Role in Criminal Procedure of US Constitution Essay

Role in Criminal Procedure of US Constitution - Essay Example In the US Constitution itself, there is an Article that includes provision for both pre-trial and trial rights. Article III, Section. 2, Clause 3 indicates that â€Å"[t]he Trial of all Crimes [†¦] shall be by Jury; and such Trial shall be held in the State where the said Crimes shall have been committed [†¦]† (National Archives, â€Å"Constitution of the United States, Art.III,  §.2, cl.3†, 1787) This passage determines two important elements of criminal procedure, namely the jury and venue. These are crucial while they describe the place and method of criminal procedure.As for the Bill of Rights, there are several Amendments that are relevant to the current research question. To be more specific, Amendments Fifth, Sixth and Eight seem to be the most important to determining criminal procedure. Within the Fifth Amendment, there are several crucial points to understand in regard to criminal procedure. First, this Amendment rejects punishment for capital or i nfamous crimes except for specific cases. Similarly, in the Eight Amendment, it is stated that â€Å"[e]xcessive bail shall not be required†, nor â€Å"excessive fines, nor cruel and unusual punishments.† (National Archive, â€Å"Bill of Rights, Amendment VIII†, 1789) Second, Amendment V also indicates that one person will not be answering twice for the same crime. Third, any person has the right not to witness against oneself. Finally, the Amendment does not allow the punishment of a person without due juridical process. (National Archive, â€Å"Bill of Rights, Amendment V†, 1789).

Weekly News from the Arab World Essay Example for Free

Weekly News from the Arab World Essay There has been an observable interest coming from the public regarding events that is happening in the Arab World. This has something to do with the situations that happened in the past that involved the peace and order of the region. At present, the interest of most people is based on how the countries in the Middle East will deal with the present global financial crisis. News from this region mostly pertains to this issue as well as other events that are related with its peace and security. This week’s news gave emphasis on the situation of the Arab World when it comes to their financial stability especially with the looming crisis in their midst. According to recent updates, Arab markets continue to deteriorate. The region’s decreasing economic robustness is observable in its stock market that has been decreasing for four straight days. Tadawul All of Saudi Arabia, which is recognized as the largest stock holder in the Middle East, experienced a decreased of more than 7. 5 per sent of their shares. In the same manner, other Arab countries like the shares of Dubai lost more than 25 per cent of their trading value and even the Kuwait stock exchange, the second largest in the region decreased by 2. 8 per cent. These clearly show that the Arab World is also greatly affected by the financial crisis in the world today (Aljazeerah, 2008). There are also observable security threats in some countries in the region. This is greatly evident in Iraq when a bomb exploded at the Abu Dshir market. The bomb exploded a vehicle that killed 13 people and inflict injury to another 27. Even though there are still violent incidents in the country, police reported there is a steady decline in this kind of incidents. The latest notable attack was when the MP Moqtada Sadr from the Shia was killed by using a roadside bomb (BBC, 2008). On a lighter note, good things are also happening for some countries in the Arab World. One of which is the exclusion of Jordan from Egypt’s rice embargo. Egyptian Minister of International Cooperation Fayza Abul Naja explicitly announced that Egypt is willing to provide Jordan’s rice needs. This transaction does not only stand for economic partnership for these two countries but it also symbolizes their strengthening relationship. The Arab World like any other region in the globe is also facing numerous challenges (The Jordan Times, 2008). These problems occur in different areas of concern in the region. Nevertheless, they are doing what they can in order to address these dilemmas immediately to achieve favorable results for the Arab countries and most especially its people. References Aljazeera. (2008). Arab markets continue to dive. Retrieved October 10, 2008, from http://english. aljazeera. net/news/middleeast/2008/10/200810811223643836. html. BBC. (2008). Deadly bomb attack at Iraq market. Retrieved October 10, 2008, from http://news. bbc. co. uk/2/hi/middle_east/7664057. stm. The Jordan Times. (2008). Egypt excludes Jordan from embargo on rice exports. Retrieved October 10, 2008, from http://www. jordantimes. com/? news=11225.

Workplace Observation :: essays research papers

In all the different places I have worked there has always been a dress policy. In the Army we wore BDU’S and I always had to have my hair up. When I started working as a CNA again I had to ware a uniform â€Å"Scrubs† and there again they liked are hair to be up. I think in every job setting there should be a dress code for one it will distinguish you from everyone else and it lets the employees respect their job. Language had never been a real big problem to have to censor in the jobs that I have had. I think as an adult working in a professional setting you know what to say when you can say and where you can say it. Casual dress, a workplace perk acceptable throughout corporate America, is not altogether as common in other parts of the world. . (Tatiana D. Helenius) Sloppiness in dress not only makes a bad impression, but it may cause others to question business credentials or reliability. . (Tatiana D. Helenius) "In the international arena," said DelVecchio, "the words 'conservative, traditional, and formal' still very much apply. If you are not sure, err on the side of formality. Whether in Europe, Asia, the Middle East, or South America, informality and a careless attitude will scuttle even the most talented executive.† (Tatiana D. Helenius) If it's determined among your group that negotiations will be conducted in English, be considerate by avoiding slang terms such as "in the loop," "push the envelope" and "should I CC you on that?" This advice applies to written communications such as faxes, as well. (Tatiana D. Helenius) In political terms, "conflict" refers to an ongoing state of hostility between two groups of people. (Wikipedia: Verbatim copying.) Conflict as taught for graduate and professional work in conflict resolution commonly has the definition: "when two or more parties, with perceived incompatible goals, seek to undermine each other's goal-seeking capability". One should not confuse the distinction between the presence and absence of conflict with the difference between competition and co-operation. In competitive situations, the two or more parties each have mutually inconsistent goals, so that when either party tries to reach their goal it will undermine the attempts of the other to reach theirs. Therefore, competitive situations will by their nature cause conflict. However, conflict can also occur in cooperative situations, in which two or more parties have consistent goals, because the manner in which one party tries to reach their goal can still undermine the other's attempt.

Metallica Essay -- essays research papers

â€Å"If you came here to see spandex and big hair, this ain’t your band†, Metallica’s â€Å"war cry† throughout the early eighties. While the rest of the hard rock bands wanted to get rich and a lot of women, Metallica, as in the words of former lead guitarist Dave Mustaine, â€Å"Our hole existence pretty much was guitar, dominating the world and getting liquored up†.   Ã‚  Ã‚  Ã‚  Ã‚  During the late 1970s and early 1980s, there was a new wave a British Heavy Metal entering the cassette and 8-track decks of people everywhere. Over in Denmark, current Metallica drummer Lars Ulrich, was a hug fan of this type of music. So obsessed with this music, Lars Ulrich wanted to start a heavy metal band... a band that he could play his favorite songs with.   Ã‚  Ã‚  Ã‚  Ã‚  On the other side of the globe, James Hetfield, Metallica’s current rhythm guitarist and lead singer, was looking to start a band of his own. His current roommate had taught him how to play guitar and James was very motivated to get something started. In effect, James had put a listing in a worldwide music magazine, The Recycler under â€Å"H† for â€Å"Heavy Metal†. James and Lars, were the only ones listed, so it was obvious that the two should talk to each other.   Ã‚  Ã‚  Ã‚  Ã‚  In the fall of 1981, the band â€Å"Metallica† was formed. Playing drums was Lars Ulrich, on bass guitar was Ron McGoveny, playing lead guitar was Dave Mustaine, and rhythm guitar and lead vocalist was James Hetfield. During the song writing process over the next few months, the band became very addicted to Alcohol. When drunk, Dave Mustaine would get very violent, while the rest of the band would get happy. Happy and Violent people just don’t mix. Ron McGoveny could not handle the situation with Dave, and so he left the band.   Ã‚  Ã‚  Ã‚  Ã‚  Lars, James, and Dave then went around to local clubs to check out bassists’ from other bands. At one club, they found Cliff Burton playing with a band called Trauma. Cliff Burton was a technical engineer and could do certain things on a bass that would make it sound like noises from a guitar. After the show that night, Lars, James, and Dave confronted Cliff asking him to join â€Å"Metallica†. Cliff said he would join, only if the band relocated from Los Angeles to San Francisco.   Ã‚  Ã‚  Ã‚  Ã‚  In Los Angeles, Metallica recorded their first demo... ...the Page,† written by Bob Segar, was placed on this album. James Hetfield states, â€Å"When I first heard this song, the lyrics spoke to me and I realized that this song was written for me, written for Metallica.† The Video released for this song showed a story of a prostitute trying to support and provide a normal life for herself and her daughter, accompanied by the song in the back-ground.   Ã‚  Ã‚  Ã‚  Ã‚  Since the start of Metallica, the members have always been about the fans, and for the fans. The members of Metallica consider themselves to be four lucky fans who got together in a garage. Metallica’s music goes much more deeper in emotions than rap and other new forms of â€Å"popular† music. Since the day I started listening to Metallica, there hasn’t been a day that went by where I didn’t listen to them. Metallica has a song for every person and every emotion. By cutting there hair, by changing what ways they allow their music to be produced, they have grown up. Metallica was started by 17 year olds and while they are in their ripe, current age 37, they will continue making music that suits them, and only them. For that reason, they have my full and undivided respect.

Bend It Like Becham and Looking for Alibrandi

This term we have studied the film bend it like beck ham and the novel looking for librarian. They both explore coming of age through different experiences to mature into the person they are today. But during that process they come across similar challenges to face. Jess is from a strict Indian silks family who expectations are high for both Jess and her sister pinky. The director of bend it like Bà ©chamel explores the experiences of coming of age by showing challenges with her culture.Jess wants to play football professional but her family and culture disapproves of this idea and has to go by her parent's values. The point of view shoot from basis's perspective and the quotation † you can become a fine doctor and solicitor now † this show the expectations and values of the family and culture. Josephine goes through similar challenges where she struggles to accept her culture and not hate it. Josephine says, † I hate being Italian † this shows Josephine not liking her culture and her background. BothJosephine and Jess go through similar challenges with their culture and learning to cope with it. Throughout the film and the novel Josses and Jess have to go through challenges with their family, Josses has grown up her whole life without a dad. When her dad shows up Josses is shocked and doesn't want to see him. â€Å"We don't need him†, Josses says to her mum ,telling her she doesn't want him in her life. Through out the novel Josses has to overcome her hate she had for her dad in the past and let it go. And allow accepting him in her life.Jess might not have a new dad in her life but she sure does have family issues. Jess finds out her finals is on the same day as her sisters wedding. She has to choose between her futures of her family. She chooses family because she knows it's the right thing to do † IM not lying any more† Jess says realizing . Lying is not right and has to become more mature and choose right decisio ns. As the wedding goes on her dad saw she was upset and allowed her to go to the rest of the game on a conditions she comes back straight after.The parallel hot of pinky held up by Teeth and Jess been help up by her team and Josses learning to accept her dad represents that both girls have achieved a new mile stone in the coming of age experience. By going through the experience of coming through age Josses and Jess also go through different challenges. Jess has gender restrictions where her culture and family do not believe a girl should play football Jess ignores her culture and lies to her parent's . When her parent's find out and forbids her to play again Jess stands up to her family telling them this is my passion and what I love to do. F I can't tell you what I want now, then I will never be happy' Jess sticks up in what she wants in life even if her culture and family do not agree. Josses also goes through a harsh time when her close friend died I wonder now why I thought it John's suicide] wasn't true. Paper and could forget the next day. † This shows Josses trying to accept John has died and is never coming back. Both Josses and Jess have similar challenges to allow them to come of age thought out the novel and film but despite there similarities they also have differences as well.

Popular Cliches Explained for ESL Students

Popular Cliches Explained for ESL Students A cliche is a common phrase that has been overused. In general, cliches are to be avoided. In reality, they are not avoided - thats why they are cliches! Understanding popular cliches is especially important for English learners because they provide a deeper understanding of set phrases - or chunks of language. You might hear movie stars or politicians using cliches. Theyre phrases everybody understands.   10 Popular Cliches The writing on the wall   Something that is about to happen, something that is obviousCant you see the writing on the wall! You need to get out of that business.To pull an all-nighter   To study or work all nightWe had to pull an all-nighter to get the work finished on time.Pearls of wisdom   Wise words or adviceIm not really interested in his pearls of wisdom. He lived in a different period.Too much of a good thing   Generally used when saying thats impossible to be too happy, or luckyEnjoy it! You cant have too much of a good thing.Fit as a fiddle   To be ready and ableIm fit as a fiddle. Lets do this thing!Curiosity killed the cat   Dont be too inquisitive, it can be dangerous!Remember curiosity killed the cat. You should just forget about it.Dont do as I do, do as I say.   Used when someone points out that you are being hypocritical (doing one thing while insisting that others do that thing differently)Stop talking back! Dont do as I do, do as I say!Let sleeping dog s lie   Dont look into (investigate) something that was troublesome in the past, but in which people are not currently interestedId let sleeping dogs lie and not re-open the investigation into the crime. A cat has nine lives   Someone might be having problems now, but there are many chances to do well or succeedHis career reminds that a cat has nine lives!Moment of truth   The moment in which something important will be shown or decidedIts the moment of truth. Either well get the contract or we wont. Where Can I Find Cliches? These chunks of language known as cliches are found everywhere: in letters, in films, in articles, in conversation. However, cliches are most often used in conversation.   Should I Use Cliches? A good rule of thumb for English learners is to understand a variety of popular cliches, but not necessarily use them actively. Many times the use of a cliche signals fluency, but often cliches are considered inappropriate or unoriginal. On the other hand, if a native speaker  uses a cliche you will understand!  Ã‚   The Difference Between an Idiom and a Cliche An idiom is a phrase that means something else than the literal words. Idioms always have figurative, not literal meanings. Literal Meaning exactly what the words sayFigurative Having a different meaning than what the words say Two Idioms To get under someones skin To bother someoneShes getting under my skin these days!No spring chicken Not youngToms no spring chicken. Hes almost 70! Two Cliches A cliche is a phase which is considered overused (used too often) which can be literal or figurative in meaning. Here are some examples: The good old days / literal In the past when things were betterI remember my years at college. Yes, those were the good old days.Tip of the iceberg / figurative Only the beginning, or just a small percentageThe problems we are seeing are just the tip of the iceberg.

Free Essays on Rip Van Winklel

Rip the Character I always thought the story of â€Å"Rip Van Winkle† was a kid’s story teaching the lesson to not be lazy. While in a way it still is a story about not being lazy it also symbolizes so much more than I ever knew. The character of Rip is used to show how the American man is seen from abroad. The foreigners stereotyped the typical American male as being the perfectly jolly over grown child, perpetually â€Å"one of the boys†, and ignorant of his own wife and the whole world of other adult men. Throughout out the following short essay I will discuss and support my topic of Rip as symbolic of the mythic American male. For example in the very beginning of the story Rip is perceived as a very lazy, yet jolly young man. When he’s introduced he is ducking out of work and avoiding the wife. All Rip wants to do is sit back and relax and let all the good things come to him. Rip himself does just enough to provide for him and his family. Speaking of his family, Rip’s children were very wild and ragged looking. Even his own son was taking after him all the way from his clothes to his attitude towards things. It is said in the story that Rip, if left to himself, would of whistled life away in perfect contentment. Such examples in the story point to how ignorant Rip is of his family and the rest of the world. Rip tried to work, but everything he tried don his own farm was useless. Every part of his farm was horrible. All his fences were falling apart, which sent his cows astray. Weeds had taken over his cabbage patch. Rip’s farm had become the worst farm in the town. No matter what Rip did his farm just wouldn’t do the correct thing. So instead of trying to fight his own farm Rip would take his jolly self into town every day. The children of the town loved Rip. Rip helped the kids build their toys, taught them how to fly kites, and shoot marbles. Just as a kid would be Rip was ready to do anyone o... Free Essays on Rip Van Winklel Free Essays on Rip Van Winklel Rip the Character I always thought the story of â€Å"Rip Van Winkle† was a kid’s story teaching the lesson to not be lazy. While in a way it still is a story about not being lazy it also symbolizes so much more than I ever knew. The character of Rip is used to show how the American man is seen from abroad. The foreigners stereotyped the typical American male as being the perfectly jolly over grown child, perpetually â€Å"one of the boys†, and ignorant of his own wife and the whole world of other adult men. Throughout out the following short essay I will discuss and support my topic of Rip as symbolic of the mythic American male. For example in the very beginning of the story Rip is perceived as a very lazy, yet jolly young man. When he’s introduced he is ducking out of work and avoiding the wife. All Rip wants to do is sit back and relax and let all the good things come to him. Rip himself does just enough to provide for him and his family. Speaking of his family, Rip’s children were very wild and ragged looking. Even his own son was taking after him all the way from his clothes to his attitude towards things. It is said in the story that Rip, if left to himself, would of whistled life away in perfect contentment. Such examples in the story point to how ignorant Rip is of his family and the rest of the world. Rip tried to work, but everything he tried don his own farm was useless. Every part of his farm was horrible. All his fences were falling apart, which sent his cows astray. Weeds had taken over his cabbage patch. Rip’s farm had become the worst farm in the town. No matter what Rip did his farm just wouldn’t do the correct thing. So instead of trying to fight his own farm Rip would take his jolly self into town every day. The children of the town loved Rip. Rip helped the kids build their toys, taught them how to fly kites, and shoot marbles. Just as a kid would be Rip was ready to do anyone o...

Case Study Essay

Case Study Essay Case Study Essay Katharina zu Dohna – 002518 March 2012 Ian Haan – 012174 Group 70 Jonas Ernevi – 032991 Daniel Hesselberg – 007428 Andreas Skajem Lind – 020442 Camille Lancesseur – 028198 BEM2016 - Consumer Behaviour For what purpose do students purchase and consume Red Bull? brief 3 red bull, a worlwide phenomenon 3 History†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Overall marketing strategy†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 MAIN BODY 4 Red Bull’s influences on sports †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...4 Sport events attracting students. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4 Student athletes†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦5 Why do students athletes then consumer Red Bull? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...6 Students’ consumption during nightlife..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...6 The money Factor†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.6 Perception amongst students†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...6 Promotion strategy†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.7 Student’s consumption while studying.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.8 Red Bull’s side effects 10 What about Red Bull’s future†¦? 11 Our opinion on the company 11 References 12 appendix 1 14 appendix 2 18 The aim of the study is to analyse the consumption patterns of Red Bull amongst university students in England. To achieve this, we focused on three main activities undertaken by students being sports, studying and going out (i.e. nightlife). We felt that there were different consumer behaviours associated with each and we wanted to highlight that feature. An ethnographic study was created from interviewing a wide range of students, as well as shop managers, nurses, a nutritionist and a Red Bull promoter. From these interviews, we got a wider understanding and a broader point of view to help us on our case study. Surveys were carried out to get statistical insights on how sports and Red Bull’s consumption are intertwined, as well as to get general feedback from students. Finally, we analysed the future trends of the consumption of Red Bull and its possible decline or increase in popularity. Red Bull, a worldwide phenomenon History of Red Bull Well-known as â€Å"liquid cocaine† or â€Å"speed in can†, the world’s number one Energy Drink, Red Bull, has been selling on the market for the past 25 years (Red Bull, n.d). From travelling in Asia, Dietrich Mateschitz discovered the potential of Energy Drinks and the benefits on physical and mental capacities. Indeed, Red Bull is foremost a Thai product drunk by blue-collar workers to increase concentration and energy at work. Red Bull was thus firstly launched in Austria in 1987, as a new product line. The prompt expansion of Red Bull was helped by the consumer society increasingly requiring new products, and discovering new needs. Red Bull spread around the mass market rapidly and is now available in 162 countries, with several billions of cans being sold every year (Red Bull, n.d). Dietrich Mateschitz managed to alternate Red Bull’s image, being a drink consumed by the lower class, giving it a â€Å"cooler† aspect for the Western market. He successfully targeted the appropriate markets being athletes and youth (BBC News, 2001). Overall Marketing Strategy The brand image created associates youth culture and sports by appealing to a specific age and lifestyle group. The firm segments Generation Y, being an attractive market because of its size and free spending, but also being highly receptive to energy drinks. As this generation is hard to reach because of resistance to traditional types of advertising, Red Bull marketers developed new advertising plans. Indeed, the firm avoids traditional marketing strategies, and uses Case Study Essay Case Study Essay Case Study: FirstGroup * Strategic intent: to provide transportation services to anyone whether it is through school buses, rail or greyhound. * Target Customers: Although Firstgroup is a global business, their main target is the local people. They target to the locals because they can be more responsive to the needs of their consumers in a timely matter. * General Features: They provide yellow school busses to students, Greyhound busses that travel through states and local busses/rail for the everyday commuter. * London’s Air Ambulance: Firstgroup will provide 100k worth of support over four years. Put in service of 23 brand new hybrid busses. Provided an aircraft for quicker transportation. * Political * In 1980, the government started to privatize bus services in the UK because it believed that private businesses would compete to run bus services and that would keep the prices low. * FIrstgroup operates at a local level providing services to local schools and bus routes tha t cater to the elderly people. * A governmental policy relating to the reduction of carbon dioxide emissions affected all transportation services. Firstgroup plans to reduce its CO2 emissions by 25% for its bus division and 20% for rail. Their goal is to improve the fuel efficiency of its vehicles, purchase vehicles with greater fuel efficiency, use alternative fuels, and operational improvements through driver training. * Economical * Listening and responding to consumer demands * Market research showed that parents and students wanted safer bus so Firstgroup designed special pilot services with students on their minds. * Taxation: high tax on fuel encourages customers to switch from using cars to more economical bus and rail transport. * Social-cultural * The number of older people in the UK is rising and more people have bus passes which allows them to travel for free. * People like goods and services that are environmentally friendly. The green consumer would prefer to travel b y bus or train rather than have a personal vehicle. * Technological * Firstgroup introduced ‘Future’, a state-of-the-art articulated vehicle that look like trams but have the flexibility of a bus and use normal

Political Philosophy, Values, and Ethics Essay Example | Topics and Well Written Essays - 750 words

Political Philosophy, Values, and Ethics - Essay Example Critics of the article, Bekemeier & Butterfield (2005), came up with their own publication for and against some of the views of ANA’s article.. I agree with the authors that the nursing practice should be politicized in order to prevent health care from fully developing into a market-based endeavor. The health of a community is the key to its progression, and as the authors find, nurses are more connected to community than people could ever imagine. Therefore, if we take this topic into consideration, we do not only stand to save the community for poor health statues, but also support their progression and also the development of health care and nursing practice. Kindly go through my paper to see the importance of this. Yours Truly, Name Political Philosophy, Values and Ethics According to Bekemeier & Butterfield (2005), the American Nurses Association (ANA) documents â€Å"Code of Ethics for Nurses with Interpretive Statements, Nursing's Social Policy Statement and Nursing: Scope and Standards of Practice† offer a vague, inconsistent and shallow conceptualization of social justice. The authors also argue that the documents do not present a sufficient framework for nurses to tackle underlying issues, which affect health outcomes. In spite of extensive references to the significant role of nursing in social reform, the American Nurses Association’s documents unreservedly reinforce nursing practice directed to the individual nurse-patient affiliation and offer short shrift to treatment models, which endorse wide systems change aimed at improving health (Allen, 1987). According to Bekemeier & Butterfield (2005), apolitical nursing commands are incongruent with the structure in which nurses practice these days. The author think that people should refer to it as caring when they provide emotional and technical support to patients who are afterwards discharged to face dispossession in the wider civilization. In accepting the political nature of n ursing practice and notion, nurses have a chance to challenge the belief of neutral caring (Allen, 1987). Nurses make each and every act a political act as they practice in communities, with their patients, as well as among normal citizens. Nursing actions derived from an institutionalized replica of powerful traditional, sales-driven paradigms and objectivities from multifaceted problems should be political (Bekemeier & Butterfield, 2005). Available, as well as consistent language, in the United States’ nursing documents and anywhere else can, nevertheless, validate socially just actions, which create new opportunities and meaning for nurses, supporting nursing leadership in acting on fundamental matters that affect people's health. Nursing guidance and standards in any country should center on illuminating roles for nurses to successfully challenge political structures that oppress. Accepting a critical paradigm allows nurses us to see how knowledge and their privileged pos itions as witnesses can be utilized for social change. This can expand also roles for nurses to legally take part in political activism in their professional lives and practice settings. Bekemeier & Butterfield (2005) acknowledge that racial fairness, worldwide peace, reproductive freedom, as well as

Qualitative Annotated Bibliography Research Paper

Qualitative Annotated Bibliography - Research Paper Example According to the authors, these three were listed as the most common adverse events that occur in the intensive care unit. They suggest that to prevent the occurrence of these complications, it is important that the nurses implement evidence-based practice while handling critically ill patients. The study adopted a qualitative focus group study involving thirty-four nurses who practiced in the intensive care unit. The participants were groups into eight focus groups after which the obtained data was analyzed using thematic analyses. The study is significant to the topic because it explores the reasons why ventilator-associated pneumonia and other complications are still a menace in the hospital, despite the presence of evidence-based guidelines. However, the study has the shortcoming of generalizability of the results since it was performed in only one hospital. The authors conclude that hospitals should enhance the knowledge of nurses, and improve their attitudes towards adopting guidelines in the prevention of ICU complications. In addition, critical care nurses should be empowered to make changes in nursing practice so that medical interventions reflect the latest evidence in literature. The study is relevant to my role option because it highlights some of the challenges faced by ICU nurses in prevention of complications, including ventilator-associated pneumonia. It also proposes ways in which the situation can be improved, adding to the knowledge I already possess in the area. Qu, X., Xie, H., Zhang, Q., Zhou, X., & Shi, Z. (2014). A survey on oral care practices for ventilator†assisted patients in intensive care units in 3A hospitals of mainland China. International journal of nursing practice. The chief aim of the study was to explore the status of oral healthcare practices, attitudes, education and knowledge of the nurses caring for ventilator-assisted patients in the intensive care units of hospitals in mainland China. To achieve this objective,

Human resourses and communication skills Essay Example | Topics and Well Written Essays - 1000 words

Human resourses and communication skills - Essay Example This research will begin with the statement that modern improvements in information technology have provided freedom to employees to work anytime and from anywhere. This, in turn, has led to weakening of the tie between organizations and their employees. Many organizations have adopted computer- interfaced communication technology supplanting the formal hierarchical structure in coordinating and managing relationships within and between organizations. A number of organizations have been inspired by improvements in information technology and started experimenting with electronic ways of working comprising of working from satellite centres, mobile work among others. In setting up groups, there are norms that should be established with each member of the team actively participating. Attention should be paid to the content and also keenly shape and evaluate the means it employs in accomplishing goals. The team process should include the ways in which members interact, communicate with ea ch other, and communicate with employees who are not in the team and a responsibility of ensuring accomplishment of goals. Team players in an organization will include managers of different sections headed by the managing director. For an organization’s success, these people should first form a united team comprising of all the norms. For instance, a sugar-manufacturing factory in which the managing director does not treat his colleagues with respect and dignity and in which there is a lack of transparency is bound to fail. This according to norms under which a team should operate brings out the lack of proper communication between the team. A case of communication breakdown may arise in such a scenario as one in which a department requires information from another department to do its job, while the other department ignores the request or fakes an excuse. This can result into conflicts. Alternatively, the conflict can be created by giving circular responses. Such as giving u nsatisfactory response when an issue being sort has not been worked on. For example, a purchasing department requires a confirmation note from the finance department to make orders. The finance department on the contrary delays in giving the response. This slows down the processes of an organization and can lead to conflicts within. In this context, we learn that proper human resource management can be best achieved by streamlining the communication channels and ensuring that prompt responses are given to requests. It equips us with corporate wellness management skills that will help in understanding communication skills. Another aspect that could derail the operations of the organization is a lack of transparency. This should be embraced within the team as well as the employees. Employees are supposed to be genuine with each other in terms of ideas, challenges and be free to confide in the management. Managers are charged with the responsibility of opening up space thus freeing peo ple to ask anything they need without being intimidated. For instance, an employee collapses while at work simply because he/she did not have the platform to express her condition due to fear of being dismissed. Some companies have stringent measures on employee misconduct, which intimidate the employees (Condrey 2010). This poses a challenge specifically to the human resource manager whose credibility in the employees’ welfares will be doubted. In this, we learn another role of the human resource management, which is increasing the staff in an organization. Under this, the management is charged with among other things recruitment and selection of human resources, and management of a typical employment and termination situations. The strength of a proper management is invested in the energy and training its employees. A majority of firms are taking their employees for ethics training as one of the means of safeguarding the image of their firms. This should be geared towards i ncreasing the awareness of ethical conduct and familiarizing

Dissertation Introduction - Taobao vs eBay Essay

Dissertation Introduction - Taobao vs eBay - Essay Example In terms of outline, this chapter will then offer a Background and rationale for the study, which is based upon existing work in the area. Several studies have recently been made of the eBay and Taobao phenomena, and the results documented. These will be used as a springboard towards the contribution of this study. The Aims and Objectives section of the chapter will offer the overall objective of the study. The aim is to scrutinize the current situation of eBay in China, and how a comparison with the more successful Taobao can be used in order to improve its situation. This section will also clarify the concepts of e-Commerce and C2C e-Commerce. The e-Commerce business model that eBay is currently using in China will also be evaluated. A comparative analysis will be performed of eBay and Taobao. Initial recommendations will be formulated in order to optimize eBay’s Chinese market presence, while the objectives identified will be related to the achievement of the overall aim. T he methodological framework will be explained, while the chapter concludes with a brief outline of the dissertation structure. Despite a promising beginning, eBay has been experiencing a recent drop in growth in its Chinese market. Its main competitor in this market is the local company, Taobao. This study is then conducted in order to identify possible ways in which eBay can remedy its market position in China. Several important studies have been conducted to compare Taobao with companies such as eBay in order to identify the success factors of the former. One such study has been conducted by Chen et al. (2007). According to the outcome of this investigation, three main factors have differentiated Taobao from its American counterpart, and been responsible for the success of the former. The first factor is that China’s C2C (consumer to consumer) market is young and experience-seeking. The customers are price sensitive, in concomitance

Managing Creativity and Change in Organizations Essay

Managing Creativity and Change in Organizations - Essay Example The organizations with the right ideas and concepts are more likely to create an advantage for penetrating in an industry. In line with this idea, the work at hand discusses the statement â€Å"In the future, hierarchical management structures will be less evident. The management of intellectual capital will require skills that nurture creativity and innovation in workforce rather than compliance as in the past.† To start with this, a good starting point will be to consider the case of Apple Incorporated and how it deals with creativity, innovation and manage its intellectual capital. The case of Apple Incorporated as an example The case of Apple Incorporated is sheer evidence that hierarchical management structures will be less evident in the future. Instead, nurturing creativity and innovation in the workforce will be a must rather than doing a requirement of compliance for hierarchical management. What Apple exactly did is a depiction of innovation, a significant change tha t opens the door for more innovative business approach in the future. Apple Incorporated has primarily dealt more with specialisation, leading to the progress of its product offerings in terms of technological advancement. However, what is clear in its case is the ability to promote creativity and innovation concerning the skills of the manpower to develop something new. At Apple Incorporated, it does not matter who the boss is, for as long as everybody has something new innovative to offer that is in line with the firm’s vision to go for change and lead in the industry. Aside from the fact that Apple has been producing new innovative products in the market and has become the leader in its industry due to this approach, it has also successfully made an innovation in its business model, and together these have called for effective management of skills prior to creativity and innovation. In other words, the company’s business culture is more of a deviation from the tradi tional business model. The old traditional model of hierarchical management Hierarchical management is the old way of conducting or doing business. It is survived by the ability of the entire workforce to adhere to bureaucracy and maintain the harmonious implementation of the chain of command (Farrel, 2011). This adheres to the authority of the higher-ranking officials and their tendency to implement anything that will go for the act of subordination. This means that a certain component or department in an organisation, except one, is subordinate to the other (Zhou et al., 2011). There must be evidence of hierarchy especially in the organisational structure. There is an inclusion of different levels of management, power and authority within the hierarchy and this is what commonly applies to majority of corporations, government and religious groups today. However, it is important to understand the remarkable implication of this structural model in an organisation. It is good to under stand that a hierarchical management structure may limit the creativity and innovation capacity of a certain department or the human resource (Daft and Marcic, 2011), because the entire workfo

Dissertation Introduction - Taobao vs eBay Essay

Dissertation Introduction - Taobao vs eBay - Essay Example In terms of outline, this chapter will then offer a Background and rationale for the study, which is based upon existing work in the area. Several studies have recently been made of the eBay and Taobao phenomena, and the results documented. These will be used as a springboard towards the contribution of this study. The Aims and Objectives section of the chapter will offer the overall objective of the study. The aim is to scrutinize the current situation of eBay in China, and how a comparison with the more successful Taobao can be used in order to improve its situation. This section will also clarify the concepts of e-Commerce and C2C e-Commerce. The e-Commerce business model that eBay is currently using in China will also be evaluated. A comparative analysis will be performed of eBay and Taobao. Initial recommendations will be formulated in order to optimize eBay’s Chinese market presence, while the objectives identified will be related to the achievement of the overall aim. T he methodological framework will be explained, while the chapter concludes with a brief outline of the dissertation structure. Despite a promising beginning, eBay has been experiencing a recent drop in growth in its Chinese market. Its main competitor in this market is the local company, Taobao. This study is then conducted in order to identify possible ways in which eBay can remedy its market position in China. Several important studies have been conducted to compare Taobao with companies such as eBay in order to identify the success factors of the former. One such study has been conducted by Chen et al. (2007). According to the outcome of this investigation, three main factors have differentiated Taobao from its American counterpart, and been responsible for the success of the former. The first factor is that China’s C2C (consumer to consumer) market is young and experience-seeking. The customers are price sensitive, in concomitance

Quesions Assignment Example | Topics and Well Written Essays - 500 words

Quesions - Assignment Example The other type of leadership is bureaucratic leadership where the leaders follow the set rules and regulations rigorously and the same goes for their followers (Class Notes, 2015). This type of leadership is most common in organizations, government agencies and industries. The other type is the delegative leadership, also known as the Laissez-Faire type of leadership. The leaders who use this type of leadership do not offer any assistance to the followers and in most cases the followers are their own supervisors. The followers make their own decisions and carry-out their activities without too much supervision. Among these leadership styles, I believe that I am suited well as a democratic leader. For example, when I join study groups I tend to prefer it when everyone participates in solving the academic problems even though the teacher has the final say about solutions we get. I am aware that such type of leadership ensures that followers are motivated because they feel like they are part of the decision made. It also makes followers feel extremely important in a group or in organizations which results to increased commitment and work output or performance for students. The challenges are there because I know most followers under his type of leadership tend to be less productive than those who may be in an authoritarian group. The climate of a campus is critically important for the success of students (Gorton & Alston, 2011). By climate, this refers to a school environment that is like to foster the continuity and successful learning process. Hence, if the climate is favorable for students and teachers, learning becomes a continuous process and success is guaranteed when students and teachers do their best. For example, if there are riots in a school the teachers and students are not in a good position to undertake their tasks. Teachers cannot teach when students are rioting and students also hamper their learning process. There are

Madness in the Tales of Poe and Hawthorne Essay Example for Free

Madness in the Tales of Poe and Hawthorne Essay With madness and confusion dominating short stories such as some of the tales written by Edgar Allan Poe and Nathaniel Hawthorne, the psychological states of their main characters are of the utmost importance. The meanings of the stories depend on whether the characters are truly insane, suffering from a physical ailment or merely intensely angry and hungry for revenge. Poe’s tales â€Å"The Fall of the House of Usher† and â€Å"The Cask of Amontillado† both explore themes of madness and premature burials. However, while Roderick Usher seems to be suffering not only from a physical illness but also from insanity which may have stem from a â€Å"history of mental disorder† (Poe, The Fall of the House of Usher), Montresor seems to have been under the grip of intense hatred that have been caused by his victim’s previous insult on his person. It may be argued that Montresor is demented like Usher, but his well-planned crime contradicts the supposition of an unhinged mind. Meanwhile, the psychological troubles of Hawthorne’s characters in â€Å"Young Goodman Brown† and â€Å"The Minister’s Black Veil† are apparently milder, but not subtler. People may regard Goodman Brown as a recluse and a snob and Minister Hooper as someone mourning over his or other people’s sins. Hawthorne explores isolation in both stories, highlighting the possible self-destruction that may result from intensely reclusive lives. Though the stories may vary and the level of mental disorder may differ, both Poe and Hawthorne present people with emotions that are overly sensitive and with mental faculties that are more distraught than most. Poe is fascinated by madness. His stories are sometimes even narrated by persons whose mental and emotional facilities are questionable. This results to a more interesting reading of each of the stories. The reader is left to wonder if he or she is able to extract the accurate account of the story or a deranged version of it. In â€Å"The Fall of the House of Usher† the narrator observes what goes on in his host, Roderick’s house. He â€Å"rejects evidence of the supernatural†Ã¢â‚¬ ¦Ã¢â‚¬ He is predisposed to regard Roderick as mad and therefore to reject any explanation Roderick suggests† (Bailey 446). The narrator of the story depends on the accounts of his host, Roderick but he does not trust his friend’s sanity. This creates a tension that is experienced by both the narrator and the reader; this tension is the uncertainty of what is unfolding because it is through the guidance of such an unreliable source like an apparently mad Roderick. Montresor of â€Å"The Cask of Amontillado† may not have the gaunt and unhealthy look of Roderick Usher but what he has done to his enemy, Fortunato, is exceedingly cruel. The deed may have seemed perfectly planned and efficient but someone who can avenge an insult received by murder must be somehow unhinged. The criminal’s mind is exaggerated as is evident in his narration: â€Å"THE thousand injuries of Fortunato I had borne as I best could, but when he ventured upon insult I vowed revenge† (Poe, The Cask of Amontillado). My heart grew sick; it was the dampness of the catacombs that made it so. I hastened to make an end of my labour. I forced the last stone into its position; I plastered it up. Against the new masonry I re-erected the old rampart of bones. For the half of a century no mortal has disturbed them. In pace requiescat. (Poe, The Cask of Amontillado) Though Montresor displays some strong emotion over what he has done to Fortunato, he continues with the crime methodically. Moreover, this contradiction, along with uttering â€Å"Rest in Peace† to his victim seems to suggest that Montresor is indeed insane. In the two short stories, Poe illustrates insanity that has been passed through generations and then insanity that has been triggered simply by an insult. Nathaniel Hawthorne shows some concern about the fate of souls in his two stories â€Å"The Minister’s Black Veil† and â€Å"Young Goodman Brown†. While Poe illustrates madness that has resulted from being either inherently insane or predisposed to mental illness, Hawthorne explores zealous religiosity that can result to madness. Minister Hooper’s strong sense of religiousness has driven him to an extreme means of discerning the pious from the hypocrite. â€Å"Why do you tremble at me alone? Tremble also at each other! Have men avoided me, and women shown no pity, and children screamed and fled, only for my black veil? † (Hawthorne, The Ministers Black Veil) The man has decided to put a black veil on his face. Not even his fiancee has been able to persuade him to take off the veil which in turn has given him a continuously mourning persona. Though he is mentally capable to continue his duties as minister, he does them with a somber aura which the veil produces for him. The insistence on constantly wearing the black veil displays obsessive behavior related to his faith despite the fact that he has not actually stated what his real reason for wearing the veil is. In â€Å"Young Goodman Brown†, Hawthorne again tackles the effects of the perception of sin. Here, the main character is oppressed by what he thinks is the real knowledge of other people’s sins. What he is not aware of is that the Devil, which he has consorted with in the woods, has made him believe that every single person in his community is involved in atrocious deeds. â€Å"†¦elders of the church have whispered wanton words to the young maids of their households; how many a woman, eager for widows weeds, has given her husband a drink at bedtime and let him sleep his last sleep in her bosom; how beardless youths have made haste to inherit their fathers wealth; and how fair damsels†¦ have dug little graves in the garden, and bidden me, the sole guest to an infants funeral† (Hawthorne). Having believed the Devil’s lies, Goodman Brown is continually suspicious of his neighbors’ intentions. He even believes their good deeds to be merely pretentious displays of piety. Because of this behavior, Goodman Brown isolates himself from the rest of the community and dies a lonely death. Hawthorne explores the themes of isolation and zealous religiousness in his two short stories, expressing the dangers of the two themes. Both Poe and Hawthorne have effectively expressed the psychological terrain that their main characters are in. Through using a narrator that is either the character with the questionable mental state or one that distrusts that character, the stories become more mysterious and subject to individual interpretation while the intensity of emotions coming from the main characters are able to shine through. The two authors explore mental instability in different forms; Poe’s stories are about inherent, maybe even genetic tendencies to lose one’s mind while Hawthorne’s two tales are about isolation that has resulted from obsessive spirituality.

The Blackburn Report | Analysis

The Blackburn Report | Analysis 1. Introduction The tragic death of thirteen year old Aliyah Ismail, caused by a methadone overdose in 1999, created waves of anguish through the United Kingdom. The resultant media uproar, the revelations about her life in care and descent into prostitution, and the specially commissioned report by social care worker and legal activist Maddie Blackburn, laid bare the heartbreak and misery of abused and distraught British children who live and grow up in care, away from their natural parents. The incident led to widespread distress, intense soul searching and a resolve by the British people to take better care of their young. Even today, seven years down the line, late evening visits to King’s Cross station and Camden Town, the sleazy centres of London’s grim underbelly where Aliyah lived out the last days of her short life, throw up sights of young waifs, barely into their teens, propositioning customers or melting into the shadows. Some progress has been made but much still needs to be done. Maddie Blackburn’s report on the incident was prepared on the express instructions of the Harrow local authorities, the body that functioned as Aliyah’s â€Å"corporate parents†[1], and had complete responsibility for giving her parental care. Her study focussed on Aliyah’s distressing life under the supervision of the UK’s programme for children in care and was largely an indictment of the functioning of the social care system. Soon after, Liz Davies of the London Metropolitan University carried out a serious case review of Aliyah’s case. It is the objective of this assignment to study the Blackburn report, in conjunction with other governmental and independent findings, and analyse the causal factors behind the still grim circumstances in which children in care live in the UK. The assignment covers the role of committed social workers, the essentiality of partnering between various agencies, and the individual and collective commitment need ed by citizens as well as corporate and governmental institutions to bring about a sea change in the situation. British society has to do a better job of looking after its brood. 2. Commentary The Blackburn report, in its entirety, covers the ten agencies involved in Aliyah’s care including the police, the probation services, the local health authority and the council. While it makes 18 recommendations, the gist of the report can be distilled into four main messages. These are as follows. The need for child care agencies to listen to childrens allegations of abuse and to improve staffs hearing and listening skills The need for closer inter-agency working on cases The creation of suitable strategies for managing older children who are beyond the control of their parents, such as secure accommodation, particularly for girls over 12 The urgent need for a way of analysing all information on a child in care so there is a clear plan on how they should be looked after.[2] Sixty one thousand young children, living in care in the UK are evidence of the likelihood of history repeating itself, of the chances of new Aliyahs emerging from the doors of foster care homes and children’s institutions. A stable home environment, free of elements like discord, abject poverty, and physical, mental or substance abuse, is particularly important for the development of children. It provides security and delineates boundaries within which young people can grow and flourish. The majority of children placed in care come from environments of poverty, domestic violence and substance abuse. They are far more likely to have mental disorders and behavioural problems compared to children raised in normal private homes. Aliyah, for example, came from a broken and extremely poor background. Her father had left home when she was a baby and her mother suffered from long term mental illnesses. [3] The following excerpt provides some disturbing facts about the extent of emoti onal disorders that exists in children living under the care of local authorities. A study of the prevalence of mental disorders in children aged 5 to 10 who were looked after by local authorities showed that they were five times more likely to have a mental health problem than children in private households. Eleven per cent had emotional disorders (compared to 3 per cent of children in private households/with their own family), 36 per cent had a conduct disorder (compared to 5 per cent), and 11 per cent had a hyperkinetic disorder (compared to 2 per cent).[4] These disquieting facts largely explain the enormous challenges faced by local authorities and social care workers in taking care of the children placed in care. Parents know the terrible anguish and feelings of helplessness that overtake families when children go astray and get involved in violence or substance abuse. The problems faced by the most committed of foster care families and institutions in looking after children with scarred psyches and histories of intense trauma become easy to imagine. Grave concern has been voiced about the high rate of psychiatric disorders among children in the care system. This concern is based on observations of children who have been looked after and accommodated for a considerable length of time. McCann and colleagues, for example, looked at the prevalence of mental illness in adolescents who had been in care on average for 2.9years. Little is known, however, about the mental health of children at the time they enter local authority care.[5] Children who come into care have to necessarily live either with foster parents or in children’s homes. They are mostly too young to recognise their feelings, let alone express them, and need urgent and competent psychiatric care. While these children need expert treatment for mental disorders as well as supportive, comfortable and safe home environments, the current situation is often unable to provide them with either. A number of social research studies have pointed to the very significant need for making available good psychiatric care and commented on the gap that exists between actual and desired conditions. Mentally disturbed children need coordinated help from a number of quarters including counsellors, teachers and social workers. The childcare mechanism needs to be truly multidisciplinary to be effective. This is not easy, especially when three vital requirements, funding, people and infrastructure, are scarce. Efforts to provide help obviously become disjointed and ad hoc, even if they do not lack sincerity and compassion. A multidisciplinary team, comprising of social counsellors, paediatricians and psychologists, analysed the condition of available psychiatric help in 1999 and concluded that the level of assistance available for children in care had significant shortcomings. These findings show a worrying gap in mental healthcare provision. The study shows that a considerable proportion of young children have a serious psychiatric disorder at the time they enter local authority care but are not being referred for psychological help. We believe that these findings strongly indicate the need for early intervention policies to help this vulnerable group. Furthermore, the complex needs of these children can only be assessed effectively through multidisciplinary discussion and strategic planning. [6] It is surprising that the Blackburn report did not discuss the absence of medical facilities, especially in the area of mental health, available for children in care. Instead of focussing on this major deficit, stress was given to the fact that Aliyah was not sent to secure accommodation faster. The inability of the childcare mechanism to give her proper psychological attention and the consequent lack of awareness about her condition are possibly the causal factors behind her numerous shifts from home to institution to another set of foster parents, i.e, until she decided to exit and start fending for herself. In this situation it becomes difficult to accept the Blackburn finding on the failure of social workers to listen carefully to children’s allegations about physical and mental abuse, without considering the situation in totality. The failure of the staff to understand the true extent of her disturbed mental condition was probably symptomatic of the broad malfunctioning o f the system rather than the fault of individual workers. The lack of basic concern for children comes through starkly when even committed activists like Blackburn feel it more important to lock up truants in secure accommodation to prevent them from causing self harm rather than to treat them for their mental disorders. There are a number of questions that need to answering on this issue. What is the methodology by which the authorities in charge of secure accommodation prevent children from harming themselves? How are they treated for mental disorders and what is the success rate of such treatment? Are these children effectively straitjacketed? Should this happen to disturbed children? The true status could have possibly been easier to study if Maddie Blackburn had analysed and detailed the medical attention given to Aliyah during her period in care. Lack of funds and shortage of trained personnel are often cited to be the main reasons that lead to inadequate medical attention for children in care. â€Å"There are fewer than 200 whole-time equivalent posts in the NHS in the UK, and child psychotherapists are not available in many areas.† [7] This shortage evidences itself at times when child psychotherapists are called upon to tend to children in care. Right across the country, children’s psychiatric units are being forced to close, or are under threat of closure. A third of children’s units in England are affected. The reasons for the trend appear to be financial pressures on primary care trusts and a move to secure more beds for adolescents. Park Hospital, Oxford which provides paediatric inpatient care, will offer only day care from around 1 April. The service is no longer taking new inpatient referrals but is honoring its current patients. [8] While this grim circumstance is undoubtedly distressing for all children with mental problems, the situation becomes much, much worse for children in care. This is because firstly, these children show much greater incidence of mental disorders than those from private homes and secondly, they do not have access to families and support systems that can provide expert private medical help, especially in situations where help from the NHS is not adequate. Apart from expert psychiatric help, children with backgrounds of broken homes, domestic violence and substance abuse also need safe, secure, comfortable and caring environments to recover from their past traumas and enter normal life successfully. It becomes the duty of the childcare system to ensure that children grow up in an atmosphere of continuity and security and that they do not need to move often between different homes or institutions â€Å"The prevalence of mental health problems tends to decrease with the length of time in a placement, suggesting, not surprisingly, that stability and continuity of care is a significant factor in a childs mental health.†[9] The true facts are again alarmingly different. Aliyah Ismail was moved 68 times between relatives, foster homes and institutions in the few years that she remained in care. Apparently, about 230 staff and ten agencies dealt with her during her short period in care. The total lack of continuity and the constant exp osure to scores of families and social workers must have created extreme insecurities in her mind. Media reports have speculated on Aliyah having told social workers about being sexually abused by her family members.[10] This, at first sight, appears to be rather improbable. The very fact that Aliyah was moved between numerous homes, agencies and social care workers would have made it impossible for her to trust individual workers and discuss her traumas and nightmares with them. Resentment at the way her life was going would have surely prevented her from opening up, other than in passing, and led to such conversations being overlooked. It thus becomes quite difficult to accept, in spite of intense media discussion and conjecture, that some of the social workers could have ben guilty of nonchalance, bordering on neglect. The problem, then, as well as now, lies with the system, rather than with individuals. Children are still shifted from place to place and placed under the care of different social workers. Part of the problem is that there can be too many people in children’s lives. Too often, there is not any one person making things happen. Children need a consistent person, not to replace their own family, but to act as their one good ‘parent in care’. Instead, many have three or more placements a year and a lot of changes of social worker â€Å"I don’t know who my social worker is at the minute, it would be nice to have a permanent one.† â€Å"You get to know one then they leave [11] Aliyah had five changes in 1998 alone. It is quite unsurprising that some children like her, young boys and girls with deeply troubled backgrounds and histories of neglect, poverty, domestic violence and substance abuse, could resort to instant fixes, to the use of narcotics, alcohol and drugs. In addition to the problems created by the constant movement of these children, independent reports suggest that conditions inside children’s homes have very serious shortcomings. It is estimated that a third of the inmates of these homes are subjected to sexual abuse and are looked after by unqualified staff despite their having complicated emotional and behavioural problems. They are also subjected to corporal punishment, made to go without food and water and locked alone in dark rooms.[12] While the absence of resources and the lack of staff are infrastructural issues that can be understood, it is impossible to either comprehend or tolerate such behaviour. Resorting to drugs and viol ent behaviour and the development of suicidal tendencies become easily understandable in such circumstances. Theft, larceny or prostitution by drug users obviously becomes consequential and is aggravated in an environment where it is difficult to give individualised attention to the children and teenagers; that too in their periods of vulnerability and when they are in need of parental support. The issue of drug abuse, alcoholism and child prostitution needs immediate and forceful action. Coordinated work between the local authorities, the police, social workers and administrators of children’s homes should, in the first instance, ensure that the supply of drugs, inhalants and alcoholic substances to children’s institutions is totally restricted. The restriction of these harmful substances needs to be implemented with the full support of the medical, particularly psychiatric support system so that they can step in with counselling and treatment in case of withdrawal sy mptoms and adverse reactions. The Blackburn report suggested that enough was not done to fast track Aliyah’s transfer to secure accommodation, the routine thing to do in case apprehensions arise regarding a child’s propensity to cause self harm. What is of relevance here is the capability of people who work in child care to judge whether Aliyah had reached a stage where she could cause harm to herself. Such judgements need to come from people who are experts in behavioural practices or at the very least from people who have received training on the subject. It is very doubtful whether Aliyah, who was shifted from home to institution every two months, was put under observation for behavioural aberrations or for detection of any signs of abnormality. While it is not the purpose of this analysis to exonerate workers who may have truly been negligent and uncaring, the childcare system simply did not have the checks required to detect such lapses early enough to take corrective action. The role of the media is important in shaping public perception; in fact, much of the information for this assignment has also come from media reports. Its power has been recognized for several years, especially in the UK, where it has been able to cause paradigm shifts in public opinion and changed the course of events. The problem occurs when media is used voluntarily or involuntarily in such a manner that the truth ends up bent, exaggerated and different from reality. In Aliyah’s case extensive media reporting, while providing detailed information, resulted in shaping negative public perceptions of the role and ability of social workers. The role of social workers and agencies came to be questioned, and essentially noble and selfless work was looked at with doubt if not with suspicion. This attitude ends up in doing more harm than good because adverse publicity reduces interest, hurts funding and restrains volunteers from coming forward, affecting, in turn, the ability of a humane society to parent children placed in adverse social and economic situations. When a child is placed in care the local authority becomes, as per the green paper issued by the department of education and skills, the â€Å"corporate parent†, in other words the authorities assume the responsibilities of a natural parent. In fact the obligations of corporate parents are even more onerous because of the high incidence of traumatised and disturbed backgrounds of the children under their care. The duties of a corporate parent, like that of all corporations, is carried out through various bodies, departments, agencies, institutions and individuals like the police, the medical services, local councillors, schools, social workers, independent visitors, the authorities who run children’s homes and foster parents. These agencies and individuals need to work in tandem with each other and with a fuller understanding of the obligations of a parent. Their duties include providing children with physical nourishment, good clothing, education, counselling, medical care, stability, continuity and constant support. â€Å"Like any good parent the local authority should put the needs of children first. This means that every councillor, every Director of Children’s Services, every social worker or teacher should demand no less for children in care than they would for their own children†[13] The need for appropriate and efficient collaborating, planning and management is of extreme importance if multi agency operating is to be successful. The childcare system is plagued with a number of problems that include lack of funds, shortage of skilled and trained workers and possibly even a lack of simple systematic working. Aliyah was able to slip through the care net and enter prostitution only because her name appeared in three different forms in the records of the local authorities. The confusion was due to a combination of her frequent movements, improper tracking by the local authorities and wrong recording. Corporate and natural parenting differs widely in one aspect, i.e., delegation. While no natural parent would even begin to consider delegation in child rearing, other than when children need to go to carefully selected and frequently visited boarding schools, corporate parenting works through institutions. These institutions work with the help of employed, or otherwise remunerated, people and rear children with whom there has never been any umbilical contact. In these circumstances a difference in the levels of commitment between humans and that of artificial systems is inescapable, however high be the dedication of individual social workers, counsellors and teachers. The much higher level of concern and care in natural parenting, caused by love and a fierce sense of protectiveness for one’s own, can be offset only through a combination of efficiently designed systems, collaborative agency working and caring front liners. Social care workers, authorities of children’s homes and foster parents must have compassion, love and sympathy for their wards. It would not be a bad idea for the local authorities in charge of childcare to see the efforts of Mother Teresa’s Missionaries of Charity in many Indian cities. The nuns open their doors and hearts to every waif who comes their way and take full responsibility for the children under their care, until they are adopted or enter earning life. Their lack of resource is made up by abundance of love and genuine compassion. Very possibly some of the practices used by them could come in handy for implementation in the UK. 3. Conclusion Taking care of other people’s children is not an easy thing to do. Particularly so when issues like drug addiction, alcohol abuse, mental disturbance, runaways and child prostitution enter the picture and transform already arduous tasks into virtual nightmares. It is truly a difficult situation. These problems however do not diminish the responsibilities of the state or the childcare system to look after the thousands of unfortunate children who come into care. It remains a primary responsibility of local authorities to provide lives of dignity to children who have got a terrible deal from life, deprived of the comfort, security, love and compassion that are their indisputable rights. The number of children in care in the UK is pegged at 61,000, one for every thousand citizens. This is hardly a large number and it is the moral responsibility, not only of the local authorities and the agencies and individuals associated with the childcare system but of all normal citizens and corporations to ensure that they are provided with the privileges and dignity available to others. Lack of funding cannot be accepted, in any way whatsoever, to be a valid reason for the existing inadequacies in the childcare system; certainly not in a country with one of the highest per capita incomes a nd standards of living in the world. This message needs to be driven home strongly to every British citizen and corporation. It is their job to contribute, to make up the small deficits in money that can make all the difference to thousands of young lives. Apart from money, one of the most effective ways to deal with these children is to increase the rate of adoption. Around five to six thousand children are adopted every year in the UK. This is just not enough to make any significant difference to the children in care. Other than adoption, the children need to be looked after mentally and physically. They need to be educated and readied to enter adult life on equal terms with children from normal families. Even though the task is difficult it is not unfeasible. The introduction of better systems and coordination, greater involvement of experts with psychological and psychiatric expertise, base attitudes of compassion and goodwill, constant training and inputs for staff, a carefully drawn rehabilitation plan for each child, continuous monitoring, and necessary route changes along the way should lead to very significant changes in the levels of care. Along with these issues the local authorities need to have the strength of purpose to p urge the system of its ugly elements. Issues like corporal punishment, abuse of children and usage of drugs need to be dealt with immediately and rooted out totally. This is not a difficult task, certainly not where the total numbers involved are not more than 60,000, the capacity of one medium sized cricket stadium. The country just cannot afford to have many more Aliyah Ismails. And people need to realise this. Bibliography Children and young people and mental health, 2007, Mind fact sheet, Retrieved January 18, 2007 from www.mind.org.uk/Information/Factsheets/Children/Children+and+Young+People+and+Mental+Health.htm Your rights, your say, 2006, Care matters Green Paper, Retrieved January 18 2007 from www.dfes.gov.uk/consultations/downloadableDocs/Green Paper.pdf Brindle, D, 1999, Drug death girl shuttled among carers, the Guardian, Retrieved January 18, 3007 from www.guardian.co.uk/drugs/Story/0,,201042,00.html Payne, S, 1999, Its not too late to prosecute those who used and abused sad Aliyah, Evening Standard, Retrieved January 18, 2007 from www.findarticles.com/p/articles/mi_qn4153/is_19990817/ai_n11905733 GDimigen, CDel Priore, SButler, SEvans, LFerguson, and MSwan, 1999, Psychiatric disorder among children at time of entering local authority care: questionnaire survey, BMJ, Retrieved January 19, 2007 from bmj.bmjjournals.com/cgi/content/full/319/7211/675 Wahab, A, 2007, Psychiatric inpatient care for children is being cut back across the country, Young minds magazine 81, Retrieved January 19, 2007 from www.youngminds.org.uk/magazine/81/inpatient.php UK Children abandoned by the system, 1999, BBC Online News, Retrieved January 19, 2007 from news.bbc.co.uk/1/hi/uk/478613.stm [1] Your rights, your say, 2006, Care matters Green Paper, Retrieved January 18 2007 from www.dfes.gov.uk/consultations/downloadableDocs/Green Paper.pdf [2] Brindle, D, 1999, Drug death girl shuttled among carers, the Guardian, Retrieved January 18, 3007 from www.guardian.co.uk/drugs/Story/0,,201042,00.html [3] Payne, S, 1999, Its not too late to prosecute those who used and abused sad Aliyah, Evening Standard, Retrieved January 18, 2007 from www.findarticles.com/p/articles/mi_qn4153/is_19990817/ai_n11905733 [4] Children and young people and mental health, 2007, Mind fact sheet, Retrieved January 18, 2007 from www.mind.org.uk/Information/Factsheets/Children/Children+and+Young+People+and+Mental+Health.htm [5] GDimigen, CDel Priore, SButler, SEvans, LFerguson, and MSwan, 1999, Psychiatric disorder among children at time of entering local authority care: questionnaire survey, BMJ, Retrieved January 19, 2007 from bmj.bmjjournals.com/cgi/content/full/319/7211/675 [6] GDimigen, CDel Priore, SButler, SEvans, LFerguson, and MSwan, 1999 [7] Children and young people and mental health, 2007, Mind fact sheet [8] Wahab, A, 2007, Psychiatric inpatient care for children is being cut back across the country, Young minds magazine 81, Retrieved January 19, 2007 from www.youngminds.org.uk/magazine/81/inpatient.php [9] Children and young people and mental health, 2007, Mind fact sheet [10] UK Children abandoned by the system, 1999, BBC Online News, Retrieved January 19, 2007 from news.bbc.co.uk/1/hi/uk/478613.stm [11] Your rights, your say, 2006, Care matters Green Paper [12] Children and young people and mental health, 2007, Mind fact sheet [13] Your rights, your say, 2006, Care matters Green Paper

Compare Contrast Mary Rowlandson and Olaudah Equiano Essay -- Comparat

There are various things that make up a piece of literature. For example: choice of diction, modes of discourse, and figurative language. Mary Rowlandson and Olaudah Equiano were great examples of authors that used these elements of literature. There are similarities and differences in A Narrative of the Captivity and Restoration of Mrs. Mary Rowlandson and From Africa to America. Though Mary Rowlandson and Olaudah Equiano shared similarities in experiences, they had different writing personalities, purposes, attitudes, tones, and relations with their communities. There are four main modes of discourse: expository, narrative, descriptive, and persuasive. In Mary Rowlandson’s A Narrative of the Captivity and Restoration of Mrs. Mary Rowlandson, it is apparent in the title that it is a narrative. Like Mrs. Rowlandson’s literature, Olaudah Equiano’s From Africa to America is a narrative. A narrative form of literature is a story, account of events, or experiences, whether it is true or fictitious. In this case their stories were their real experiences and they gave the reader actual facts and information, also making it expository. "The closeness of the place and the heat of the climate, added to the number in the ship, which was so crowded that each had scarcely room to turn himself, almost suffocated us." (73) This is a perfect example showing that Olaudah Equiano’s narrative is also descriptive, giving the reader vivid images in his mind, whereas Rowlandson’s narrative rarely has descriptive content. These w orks of literature may also be portrayed as persuasive by the quote of, "..Overwhelmed with the thoughts of my condition.." (7) Mary Rowlandson was overwhelmed with her emotions. This quote may persuade the reader ... ...aves. Olaudah’s story may be seen as a reminder that people in the latest generation have things easy compared to the time he was alive. People should not take what they have for granted, for example freedom. The people of today have the most freedom than ever before. Although two different authors wrote these works of literature, A Narrative of the Captivity and Restoration of Mrs. Mary Rowlandson and From Africa to America, both stories possessed similar and different elements of writing. These tales were worthy of comparing because they had various things to review, contrast, and realize, such as the worship they had or didn’t have for God, their experiences, and their styles. Mary Rowlandson and Olaudah Equiano were remarkable writers whose works will always be a part of America’s history for the various styles and purposes they had to share with their readers.

Inconsistent Roles Essay -- essays papers

Inconsistent Roles The Colonial era spans nearly two hundred years with each settlement in the New World containing distinctive characteristics. Location in the new world is one factor that shaped women’s lives but religion and economics also played a massive role. These roles however were constantly changing and often contradicting. Since there is numerous factors that contributed to the shaping of women’s private and public roles in the seventeenth and eighteenth century it is impossible to categories all colonial woman in one group. Some historians refer to this period as the golden age of women; however, I tend to see this period as oppressive, with only few examples of women exercising social and public powers. The vast amount of women who came to the New World in the earliest days of colonial settlement came as indentured servants to the Chesapeake region. The New World was underdeveloped and sparsely populated; therefore, the women were expected to not only perform their traditional female work but also engage hard manual labor. Early colonial women in some respects were allotted more freedom than women of latter generations; yet, this was not a product of ideology, but rather necessity. European men did not support the idea of equality and saw women as their inferior; however, female inferiority was minimized due to the harsh conditions affecting the entire populous of the New World. The women who lived out the duration of their contract or who were bought out of servitude were quickly married and just as quickly widowed. This factor granted women more power and access to land. Some widows would assert power through courts to guarantee claims to their deceased husbands land. Lois Green Carr and Lorena S. Walsh in The Planters Wife describe how many husbands left their entire estate to their widows entrusting them with the responsibility of managing his estate and dividing the land between their children. â€Å"A husband made his wife his executor and thus responsible for paying his debts and preserving the estate.† By today’s standards the practice of leaving property to a wife is the norm; yet, prior to seventeenth century this practice was virtually nonexistent. Carr and Walsh continue by stating, â€Å"Evidently, in the politics of family life women enjoyed great respect.† Therefore, while the Chesapeake colonies remained underdeveloped women ... ... been more emotionally pleasing but still the women remained distant from the outside public realm. The Quakers shared in an exceptional amount of equally that was never adopted or accepted by the dominant classes in the colonies. The last years of the colonial era did allow for increased rights and autonomy for women but it still was tangled with contradictions and in no respect could be deemed as the golden age of women. Bibliography: Lois Green Carr and Lorena Walsh, The Planter’s Wife: The Experience of White Women in Seventeenth-Century Maryland. The William and Mary Quarterly, October 1977, 556-557. Ibid. 557. Laurel Ulrich, Good wives, The Ways of her Household (Oxford University Press, 1983), 22. Ibid. 32. Nancy F. Cott, Roots of Bitterness: Documents of the Social History of American Woman, Examination Of Anne Hutchinson (Northeastern U. Press. Boston 1996), 3-10 Carol Karlsen, The Devil in the shape of a woman: Witchcraft in colonial New England (New York: W. W. Norton, 1987), 116 Linda K. Kerber, women of the Republic: Intellect and Ideology in Revolutionary America (Chapel Hill: Univ. of North Carolina Press, 1980), 38 Ibid. Chap. 4

Since X Ray Was Discovered Health And Social Care Essay

Since X ray was discovered by Roentgen in 1895, its medical application has grown to be a fast and dynamic imaging mode. Today ‘s imagination section consists of an impressive array of diagnostic and curative devices from x-ray machines, CT Scan, PET Scan, additive gas pedal, which chiefly use ionising radiation for diagnosing and intervention of unwellnesss ; and with the add-on of ultrasound and MRI that use sound moving ridges and magnets for diagnosing alternatively of X raies. Therefore, radiology is considered as the window of the healthcare establishment and the radiologic engineers are the individuals behind these state-of-the art machines. In the x-ray section, one of the divisions of radiology section, the x-ray machines are used for diagnosings of unwellnesss. For 100 old ages the film-screen system has been the imaging system of pick. This system uses radiographic movie, screen and wet chemical science to bring forth an image merely like conventional picture taking. Every RT ‘s end is to supply high quality images for accurate diagnosing ; hence each measure is really critical. The RT must be equipped with cognition and accomplishments from anatomy, positioning and exposure techniques. One little error can endanger the image and outputs an unacceptable radiogram which entails repetition scrutiny that chiefly means extra radiation dosage to the patient. This is one of the disadvantages of a film-screen system wherein one time the movie has been processed ; there is no manner to change it. What you see is what you get. Fortunately, with the turning engineering of imaging modes came the debut of digital imaginati on which follow the same construct as digital cameras wherein brightness and contrast of the image can be changed and images can now be cropped. Its advantage compared to film-screen is really obvious, since images can be altered, repetition scrutinies, oftentimes is no longer necessary. The engineering is brilliant and its introduction has grown the wonder of every RT whether it is efficient compared to the traditional system. And of class, it is. However, as with every other engineering has its drawback. Since the new engineering chiefly uses computing machine and computer-aided equipments oftentimes do the full occupation. The inquiry lies wherein will the competency of the RT in footings of exposure technique factors be same as utilizing the conventional manner? Several international surveies stated that because of the convenience of the system, the RTs utilizing the machine oftentimes fail to see the criterion protocols in every technique choice because images can be manipulated subsequently. Change of images from clip to clip should non be a day-to-day scenario because use sometimes interfere accurate diagnosing. As of the research workers ‘ cognition, there are no known local related surveies in the diminution of RT ‘s competency in utilizing CR. One of the grounds may be this mode is still in the phase of debut in the Philippines and that its deduction is non yet intensively studied. But this does non halt the research workers to seek of happening out if there is so a diminution in RT ‘s competency with the new system. This survey is a comparative-correlational research in finding the degree of radiographic competency between film-screen system and CR on exposure technique factor choice. The chief aims of the research workers are to compare if there is a important difference in footings of radiographic competency in the RT who uses film-screen from CR and to find if the respondents profile and bureau has a important relationship in footings of radiographic competency. Base on the consequence of the survey, the research workers will be able to measure the indispensable acco mplishments needed for the profession. Technology so has helped us in many ways. However, without the competency of the professional manipulating the equipment is futile. This means that the engineer who has the exclusive duty of manning the state-of-the art equipment should non trust from engineering, alternatively engineering should trust on them.REVIEW OF LITERATUREThis survey chiefly aims to compare the degree of radiographic competency on exposure technique factor choice between film-screen system and computed skiagraphy ( CR ) . Exposure technique factor choice is an of import foundation for these two types of image receptor ( IR ) or imaging system. Image receptor is a device that converts X raies into seeable visible radiation. Competence should non change whether the radiologic engineer ( RT ) is utilizing the conventional or digital system, otherwise, it will get the better of the intensive survey of the exposure techniques during the undergraduate old ages. Furthermore, s upplying appropriate exposure techniques is paramount in the profession since these techniques besides mean radiation dose on the portion of the patient. Harmonizing to Fauber & A ; Johnston ( 2012 ) , the radiographer ‘s actions at the control panel straight determine the nature and the makeup of the x-ray beam. This means that the selected exposure technique factor is straight relative to patient dosage. In add-on, it is the duty of the radiographer to larn the doctrine, factors and methods that minimizes ionising radiation exposure to the patient ( Callaway, 1996 ) . This besides means that an RT is supplying quality patient attention when he/she gives an adequate and necessary sum of radiation to the patient.Competence in Radiologic TechnologistKlemp ( 1980 ) defined competency as â€Å" an implicit in feature of a individual which consequences in effectual and/or superior public presentation on the occupation. † A competent individual is imbued with the right cogni tion, accomplishments and attitude on a peculiar undertaking. Other writers define competency as â€Å" a bunch or related cognition, accomplishments, and attitudes that reflects a major part of one ‘s occupation, which has a relationship in the public presentation on the occupation that can be measured with well-accepted criterions, and that can be improved with preparation and development ( Parry, 1996 ) . † In radiologic engineering, for illustration, an freshly licensed RT already possess cognitive and motor accomplishments at an entry degree, nevertheless, it can merely be enhanced through proper and consistent preparation in a chosen specialised field during the class of his/her work as an RT.Knowledge, Skills, AttitudeAs mentioned, competency is a combination of cognition, accomplishments and attitudes. These constituents are indispensable as a whole because the absence of one constituent greatly affects 1s public presentation. Harmonizing to Dowd ( 1996 ) , cogn ition as portion of competency includes theories and constructs which were gained as a consequence of the experience of executing certain undertakings. Furthermore, in the field of radiologic engineering he added that cognition includes job-specific nomenclature, methods of forming information and an apprehension of rules and generalisations. On the other manus, Hans Reynold in 1928 defined accomplishment as combined mental and physical qualities which make it utile to industry. Knowledge if combined with accomplishments is of import in the workplace. Furthermore, one can non develop a accomplishment without cognition and at higher degrees, cognition are converted to accomplishments ( Klieme, 2004. ) The last constituent that determines competency is the attitude. The attitude such as beliefs, values, traits, and motivations is a portion of competency because it indicates the individual ‘s response to a peculiar event or state of affairs. Attitude refers to the sensitivity or mental province of individuals/users towards a merchandise, thoughts, or attributes. It besides implies on mental preparedness on a peculiar object or his properties toward an object or his penchants. ( Hulse & A ; Dowd, 1996 ) . In the field of radiologic engineering, competency does non merely intend that the RT is equipped with the cognition and accomplishments but RT is besides imbued with the right attitude and judgement to supply each patient with quality attentionOn Radiographic CompetenceIn the field of radiologic engineering, one facet of the profession requires competent accomplishments in radiographic exposure factor technique. The said competency is indispensable particularly in the diagnos tic x-ray imagination, wherein exposure factors are the key to accurate diagnosing and supplying radiation dose to minimum degree. For 100 old ages, film-screen technique has been the method of pick in radiographic imagination ( Bushong 2009 ) . Film-screen system uses radiographic movies, radiographic intensifying screens and wet chemical science to do the image seeable. Furthermore, this conventional system should adhere to the criterions of the darkroom demands. Film-screen system has the same construct as a typical conventional camera. In a film-screen technique, radiologic engineer should be certain on the exposure factors to be applied in a peculiar exposure because improper choice of exposure factors can take to overexposure or underexposure of the movie. Overexposure or underexposure degrades image quality and hence, it can take to rejection of movie, therefore necessitates the demand for repetition scrutiny. Repeat scrutiny provides unneeded dosage to the patient and extra costs to the section. On the other manus, as with the other inventions in engineering, diagnostic imagination has shifted its class from conventional to digital. Computer applications are employed presents in diagnostic imagination modes. An appropriate analogy that is easy for most people to understand is the replacing of typical movie cameras with digital cameras: images can be taken, instantly examined, deleted, corrected, and cropped, and later sent to a web of computing machines. Computed skiagraphy system ( CR ) is an low-cost solution to digital imagination. Alternatively of the movie, CR employs an imaging home base to capture x-rays and makes it seeable when the home base is scanned into a computing machine and digitized it. Once the image is converted to informations, it can be recorded on a optical maser printed movie or can be transmitted and stored digitally. It has particular characteristics like use or sweetening of the image. Its specialised package is used to image sing with enhanced maps similar to film-screen system, such as contrast, brightness, and rapid climb. ( dicomsolutions.com, 2011 ) . Computed skiagraphy has practical proficient advantages compared with conventional techniques, such as broad contrast dynamic scope, post-processing functionality, multiple image screening options, and electronic transportation and file awaying possibilities. In this system, image quality can be achieved because of the post-processing techniques that are non possible with film-screen system. This system is convenient for the engineers because the RT can counterbalance for exposure technique inaccuracies by seting the technique during post-processing stage of the image instead than that clip of exposure. In radiologic engineering field, competency agencies that the RT is equipped with the cognition, accomplishments, attitude and judgement to supply each patient with quality attention. Harmonizing to Olavidez ( 2005 ) , competency is indispensable in the field of Radiologic Technology because RT is a fast growth profession ; RT trades with human lives and most of all, the RT course of study is non plenty to fix the pupils to be equipped with the accomplishments necessary for the profession particularly in the particular Fieldss of radiologic engineering. For an RT to go competent, he/she should hold undergone formal educational background followed by specialised preparation in their chosen field that takes months. As an RT, he/she should hold comprehensive cognition and accomplishments in patient attention, radiologic processs and radiation dose.Exposure Technique FactorsExposure technique factors influence and find the measure and quality of X ray to which the patient is exposed ( Bu shong, 2009 ) . Kilovolt extremum ( kVp ) , milliamperage ( ma ) , exposure clip and source-to-image distance ( SID ) are the chief exposure technique factors. Furthermore, the said factors besides affect image quality. Milliamperage and exposure clip are the exposure factors that affects the measure of radiation. Milliampere is the step of x-ray tubing current, whereas milliampere-second ( ma ) is the green goods of exposure clip and exposure tubing current. They straight affect the optical denseness ( OD ) of the movie. Optical denseness is the overall darkening of the movie. The darker the movie, the higher figure of x-rays is given to the patient. The higher the figure of X raies that are the given to the patients, the greater the radiation dose they receive. Source-to-image receptor distance besides affects the measure of the radiation. The closer the patient is to the x-ray beginning, the higher dose the patient gets. For chest X ray, the standard SID is 72 inches, while for the other x-ray scrutinies, the standard SID is 40 inches. Kilovoltage extremum ( kVp ) , straight affects the quality of radiation. kVp is the maximal electric potency that travels across the x-ray tubing. Since kVp affec ts the quality of the x-ray beam, it besides affects the quality of the radiographic image. Kilovoltage straight affects contrast. Contrast is the fluctuation of densenesss on the movie. The advantage of utilizing higher kVp is that the patient will have lower dose of radiation because it will non be absorbed. However, higher kilovoltage produces more spread radiation, therefore increases the transmittal of X raies to the image receptor and degrades image quality. The best techniques to forestall spread radiation are utilizing beam restrictors such as collimator to filtrate low energy X raies and to cut-off low energy beams utilizing radiographic grids. By using beam restrictors and grid will heighten image contrast because spread radiation will be prevented. Furthermore, spread radiation will besides supply unneeded dosage to the patient. Therefore, exposure technique factor choice is indispensable. To supply quality radiogram and to restrict patients to radiation should be a end for every RT. Harmonizing to Bushong ( 2009 ) , RTs are required to utilize their accomplishments to bring forth the best possible image with individual exposure ( Bushong, 2009 ) . Otherwise, repeat scrutiny will supply unneeded radiation dosage to the patient. Therefore, it is necessary for the RT to be equipped with cognition and accomplishments to pull strings these exposure technique factors to bring forth coveted optical denseness, contrast, and image item on the finished radiogram.RT in Film-Screen SystemIn conventional film-screen system, before each scrutiny, the radiologic engineer must choose the optimal radiographic technique factors- kVp, ma, and exposure clip ( Bushong 2009 ) . There are many considerations to find the value of each factor and they are complexly interrelated. Contrast and Density are the photographic factors of the radiogram and it functions to do the image seeable. Visibility of image is of import so that anatomical image will look for proper diagnosing. After each exposure, there is no manner to pull strings its contrast and denseness and that ‘s what makes film-screen system hard as unequal contrast or denseness entails repetition scrutiny. Since use of the image is non possible in this system, the RT should be certain with the technique factors prior to the exposure ; otherwise, misreckonings can ensue to underexposure or overexposure. In a film-screen system, overexposure and underexposure of the image is considered unacceptable because the of import constructions are non seeable and therefore it is non a tool for proper diagnosing. In other words, image quality is dependent on exposure factors.RT in Computed RadiographyIn CR system, image quality is non dependent on exposure factors. Digital image is unrelated to dose, kVp becomes less of import. Since, image quality is non dep endent on exposure factors, image can be manipulated. In a conventional system, the movie serves as both image acquisition and show medium. With CR, the image home base serves as the acquisition medium but does non expose the image. Since these maps are separate in CR, the digital signal can be altered to counterbalance for underexposure or overexposure and an acceptable image can be displayed on the proctor ( Shephard, 2003 ) . With CR system, post-processing is possible that helps heighten image therefore leting the RT to change image contrast and denseness. Since image can be manipulated or modified, underexposure or overexposure is no longer a job with this system, because it can normally salve fluctuations from the optical technique, whereas proficient mistake with a screen-film system frequently requires a repetition exposure ( Pizzutiello, 1993 ; Cesar, 1997 ) . Therefore, with CR, proficient mistakes are eliminated because of exposure discrepancies that are possible with sal vageable consequences, presuming equal kilovoltage is used ( Ballinger, 1999 ) .On Assessment of RT CompetenceIn order to cognize the competency of a professional, assessment plays a critical function. Assessment is of import so as to measure if the RT is still competent to make the occupation. Since we are in the epoch of rapid engineering, it may come to a point that we will merely set our assurance on computing machines instead than our competency. Harmonizing to Olavidez ( 2005 ) , competency is an discernible ability and it can be measured against set of criterions. Appraisal of competency is a combined cognition, accomplishments, and attitudes that reflect the current work pattern. Furthermore, it can bridge the spread between workplace demands and criterion. Choice of exposure technique factor is of utmost importance because RT trades with exposing patients to radiation. Exposure technique factor is tantamount to the quality and the measure of radiation that exits the patient, hence, the RT should be precise in giving exposure technique factors. Supplying appropriate radiation dosage is necessary to forestall the patients from the jeopardies of the ionizing radiation, hence anterior to the exposure of the patient, accurate exposure techniques should be practiced. The issue of supplying accurate techniques lies in a digital system, wherein images can be manipulated during post-processing. Harmonizing to Fredrick Walker ( medicalimagingmag, 2008 ) , a radiologic engineer at Sharp Rees-Stealy in San Diego, CA, he pointed out if the image is excessively dark, we can pull strings the image utilizing post-processing techniques like windowing or shadowing or to set contrast without holding to reiterate the scrutiny. Furthermore, since image can be manipulated during post-processing, it can promote complacence instead than truth with exposure techniques which can ensue in overexposed or underexposed images ( Medicalxray, 2010 ) . In add-on, harmonizing to Enfinger ( 2012 ) , that it is true that the image can be adjusted, nevertheless, it is non recommended because the natural information from the initial exposure will incorporate information from spread radiation that degrades image quality even if it is manipulated subsequently. Harmonizing to Shephard ( 2003 ) , it is likely that digital imagination will replace conventional screen-film skiagraphy in many modern medical imagination centres in the close hereafter. It has already been stated that even if the image can be manipulated during post-processing, this should non be a pattern because somehow it can deteriorate image quality which consequences in inaccurate diagnosing. One retrospective analysis of patients who had undergone lumbar spinal column radiogram for the diagnosing of osteoporosis comparison diagnostic truth with screen-film versus digital skiagraphy. The writers suspected that bone mineral loss could be more easy seeable with screen-film imaging due to the fact that image contrast can non be adjusted with this mode, whereas CR ( and DR ) images undergo digital post-processing techniques to maximise contrast. This could ensue in misdirecting consequences that confound diagnostic strength in osteoporosis. Therefore, this is a challenge now for the RT to keep their competency amidst the assistance of engineering. Competence of RT is the foundation of supplying quality patient attention by supplying appropriate radiation dosage for accurate diagnosing.SynthesisThe focal point of the literature and surveies cited was the radiographic competency of RT between film-screen system and computed skiagraphy and it is through this survey that the research workers can place and compare whether their competency will differ based on the image receptor that is being used. In add-on, competency in exposure technique factors is indispensable because this will besides intend radiation dosage to the patient. It has already been affirmed that the construct has been there for the past few old ages and hence the present survey is surely non a new construct. Nevertheless, the research workers deemed it necessary to carry on a survey measuring the competency of the RT for the benefit of the establishment whe re they belong because the research worker wants to suggest a professional plan that could beef up the foundation of the RTs ‘ . It is besides of import for the school to offer the plans since about the RT from the different infirmaries in Davao City are merchandises of this establishment. This survey is similar to the other surveies cited in this subdivision because it stated on the effects of digital imagination on the radiographic competency of the RTs. Furthermore, old surveies dealt with the effects of image use on image quality and it indirectly link to the competency of the RTs.Conceptual ModelIn this position, the research workers attempted to measure the degree of radiographic competency of the RTs in footings of cognition, accomplishments and attitude. Through measuring the competency of the RTs, the research workers are able to find the degree of radiographic competency ; their strengths and failing of radiographic techniques. On the other manus, the research workers identified the factors that can impact their competency, such as the respondents ‘ demographic profile in footings of age, sex, figure of old ages in service and educational attainment and the profile of establishment such as bureau and its categorization are besides considered. To hold a graphic image of the survey, Figure 1 served as the research paradigmSCHEMATIC DIAGRAMIndependent Variables Dependent VariablesFactorsRespondents ‘ ProfileAge Number of old ages in serviceAgencyPrivate PublicImage ProcessingFilm-Screen System Computed RadiographyDegree of Radiographic CompetenceCognition Skills AttitudeFigure 1Conventional Diagram demoing the relationship between the independent and dependent variablesSTATEMENT OF THE PROBLEMThe survey aims to compare the degree of radiographic competency in utilizing a film-screen system and computed skiagraphy on exposure technique factor choice ; specifically it aims to reply the undermentioned inquiries: What is the respondents ‘ profile in footings of: Age Number of old ages in service What is the bureau of the health care establishments in footings of: Private Public What is the degree of the respondents ‘ radiographic competency in utilizing film-screen system on exposure technique factor choice in footings of: Cognition Skills Attitude What is the degree of the respondents ‘ radiographic competency in utilizing computed skiagraphy on exposure technique factor choice in footings of: Cognition Skills Attitude Is there a important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important relationship between the bureau of health care establishment and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important difference in the degree of radiographic competency between film-screen system and computed skiagraphy in footings of: Cognition Skills AttitudeHypothesisThere is no important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Age Number of old ages in service There is no important relationship between the bureau of the healthcare establishment and the degree of radiographic competency in footings of: Public Private There is no important difference in the degree of radiographic competency between film-screen system and computed skiagraphy in footings of: Cognition Skills AttitudeDEFINITION OF TERMSAccuracy- refers to the grade of conformance of a measured or calculated value to its existent or specific value. Computed Radiography- is an low-cost solution of digital imagination system that uses a photostimulable phosphor as the image receptor. Digital Radiography- an all-digital technique in which x-ray soaking up is quantified by assignment of a figure to the sum of x-rays making the sensor ; this is besides called as cassetteless system. Exposure- step of ionisation produced in air by X raies or gamma beams. Exposure Factor Selection. It is the factor set by the radiographer ( kVp, and ma ) to bring forth visibleness of constructions in the radiogram. Film Screen System- is the conventional image receptor that uses radiographic movie, radiographic escalating screen and wet chemical science to visualise the image in the radiogram. Image receptor- is a device that converts x-ray beam into seeable image. Degree of Radiographic Competence- refers to the step of the degree of competency of the radiologic engineer in accomplishing ends and aims in supplying quality radiogram with minimal radiation dosage to patients. Private hospital- is a infirmary owned by a net income company or a non-profit organisation and in private funded through payment for medical services by patients themselves. Public hospital- is a infirmary which is owned by the authorities and have authorities support.Significance OF THE STUDYThis survey seeks to find if there is a important difference on the degree of the respondents ‘ radiographic competency in exposure technique factor choice between film-screen system and computed skiagraphy ; and to find if there is a important relationship on the degree of radiographic competency between respondents ‘ profile and bureau. Based on the consequences of this survey, the research workers can place the strengths and failings of the RTs and if it shows important diminution in the competency of the RT in the CR system, the research workers will suggest an enhancement plan for the professionals. The said plan will besides be a portion of the Continuing Professional Education ( CPE ) , and it will be added to the CPE units needed to regenerate RT licences. This survey will be most helpful to the radiology section of the infirmary to heighten Health Care Delivery by restricting radiation dosage to the patients. Furthermore, finding the attitude toward the imagination system will assist the section to reassess the mental and the emotional province of the RT ‘s. Mental and Emotional province of the RT are of import since they are covering with patients. It is the duty of the RT to render quality patient attention by supplying appropriate radiation dosage. Furthermore, this survey will besides be of most helpful to the schools offering radiologic engineering as to escalate the foundation of the pupils in footings of exposure technique factors. Based on the consequence of the survey, there may be a demand to revise the course of study to further escalate the accomplishments of the RT pupils. Computed Radiography is non a portion of the standard RT course of study, and it may be one factor that affects the diminution of competency on the portion of the professional every bit good as the pupils.Chapter 2MethodologyThis part discusses the research design used, the research venue where the survey will be conducted, the description of samples and the sampling technique, the instrument used, the inside informations of process and the statistical analysis to reply the research job.Research DesignThe survey will use a comparative-correlational research. To find the difference between the degree of competency in film-screen system and computed s kiagraphy, comparative survey will be used. Furthermore, to find the relationship between the respondents profile and bureau between the degrees of the radiographic competency, correlational design will be employed.PutingThe survey will be conducted from the selected infirmaries in Davao, Digos and Tagum City using either film-screen system and computed skiagraphy. The infirmaries utilizing film-screen system are the undermentioned: Alexian Brothers Health and Wellness Center, Km. 4, McArthur Highway, Matina, Davao City ; Davao Regional Hospital, located at Apokon, Tagum City 8112 and Davao Del Sur Provincial Hospital which is located at Lapu-lapu St. Digos, City Davao Del Sur. On the other manus, the infirmaries utilizing the computed skiagraphy system are the undermentioned: Davao Doctors Hospital ( DDH ) , E. Quirino Ave. , Davao City ; Southern Philippines Medical Center ( SPMC ) , J.P Laurel Ave. , Bajada, Davao City and Davao Medical School Foundation and Hospital ( DMSF ) , M edical Drive, Bajada, Davao City.ParticipantsThe respondents of the survey are the Registered Radiologic Technologists and Associate X-ray Engineers coming from the selected infirmaries in Davao City using a film-screen and computed skiagraphy system. Furthermore, the qualified respondents should be at least six months in service at the clip of the rating.MeasuresThe research appraisal is composed of four parts. The first portion of the appraisal consists of inquiries refering to the profile of the respondents and infirmary. The 2nd portion consists of inquiries on the respondents ‘ degree of cognition on exposure technique factor choice. The inquiries are specifically structured in such a manner that assesses the respondents ‘ acquired cognition on technique choice. Based on the consequences, the attitude in footings of respondent ‘s response in both film-screen and CR system will be categorized as follows depending on their average mark:Points Obtained Qualitative Description30-25 Very High 20-24 High 15-19 Reasonably High 10- 14 Low 13- 0 Very LowInterpretationThe aforesaid appraisal signifier that will be used as instrument of the survey is constructed and designed by the research workers as to mensurate the basic cognition in exposure technique factor choice regardless of the imagination system used. Its cogency and dependability was attested by experts of the field. Furthermore, the 3rd portion of the appraisal is an existent rating wherein the respondents are observed during x-ray scrutiny. They will be assessed in the existent choice of the exposure technique factor and the result of the image. The said appraisal is a point system ; the appropriate the RT performs in technique factor choice and the acceptable the image, the higher the points. Based on the consequences, the degree of radiographic competency in footings of respondent ‘s accomplishments will be categorized as follows depending on their average mark:Points Obtained Qualitative Description10 Very high degree of radiographic accomplishments 7-9 High degree of radiographic accomplishments 4-6 Reasonably low degree of radiographic accomplishments 1-3 Low degree of radiographic accomplishments Low degree of radiographic accomplishments means that the respondents were non able to execute the appropriate exposure techniques and came up with an unacceptable radiogram. Reasonably low degree of radiographic accomplishments means that they were non able to execute appropriate exposure techniques and came up with a passable radiogram. High degree of radiographic accomplishments means that they were able to come up with a quality radiogram but did non execute appropriate exposure techniques. Last, really high degree of radiographic accomplishments means that they were able to come up with a quality radiogram and performed appropriate exposure techniques. The appraisal is limited in the x-ray scrutiny of the skull and thorax. Furthermore, the last portion of the appraisal is consists of inquiries sing the attitude of the respondents. The respondents ‘ attitude will be assessed base on their attitudes about the imagination system and its facets. The research workers will use the Likert Scale wherein the respondents are asked to bespeak a grade of understanding and dissension with each of a series of statement. The consequences will be categorized as follows depending on their average mark:Points Obtained Qualitative Description5 Strongly Agree 4 Agree 3 Indifferent 2 Disagree 1 Strongly differ In add-on, the research workers will utilize purposive sampling as to measure up the respondents for the survey.Ethical ConsiderationResearch blessing will be obtained through the research reappraisal section or human resources section from the six infirmaries. To promote voluntary engagement of the RTs ‘ in this survey, the cover missive of the intent and nature of the survey, informations confidentiality, and research support will be attached. The namelessness of the respondents will be ensured.Procedures1. Letter inquiring for permission. 2. After the blessing of the proposal of this survey, the research worker will organize with the human resource section and the radiology section caputs. Once approved by radiology caputs, the research workers will get down the rating procedure. The research workers will aim two months in assemblage of informations get downing October 1- November 1. Based on the consequence, the research workers will so place the area/s of troubles by the respondents and so proposed an enhancement plan for the professional concentrating on the failings identified.Datas AnalysisThe undermentioned statistical methods will be utilized for the analysis of the informations and reading of the consequences:To reply the undermentioned jobs, obtaining Frequency, Mean and Percentage will be employed.What is the respondents ‘ profile in footings of: Age Number of old ages in service What is the bureau of infirmary in footings of: Private Public 3. What is the degree of the respondents ‘ radiographic competency in utilizing film-screen system on exposure technique factor choice in footings of: Cognition Skills Attitude 4. What is the degree of the respondents ‘ radiographic competency in utilizing computed skiagraphy on exposure technique factor choice in footings of: Cognition Skills AttitudeThe Pearson Product-Moment Coefficient of Correlation will be used to correlate the respondents ‘ degree of radiographic competency and the ( 1 ) respondents ‘ profile and ( 2 ) profile of the healthcare establishment. It seeks to reply the undermentioned jobs:5. Is there a important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important relationship between the bureau of health care establishment and the degree of radiographic competency in footings of: Cognition Skills AttitudeLast, T-test will be used to compare the degree of respondents ‘ competency between film-screen system and computed skiagraphy:Is there a important difference in the degree of competency between film-screen system and computed skiagraphy in footings of: Cognition Skills Attitude The processing will be done with the usage of SPSS.Scope and RestrictionThe chief intent of the survey is to find if there is a important difference on the degree of the radiographic competency of radiologic engineers on exposure technique factor choice between film-screen system and computed skiagraphy. Furthermore, the research workers will besides seek to find if there is a important relationship on the degree of radiographic competency between radiologic engineers ‘ profile and bureau. The research workers will use the three competences viz. : Knowledge, Skills and Attitude. The survey is limited merely to six health care establishments in Davao, Digos and Tagum City with the following profile:Name of Hospital Image Receptor AgencyAlexian Brothers Wellness Center Film-Screen System Private Davao Doctors Hospital Computed Radiography Private Davao Del Sur Prov. Hospital Film-Screen System Public Davao Regional Hospital Film-Screen System Public DMSF Computed Radiography Private SPMC Computed Radiography Public Furthermore, the survey is limited to skull and chest scrutiny. Since the survey discusses the quality and measure of radiation, nevertheless, it does non cover the radiation dose the patient receives. The survey merely focuses on the image quality based on the exposure techniques -kVp, ma and SID- selected by the respondents.Appendix 1: Communication LetterRaymund CS. Del Val Davao Doctors Hospital President Thru: Mirasol B. Tiu Director Human Resources Department Beloved Sir/Madam: We would wish to seek permission to carry on our survey in this establishment specifically in the Radiology Department. Our survey is entitled â€Å" Radiographic Competence between Film-Screen System and Computed Radiography on Exposure Technique Factor Selection † . The chief aim of this research is to place the radiographic competency between the radiologic engineers ‘ using film-screen image receptor and computed skiagraphy ( CR ) . Through your engagement, we finally hope to find if competency in exposure technique choice varies or non. We assured that this information will be held in confidential and will be used merely to broaden the position of our survey. Your blessing on this affair will be extremely appreciated. Respectfully Yours,Dannalyn D. Ibanez, RRT Jules King Defensor, RRTResearcher Researcher DDC- RT Department DDC- RT DepartmentTheresa T. Eguia, RRTResearch worker DDC- RT Department Noted By: Joshua P. Sero Dr. Lucila T. Lupo RT Program Chair Head of Research Dept.Appendix 2: COVER LETTERDear Respondent, We are the module of Davao Doctors College- Radiologic Technology Department and soon carry oning a survey entitled â€Å" Radiographic Competence between Film-Screen System and Computed Radiography on Exposure Technique Factor Selection † The chief aim of this research is to place the radiographic competency between the radiologic engineers ‘ using film-screen image receptor and computed skiagraphy ( CR ) . Through your engagement, we finally hope to find if competency in exposure technique choice varies or non. Enclosed with this missive is a brief questionnaire that asks a assortment of inquiries. The questionnaire is composed of five parts. First portion is your personal profile. Second, is your establishments ‘ profile. The 3rd portion is a quiz-type that measures your cognition about exposure factor techniques on skull and chest scrutiny. In the 4th portion, we, the research workers will detect you based on your existent choice of the exposure techniques during the x-ray scrutiny. And in conclusion, we will be inquiring sing your attitudes and positions toward your current occupation as an RT. Your replies and responses are confidential and will be used for research purposes merely. We hope you will take a few proceedingss to finish this questionnaire. Without the aid of people like you, research on radiographic competency could non be conducted. Your engagement is voluntary and there is no punishment if you do non take part. If you have any inquiries or concerns about finishing the questionnaire or about take parting in this survey, you may reach us at 222-0853 local 107 or 09161932693 or you can e-mail us at danna_rrt @ yahoo.com. Sincerely,Dannalyn D. Ibanez, RRT Jules King C. Defensor, RRTResearcher Researcher DDC- RT Department DDC- RT DepartmentTheresa T. Eguia, RRTResearch worker DDC- RT DepartmentAppendix 3: Samples of QuestionnairesDegree of Competence in Exposure Technique Factor SelectionEvaluation FormPart I: Respondent ‘s ProfileName ( Optional ) : ______________________________ Rating: _____________ Sexual activity: ______________________ Date: ______________ Age: _________ Number of Years in Service: ________Part II: Healthcare Institution ‘s Profile:Type of Institution: ( ) Primary ( ) Secondary ( ) Tertiary Type of Imaging System: ( ) Film Screen ( ) Computed RadiographyPart III: CognitionSKULL RADIOGRAPHYThymineFIn skiagraphy of skull, particularly for paediatric and geriatric patients, short exposure clip is required. 2. Use of grid is required in skull skiagraphy 3. In skull skiagraphy, wherein a smaller field size is required exposure factors may hold to be increased. 4. In skull imagination, a 15 % addition in kvp should be accompanied by half decrease in mom. 5. Skull skiagraphy requires a high contrast image, which requires a high kvp choice. 6. When utilizing a grid, it may non be necessary to increase the exposure factor. 7. When exposure factor is done with the usage of bucky, it is of import to see an addition of ma to keep the movie denseness. 8. In skull skiagraphy, the usage of medium kVp and short exposure clip and the highest possible ma is recommended. 9. It is necessary to increase kVp when an x-ray requisition indicates status such as: hydrocephaly, osteochondroma, and Paget ‘s disease. 10. A sidelong skull place will necessitate lesser exposure than PA skull X ray. 11. When tube angulation is applied during skull x-ray, there is an addition in exposure severally. 12. 40 inches distance is used during skull skiagraphy to obtain appropriate degree of denseness. 13. Skull with injuries due to vehicular accident will necessitate lesser exposure factor. 14. ma is the factor of pick for skull process. 15. Skull process with air spreads due to trauma, kVp is the factor of pick.CHEST RADIOGRAPHYThymineF1. Aerated tissue such as lungs require high sum of exposure to enter appropriate degree of denseness. 2. The thickness of the thorax is normally measured with callipers as a usher to the proper ma choice. 3. In portable thorax X ray, the ma value is decreased. 4. Pathological status of the thorax may non be taken into history in gauging the electromotive force value. 5. To find farther the pathology emphysema the usage of lower kVp exposure requires. 6. By and large, kV should be high plenty to ensue in sufficient contrast to show the many sunglassess of grey needed to visualise the finer lung markers. 7. Chest skiagraphy requires the usage of high mas and long exposure clip to minimise the opportunity of gesture and attendant loss of unsharpness. 8. Chest transcending 30cm in thickness requires an addition non merely in ma but besides in kVp 9. In pleural gush, normal thorax technique will ensue in underexposed image. 10. 72 inches distance is officially use during chest skiagraphy to obtain appropriate degree of denseness. 11. In chest x-ray utilizing air spread technique, normally gives lower patient dosage. 12. Chest is considered as a low contrast anatomy. 13. In patients with pneumonia, it is ever appropriate to diminish exposure techniques. 14. In patients with pneumothorax, it is ever appropriate to increase exposure techniques. 15. By and large, as grid ratio additions, patient dosage will diminish.Part IV: SkillsExposure Technique Factor SelectionMarkDid the engineer usage calliper to mensurate the thickness of the portion? ( to use appropriate kVp ) 1 point. 2. Make the engineer suitably use radiographic grids? 1 point. 3. Make the engineer collimate the portion of involvement? ( collimation reduces spread radiation therefore provides high contrast image ) 1 point. 4. Make the engineer usage appropriate source-to-image distance ( SID ) ? 1 point.Radiographic ImageIs the radiogram acceptable in footings of contrast? 2 points. ( 2- acceptable 1- moderate 0- unacceptable ) Is the radiogram acceptable in footings of denseness? 2 points. ( 2- acceptable 1- moderate 0- unacceptable ) Is the image decently collimated? 1 point Is there a presence of image fuzz? ( Long exposure clip contributes to image fuzz ) 1 point.EntirePart V: AttitudeFor Film-Screen user:Film-Screen SystemStrongly AgreeAgreeIndifferentDisagreeStrongly Disagree1. Film-Screen imagination system still is the best mode of pick in bring forthing a quality radiogram. 2. Film-Screen imagination system gives more accurate consequences compared to digital system. 3. Film-Screen imagination system is the most convenient mode in choosing proper exposure technique. 4. Since I can non pull strings the image in a Film-Screen system, I should be precise in choosing kVp and ma in every scrutiny. 5. If the image becomes underexposed, I normally do repeat scrutinies. 6. If the image becomes overexposed, I normally do repeat scrutinies. 7. I normally choose high exposure factors in Film-Screen. 8. Collimation is really of import in Film-Screen. 9. I think film-screen bounds patient radiation dosage. 10. I feel that my competency on exposure technique factor choice is great in film-screen system. For Computed Radiography user:Computed RadiographyStrongly AgreeAgreeIndifferentDisagreeStrongly Disagree1. CR is the best mode of pick in bring forthing a quality radiogram. 2. CR gives more accurate consequences compared to digital system. 3. CR is the most convenient mode in choosing proper exposure technique. 4. Since I can pull strings the image in a CR system, sometimes I am non certain in choice of kVp and ma. 5. If the image becomes underexposed, I normally do repeat scrutinies. 6. If the image becomes overexposed, I normally do repeat scrutinies. 7. I normally choose high exposure factors in CR. 8. There is no demand for collimation since cropping is available during station processing in CR. 9. I think CR bounds patient radiation dosage. 10. I feel that my competency on exposure technique factor choice is lesser in CR.Appendix 4: MentionBooksBallinger, PW, Frank ED: Merill ‘s Atlas of Radiographic Positions and Radiologic Procedures, Volume 3, 9th erectile dysfunction. St. Louis, Mosby-Year Book, 1999 Bloom BJ, erectile dysfunction. Taxonomy of Educational Aims: Cognitive Domain. New York, NY: David McKay Company ; 1956. Bontrager, K, Lampignano, J: Textbook of Radiographic Positioning and Related Anatomy 7th erectile dysfunction. Singapore, Mosby, 2010. Bushong, SC: Radiologic Science for Engineers: Physicss, Biology, and Protection, 9th erectile dysfunction. St. Louis, Mosby-Year Book, 2001. Callaway, W, Gurley, L: Introduction to Radiologic Techology. Mosby-Year Book Inc. 1996. Cesar LJ: Computed skiagraphy: its impact on radiographers. Radiologic Technology 68:225, 1997. Dowd, SB. The profession ‘s hereafter: leading development. Radiologic Technology. 1992 Fauber TL: Radiographic Imaging and Exposure. ST. Louis, Mosby, 2000. Fauber, TL & A ; Johnston, J: Necessities of Radiographic Physics and Imaging. Mosby. 2012. Klieme, E. et al.The Development of National Educational Standards: An Expertness, Berlin: Bundesministerium fur Bildung und Forschung. 2004. Lauer OG. Principles and Practices of the College-Based Radiography Program. St. Louis, Mo: Warren Green Inc ; 1984. More, C. Skill and the English Working Class, 1870-1914, London: Croom Helm. ( 1980 ) Piaget, J. La psychologie de l'intelligence, Paris: Colin.1947. Pizzutiello RJ, Cullinan JE: Introduction to Medical Radiographic Imaging. Rochester, NY, Eastman Kodak Company, 1993. Shephard, C: Radiographic Image Production and Manipulation. Nashville, Tenessee, 2003. Yumul, R. Introduction to Radiologic Technology with Science, Technology and Society. Manila. 2012DiariesSiddiqui, Nazlee & A ; Khandaker, Shahjahan. Comparison of Services of Public, Private and Foreign Hospitals from the Perspective of Bangladeshi Patients. 2007. Balasubramanian, Siva K. and Wagner A. Kamakura, August. â€Å" Measuring Consumer attitudes towards the market topographic point with tailored interview † , Journal of Marketing Research, Vol. 26. 1989.Unpublished ThesissPabunag, Richard et Al. â€Å" Level of Professional Competence of Radiologic Technologist in Davao City on Factor Selection of X-rays of Skull, Extremities and Chest † . Davao City. 2008.Online BeginningsEnfinger, Jeremy. Subjects in Radiography. April 22, 2012 Medicalxray.com.cn July 12/2010 Dicomsolutions.com ( www.discomsolutions/ds-digital-radiology/acquire.html ) . 2011 Dilulio, Renee. CR versus DR: Which is the Techs Choice? ( hypertext transfer protocol: //www.medical imagingmag.com/issues/articles/2008-05_02.asp. May 2008 hypertext transfer protocol: //www.libraryindex.com/pages/1831/Health-Care-Institutions-TYPES HOSPITALS.html † Health Care Institutions – Types of Hospitals.2007Appendix 5: BUDGETARY RequirementBUDGETARY RequirementManpower ( Representation fee/ Burden fee )Statistician 3,000 Research Adviser 4500 ( Proposal, Final ) Validators of Research Instruments ( 3 ) 900 Meals and bites 1500 Subtotal P 9,900Transportation system Allowance:2 Calendar months 5,330 Office Supplies ( booklets, paper, cartridge, ink ) 1000 A? of the Contingency Fund 1,623TOTAL P 17,853