in 1941, to nearly 50 percent in 1945, resulting in reduced prestige for many non-commissioned officer ranks. Coupled with this growth in numbers, the eight-man infantry squad increased to twelve, with the sergeant then staff sergeant, replacing the corporal as its leader. The rank of corporal came to mean very little, even though he was in theory and by tradition a combat leader. Basic training in World War II focused on hands-on experience instead of the classroom. NCOs conducted all training for soldiers. After basic training, a soldier went to his unit where his individual training continued. The major problem was that the rapid expansion of the Army had led to a proportionate decrease in experienced men in the non-commissioned officer ranks. Making this condition worse was the practice of quickly advancing in rank soldiers who showed potential while combat losses reduced the number of experienced NCOs. Fighting in the Pacific and Europe required large numbers of men. Millions of men enlisted and America drafted millions more. Still the Army suffered from manpower shortages. In 1942 the Army formally added women to its ranks. By 1945 over 90,000 women had enlisted in the Army. Women served in administrative, technical, motor vehicle, food, supply, and communications, mechanical and electrical Positions during the war. http://www.armystudyguide.com/content/army_board_study_guide_topics/nco_history/history-of-the-nco-from-f.shtml World war II made more demands on non commissioned officers corp. and had a greater impact upon the NCOs role and status than any previous conflict in American history. By the end of the war, there were 23,328 infantry squads in 288 active infantry regiments. More than seventy separate battalions, including armoured infantry and rangers, raised the total number of such squads to over 25,000, all needing non-commissioned leaders. Drafted, trained, and promoted during the hectic months of 1942 and 1943, these citizen soldiers carried our their duties as non commissioned officers superbly, in countless engagements on every front during WWII, but especially those where small unit leadership was at a premium, such as jungle warfare of new guinea in the pacific and the Hurtgeen forest battle in Europe. There were many Heroes of WWII and you could choose any one of them but here we have the first secret hero America had in World War II. WASHINGTON (Army News Service, March 29, 2005) — Fifty years ago an Army Reserve non-commissioned officer performed an act of heroism that led to him becoming America's first secret hero. Manning a hilltop position near Taejon-ni, Korea, Cpl. Hiroshi Miyamura, formerly of the Enlisted Reserve Corps, was a long way from his home in Gallup, N.M. on the night of April 24, 1951. A major Chinese Communist offensive had been launched against the United Nations line. Miyamura, a machine gun squad leader in Company H, 7th Infantry Regiment, 3rd Division, was 25/5/07 Ordered by his platoon sergeant to take 15 men — machine gunners, riflemen and ammo carriers — to a hill south of the Imjin River and hold the position against the Advancing Chinese Communists as long as possible. He did exactly that throughout the night, Miyamura directed the heavy and light machine guns of his squad as they held off repeated attacks by the Chinese. The combat was savage. Miyamura kept yelling at his gunners to use short bursts. He joined in with automatic fire from his carbine and threw grenades at the enemy, whose attacks were accompanied by bugles, whistles, flares, and supporting mortar bursts. At one critical point, he charged the enemy with his bayoneted carbine and killed ten of them in close-in-combat, breaking up the attack. Finally, it was time for those Americans still alive to fall back. Miyamura slid into the heavy machine gun position and told the unwounded members of the crew and two riflemen to help the injured soldiers away; he would cover them. They moved out and Miyamura was alone, waiting. Then the bugles and whistles sounded again. The Chinese were coming up the hill again. Miyamura fired his machine gun until it ran out of ammunition. He then threw grenades towards the advancing Chinese. With his final grenade, he destroyed the machine gun and took off for a nearby trench, where he literally ran into a Chinese soldier. Despite the surprise encounter, he shot the Chinese and wounded him. The Chinese got off a grenade, which Miyamura kicked away. It exploded, killing its thrower and wounding Miyamura in the leg. As enemy soldiers poured up the hill, Miyamura tried to get away but stumbled into American barbed wire in the dark, causing him further injury. Freeing himself, Miyamura dropped into a hole playing dead while the Chinese swarmed over the area. One Chinese soldier was not fooled and he pointed a pistol at the young corporal, telling him to get up. Four days later, a task force from Chinese around Miyamura's machine gun position. There was no Trace the 3rd Division recaptured the hill. There were more than 50 dead of Miyamura among the dead G.I.s of his section. The man who so fiercely defended that hill joined the Army during World War II and became part of one of the most famous units in American military history, the 442nd Regimental Combat Team. This unit, composed entirely of Americans of Japanese Ancestry, except for some white officers, was — for its size and length of service — the most decorated unit in the Army. Along with the attached 100th Infantry Battalion, its members earned more than 18,000 individual decorations, to include one wartime Medal of Honour, 52 Distinguished Service Crosses, 588 Silver Stars, 5,200 Bronze Stars and more than 9,480 Purple Hearts. We cannot of course forget Ira Hayes the hero, On February 19, 1945, Hayes took part in the landing on Iwo Jima. He then participated in the battle for the island and was among the group of Marines that took Mount Suribachi four days later, on February 23, 1945. The raising of the second American flag on Suribachi by five Marines, Ira Hayes, Rene Gagnon, Harlon Block, Franklin Sousley, and Mike Strank, and a Navy Corpsman, John Bradley, was immortalized by photographer Joe Rosenthal and became an icon of the war. Overnight, Hayes (on the far left of the photograph) became a national hero, along with the two other survivors of the famous photograph, Rene Gagnon and John Bradley. Hayes's story drew particular attention because he was Native American. Hayes was promoted to the rank of corporal before being discharged from the Marine Corps. His decorations and medals include the following: Commendation medal with â€Å"V† combat device, Presidential Unit Citation with one star (for Iwo Jima), American Campaign Medal, Asiatic-Pacific Campaign Medal with four stars (for Vella Lavella, Bougainville, Consolidation of the Northern Solomons, and Iwo Jima) and the World War II Victory Medal This then is the Heroes, now we will have a look at the weapons. The total allied forces in the Second World War were, Tanks 210,950 added to this vast number of fighting machines we had the help of Merchant Shipping, which totalled 44,431,300, and of course the Warships of which there was a grand total of 10,853,200 in the allied forces. Of course you also need to mention the warplanes that numbered 582,500. But the biggest weapon that we used and is still not recognised as such is the terrific amount of manpower that was needed, 109,705,100 men fought in the war and they above the weapons need to be mentioned, yes the weapons helped but it is the sheer blood and guts of the men and women that fought so bravely that got us all through. http://www.historylearningsite.co.uk/weapons_and_manpower.htm Part of the creed of NCOs is as follows and tells us what his duties are. Competence is my watchword; my two basic responsibilities will always be uppermost in my mind. Accomplishment of my mission, and the welfare of my soldiers. I will strive to remain tactically and technically proficient, all soldiers are entitled to outstanding leadership and I will provide that leadership, I know my soldiers and I will always place their needs above my own. I will communicate consistently with my soldiers and never leave them uninformed. I will be fair and impartial when recommending both reward and punishment. Officers of my unit will have ample time to fulfil their duties. They will not have to accomplish mine. I will earn their respect and confidence as well as that of my soldiers. I will be loyal to those I serve, seniors, peers, and subordinates alike. I will exercise initiative, by taking appropriate action in the absence of orders. I will not compromise my integrity. Nor my moral courage, I will not forget nor will I allow my comrades to forget that we are professionals. Non-commissioned officers, and leaders. http://ncohistory.com/files/Origins.pdf Throughout history, training noncommissioned officers of the United States Army had been accomplished using on-the-job training (OJT) in the unit, and many believed that is where it should stay. Training noncommissioned officers was conducted by officers in the regiment and was the commanding officer’s responsibility. It was accepted that unit training was the best means of developing noncommissioned officers and potential noncommissioned officers. In most early writings the NCO was regarded with the Enlisted man and as such received little interest. They should teach the soldiers of their squad how to dress with a soldier like air, how to clean their arms, accoutrements, etc and how to mount and dismount their Firelocks. {Instructions for the Sergeant and corporal Von Steubens 1779 Blue Book} Citation Page http://ncohistory.com/files/Origins.pdf http://www.historylearningsite.co.uk/weapons_and_manpower.htm http://www.armystudyguide.com/content/army_board_study_guide_topics/nco_history/history-of-the-nco-from-f.shtml   ;

“a Contemporary View on Health Care System in Bangladesh.”

CHAPTER – 1 Introduction 1. 0 origin and background of the report The report ‘‘A Contemporary view on Health Care System in Bangladesh’’ is the outcome of Internship Program which is a precondition for acquiring MBA Degree. Only curriculum activities are not enough for handling the real business environment, so it is necessary to get the better knowledge about the real scenario. The report is a requirement of the internship program for my MBA Degree. Conduction of Internship/ Dissertation started on 20th December 2009 and ended on 12th February 2010.My internship supervisor at International Islamic University Chittagong, Dhaka Campus, Mr. R M Nasrullah Zaidi assigned me the topic of my report. The reason behind choosing this topic is getting a clear picture of the health sector of Bangladesh. Working on this topic gives me an opportunity to understand the Problem and prospect of health care system in Bangladesh. In today’s world of globalizatio n Thiland is seeking to encourage â€Å"health tourist† to its country under the banner of ‘Thailand: Centre of Excellent Health Care of Asia’, India is building an e-health industry and Singapore is building hospitals abroad.When scenarios are like that where the health sector of Bangladesh ? Here we try to get a idea about what is the real scenario of various related issues like access to health-relate knowledge and technology, the provision of new hospital and aliened health institution and the availability of health professionals. 1. 1 objectives of the report The objective of my study divided into two segments: 1. 1. 1 Primary Objective The primary objective of this report is to meet the requirements of the course, OCP 5900, Internship. 1. 1. 2 Secondary ObjectiveThe secondary objectives are: * To confer a clear picture of National health senario. * To know about list and capacity of existing Hospital & clinic * To know about manpower supply capacity and req uirement * To know about Morbidity and its rate * To know about Available alternative or traditional medical care system. * To know about health education of mass people * To know about government structure- health system * To know about demographic structure of population * To know about role of different institution in respect of Health Care 1. methodology I have planned to perform the task in four stages: Step 1 Planning of the work Step 2 Data collection Step 3 Analysis and interpretation of data Step 4 Drawing conclusions and recommendations The first stage is the most important stage. I have allocated enormous time for this stage. I am emphasizing on thorough and detailed planning. Planning includes detailed methodology and scheduling of the remaining three stages. I am also emphasizing on documenting detailed planning which would serve as a guideline and performance measure for the whole report.The second stage is the data collection stage. I have planned to collect data in t hree main phases. * Collect data from internet, different books and medical journals. * Conduct interviews with selected representatives from different level of health professionals. This phase actually concentrates on clarification and elaboration of data collected from the first phase. * Conduct interviews and communicate with health providers who are in the front line. This phase actually concentrates on accumulating data for the overall scenario. The third stage is the analysis and interpretation of data.In this stage I would use some statistical and graphical analysis tools to interpret the relationship among different variables and factors. The fourth stage is the stage for drawing conclusions and prescribing recommendations. In this stage the results from the previous stage would be used to draw conclusions about different aspects of concerned matters within the organization and prescribe some recommendation for future improvement. The project is base on both primary and seco ndary information. Primary Source: * Informal discussion with employees of UHL. Observation while working in different desks * Interview with health care providers. Secondary Sources: * Official Web Site of UHL * Annual Reports of Ministry of Health * Various Manuals and Brochures of DG Health * Different publications of WHO. 1. 3 scope This report solely deals with the health related information of Bangladesh. Here we try to accumulate information from various topics that have role with the health system of a country. The project is based on both primary and secondary information. Health system is a very vast area to work; thousands of issues are related here.Here we make some major segment to discuss like national health status, health care delivery system, facility based health service, leading public health problems and health education. 1. 4 limitations 1. The major limitation faced in preparing this report is the enormous number of parameters that have relationship to the heal th care system of a country. 2. Less availability of data at all tiers of service providing especially in the private sector. 3. Less accessibility to data due to shortage of time and proper arrangement and at the same time the authenticity of data not beyond questions. 4.Health sector requires few specified technical knowhow for better understanding. Being a non medical background some time face some problem to understand technical terminology and frequently needed explanation and further study. CHAPTER – 2 Bangladesh: National Health Status 2. 0Location and Geography Bangladesh was emerged as an independent and sovereign country in 1971 following a nine months war of liberation. The country is one of the largest deltas of the world with a total area of 147,570 sq km. Being a low-lying country it stretches latitudinal between 20? 34†² and 26? 38†² north and longitudinally between 88? 01†² and 92? 1†² east. It is mostly surrounded by Indian Territory (West Bengal, Tripura, Assam and Meghalaya), except for a small strip in the southeast by Myanmar. Bay of Bengal lies on the south. The standard time of the country is GMT +6 hrs. 2. 1History Bangladesh has a glorious history and rich heritage. Once it was known as ‘Sonar Bangla' or the ‘Golden Bengal'. The territory now constituting Bangladesh was under the Muslim rule for over five and a half centuries from 1201 to 1757 AD. Subsequently, it came under the British rule following the defeat of the sovereign ruler, Nawab Sirajuddaula, at the battle of Plessey on 23 June 1757.The British ruled over the Indian subcontinent including this land for nearly 190 years from 1757 to 1947. During that period, Bangladesh was a part of the British Indian provinces of Bengal and Assam. With the termination of British rule in August 1947, the sub-continent was partitioned into India and Pakistan. Bangladesh was a part of Pakistan and was called ‘East Pakistan'. 2. 2Physiography With a bout half of its surface below the 10 m contour line, Bangladesh is located at the lowermost reaches of three mighty river systems -the Ganges-Padma river system, Brahmaputra-Jamuna river system and Surma-Meghna river system.Coinciding with the division of the country based on altitude the land can be divided into three major categories of physical units: Tertiary hills, Pleistocene uplands and Recent plains (formed in recent epoch). The heavy monsoon rainfall coupled with the low altitude of major parts of the country makes floods an annual phenomenon in Bangladesh. Quaternary (began about 2 million years ago and extends to the present) sediments, deposited mainly by the Ganges, Brahmaputra (Jamuna) and Meghna rivers and their numerous distributaries, cover about three-quarters of Bangladesh.The physiography and the drainage pattern of the vast alluvial plains in the central, northern and western regions have gone under considerable alterations in recent times. In the context of ph ysiography, Bangladesh may be classified into three distinct regions: (a) floodplains, (b) terraces and (c) hills, each having distinguishing characteristics of its own. The physiography of the country has been divided into 24 sub-regions and 54 units. 2. 3Climate Bangladesh has a tropical monsoon-type climate, with a hot and rainy summer and a dry winter.January is the coolest month with temperatures averaging near 260 C (780 F) and April is the warmest with temperatures from 330 to 360 C (910 to 960 F). The climate is one of the wettest in the world. Most places receive more than 1,525 mm of rain a year, and areas near the hills receive 5,080 mm). Most rains occur during the monsoon (June-September) and little in winter (November-February). Bangladesh has warm temperatures throughout the year, with relatively little variation from month to month. January tends to be the coolest month and May the warmest.In Dhaka, the average January temperature is about 19 °C (about 66 °F), an d the average May temperature is about 29 °C (about 84 °F). 2. 4Administration From the administrative point of view, Bangladesh is divided into 6 Divisions, 64 Districts, 6 City Corporations, 308 Municipalities, 482 Upazilas and 4498 Unions. The six administrative division's are namely, Dhaka, Chittagong, Rajshahi, Khulna, Barisal and Sylhet. The country is governed by the Parliamentary Democracy and it has a unitary National Parliament, nameBangladesh Jatiya Sangsad. There are 40 Ministries and 12 Divisions.The Ministry of Health ; Family Welfare is one of largest ministries in the country. At the national level, the Ministry oHealth ; Family Welfare (MOHFW) is responsible for policy, planning and decision making atmacro level. Under MOHFW, there are four Directorates, viz. , Directorate General of HealthServices, Directorate General of Family Planning, Directorate of Nursing Services and Directorate of Drug Administration. Beside, there are a separate National Nutrition Proje (NNP)and Construction, Maintanance and Management Unit (CMMU). . 5Economy Bangladesh has an agrarian economy, although the share of agriculture to GDP has beendecreasing over the last few years. Yet it dominates the economy accommodating major rural labour force. From marketing point of view, Bangladesh has been following a mixed economy that operates on free market principles. The GDP of Bangladesh is 6. 21% and per capitincome is US$ 599. The principal industries of the country include readymade garments,textiles, chemical fertilizers, pharmaceuticals, tea processing, sugar, leather goods etc.Theprincipal mineral includes Natural gas, Coal, white clay, glass sand etc. 2. 6Communication The transport system of Bangladesh consists of roads, railways, inland waterways, two sea ports, maritime shipping and civil aviation catering for both domestic and international traffic. Presentlythere are about 21,000 km of paved roads; 2,706 route-kilometres of railways (BG-884km and MG -1,822 km ); 3,800 km of perennial waterways which increases to 6,000 km durinthe monsoon, 2 seaports (Chittagong and Chalna) and 3 international (Dhaka, Chittagong andSylhet) and 8 domestic airports. . 7Religion and Culture The majority (about 88%) of the people are Muslim. Over 98% of the people speak in Bangla. English, however is widely spoken. Bangladesh is heir to a rich cultural legacy. In two thousand or more years of its chequered history, many illustrious dynasties of kings and Sultans ruled the country and have left their mark in the shape of magnificent cities and monuments. The people of Bangladesh are very simple and friendly. A beautiful communal harmony among the different religions has ensured a very congenial atmosphere.More than 75% of the population lives in rural areas. Urbanization has, however, been rapid in the last few decades. 2. 8Population and Demography Bangladesh is now Asia's fifth and world's eighth populous country with an estimated population of about 146 mil lion. Density of population is around 979 per square kilometer, the highest in the world. Rural population comprises about 76% while urban constitutes about 24%. Adult literacy rate is 54% (2006). Census of 2001 reveals that 43 per cent of the population is below 15 years of age.This young age structure constitutes built-in population momentum. Also urban population is increasing quite fast. Though Bangladesh has made progress in reducing poverty and per capita income has been creeping up, a substantial number of population are poor. Progress made in improving Bangladesh's Human Development Index (HDI) has placed her among the medium-ranking HDI countries. Strong policy interventions led to continuous reduction in the annual growth rate of population from the level of 2. 33 % in 1981 to 1. 54 in 2001 and further to 1. 48 (2007). The TotalFartility Rate (TFR) also went down from 3. 4 in 1993-94 to 2. 2 (2007). The CPR (any method) increased from 44. 6% in 1993-94 to 58. 1% in 2004, b ut again fell down to 55. 8% in 2007. Life expectancy at birth has continuously been rising, and is now 65 years (2007) from the level of 58 (1994). Reversing past trends, women now live longer than men. The country, however, is over burdened with about two million new faces every year creating extra pressure on food, shelter, education, health, employment, etc. , and thus making the anticipated economic growth difficult. . 9Health Status Since independence Bangladesh has made significant progress in health outcomes. Infant and Child mortality rates have been markedly reduced. The underfive mortality rate in Bangladesh declined from 151 deaths per thousand live births in 1991 to 65 deaths/1000 live births in 2007 and during the same period infant mortality rate reduced from 94 deaths per 1000 live births to 52. EPI coverage extended its reach from 54% in 1991 to 87. 2% in 2006. The MMR reduced from 574/100,000 live births in 1991 to 290 in 2007.Deliveries attended by skilled birth a ttendants increased from only 5% in 1990 to 20% in 2006. The prevalence of malaria dropped from 42 cases /100,000 in 2001 to 34 in 2005. Bangladesh has also achieved significant success in halting and reversing the spread of tuberculosis (TB). Detection of TB by the Directly Observed Treatment Short-course (DOTS) has more than doubled between 2002 and 2007, from 34 to 92%. The successful treatment of tuberculosis has progressed from 84% in 2002 to 91% in 2007. Polio and leprosy are virtually eliminated. HIV prevalence is still very low.Development of countrywide network of health care infrastructure in public sector is remarkable. However, availability of drugs at the health facilities, deployment of adequate health professionals along with maintenance of the health care facilities remain as crucial issues, impacting on optimum utilization of public health facilities 2. 10Nutrition Status There has been considerable progress in reducing malnutrition and micro nutrient deficiencies i n Bangladesh. According to BDHS, percentage of U5 underweight (6-59 months) has reduced to 46. (2007) from 67 (1990) and that of U5 stunted (24-59 months) from 54. 6 (1996) to 36. 2 (2007). Percentage of children 1-5 years receiving vitamin-A supplements in last six months has increased from 73. 3 (1999-00) to 88. 3 (2007). The rate of night blindness has reduced to 0. 04 per 1000 people (IPHN, HKI 2006). However, in spite of efforts taken by the government, high rates of malnutrition and micronutrient deficiencies along with gender discrimination remain common in Bangladesh. 2. 11Urban Health ServiceThe urban areas provide a contrasting picture of availability of different facilities and services for secondary and tertiary level health care, while primary health care facilities and services for the urban population at large and the urban poor in particular are inadequate. Rapid influx of migrants and increased numbers of people living in urban slums in large cities are creating con tinuous pressure on urban health care service delivery. Since the launching of two urban primary health care projects, the services have been delivered by the city corporations and municipalities through contracted NGOs in the project's area.Rest of the urban areas and services are being covered by MOHFW's facilities. Moreover, 35 urban dispensaries under the DGHS are providing outdoor patient services including EPI and MCH to the urban population. 2. 12Organizational Setup of MOHFW The Ministry of Health & Family Welfare is one of largest ministries in the country. At the national level, the ministry of Health & Family Welfare (MOH&FW) is responsible for policy, planning and decision making at macro level. 2. 12. 1Executing Authorities of MOHFW:Under MOHFW, there are four Directorates General or Directorates, e. g. , Directorate General of Health Services, Directorate General of Family Planning, Directorate of Nursing Services and Directorate of Drug Administration. 2. 13Directorat e General of health Services (DGHS) The Directorate General of Health Services (DGHS) is entrusted for the implementation of the policy decisions of the Ministry of Health and Family Welfare (MOHFW) as regards health service delivery to all the people under the jurisdiction of the Government of the People's Republic of Bangladesh.It provides technical guidance to the ministry. DGHS carries out its activities through different directors, line directors, project directors, institution heads, district and upazila health managers and union health staffs. 2. 14Health, Nutrition ; Population Sector Program (HNPSP) The constitution Bangladesh mandates for basic health care services for its people as one of the fundamental responsibilities of the state. Towards this goal, the government has taken different endeavors to extend health facilities to the population.The broader policy document of the Government of Bangladesh that shapes direction of health care is the Poverty Reduction Strategy Paper (PRSP) although the current government has indicated that it will go for Five Year Plan. The Government of Bangladesh is running a program through which the health care services are provided to the people from the grass root to the central level. The program is entitled Health, Nutrition and Population Sector Program for the period of July 2003 through June 2010 (HNPSP 2003-2010).The Ministry of Health and Family Welfare (MOHFW) designed the Program Implementation Plan (PIP) in accordance with the PRSP to implement its sector wide program popularly known as Health, Nutrition and Population Sector Program (HNPSP). The HNPSP covers 38 Operational Plans (OP) to be implemented by 38 Line Directors and 14 Projects/Programs. The Government has recently decided to continue HNPSP until 2011. The details of the program are well documented in the form of Program Implementation Plan (PIP) duly endorsed at the highest policy level of the government, the Executive Committee for National Ec onomic Council (ECNEC).The Implementing Agency of the program is Ministry of Health and Family Welfare (MOHFW) with its attached departments. The financial involvement is estimated to be around Taka 324,503 million which includes contributions for GOB (Government of Bangladesh) and DPs (Development Partners). 2. 15Priority Objectives and Goal One of the important goals of PRSP and HNPSP is attainment of Millennium Development Goals (MDGs). The health sector is specially striving for attainment of health related MDGs.The priority objectives of HNPSP are: (i) reducing MMR; (ii) reducing TFR; (iii) reducing malnutrition; (iv)reducing infant and under-five mortality; (v) reducing the burden of TB and other diseases; and (vi) prevention and control of noncommunicable diseases including injuries. The commitment of the government targets towards reaching the goal of sustainable improvement in health, nutrition and family planning status of the people by the end of the program period. It ma y be mentioned here that HNPSP deals with health care service delivery of the public sector.Nevertheless, it strives to maintain a strong cooperation and coordination with the efforts of the Private Sector as well so as to ensure the overall well-being of every citizen of the country. Of the 38 OPs, 7 are under MOHFW, 19 under Directorate General of Health Services (DGHS), 9 under Directorate General of Family Planning (DGFP), 1 under Directorate of Nursing Services (DNS), 1 under Directorate of Drug Administration (DDA) and 1 under National Institute of Population Research and Training (NIPORT) and.Of the 14 projects/programs, 1 is under MOHFW, 9 under DGHS, 1 under DGFP, 2 under DNS and 1 under NIPORT. The Health Bulletin 2009 is an attempt of Management Information System (MIS) of DGHS to provide an overview of the current health profiles of Bangladesh. CHAPTER – 3 Health care delivery systems of Bangladesh Distribution of public health care services and facilities follows similar pattern of administrative tiers, viz. national (mostly capital-based in Dhaka), regional (in divisions), district, upazila, union and ward. The country has 7 divisions, 64 districts, 482 upazillas and 4,498 unions.As the Ministry of health and family Welfare deploys health workforce according to the older ward system, which divides each union into 3 wards. Therefore, number of MOHFW wards is 13,494. Primary health care (PHC), which includes family planning services in the urban area (city corporations and municipalities), is provided by Ministry of Local Government; and in rest of the country by Ministry of Health and Family Welfare (MOHFW) provides health care service. Provision of secondary and tertiary care, in both urban divisional directorates with necessary staff. and rural areas, is the sole responsibility of MOHFW.The MOHFW delivers its services through two separate executing authorities, viz. Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP). The names explain their functions. PHC services of both DGHS and DGFP begin at the ward level through a set of community health staffs, at least one in each ward (Table). To supervise these field staffs, there is one assistant health inspector (for DGHS) and one family planning inspector (for DGFP) at union level. There are several hundred non-bed community facilities to provide outpatient services (1466 for DGHS and 3500 for DGFP).Besides DGFP also operates additional 97 maternal and child welfare centers (MCWCs) (union: 23; upazila: 12; district: 62), 471 MCH-FP clinics (upazila: 407; district: 64), 177 NGO clinics (upazila: 68; district: 104; national: 05), 08 model clinics (national: 02; regional: 06) and organizes 30,000 makeshift satellite clinics per month. The public sector hospital care in Bangladesh is mainly provided by DGHS. Primary level hospital care| Secondary level hospital care| Tertiary level hospital care| Begins through Upazila Health Comp lex (31 to 50 Bed) existing in 418 upazilas. The district hospitals (50 to 375 bed), one each district, provide secondary level hospital care in several specialty areas. | The regional hospital are multidisciplinary tertiary care hospitals (250 to 1700 beds) mostly affiliated with teaching institutes. At the national level, there are postgraduate and specialized hospitals (100 to 600 beds)| 3. 0Divisional level health organization At the divisional level, there is a divisional Director for Health. S/he is the head of a Divisional Directors supervise the activities of the civil Surgeons. 3. 1District level health organizationAt the district level, Civil Surgeon is the health manager. S/he has own administrative office supported by various categories of staff. There is either a Sadar Hospital or a General Hospital in each district head quarter. The Hospital provides services under the management of Civil Surgeon with a view to render out-patient, in-patient, emergency, laboratory and imaging services to the people. The in-patient services internal medicine, general surgery, obstetrics and gynecology and other common specialist clinical services. It is the secondary level referral facility of health services of Bangladesh.Currently there are 59 Sadar district hospitals and 2 General hospitals in the country each having 100-250 bed. 3. 2Upazila level health organization Upazila Health Complex (UHC) is another fixed service delivery point next to district level hospital. It provides the first level referral services to the population. In each UHC, there are posts for 9 (nine) doctors including one Upazila Health and Family Planning Officer (UHFPO). UHFPO is the Chief Health Officer of upazila and also Head of the UHC. Other doctors of UHC are Junior Consultants-4, Resident Medical Officer-1, Assistant Surgeons (MO)-2 and Dental Surgeon-1.There are 418 Upazila Health Complexes (UHC) in the country of which 153 are 50bed and rests are 31-bed. UHC provides out-patient , in-patient and emergency services, limited diagnostic and imaging services, emergency obstetric care, contraceptive services and dental care. 3. 3Union level health organization There are four types of static health facilities in the union level. These are Rural Health Centers (RHC, 10-bed hospital), Union Sub-centers (USC), Union Health and Family Welfare Centers (UHFWC) and Community Clinics (CC). There are 22 RHCs, in each of these, there are sanctioned posts of 20 staffs.RHC provides both out-patient and inpatient services. In an USC, there is sanctioned posts for one medical officer, one medical assistant, one pharmacist and one MLSS. Number of USC is 1,362; that for UHFWC is 87. Under HPSP, Government planned for establishing one Community Clinic for every 6000 rural populations. Number of CCs so far built is 11,883. But, these were not made functional. Recently Government has decided to start the CCs again. The total number of CCs will be 18000. The existing UHCs and Union level facilities will also provide services of CCs in the respective communities.So,13,500 additional CCs will be required. The main health workforce in the union level is the domiciliary staff called health assistants. They are placed in each ward, which is the lowest and smallest administrative unit of the health sector. They visit the homes of the local people for providing primary health care services and collection of routine health data. The health assistants routinely organize satellite clinics for immunization services. Besides there are other small to large hospitals and special purpose hospitals spread across the country both in rural as well as in urban areas.Under the DGHS, there are altogether 40 teaching/training institutes and 589 small to large hospitals. In Family Planning sector, there are one national research-cum-training institute, two hospital-based training centers, and 32 other training centers (national: 12; regional: 20). Nearly six hundred health managers under DGHS and a similar number under DGFP, from national to upazila levels, play roles in administering the health and family planning services (1,17). This figure does not include the institute and clinic/hospital heads. CHAPTER – 4Facility Based Health Services Hospital service is one of the important activities of health sector, which is the most visible health service also. This chapter of the Health Bulletin 2009 will provide an overview of the hospitals and their bed capacity as well as utilization based on the information from January through December of 2008. 4. 0Hospitals by bed capacity There are 585 hospitals ranging from 10 beds to 1,700 beds under DGHS currently. All of these hospitals provide a total of 37,090 beds. The table below gives a detail profile. No. f hospitals by bed capacity and total beds under DGHS Sl. No. | Bed capacity | No. of hospitals in this type | Total beds | 1 | 1700 beds | 1 | 1700 | 2 | 1010 beds | 1 | 1010 | 3 | 900 beds | 1 | 900 | 4 | 800 beds | 1 | 800 | 5 | 600 beds | 5 | 3000 | 6 | 500 beds | 3 | 1500 | 7 | 414 beds | 1 | 414 | 8 | 375 beds | 1 | 375 | 9 | 250 beds | 19 | 4750 | 10 | 200 beds | 2 | 400 | 11 | 150 beds | 3 | 450 | 12 | 100 beds | 53 | 5300 | 13 | 80 beds | 1 | 80 | 14 | 56 beds | 1 | 56 | 15 | 50 beds | 158 | 7900 | 16 | 31 beds | 271 | 8401 | 17 | 30 beds | 1 | 30 | 8 | 25 beds | 1 | 25 | 19 | 20 beds | 43 | 860 | 20 | 10 beds | 22 | 220 | | Total = | 589 | 3817138171| Type of hospitals Following list gives an overview of the type of hospitals currently in operation under DGHS Type of hospitals | No. of hospitals | Total bed capacity | Postgraduate institute hospital | 7 | 2014 | Dental college hospital | 1 | 20 | Hospital for alternative medicine | 2 | 200 | Medical college hospital | 14 | 8685 | Mental hospital, Pabna | 1 | 500 | Shekh Abu Naser Specialized Hospital | 1 | 250 | Narayanganj 200 bed Hospital | 1 | 200 |Specialized Health center (Asthma ; Burn unit) | 2 | 150 | Sarkari karmoc hari hospital | 1 | 100 | Chest hospital | 12 | 566 | Infectious disease hospital | 5 | 180 | Leprosy hospital | 3 | 130 | District Level Hospital | 60 | 8100 | 50 bed hospital(Tongi, Saidpur) | 2 | 100 | 100 bed hospital (Narsingdi) | 1 | 100 | 25 bed hospital (Jhenidah) | 1 | 25 | Bangladesh korea moitree hospital | 1 | 20 | Upazila health complex | 421 | 15958 | Health complex (31 bed) | 3 | 93 | 20 bed hospital | 28 | 560 | 10 bed hospital | 22 | 220 | Postgraduate Institute Hospitals all are national level hospitals and are located in Dhaka) Total = 7 | No. of beds | | Total | Revenue | Develop. | Proposed | Beds will Increase | 1. National Institute of Chest Disease and Hospital (NIDCH) | 600 | 600 | 0 | 0 | 0 | 2. National Institute of Cardiovascular Disease (NICVD) | 414 | 250 | 164 | 0 | 0 | 3. National Institute of Traumatology and Rehabilitation (NITOR) | 500 | 500 | 0 | 0 | 0 | 4 National Institute of Cancer Research and Hospital (NICR;H) | 50 | 50 | 0 | 250 | 200 | 5 Na tional Institute of Ophthalmology (NIO) | 250 | 250 | 0 | 0 | | 6.National Institute of Kidney Disease and Hospital (NIKDU) | 100 | 0 | 100 | 0 | 0 | 7. National Institute of Mental Health (NIMHR) | 100 | 50 | 50 | 0 | | Total = | 2014 | 1700 | 314 | 250 | 200 | Medical College Hospitals of Teaching Hospitals of equivalent level (Regional hospitals and are used as undergraduate and postgraduate teaching hospitals). Division | District | Name of hospital (Total = 17) | No. of beds | | | | Beds | Revenue | Develop. | Proposed | Bed will increase | Barisal | Barisal | Sher-e-Bangla Medical College Hospital | 00 | 600 | 0 | 1000 | 400 | Chittagong | Chittagong | Chittagong Medical College Hospital | 1010 | 1010 | 0 | 0 | 0 | | Comilla | Comilla Medical College Hospital | 250 | 250 | 0 | 500 | 250 | Dhaka | Dhaka | Dhaka Medical College Hospital | 1700 | 1700 | 0 | 2000 | 300 | | | Sir Salimullh Medical College Hospital | 600 | 600 | 0 | 0 | 0 | | | Shahid Suhrawardy Hospital, Dhaka | 37 5 | 375 | 0 | 0 | 0 | | | Homoeopathic Degree College ; Hospital | 100 | 100 | 0 | 0 | 0 | | | Unani ; Ayurvadic College ; Hospital | 100 | 100 | 0 | 0 | 0 | | | Dental College and Hospital, Dhaka | 20 | 20 | 0 | 200 | 180 | | Faridpur | Faridpur Medical College Hospital | 250 | 250 | 0 | 0 | 0 | | Mymensingh | Mymensingh Medical College Hospital | 800 | 800 | 0 | 1000 | 200 | Khulna | | Khulna Medical College Hospital | 250 | 250 | 0 | 500 | 250 | Rajshahi | Bogra | SZR Medical College Hospital | 500 | 500 | 0 | 0 | 0 | | Dinajpur | Dinajpur Medical College Hospital | 250 | 250 | 0 | 500 | 250 | | Rajshahi | Rajshahi Medical College Hospital | 600 | 600 | 0 | 0 | 0 | | Rangpur | Rangpur Medical College Hospital | 600 | 600 | 0 | 1000 | 400 | Sylhet | Sylhet | MAG Osmani Medical College Hospital | 900 | 900 | 0 | 1000 | 100 | Total = | 8905 | 8905 | 0 | 7700 | 2330 | Specialized Centers under DGHS with bed capacity (Year 2008) Division | District | Name of hospital (Total = 2) | No. of beds | | | | Beds | Revenue | Develop. | Proposed | Bed will increase | Dhaka | Dhaka | 1. National Asthma Center at NIDCH | 100 | 0 | 100 | 0 | 0 | | | 2. Burn Unit | 50 | 0 | 50 | 200 | 150 | Total = | 150 | 0 | 150 | 200 | 150 | | | 4. 1BSMMU Bangabandhu Sheikh Mujib Medical University (BSMMU) is the premier Postgraduate Medical Institution of the country. It bears the heritage to Institute of Postgraduate Medical Research (IPGMR)which was established in December 1965.In the year 1998 the Government converted IPGMR into a Medical University for expanding the facilities for higher medical education and research in the country. It has an enviable reputation for providing high quality postgraduate education in different specialties. The university has strong link with other professional bodies at home and abroad. The university is expanding rapidly and at present, the university has many departments equipped with modern technology for service, teaching and research. Besides educ ation, the university plays the vital role of promoting research activities in various discipline of medicine. Since its inception, the university has also been delivering general and specialized clinical service as a tertiary level healthcare center.The university provides patient care services on various disciplines like Psychiatry, Physical medicine, Pediatrics, Neonatology, Pediatric neurology, Pediatric surgery, Clinical pathology, Dermatology, Colorectal surgery, Nephrology, Urology, Neurology, Neuro-Surgery, Internal Medicine, Gastroenterology, Hepatology, Ophthalmology, ENT, Obstetrics ; gynecology, Surgery, Hepatobiliary Surgery, dentistry, and blood transfusion services. It provides different treatment services like Intensive Care, Lithotripsy, Pain management and diagnostic services like radiology, endoscopy, CT scan ; MRI and a one-stop laboratory service. BSMMU runs Institute of Nuclear Medicine (INM). INM is a joint project of Bangladesh Atomic Energy Commission and BS MMU. The INM has modern diagnostic and therapeutic facilities including computerized ultrasonography, gamma camera and a well equipped radioimmunoassay (RIA) laboratory.This is considered to be the best center for noninvasive diagnoses. 4. 2Smiling  Sun  Franchise  Program   (SSFP) The Smiling Sun Franchise Program is a project funded by the United States Agency for International Development (USAID). It is intended to complement the wide network of healthcare facilities set up by the Government of Bangladesh resorting to an innovative approach to health care franchising. SSFP is committed to improve the quality of life of all Bangladeshis by providing superior, friendly and affordable health services in a sustainable manner. To achieve relevant health outcomes, SSFP is jointly working with partnering NGOs to convert the existing network into a viable social health system.SSFP objective is to strengthen partnering organization's quality of care while helping them to enhance t heir financial sustainability, thus enabling them to continue serving an important segment of the Bangladeshi society, including the poorest of the poor. Currently 29 NGOs are providing health care services to women, children and through 319 static and 8,500 satellite clinics in 61 districts of Bangladesh. 34 clinics of this network are providing Emergency Obstetric Care (EmOC) services. This network will continue to expand the volume and types of quality health care under ESD provided to the able-to-pay customers as well as underserved and poor clients. 4. 3Urban Primary Health Care Project (UPHCP-II): About 35 million people representing almost 25 percent of the population of Bangladesh live in urban areas, a large proportion of whom are slum dwellers.The health knowledge of the urban slum dwellers and their access to essential basic health services are low. Children living in urban slums are deprived of education and health care, and vulnerable to violence, abuse and exploitation . On the other hand, high rate of mortality and morbidity exists among women who remain neglected in terms of meeting their basic health needs and ensuring their rights. The Government of Bangladesh is committed to put in place strategies to address the issues of improving the health status of the urban population. This is to be done through improved access to and utilization of efficient, effective and sustainable Primary Health Care Services.The provision of public health services in urban areas is the responsibility of Local Government Bodies by dint of City Corporation Ordinance of 1983 and Pouroshova Ordinance of 1977. For primary health care services delivery, the public sector works in partnership with NGOs and the local government institutions such as the City Corporations and Pouroshovas. The health service delivery mechanism in urban areas involves diverse roles of the government (MOLGRD&C and MOHFW), NGOs and the private sector. CHAPTER – 5 Leading Public Health Pr oblems 5. 0Communicable disease The prevention and control of communicable diseases represent a significant challenge to those providing health-care services in Bangladesh.Sound knowledge on the disease epidemiology is a must for the health service providers in various levels. The Bangladesh population is namely affected by diarrheal diseases, cholera, hepatitis A & E, Malaria, Mycobacterial Disease like Tuberculosis and Leprosy, Dengue, Japanese encephalitis, Nipah virus infection, etc. Crowding, poor access to safe water, inadequate hygiene and toilet facilities, and unsafe food preparation and handling practices are associated with transmission. Cholera is endemic Bangladesh, between 800 and 1000 cases are usually being recorded daily at the hospital of the ICCDR, B in Dhaka. Hepatitis A and E levels are usually high in the country.Malaria risk exists throughout the year in Bangladesh. Thirteen out of 64 administrative districts are high malaria endemic areas. 98% of all malaria cases reported are from these districts, which are mainly located in the border areas of India and Myanmar. Tuberculosis still remains as a major public health problem, which ranks Bangladesh fifth among the high-TB burden countries in the world. The present revised National Tuberculosis Programme (NTP) was launched and field implementation of DOTS (Directly Observed Treatment short course) was started in 1993. Kala Azar or Leishmaniasis or is endemic in Bangladesh and has an incidence of 175 per 100,000 per annum.It is caused by a protozoa which is transmitted from the bite of infected sandfly and may present in cutaneous or visceral forms (particularly common in Bangladesh). Filariasis is a mosquito borne parasitic disease causality urogenital organs, breast, etc. with long arm disability. In Bangladesh, it is endemic in 23 districts, mostly the bordering ones. About 20 million people are already infected, most of whom are incapacitated. Leprosy has been a major health problem in Bangladesh for a long time. Bangladesh was considered a high endemic country and was listed among ten countries with high case load (1992). Leprosy situation has changed globally after 1981 when the Multi Drugs Treatment (MDT) were introduced.Hepatitis A virus infection is common in Bangladesh with a prevalence of about 2% to 7%. Prevalence of hepatitis C virus infection is less than 1%. Sporadic outbreak is often seen caused by hepatitis E virus infection; but presence of hepatitis D infection is not exactly known. Polio free status prevailed from 2001 until now (June 2009) except a small window period in 2006 when 18 cases of child polio were seen in boarder areas of Bangladesh. it is assumed that these cases were imported from India. Dengue fever/Dengue hemorrhagic fever (DF/ DHF) is a viral disease transmitted by the Aedes aegypty mosquito. It is on the increase in South East Asia. Bangladesh reported 100, 000 cases in 2005.However case fatality rate (CFR) remained