Unit 38International Business D2 - 1300 Words

Task 2c: Evaluate the impact of cultural differences on international business performance in the international market D2 In your evaluation you must consider how issues such as health, welfare, social considerations, environmental issues and belief system Environmental issues that affect their business operation include industrial waste, sustainable development of raw materials and water and air emissions. Most times when businesses are trading internationally, these issues affect business because the laws in which they operate sometimes require businesses to change equipment they use and adjust their former procedures to meet imposed standards, which sometimes is at a financial expense to the business. NNPC takes on a stricter†¦show more content†¦People living in communities around they oil area are also at risk Employees on vessels close to where the oil plumes are surfacing are at the greatest risk of coming into contact with concentrated chemical dispersants and toxic vapours such as benzene, one of the volatile hydrocarbons in oil. The thousands of volunteers and federal workers who are cleaning up oil that has already weathered and lost many of its most toxic volatile compounds may still be exposed to toxins — particularly if they remove protective gear or do not have sufficient training in handling toxic substances Almost hundreds of employees have been hospitalized due to oil spill related health problems, according to the Nigerian state health department. And while some say chemicals in the oil itself are to blame, others speculate chemicals called dispersants being used to break up the massive slick could be playing a role. Fumes in heavily oiled area can also affect the community and there is widespread concern that some workers are not being given sufficient safety equipment, including respirators — and volunteers, who may not have as much training or experience as hired workers, could be in the greatest danger. So far, more than 400 oil-exposureShow MoreRelatedunit 38 Accounting2172 Words   |  9 PagesUnit 38 Business and the Economic EnvironmentLearner name Assessor nameSameeha Hussain/Antonio ZarroDate unit issuedUnit DeadlineDate unit submitted by student27/01/1419/04/14 Criteria referenceTo achieve the criteria the evidence must show that the learner is able toAsst Task no. Assessor initial date when metPASS CRITERIAP1 Explain the effects of changes in the economic environment on a selected business P2 Identify how government policies impact on a selected business P3 Identify the impactRead MoreUnit 38 Business and Economic Environment4792 Words   |  20 PagesUnit 38: Unit code: QCF Level 3: Credit value: Business and the Economic Environment T/502/5500 BTEC National 10 Guided learning hours: 60 Aim and purpose The aim of this unit is to introduce learners to the interaction between the general economic environment and business activity and how the interactions generate national wellbeing. Learners will study how government activities regulate and influence business activities and how business activities influence government action and policyRead MoreNokia Product Design Analysis3046 Words   |  13 PagesWebster University Nokia Product Design Analysis A Product Design Project for the new Lumia Century Jaqui Melton Business 6110 Professor Gary Sample December 20, 2013 Nokia Product Design Analysis 2 Abstract Having been made project manager for the design of Nokia’s new cell phone, the Lumia Century, the purpose of this report is to provide management with an anticipated project schedule and calculated project duration. In doing this, a project network has been created; and the slackRead MoreBusiness Strategy4546 Words   |  19 Pagesand peripherals. ï  µ Services that help maximize information technology (IT), rapidly deploy systems and educate IT professionals and consumers. ï  µ Financing alternatives, asset management services and other customer financial services for its business and consumer customers in the United States through Dell Financial Services L.P., a joint venture between Dell and CIT Group, Inc. ï  µ The Company is generally managed on a geographic basis: the Americas, Europe and Asia Pacific-Japan. VitalRead MoreComparative Market Analysis of Samsung Electronics8924 Words   |  36 Pagesdifferent organizational forms of business interest representation. The aim of the study is to point out the best (in this respect) among the alternatives that are being studied. The final aim perhaps is not only to find the best, but also to improve it or similar objects later on. Overview of the Consumer Durable Market The consumer durable market in India has seen a proliferation of brands and product categories in recent years. Most major international brands from Japan, Korea, US, EuropeRead MoreSwot Analysis of Hyundai Motor China12360 Words   |  50 Pagesforecast to become the world‟s third-largest―even as the worldwide auto market was stagnating. In this light, HMC had selected China to be site of its largest, lowest-cost assembly and manufacturing base. So it was that HMC created a separate China Business Division to lead its move into the Chinese market (Exhibit 1). In May of 2002, HMC initiated a joint automotive project with Beijing Automotive Industry Holding Corp. (BAIC) and by October the Chinese government had approved the joint venture, leadingRead MoreWorld Wrestling Entertainment, Inc.4222 Words   |  17 PagesWorld Wrestling Entertainment, Inc. Executive Summary With over twenty years of experience in the sports entertainment business and the mergers of some of the leading companies in the wrestling industry, Vince McMahon organized the World Wrestling Entertainment Inc., in the late 1970s. The organization consist of an integrated media and entertainment company engaged in the development, production and marketing of television and pay-per-view programming, live events and the licensing and sale ofRead MoreEconomics Text Book Chapter Summaries21497 Words   |  86 Pagesone college or university among those studied requires a general course in economics† http://liberalorder.typepad.com/the_liberal_order/files/HollowCoreWeb.pdf Understanding of concept of marginal benefits / marginal costs are required for business management Ultimately economics is a social science seeking society’s overall fullest advantages and best interests Article 1.1 – â€Å"The Opportunity Cost of Economics Education† – see end of this chapter Figure 1.1 – Economic MethodologyRead MoreHotel and Hospitality Industry22258 Words   |  90 Pagespeople have experienced the hospitality industry. The industry is vast, and constantly changing to meet customer expectations. 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Negative Effects Of Social Media - 1743 Words

Social media is one of the most widespread methods of communication and interaction worldwide. While social media comes in various forms, they all tend to share the same motive: Encourage the public socialize. Most would wonder how this could be such a bad thing and see very few problems relating to social media. Others see right through the illusion of the LED screen. The public can easily hide behind a keyboard without threat of confrontation for their words or actions on the internet. Anything and everything can be said and they will not be faulted. Social media is more detrimental to users than advantageous due to the allowance of freedom to insult, bully and threaten others without fear of punishment or consequence; cyberbullying†¦show more content†¦In addition, ten percent of high school teens in Japan have opened up about being harassed online, while twenty-five to twenty-nine teens were harassed in Spain. Twenty-eight percent of middle school and high school users h ave experienced cyberbullying at some point or another. Seventy-five percent of girls with diminished self esteem engage in cutting, bullying, smoking, drinking, drug abuse, eating disorders. However, the most appalling statistic is that eighty-seven percent, highest numbered statistic listed, of high school teens witness cyberbullying. Witness as in observing, gawking and failing to take action against. They are merely spectators that just watch as others are being brutally attacked in front of everybody they know and some they do not. Most of those on social media that feel personally victimized often feel unwanted, which can lead to dangerous psychological health. One would think the obvious solution would be to block any hostile users with an offensive nature; however, in the mind of the victim, nobody wants to be talked about and they would much rather see what is being aforementioned about them rather than not knowing at all and being forced to wonder. Bullying, cyber or other wise, is linked to poor academics, health deterioration and even criminal acts. Social media can cause victimization, as well as making users uneasy when they are unable to access their accounts. Contributions to low self esteem at the fault of social mediaShow MoreRelatedThe Negative Effects Of Social Media1648 Words   |  7 Pages I’ve learned that everything that glitters ain’t gold. In my middle school days I’ve experienced the negative effects of social media, Now when I say social media, I’m referring to Facebook, Instagram, Twitter, and Snapchat. By me being very active on social media I’ve been taunted, teased, threatened and harassed along with having low- self esteem and some suicidal thoughts . According to a recent study in the JAMA pediatrics, 23% of teens report they are or have been the target of cyberbullyingRead MoreNegative Effects Of Social Media1117 Words   |  5 PagesNegative impact of social media to the society. Addictiveness. Right off the bat, Teens are exceptionally subject to their gadgets in light of the fact that separated from schoolwork they are experts at spending the small hours of the night stuck to any electronic gadgets sharing, tuning in to music and different things youngsters are occupied with. Addiction usually refers to compulsive behavior that leads to negative effects. In most addictions, people feel compelled to do certain activities atRead MoreThe Negative Effects Of Social Media1509 Words   |  7 Pagesbeing millennials, social media is as natural to the people of today as breathing or drinking water. Social media is a â€Å"series of websites and applications that have been designed to allow people to share content and communicate with each other quickly and efficiently† (â€Å"What is Social Media, 2017). A few people have a more confined perspective of social media likening it to mean the same as interacting on sites like Facebook, Instagram, Snapchat, and others. The p ower of social media is such that, theRead MoreNegative Effects Of Social Media1350 Words   |  6 Pagestoday’s society, social media is an important tool that many people use daily for various purposes. On social media, people share their opinions, events in their lives, and news. They also use social media as a tool for entertainment and as a way of keeping in touch with their friends. Because of its various uses, the use of social media increased very significantly over the years and it is no surprise that many scholars from different disciplines took an interest in the use of social media. These scholarsRead MoreNegative Effects Of Social Media1517 Words   |  7 Pages What is Social Media? As stated on Dictionary.com, social media is â€Å"websites and other online means of communication that are used by large groups of people to share information and to develop social and professional contacts†. There are a huge variety of social media sites such as, Facebook, Twitter, Myspace, Instagram, and YouTube. As our technology gets more and more advanced and new devices come out, social media itself is growing as well. Because of the growth of social media, our lives areRead MoreThe Negative Effects Of Social Media1212 Words   |  5 PagesThe Negative Effects of Social Media Introduction 1. Attention Getter: a. What is the first thing most people do in the morning? i. Brush teeth? ii. Go to the bathroom? iii. Feed your dog? iv. The correct answer is actually checking your phone. 1. According to a recent study by IDC Research, 80% of smartphone users check their phones within 15 minutes of waking up each morning. b. What on your phone is so important? i. Social media c. Social Media i. According to Dictionary.com, social media is consideredRead MoreNegative Effects Of Social Media1297 Words   |  6 PagesIn the twenty-first century, social media plays an extensive part in most people’s lives. Instagram, Twitter, and many other social networks can cause adverse psychological harm and even lead to physical harm. Although many may argue that social media pertains to be useful, there prove to be more harmful aspects rather than helpful aspects of these media sites. These effects are not only psychological, but they may also be physical. Not only do social networks cause depression, anxiety, and cyberbullyingRead MoreNegative Effects Of Social Media1716 Words   |  7 PagesTwitter, Instagram, and many other social media sites, these changed the way that we communicate with one another. Social platforms allow people to share events of their own lives, through posting photos, leaving comments, updating their status, and many others. For example, â€Å"As of today, there are a little over 322 million people that live in the United States, 64% of whom own a smartphone. This means that approximately 206 million people have access to social media, anywhere at any time. FurthermoreRead MoreNegative Effects Of Social Media1743 Words   |  7 Pagesthese people are on their social media accounts. According to Brooke Lusk, the database and media manager for the Prevention Researcher, social media can be defined as, â€Å"an aspect of the internet which allows individuals and groups to create and publish online content, share the content, and interact about it.† These days, people are very involved with the internet and social media. Some think this is a benefit while others think this is a detriment for many reasons. Social media allows people to stayRead MoreNegative Effects Of Social Media1064 Words   |  5 PagesA Negative Collage of Social Media Today in everyday life we all have some sort of device. We all possess access to social media in some way, shape or form. Social media plays a huge part of everyone’s life. We constantly look at our phones on every beep. We read every post on Facebook. We never thought how that affects the youth and with them following us, who knows what they might find on the World Wide Web. Social media in the hands of the youth can have devastating effects, even adults

Preventing The Spread Of Hpv Health And Social Care Essay Free Essays

string(77) " more inauspicious than those of birth control \( unwritten preventives \) \." The Center for Disease Control and Prevention, or CDC, states, â€Å" Genital human papillomavirus, or HPV, is the most common sexually familial infection † ( What is HPV? ) . In fact, harmonizing to The American Social Health Association ( ASHA ) , â€Å" 6 million new venereal HPV instances occur each twelvemonth, about 1/3 of all new Sexually Transmitted Disease ( STD ) infections † ( Learn About HPV Fast Facts ) . Not merely does HPV infect the venereal countries of males and females, HPV can besides infect the oral cavity and pharynx. We will write a custom essay sample on Preventing The Spread Of Hpv Health And Social Care Essay or any similar topic only for you Order Now HPV can be contracted during vaginal and anal sex and may besides be passed on during unwritten sex and genital-to-genital contact. This means condom usage entirely does non protect an person against the disease. What is spoting about the disease is it can be passed from one person to the following even when the septic individual has no marks or symptoms. Furthermore, a individual can hold HPV even if several old ages have passed since he or she had sexual contact with an septic individual. â€Å" Most septic individuals do non recognize they are infected or that they are go throughing the virus on to a sex spouse † ( What is HPV? ) . In 2006, the pharmaceutical company Merck introduced Gardasil, a vaccinum to protect against four types of HPV. Harmonizing to the information found on the Gardasil web site, â€Å" In misss and immature adult females ages 9-26, Gardasil protects against two types of HPV that cause cervical malignant neoplastic disease and two more that cause venereal warts. In male childs and immature work forces ages 9-26, it protects against venereal warts † ( Gardasil ) . This vaccinum caused rather a contention as Merck has recommended that kids the age of 11 would be the most good group to have the vaccinum since they are most likely yet to be sexually active. Many parents have been uncomfortable with the thought of immunising their kid ( ren ) against what most see merely a sexually familial disease or infection ( STI ) . However, some provinces discussed doing it compulsory with Texas making so in 2007. While an person will have the full benefits of the vaccinum if inoculated before go ing sexually active, the vaccinum can still be effectual even if given after a individual becomes sexually active. Ideally, all 50 provinces will do the vaccinum mandatary. To guarantee these inoculations are being given, there is another group of persons that should be required to acquire the vaccinum or demo cogent evidence of holding received it. With so many college pupils sexually active and half of sexually active people transporting HPV it is imperative for persons come ining their first twelvemonth of college or university to demo cogent evidence of the Gardasil inoculation. When Gardasil was introduced, it proved effectual in forestalling two strains of HPV linked to cervical malignant neoplastic disease and two strains linked to venereal warts. Specifically, the promotional web site for Gardasil says, â€Å" Gardasil is the lone HPV vaccinum that helps protect against four types of HPV. In misss and immature adult females ages 9-26, Gardasil helps protect against two types of HPV that cause about 75 % of cervical malignant neoplastic disease instances, and two more types that cause 90 % of venereal warts instances. † The vaccinum is besides available to males. â€Å" In male childs and immature work forces ages 9-26, Gardasil helps protect against 90 % of venereal warts instances † ( What is Gardasil? ) When Gardasil was introduced, it was available merely to immature misss and adult females. This can make rather the societal shame on a immature adult female who wants to protect herself. It fundamentally puts the load of forestalling venereal warts on females. Now, adult females entirely do n’t hold to keep the duty. In 2009, the Gardasil vaccinum became available to work forces. As Shobha Krishnan, M.D. points out in her interview with the American Social Health Association ( ASHA ) , â€Å" it ‘s good to include work forces in HPV vaccinum plans because making so means that HPV is n’t seen as merely a adult female ‘s infection, so adult females entirely do n’t bear all of the stigma † ( The HPV Vaccine Controversy: Sexual activity, Cancer, God, and Politicss: An Interview With Shobha Krishnan, M.D. ) . Work force can have the exact same vaccinum that adult females do. This is highly of import because it is estimated that in the United States , each minute, there is a new instance of venereal warts. Two out of three people will acquire venereal warts after holding any sort of venereal contact with person infected. Genital warts, harmonizing to the CDC, normally appear as a little bump or group of bumps in the venereal country. They can be little or big, raised or level, or shaped like Brassica oleracea botrytis. Health attention suppliers can name warts by looking at the venereal country during an office visit. Warts can look within hebdomads or months after sexual contact with an septic spouse – even if the septic spouse has no marks of venereal warts. If left untreated, venereal warts might travel off, remain unchanged, or increase in size or figure. Rarely, these types of HPV can besides do warts in the pharynx – a status called perennial respiratory papillomastosis ( RRP ) . These warts can sometimes barricade the air passage, doing a gruff voice or troubled external respiration. It bears reiterating, an person does non hold to hold intercourse with an septic individual to acquire venereal warts because rubbers do non cover the full venereal country. In fact, because HPV is so common, it ‘s difficult to avoid wholly. If adult females and work forces come ining college who have n’t received the vaccinum are required to make so, this could greatly diminish the figure of instances of venereal warts. The load of HPV should n’t fall merely on adult females ; a good comparing to do would be the vaccinum versus unwritten preventives, or birth control pills. The side effects of Gardasil are truly no more inauspicious than those of birth control ( unwritten preventives ) . You read "Preventing The Spread Of Hpv Health And Social Care Essay" in category "Essay examples" Harmonizing to ASHA, the CDC and FDA found the figure of blood coagulums in those who ‘ve been vaccinated is approximately the same as found in those who take birth control pills, as is the figure of people with progressive muscular failing. Harmonizing to WebMD, there are side effects of birth control pills although the bulk are non serious. They include nausea, weight addition, sore or conceited chests, little sums of blood between periods, lighter periods, temper alterations. The undermentioned side effects are less common but more serious: abdominal hurting, thorax hurting, concerns, oculus jobs, swelling and/or hurting in the legs and thighs. In add-on, you should non take hormonal preventives if you have had blood coagulums, bosom or liver disease, or malignant neoplastic disease of the chest or womb ( Nihira ) There is no more of a menace to a adult female having the Gardasil vaccinum than there is birth control. Sing that most adult females are taking an unwritten preventive to forestall an unwanted gestation, it would be prudent to besides desire to protect oneself from a disease that can take to unwanted malignant neoplastic disease. In fact, more and more adult females are making more to protect themselves, non merely from gestation, but from sexual diseases every bit good. Harmonizing to Kathleen Doheny in her article for The Washington Post, â€Å" from 1995 to 2002, the per centum of American adult females who said they received prophylactic services rose from 34 to 41 % . Overall, the per centum of adult females having all sexual and generative wellness attention services – including non merely birth control but besides such services as STD ( Sexually Transmitted Diseases ) testing and Pap trials – remained changeless at 74 % , the study found † ( Doheny ) . As the statistic shows, 74 % of adult females receive Pap trials, which can be an early sensor of cervical malignant neoplastic disease. But why non take it one measure further and protect yourself against the virus that can do it? Doctors do urge contending off cervical malignant neoplastic disease with regular Pap trials, which has helped extenuate the instances of cervical malignant neoplastic disease. But, for those people that are sexually active, and 56 % of college pupils are, the Gardasil vaccinum would be merely another method for protection. In the same manner a adult female on the birth control pill should still utilize a rubber with her spouse, a sexually active college pupil should utilize rubbers and be vaccinated to assist forestall HPV related diseases. As mentioned above, side effects are an issue sing this vaccinum every bit good. In July 2008, simply two old ages after the vaccinum was released, Sharyl Attkisson did an fact-finding study for CBS News, Vaccine Watch: Gardasil Side Effects? In her article she spoke to households of immature adult females who believe the Gardasil HPV Vaccine may hold – or did in fact – do their kid ‘s serious unwellness. In one instance, a immature adult female who received the vaccinum subsequently developed Autoimmune Myofasciitis. She is now a inveterate sick individual, â€Å" who takes a smattering of pills a twenty-four hours merely to maintain her unwellness tolerable † ( Attkisson ) . A twelvemonth subsequently in August 2009, Radha Chitale wrote a study for ABC News called, CDC Report Stirs Controversy for Merck ‘s Gardasil Vaccine. This study links â€Å" 32 unconfirmed deceases and shows higher incidences of fainting and blood coagulums than other vaccinums † ( Chitale ) . There will ever be side effects and possible inauspicious effects associated with vaccinums. Side effects occur instantly after the injection. Merck indicates on the Gardasil web site that â€Å" common side effects include hurting, swelling, rubing, bruising, and inflammation at the injection side, concern, giddiness, emesis, and fainting † ( Gardasil ) . Adverse effects occur hebdomads subsequently and may or may non be a consequence of the vaccinum and other factors could come into drama. Thirty-two deceases associated with a vaccinum are nil to price reduction, but in the whole strategy of things there is n’t anything unusual about this. At this clip over 16 million doses of Gardasil have been distributed in the United States. Harmonizing to the CDC, â€Å" given the big figure of doses distributed, it is expected that by opportunity entirely, serious inauspicious events and some deceases will be reported in this big population during the clip period following inoc ulations † ( Information from FDA and CDC on Gardasil and its Safety ) . In fact, both the CDC and the Federal Drug and Food Administration, or FDA, monitors the safety of all vaccinums through the Vaccine Adverse Event Reporting System, or VAERS. â€Å" As of June 30, 2008, there have been 9,749 VAERS studies of inauspicious events following Gardasil Vaccination. Of these, 94 % were classified as studies of non-serious events, and 6 % serious events † ( Information from FDA and CDC on Gardasil and its Safety ) . As of this study, 20 deceases were to hold been caused by the Gardasil vaccinum, but this does n’t intend that a common form was created. And, â€Å" in instances where necropsy, decease certifications and medical records were available, the cause of decease was explained by factors other than the vaccinum † ( Information from FDA and CDC on Gardasil and its Safety ) . ABC News Chief Medical Editor Dr. Timothy Johnson provinces, â€Å" I am really much in favour of childhood vaccinums, [ but ] I do n’t believe we yet know the long term benefits or hazards. I ‘m taking a base on balls on this 1 † ( Chitale ) . Typically when a vaccinum is released, many people are dying to have it. Think of the Flu or H1N1, we are so willing to protect ourselves against these societal diseases that are easy dispersed. Many people were even willing to stand in line for hours to have the vaccinum. In fact, most colleges and universities require pupils to be immunized against some diseases. For illustration, â€Å" The University of Nebraska at Omaha ( UNO ) follows the Center for Disease Control and Preventions ‘ recommendation for immunisation. To forestall the possibility of a rubeolas outbreak happening, UNO requires that all new ( including transportation and alumnus ) pupils show cogent evidence of immunisation or unsusceptibility † ( Pre-Enrollment Health Requirement ) . The purpose to protect pupils from rubeolas, a disease that seldom affects grownups in the United States, should be the same for protecting pupils against HPV. Harmonizing to the World Health Organization ‘s web site, â€Å" in 2008, there were 164,000 rubeolas deceases globally. † However, harmonizing to the National Foundation for Infectious Diseases ‘ web site, â€Å" of the 140 reported confirmed instances of rubeolas [ in the United States ] reported in 2008, about 25 % occurred among grownups † ( Measles ) . It should be noted that, â€Å" College and university pupils are at increased hazard for rubeolas, and should have two doses of the MMR vaccinum to guarantee equal protection † ( Measles ) . But as the 2008 statistic shows, the instances of rubeolas are rather minimum. â€Å" Most instances of rubeolas in the United States now result from infections acquired in other states or are linked to such imported instances † ( World Health Organization, Measles ) . It should besides be noted that the figure of kids in the universe having one dosage of the rubeolas vaccinum is up 11 % , from 72 % in 2000 to 83 % in 2008. While the figure of people having the vaccinum is traveling up, rubeolas is still a really contagious virus. With so many people on college and university campuses in close contact with one another, particularly the residence halls, it merely makes sense to necessitate a pupil show cogent evidence of inoculation for entry. While non transmitted sexually, rubeolas is a societal disease. Just being in the same room as the septic individual can infect a individual. But as mentioned above, in 2008 entirely, merely 25 % of 140 grownups were confirmed to hold rubeolas. Compare that to the 6 million new instances of HPV each twelvemonth. Based on those Numberss, a university or college pupil is more likely to develop HPV than they are rubeolas. Furthermore, with rubeolas, the symptoms come on rapidly and a individual can rapidly travel to the physician to have the proper attention. In the instance of HPV it ‘s non even cognize how many of these instances turn to venereal warts. After reaching the Nebraska Department for Health and Human Services to happen a statistic for the figure of instances of venereal warts, I was told this was untraceable. Since the symptoms of HPV can put hibernating for old ages, it is prudent that university and college pupils protect themselves, and each other from something that is so easy spread. It ‘s of import to indicate out that even though most instances of cervical malignant neoplastic disease derive from HPV, any adult female can acquire cervical malignant neoplastic disease. Harmonizing to The Cancer Sourcebook for Women, â€Å" the uterine neck is the lower portion of the womb that connects to the vagina. It is portion of the female generative system. † ( Sutton, 59 ) It takes a long clip for cervical malignant neoplastic disease to develop and it goes through many stages before the malignant neoplastic disease really appears. â€Å" The cells of the neck go through alterations known as dysplasia, in which unnatural cells begin to look in the cervical tissue. Later, malignant neoplastic disease cells start to turn and distribute more deeply into the neck and to environing countries. † ( Sutton, 59 ) HPV is the primary factor for cervical malignant neoplastic disease, but non the lone factor. Cervical malignant neoplastic disease is n’t needfully related to person ‘s sexual history. Meaning, a individual does non hold to be sexually active to acquire it. No 1 wants malignant neoplastic disease, no affair what sort it is. In fact, there is a large push in this state to free society of malignant neoplastic disease, to happen a remedy. There is non merely an full month dedicated to the cause of chest malignant neoplastic disease, one can probably happen activities or fundraisers throughout the twelvemonth to raise money and consciousness for the disease. Cancer should n’t be discriminated against. And with promotions in scientific discipline everyday, we should take advantage of any chance given to forestall the disease. â€Å" In 2006, 11,982 adult females in the United States were told they have cervical malignant neoplastic disease, and 3,976 died from the disease † ( Cervical Cancer ) . Besides, there is no information available at this clip, b ut potentially, work forces received Gardasil can protect themselves from signifiers of malignant neoplastic disease related to HPV every bit good ; anal and penial malignant neoplastic disease. This is still being researched. To sum up, contending HPV and its subsequent diseases should non be left to adult females entirely. Men, excessively, can assist to forestall the spread of venereal warts and malignant neoplastic disease. College adult females and work forces can be responsible for what could potentially be the terminal of an untraceable STI and besides cut down the figure of malignant neoplastic disease instances. Furthermore, Gardasil is no more harmful than birth control, a widely accepted prescription medical specialty. If 74 % of adult females are willing to be tested for cervical malignant neoplastic disease and at the same clip protect themselves from unwanted gestations, 100 % of college and university pupils need to assist prevent malignant neoplastic disease and venereal warts. True, there are some inauspicious effects linked to the vaccinum, the Federal Food and Drug Administration, the Center for Disease Control and Prevention and Vaccine Adverse Event Reporting System, have proved the overall safety of the vaccinum. There will ever be inauspicious effects associated with any vaccinum. There is nil outside of the norm for Gardasil. Not merely is the vaccinum safe, but besides people should n’t see it as a vaccinum against a sexually familial disease. College and university pupils are required to protect themselves against societal diseases such as the rubeolas. Since most pupils receive the rubeolas vaccine at a immature age, the hurt of rubeolas has been mitigated. In fact, a college or university pupil is less likely to acquire rubeolas than they are HPV, thanks in portion to a vaccinum. The Gardasil vaccinum should be viewed as any other vaccinum, necessary to halt a societal disease. Above all, if there is an chance to diminish the instances of malignant neoplastic disease and the figure of people deceasing from it, immature people should take advantage of that. At this point in clip, this is the closest thing to a remedy. Furthermore, since cervical malignant neoplastic disease can impact every adult female, non merely those that are sexually active, Gardasil should non be viewed as a vaccinum for merely a sexually familial disease. With so many college pupils sexually active and half of sexually active people transporting HPV it is imperative for persons come ining their first twelvemonth of college to demo cogent evidence of the Gardasil inoculation. If a pupil can non demo cogent evidence, they should be required to acquire inoculated before entry into the college/university is granted. While having the shootings at age 11 or before a individual becomes sexually active would be the most good, college and university pupils should be held accountable. The most of import thing to retrieve is that as a society we have an chance to extinguish a serious disease and extenuate a really common societal disease. How to cite Preventing The Spread Of Hpv Health And Social Care Essay, Essay examples

Customs and Practices in Kadazan Society of Malaysia

Question: What are the Kadazan death Customs and other Practices that may involve in the Ceremonial? Answer: Introduction The report is an article review of the cultural heritage tourism of the Malaysia and Sabah. The report has been described the importance of the customs, practices and ritual in the tourism of the country. It is important to protect the cultural and heritage of Kadazan traditional practices and rituals in funerals. For the discussion, the cultural heritage tourism of Malaysia and Sabah has been taken in this report. In starting, the problem statement, research issue and research objectives has been highlighted and the significance of the study has been described. From the review of the first part, the definition of the cultural heritage tourism has been given in the report. The cultural heritage tourism can be described as the travel to gain experience of people, place, activities and things which represents the past and present of the cultural, natural and historic resources (Mohamed Rani, Othman Ahmad, 2014). Based on a study, it has been observed that in USA, there were around 78% travelers who were involved in the activities of cultural and heritage tourism. Along with this, it also has been observed that they spend more time in such areas as compared to other travelers. Heritage can be categorized into two resources i.e. tangible immovable resources and tangible movable resources. Tangible immovable resources include natural areas, rivers and buildings and tangible movable resources include documents in achieves and objects in museum. This report has been basically discussed about the importance of cultural heritage in the Malaysian tourism industry (Norhasimah, Tarmiji Azizul , 2014). Methodology and Discussion of Findings Malaysia is the multi-racial country having the rich cultural heritage. In the history of Malaysia, the culture is meeting and mixing since starting of tourism sector. There are various formats in which the cultural heritage of the country has been recorded. Those formats are sculptures, artifacts, traditional motifs, design on the jewelers and textiles and manuscripts which depict the cultural heritage. These formats are kept safe in museums, art galleries, libraries and cultural centers (Tourism Malaysia. 2015). There are 13 states in the country and Sabah is one of them. Sabah provides diverse experience of traveling to the travelers as the state has numerous ethnic culture. There are various form of culture having distinctive ways of village, dance, festivals, music, living as well as unique handicrafts. There is the largest ethnic group in Sabah named KadazanDusan Ethnic in which 30% population of Sabah belongs. Due to unique and variety of culture, Kadazan is very famous ethnic culture in Sabah. Kadazan has its own cultures and regulations from the point of birth to death which need to be documented. Behind this, Kadazan has its own identity and objective (Bahauddin, 2014). Research Issues and Objective It is necessary to preserve the cultural heritage in the tourism industry for every country. There are many studies conducted related to sustainable tourism which involve the cultural heritage elements. In the study, they touch cultural importance and heritage preservation in the tourism. Cultural heritage is the main point of attraction in the tourism of every country. There are many studies that are founded related to traditional customs and practices in the death incidence. In case of Sabah, it is difficult to find out proper sources for this study. The research objectives of the study are to identify the death practices and customs in Kadazan and to identify the customs involved in the death practices of the Kadazan (Bahar, et al, 2012). 1.Kadazan Death Practices and Customs According to the research, the rituals bridge the gaps between past, present and future. Death and dead are the necessary aspect of the society and the study of death can provide the knowledge about the structure of historical societies. In the Kadazan society, the community practiced seven days rituals on a death event. The death event is announced by hitting a metal instrument named gong or Dunsai. The green vegetables should not be served during all the seven days. Based on the Kadazan rituals, funeral will be on third day. The main aim of the research is to identify the importance of Kadazan practices and customs as well as to recognize the rituals involved in the death ceremony (Vyshka, 2010). Methodology For the study of Kadazan customs and practices, the quantitative methods have been used. The researchers have taken the interviews of those people who belong to that area. For this research, the sample of the interview of respondents has been collected which include six members of Kadazan society. The respondents were divided in to two catagories, two are the Bobohizan or the member of the Kadazan society and four are thee relatives of Bobohizans. They are the witness of the Kadazan customs and practices. The interview was held based on their knowledge and their preffered location. The respondednts were told that their interview will be recorded. Table 1: Data of Respondents Findings Based on their answers and information, researchers was able to find out many interesting information related to the Kadazan customs and practices. There are various Kadazan customs and practices from the moment of death. Based on the findings, it has been observed that there would be grieving for seven days. Within those seven days, there are three days which are important according to the respondent. Those are Momohobong (day 3), Momisok (day 6) and Mogukas (Day 7) which are stressed out by the respondents. By some inputs of the respondents, the details of these important days are got by the researchers. There were some respondents who gave detailed knowledge and information about the customs and rituals (Subramaniam, 2010). Based on the findings and response given by the respondents, Momohobong is the other name of funeral. At this point, the rituals and traditions are performed by the widow. In this act, the widow slightly kicks the coffin which was brought out from the house of burial. After this, another widowed does the tradition of cleansing by splashing the water from a bamboo on the floor where the coffin was placed. After this, another widowed comes to clean the floor by Ixora plant. It is the assumption that may every bad thing in the house will be obscured. The custom of Momisok is take place on the sixth day of grief. In this, the act of switching lights for 20 to 30 minutes takes place after the sunset. The aim of this ritual is to invite that spiritual to come in the house for the last time. The entire family prepares food with the assumption that it is the last food of that spirit in the home. This data was also collected the book of Lasimbang (2014) named Kadazan culture (Lasimbang, 2014). Mogukas is the last day of grief. In this act, it is shown that the family is moving on from that lost and trying to let him or her go. It is a tough act of throwing the burning of that person. With this, the family believes that the lost loved ones will always be in their memories. On the basis of given information by the respondent, there is the main role of widowed in all these rituals. The social life of widowed are very restricted and limited as they cannot communicate with outsiders. The society believes that if widowed break the rules; they can be harmed by the bad spirits (Mohad Gill, 2016) Figure 1: Kadazan customs (Source: Lasimbang, 2014) Conclusion The objective of this study is to identify the death practices and customs in Kadazan and to identify the customs involved in the death practices of the Kadazan. Based on the findings, it is clear that the research is successful in identifying the rituals in the Kadazan society at the incident of death. Along with this, it has also been observed that cultural heritage tourismis important to gain experience of people, place, activities and things by representing the past and present with the cultural, natural and historic resources. In the history of Malaysia, there are various formats in which the cultural heritage of the country has been recorded. There are various form of culture having distinctive way of village, dance, festivals, music, living as well as unique handicrafts. Cultural heritage is the main point of attraction in the tourism of every country. There are many studies that are founded related to traditional customs and practices in the death incidence. In Sabah, Kadazan has its own cultures and regulations from birth to death which need to be documented. Behind this, Kadazan has its own identity and objective. Further, Death and dead are the necessary aspect of the society and the study of death can provide the knowledge about the structure of historical societies. In the Kadazan society, the community practiced seven days rituals on a death event. To identify the rituals in the Kadazan society, researchers have conducted the interviews of those people who are connected with this society. On the basis of information provided by respondents, there are three days which are important according to the respondent. Those are Momohobong (day 3), Momisok (day 6) and Mogukas (Day 7). There were some respondents who gave detailed knowledge and information about the customs and rituals. By the findings, it is clear that the Kadazan community has the clear understanding and knowledge about its customs, practices and rituals. This study is helpful to contribute for the further research related to this topic. References Bahar, Z., Be?er, A., Ersin, F., K?ssal, A., Aydo?du, N. (2012). Traditional and Bahauddin, A., (2014). The Architectural and Cultural Heritage of Sabah - The Rungus Longhouse: SHS Web of Conferences. Retrieved on 17th February 2017 from https://www.shs-conferences.org/articles/shsconf/pdf/2014/09/shsconf_4ictr2014_01030.pdf Lasimbang, R., (2014). To Promote the Kadazandusun Languages of Sabah. 34(2). Mohad, H. K., Gill, S. S. (2016). The Murut Tahol Culture in Sabah: The Historical Journey and Challenges: Asian Culture and History. 8(2) Mohamed Rani, Z., Othman, N., Ahmad, K. N. (2014). Perceived Authenticity as a Determinant to Revisit Heritage. Retrieved on 17th February 2017 https://versys.uitm.edu.my/prisma/view/viewPdf.php?pid=54704 Norhasimah, I., Tarmiji, M., Azizul , A. (2014). Cultural Heritage Tourism in Malaysia: Issues and Challenges: SHS Web of Conference. p. 01059). EDP Sciences Religious Death Practices in Western Turkey. Asian Nursing Research. 107-114. Subramaniam, V. (2010). The assimilation of Malay culture in the Baba and Nyonya culture in Malacca: The International Journal of Interdisciplinary Social Sciences. 5(1). 431-436 Tourism Malaysia. (2015). People. Retrieved on 17th February 2017 from https://www.tourism.gov.my/en/es/about-malaysia/culture-n-heritage Vyshka, G., (2010). Death Rituals in Albania An anthropological review: Antrocom Online Journal of Anthropology. 6(2)

Does multiculturalism undermine civic unity

How Maps Can Distort Space and Deceive Us

How Maps Can Distort Space and Deceive Us Maps have become increasingly present in our everyday lives, and with new technology, maps are more and more accessible to view and to produce. By considering the variety of map elements (scale, projection, symbolization), one can start to recognize the innumerable choices that mapmakers have in creating a map. Why Maps Are Distorted One map can represent a geographical area in many different ways; this reflects the various ways in which mapmakers can convey a real 3-D world on a 2-D surface. When we look at a map, we often take for granted that it inherently distorts what it is representing. In order to be readable and understandable, maps must distort reality. Mark Monmonier (1991) puts forth exactly this message: To avoid hiding critical information in a fog of detail, the map must offer a selective, incomplete view of reality. Theres no escape from the cartographic paradox: to present a useful and truthful picture, an accurate map must tell white lies (p. 1). When Monmonier asserts that all maps lie, he refers to a maps need to simplify, falsify, or conceal the realities of a 3-D world in a 2-D map. However, the lies that maps tell can range from these forgivable and necessary white lies to more serious lies, which often go undetected, and belie the agenda of the mapmakers. Below are a few samples of these lies that maps tell, and how we can look at maps with a critical eye. Projection and Scale One of the most fundamental questions in mapmaking is: how does one flatten a globe onto a 2-D surface? Map projections, which accomplish this task, inevitably distort some spatial properties, and must be chosen based on the property that the mapmaker wishes to preserve, which reflects the maps ultimate function. The Mercator Projection, for example, is the most useful for navigators because it depicts accurate distance between two points on a map, but it does not preserve area, which leads to distorted country sizes. There are also many ways in which geographic features (areas, lines, and points) are distorted. These distortions reflect a maps function and also its scale. Maps covering small areas can include more realistic details, but maps that cover larger geographic areas include less detail by necessity. Small-scale maps are still subject to a mapmakers preferences; a mapmaker may embellish a river or a stream, for example, with many more curves and bends in order to give it a more dramatic appearance. Conversely, if a map is covering a large area, mapmakers may smooth out curves along a road to allow for clarity and legibility. They may also omit roads or other details if they clutter the map, or are not relevant to its purpose. Some cities are not included in many maps, often due to their size, but sometimes based on other characteristics. Baltimore, Maryland, USA, for example, is often omitted from maps of the United States not because of its size but because of space constraints and clut tering. Transit Maps: Subways (and other transit lines) often use maps that distort geographic attributes such as distance or shape, in order to accomplish the task of telling someone how to get from Point A to Point B as clearly as possible. Subway lines, for instance, are often not as straight or angular as they appear on a map, but this design aids the readability of the map. Additionally, many other geographic features (natural sites, place markers, etc.) are omitted so that the transit lines are the primary focus. This map, therefore, may be spatially misleading, but manipulates and omits details in order to be useful to a viewer; in this way, function dictates form. Other Manipulations The above examples show that all maps by necessity change, simplify, or omit some material. But how and why are some editorial decisions made? There is a fine line between emphasizing certain details, and purposefully exaggerating others. Sometimes, a mapmakers decisions can lead to a map with misleading information that reveals a particular agenda. This is apparent in the case of maps used for advertisement purposes. A maps elements can be strategically used, and certain details can be omitted in order to depict a product or service in a positive light. Maps have also frequently been used as political tools. As Robert Edsall (2007) states, some maps†¦do not serve the traditional purposes of maps but, rather, exist as symbols themselves, much like corporate logos, communicating meaning and evoking emotional responses (p. 335). Maps, in this sense, are embedded with cultural significance, often evoking feelings of national unity and power. One of the ways that this is accomplished is by the use of strong graphical representations: bold lines and text, and evocative symbols. Another key method of imbuing a map with meaning is through the strategic use of color. Color is an important aspect of map design, but can also be used to evoke strong feelings in a viewer, even subconsciously. In chloropleth maps, for example, a strategic color gradient can imply varying intensities of a phenomenon, as opposed to simply representing data. Place Advertising: Cities, states, and countries often use maps to draw visitors to a particular place by depicting it in the best light. A coastal state, for instance, may use bright colors and attractive symbols to highlight beach areas. By accentuating the coasts attractive qualities, it attempts to entice viewers. However, other information such as roads or city-size that indicate relevant factors such accommodations or beach accessibility may be omitted, and can leave visitors misguided. Smart Map Viewing Smart readers tend to take written facts with a grain of salt; we expect newspapers to fact check their articles, and are often wary of verbal lies. Why, then, dont we apply that critical eye to maps? If particular details are left out or exaggerated on a map, or if its color pattern is particularly emotional, we must ask ourselves: what purpose does this map serve? Monmonier warns of cartophobia, or an unhealthy skepticism of maps, but encourages smart map viewers; those that are conscious of white lies and wary of bigger ones. Sources Edsall, R. M. (2007). Iconic Maps in American Political Discourse. Cartographica, 42(4), 335-347. Monmonier, Mark. (1991). How to Lie with Maps. Chicago: University of Chicago Press.

Consequences of Talent management processes in relation to SABIC Term Paper

Consequences of Talent management processes in relation to SABIC Company - Term Paper Example Vice President Fahad Al-Sheaibi said at an International Conference of Arab Society for Human Resources Management (ASHRM) that the company employees now require global leadership skills. This is due to the complexity and multiplicity of the modern business environment, as well as employee diversities (Baporikar, 2013). He further said that getting the best of their employees and leveraging their cultural experience as they embrace their diversity is a major source of the Company’s competitive advantage. On SABIC, Al-Sheaibi said that the company has adopted a precise and sophisticated talent management strategy that seeks first to identify the easy steps the organization can take to focus on those challenges (Baqutayan, 2014). SABIC, therefore, must gradually implement a global approach to performance appraisal via the Talent Review Process. SABIC has identified four priorities necessary for achieving this as enshrined in its vision 2025. These include focusing on the organizational culture and leadership as the key to driving the much-needed changes within internal and external business environment (McDonnell, Hickey & Gunnigle, 2011). The second priority is to ensure that every staff member have the relevant skills and knowledge needed to perform the task to the best of their abilities. Third is to realize that the company’s recruitment is not only aimed at the present market but for future market needs. Lastly is to ensure that the Huma Resource team if fully equipped with the relevant requirements to meet its objectives (Alrasheedi, 2012). He further emphasized that attracting the right people with technical excellence and ability to join the organization is very critical for the realization of their vision. These qualities are what get a candidate through an interview door since SABIC recognizes the fact tha t most people work to make a difference not only for paychecks. SABIC also offers Career Development Programmes as an important part of the employee

Panopticism Essay Example | Topics and Well Written Essays - 1000 words

Panopticism - Essay Example Panopticon made discipline more economical and efficient compared to other forms of discipline and further represented power and control due to minimal human operations associated with it. No prisoner would realize that they were being watched from the tower (Foucault 195-200). The panopticon could be operated by anybody and would be used in very many places apart from prison cells. Key words; power, discipline, panopticon, disciplinary It is undeniable that the world would be a better claim when power and discipline is applied in effective gaining of control; this is because panopticon is used to represent discipline and power and further transformation of disciplinary techniques. Concept of panopticism is very evident in the current society where there is devolvement of power and administration services. For instance, a strict spatial partitioning and dividing the town into distinct quarters and every quarter governed by an intendant was the order of the day. Every street was put u nder control of a syndic who would keep it under strict surveillance in such a way that if he left the city he would be convicted to death. Everyone was ordered to stay within and the syndic would lock all the doors from outside before handing over keys to the intendant because no one was allowed to leave on death pain. Just like the panopticim, there are several divisions of administration put in place to reach the citizens at the grassroots level. A federal government for example, has some of its powers transferred to the states and even further in smaller divisions. There is one central power with several branches that everyone looks up to. Idea of plague has been used as a base of creating discipline just like other criminal acts such as terrorism in the current society. Disciplinary mechanism was introduced by the fear of the plague and this act as the origin of all the modern punishment. Visibility from the Jeremy Bentham’s Panopticon tower is used as a trap. It was pos sible to see every individual including a schoolboy or prisoner being incarcerated but the victims could not communicate with each other. Terrorism is considered as one of the major crimes in the current society and the government has therefore created some divisions such as Afghanistan as some of the hot spots. Sentences related to terrorism are very severe thus causing fear amongst the public. Communication sector is being manipulated just to ensure minimal terror by scrutinizing any form of communication or money transfers. Just like in panopticism, the crowd was put away from this and the tower brought a sense of visibility that represented a functioning authority. Power is believed to be visible though unverifiable as a prisoner would always see the tower but remains ignorant about where is watched or observed. Panopticism concept can be compared with the current Intelligence and correctional facilities used in testing behaviors and capturing criminals. Panopticon is grounded o n the royal zoo at Versailles as it allows to do the work of naturalist and also acts as a laboratory of power. It is laboratory of power because it provides a base in which prisoners and staffs are tested. It is also apparent that the plague afflicted town and the tower depicts change of disciplinary program. FBI has the responsibility of putting suspects on the radar and testing their behaviors or monitoring their behaviors before capturing them. this is a common activity carried out particularly while pursuing terrorists. Panopticism symbolizes the wider police force employed at various stations across the country to maintain law and order in the modern world.The tower

Love in a Time of Cholera Essay Example | Topics and Well Written Essays - 1250 words

Love in a Time of Cholera - Essay Example ts epidemics of cholera, and to the final riverboat scene where a flag warns that there are cholera victims on board when in fact two pensioners are enjoying their delayed honeymoon. The novel opens with a suicide. Jeremiah de Saint Amour could not bear the idea of ageing; he suffered from â€Å"gerontophobia† and had sworn â€Å"I will never grow old†. This hypnotic novel explores the dilemmas of ageing through a plot of unrequited love; a man, Florentino Ariza, waiting fifty-one years, nine months and four days for his rival to die in order to reaffirm his love for his sweetheart, Fermina Daza. The novelty of this theme is striking, almost implausible. Florentino Arizas head is filled with the illusions read of in sentimental poems. His patience is rewarded at the end when he finally beds his aged beloved in a riverboat. Due to the suggestive prose, the reader tends to read the novel as a romance, a tale of timeless love that transcends age and time, a love that emerges victorious in the end. â€Å"However, disguised beneath the surface of the melodramatic plot lies a critical, sometimes satiric examination of many of the elements that appear to contribute to the novels charm, but actually undercut much of its romanticism and sentimentality.† (Jeffrey M. Lilburn.  Love in the Time of Cholera: Deep Themes of the Popular Conceptions of Love.) Despite counterpointing of characters and themes, Garcia Marquez, a friend of Fidel Castro, refuses to judge his characters or condemn them. He is far more subtle, and generous. The way he situates his protagonist is exemplified when the patient Florentino Ariza finally climbs into a riverboat bed with his beloved and receives a telegram saying that his god-daughter has killed herself. He seduced America Vicufia as a child, and they became lovers. He then broke off the relationship without ever realizing how much in love with him, despite his age, the school-girl was. She had found his secret love letters to Fermina Daza, and

People Suffering Mental Disorder Auditory Hallucinations

People Suffering Mental Disorder Auditory Hallucinations Auditory hallucinations for some people suffering mental disorder are frequently experienced as alien and under the influence of some external force. These are often experienced as voices that are distressing to the individual and can cause social withdrawal and isolation. Although auditory hallucinations are associated with major mental illnesses such as schizophrenia, they also occur in the general population (Coffey and Hewitt 2008). The annual incidence is estimated between 4-5 percent (Tien 1991), with those experiencing voices at least once, estimated between 10-25 percent (Slade Bentall 1988).The standard professional response to voice hearing has been to label it as symptomatic of illness and to prescribe anti-psychotic medication (Leudar Thomas 2000). An alternative is suggested by Romme and Escher (1993), who view the hearing of voices as not simply an individuals psychological experience, but as an interaction, reflecting the nature of the individuals relationship with h is or her own social environment. In this way, voices are interpreted as being linked to past or present experiences and the emphasis is on accepting the existence of the voices. Romme and Escher (1993) see hallucinatory voices as responsive to enhanced coping and found that those who coped well with voices had more supportive social environments than those who found it difficult to cope. This dissertation will aim to discuss the experience and management of auditory hallucinations in schizophrenia looking into therapeutic relationship, helping approaches, and working towards the ending of a therapeutic relationship discussing discharge. First chapter will aim to explain what schizophrenia is, the cause of schizophrenia, its symptoms and types with particular focus on auditory hallucinations. The chapter will then discuss what auditory hallucinations are in the diagnosis. Therapeutic relationship between service user and the nurse is paramount in mental health nursing and is seen to prove long term outcome such as social functioning (Svensson and Hansson 1999). Chapter two will aim to discuss the building of therapeutic relationship in the management of auditory hallucinations using Peplaus interpersonal relations model (1952). The importance of holistic assessment using a variety of tools, scales and questionnaires that will identify symptoms, risks, management of risk and address the service users needs will be discuss in chapter three. Chapter four of this dissertation will discuss helping approaches. Gray et al (2003) states that pharmacological and psychosocial interventions have been heavily researched to find the most up to date literature and recommendations for the management of auditory hallucinations in schizophrenia with medication and Cognitive Behavioural Therapy (CBT).. The final chapter will aim to discuss the ending of the therapeutic relationship between the nurse and the service user looking into discharge planning process and conclusion. Chapter one What is Schizophrenia and Auditory Hallucinations? Introduction to chosen topic Schizophrenia is one of the terms used to describe a major psychiatric disorder (or cluster of disorders) that alters an individuals perception, thoughts, affect and behaviour. Individuals who develop schizophrenia will each have their own unique combination of symptoms and experiences, the precise pattern of which will be influenced by their particular circumstances (NICE 2010). Allen et al (2010) define schizophrenia as a chronic and seriously disabling brain disorder that produces significant residual cognitive, functional and social deficits. Schizophrenia is considered the most disabling of all mental disorders (Mueser and McGurk, 2004), it occurs in about 1% of the world population, or more than 20 million people worldwide (Silverstein et al., 2006). The DSM -IV TR (APA 2000) defines schizophrenia as a persistent, often chronic and usually serious mental disorder affecting a variety of aspects of behaviour, thinking, and emotion. Patients with delusions or hallucinations may be described as psychotic. However, Tucker (1998) argues that the system of classification developed by the DSM-IV does not actually fit many patients as a whole; the syndromes outlined in DSM-IV are free standing descriptions of symptoms. He said unlike diagnoses of diseases in the rest of medicine, psychiatric diagnoses still have no proven link to causes and cures; Tucker argues that there is no identified etiological agents for psychiatric disorders. Schizophrenia is characterized by clusters of positive symptoms (e.g. hallucinations, delusions, and/or catatonia), negative symptoms (e.g. apathy, flat feet, social withdrawal, loss of feelings, lack of motivation and/or poverty of speech), and disorganized symptoms (e.g. formal thought disorder and/or bizarre behaviours). In addition, individuals with schizophrenia often experience substantial cognitive deficits including loss of executive function, as well as social dysfunction (Allen et al., 2010). It is estimated that nearly 75% of people with schizophrenia suffer with auditory hallucinations (Ford et al., 2009). Positive and negative symptoms are mentioned briefly because the dissertation is primarily focused on auditory hallucinations. Auditory hallucinations in diagnosis Auditory hallucinations are often considered symptomatic of people diagnosed as suffering from schizophrenia (Millham and Easton, 1998). APA (1994, p.767) defines hallucinations as a sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. Auditory hallucinations range from muffled sounds to complete conversations and can be experienced as coming either from within or from outside ones self (Nayani David, 1996). However, Stanghellini and Cutting (2003) argue that APA definition of hallucinations is false, they believe an auditory hallucination is not a false perception of sound but is a disorder of self consciousness that becomes conscious. Hearing voices is not only linked to a persons inner experience but can reflect a persons relationship with their own past and present experiences (Romme and Escher, 1996). Beyerstein (1996) suggests that voices are anything that prompts a move fro m word based thinking to imagistic or pictorial thinking predisposes a person to hallucinating. Auditory hallucinations, or hearing sounds or voices are the most common and occur in nearly 75 percent of individuals diagnosed with schizophrenia (Ford et al., 2009). Auditory hallucinations are often derogatory or persecutory in nature, and can be heard in the third person, as a running commentary, or as audible thoughts. Some individuals with schizophrenia also experience useful or positive voices that give advice, encourage, remind, and help make decisions, or assist the person in their daily activities (Jenner et al., 2008). Voice hearer can work with their voices and either choose what to listen to or can completely ignore them (Romme et al., 1992). Sorrell et al (2009) states that some individuals experience positive voices which do not affect the way they function or go about their daily living, these hearers also find that their voices may offer advice and guidance. The hearers voice can be reported as a little distressful or some go on to report no distress at all (Honig et al., 1998). However Nayani and David (1996) argues that individuals who experience a constant negative voice found them less difficult to control, they found the voice more powerful and attempt to ignore the voice. Chadwick et al (2005) said that those who resist voices or feel the need to argue or shout back are termed malevolent, those who think voices are good and engage with them are benevolent, they see voices are helping them so they tend to listen and follow advice. Swanson et al (2008) suggests that people who hear voices are more likely to be victims of violence than be violent themselves. However Soppitt and Birchwood (1997) argue that voices are more commonly linked to depression, voice hearers can also have a history of suicidal thoughts, paranoia and abuse. Not all auditory hallucinations are associated with mental illness, and studies show that 10 to 40 percent of people without a psychiatric illness report hallucinatory experiences in the auditory modality (Ohayon, 2000). A range of organic brain disorders is also associated with hallucinations, including temporal lobe epilepsy; delirium; dementia; focal brain lesions; neuro- infections, such as viral encephalitis; and cerebral tumours intoxication or withdrawal from substances such alcohol, cocaine, and amphetamines is also associated with auditory hallucinations (Fricchione et al., 1995) The phenomenological characteristics of auditory hallucinations differ on the basis of their etiology, and this can have diagnostic implications. People without mental illness tend to report a greater proportion of positive voices, a higher level of control over the voices, less frequent hallucinatory experiences, and less interference with activities than people who have a psychiatric illness (Lowe, 1973). There is also evidence that delusion formation may distinguish psychotic disorders from non clinical hallucinatory experiences. In other words, the development of delusions in people with auditory hallucinations significantly increases the risk of psychosis when compared with individuals who have hallucinations but not delusions. Auditory hallucinations may be experienced as coming through the ears, in the mind, on the surface of the body, or anywhere in external space. The frequency can range from low (once a month or less) to continuously all day long. Loudness also varies, from whispers to shouts. The intensity and frequency of symptoms fluctuate during the illness, but the factor that determines whether auditory hallucinations are a central feature of the clinical picture is the degree of interference with activities and mental functions (Waters, 2010) The most common type of auditory hallucinations in psychiatric illness consists of voices. Voices may be male or female, and with intonations and accents that typically differ from those of the patient. Persons who have auditory hallucinations usually hear more than one voice, and these are sometimes recognized as belonging to someone who is familiar (such as a neighbour, family member or TV personality) or to an imaginary character (God, the devil, an angel). Verbal hallucinations may comprise full sentences, but single words are more often reported. Voices that comment on or discuss the individuals behaviour and that refer to the patient in the third person were thought to be first-rank symptoms and of diagnostic significance for schizophrenia (Schneider, 1959). Studies show that approximately half of patients with schizophrenia experience these symptoms (Waters, 2010). Waters (2010) says a significant proportion of patients also experience non verbal hallucinations, such as music, tapping, or animal sounds, although these experiences are frequently overlooked in auditory hallucinations research. Another type of hallucination includes the experience of functional hallucinations, in which the person experiences auditory hallucinations simultaneously through another real noise (e.g., a person may perceive auditory hallucinations only when he hears a car engine). The content of voices varies between individuals. Often the voices have a negative and malicious content. They might speak to the patient in a derogatory or insulting manner or give commands to perform an unacceptable behaviour. The experience of negative voices causes considerable distress. However, a significant proportion of voices are pleasant and positive, and some individuals report feelings of loss when the treatment causes the voices to disappear (Copolov et al., 2004). The exact processes that underlie auditory hallucinations remain largely unknown. There are two principal avenues of research: one focuses on neuro anatomical networks using techniques such as positron emission tomography and functional Magnetic Resonance Imaging (MRI). The other focuses on cognitive and psychological processes and the exploration of mental events involved in auditory hallucinations. A common formulation suggests that auditory verbal hallucinations represent an impairment in language processing and, particularly, inner speech processes, whereby the internal and silent dialogue that healthy people engage in is no longer interpreted as coming from the self but instead as having an external alien origin. There is support for this language hypothesis of auditory hallucinations from neuro imaging studies. These show that the experience of auditory hallucinations engages brain regions, such as the primary auditory cortex and broca area, which are associated with language c omprehension and production. This suggests that hallucinatory experiences are associated with listening to external speech in the absence of external sounds (Waters, 2010) An explanation of why these experiences are not perceived as self-generated posits that auditory hallucinations arise because persons who have the hallucinations fail to distinguish between internal and external events. This arises because of deficits in internal self-monitoring mechanisms that compare the expected with the actual sensations that arise from the patients intentions. This abnormality also applies to inner speech processes and leads to the misclassification of internal events as external and misattribution to an external agent (Frith, 2005).However, Bentall and Slade (1985) suggest that individuals with hallucinations use a different set of judgment criteria from healthy people when deciding whether an event is real, and they are more willing to accept that a perceptual experience is true. This bias essentially involves a greater willingness to believe that an event is real on the basis of less evidence. According to the context memory hypothesis of auditory hallucinations, the failure to identify events as self-generated arises because of specific deficits in episodic memory for remembering the details associated with particular past memory events. These specific deficits in memory cause confusion about the origins of the experience (Nayani and David, 1996). Patients with auditory hallucinations tend to misidentify the origins and source of stimuli during ongoing events and during memory events (Waters et al., 2006). The lack of voluntary control over the experience is a key feature of auditory hallucinations, which might explain why self-generated inner speech is classified as external in origin (Copolov et al., 2003). Hallucinations are experienced when verbal thoughts are unintended and unwanted. Because deficits in cognitive processes, such as inhibitory control, are thought to render people more susceptible to intrusive and recurrent unwanted thoughts, studies have linked audit ory hallucinations with deficits in cognitive inhibition (Waters et al., 2006). Recent advances in the neurosciences provide clues to why patients report an auditory experience in the absence of any perceptual input. Spontaneous activity in the early sensory cortices may in fact form the basis for the original signal. Early neuronal computation systems are known to interpret this activity and engage in decision-making processes to determine whether a percept has been detected. A brain system that is abnormally tuned in to internal acoustic experiences may therefore report an auditory perception in the absence of any external sound (Deco and Romo, 2008). Ford et al., (2009) suggested that patients with auditory hallucinations may have excessive attentional focus toward internally generated events: the brains of persons who have auditory hallucinations may therefore be over interpreting spontaneous sensory activity that is largely ignored in healthy brains. Cognitive impairments are not the only factors responsible for auditory hallucinations. Psychological factors such as meta-cognitive biases, beliefs, and attributions concerning the origins and intent of voices also play a critical modulatory role in shaping the experience of hallucinations. The role of environmental cues and reinforcement factors through avoidance strategies must also be incorporated in any explanations of auditory hallucinations. These factors do not explain how hallucinations occur in the first place, but they have strong explanatory power when accounting for individual differences in how the voices are experienced (Baker and Morrison, 1998). Patients suffering from auditory hallucinations sometimes can not distinguish between what is real and what is not real, it is very important to build a trusting therapeutic relationship with the sufferer. This dissertation will go on to explore the importance of building a therapeutic relationship with a patient; To explore the extent of auditory hallucinations a patient may be experiencing it is important that an appropriate assessment and risk management are carried out, exploring the need for assessment and risk management in auditory hallucinations, It will also look into helping approaches discussing pharmacological and psychosocial approaches in the management of auditory hallucinations and how to end the therapeutic relationship between a service user and the nurse, looking into discharge planning. CHAPTER TWO DEVELOPMENT OF THERAPEUTIC RELATIONSHIP Development of the Therapeutic Relationship Peplaus theories laid the ground for ascendancy of the relationship as the key context for all subsequent interventions with patients (Ryan Brooks, 2000). Although the idea of the relationship endures as the paradigm for psychiatric nursing (Barker, Jackson, Stevenson, 1999a; 1999b; Krauss, 2000; Raingruber, 2003), it does not appear there is any universal consensus on exactly how to frame this relationship. The nurse-patient relationship can be defined as an ongoing, meaningful communication that fosters honesty, humility, and mutual respect and is based on a negotiated partnership between the patient and the practitioner (Krauss, 2000, p. 49). Peplau describes nursing as a therapeutic interpersonal process that aims to identify problems and how to relate to them (Peterson and Bredow 2009). Forster (2001) defines therapeutic relationship as a trusting relationship developed by two or more individuals. However, Jukes and Aldridge (2006) says at first sight therapeutic nursing and the therapeutic relationship may seem relatively easy to define, but once we scrape the surface we find a complex range of ideas and concepts that stem from philosophies, ideologies and individual therapies. Sometimes there are difficulties in applying these definitions to our own work. Not least of these difficulties is the relevance of the concept of therapy as healing to nursing. This begs the question of whether a therapeutic relationship always entails the use of a therapy, or whether there is something more universal and fundamental in therapeutic relationships. It seems important therefore to attempt a workable definition of the therapeutic r elationship that has currency within nursing as a whole. Additionally, it seems that therapeutic nursing has two facets. The first of these, and probably the most apparent, is the emotional and interpersonal aspect, which we might call therapeutic nursing as an art. The second is the more logical and objective aspect, which we might call The therapeutic nursing as a science. Arguably, there is a synergy between the two that leads to a gestalt, and therefore a need to address both aspects if our nursing is to be truly therapeutic in a holistic sense. Peplaus theory focuses on the nurse, the patient and the relationship between them and is aimed at using interpersonal skills to develop trust and security within the nurse-patient relationship. Therapeutic relationships are the corner stone of nursing practice with people who are experiencing threats to their health, including but not restricted to those people with mental illness (Reynolds 2003). The relationship of one to one of nurse patient has potential to influence positive outcome for patients. Hildegard Peplau interpersonal relations overlap over four phases namely: Orientation, Identification, Exploitation and Resolution. Peplau also identify that during the four overlapping phases nurses adopts many roles such as- Resource person: giving specific needed information that aids the patient to understand his/her problem and their new situation. A nurse may function in a counselling relationship, listening to the patient as he/she reviews events that led up to hospitalization and feeling connected with them. The patient may cast the nurse into roles such as surrogate for mother, father, sibling, in which the nurse aids the patient by permitting him/her to re-enact and examine generically older feelings generated in prior relationships. The nurse also functions as a technical expert who understands various professional devices and can manipulate them with skill and discrimination in the interest of the patient (Clay 1988). The orientation phase is the initial phase of the relationship where the nurse and the patient get to know each other. The patient begins to trust the nurse. This phase is sometimes called the stranger phase because the nurse and the patient are strangers to each other (Reynolds 2003). Peplaus (1952) suggest that during this phase early levels of trust are developed and roles and expectation begin to be understood. It is important that during this time that the nurse builds a relationship with the patient by gaining their trust, establishing a therapeutic environment, developing rapport and a level of communication expectable to both the patient and the nurse. During the orientation phase trust and security is supposed to be developed between the nurse and the patient. Co-ordination of care and treatment of patient while using an effective communication between the MDT is a nurse role. The nurse also acts as an advocate/surrogate for a patient and promotes recovery and self belief. Essential communication skills are deemed to be listening and attending, empathy, information giving and support in the context of a therapeutic relationship (Bach and Grant 2009). Building a therapeutic relationship needs to focus on patient -centred rather than nurse-task focus. Bach and Grant (2009) say interpersonal relationship describes the connection between two or more people or groups and their involvement with one another, especially as regards the way they behave towards and feels about one another. Communication is to exchange information between people by means of speaking, writing or using a common system of signs or behaviour. Faulkner (1998) suggested that Rogers (1961) client centred approach conditions can be seen as important factors that contributes to a therapeutic relationship. Rogers (1961) three core conditions are: congruence, empathy and unconditional positive regards. Congruence means that the nurse should be open and genuine about feelings towards their patient. Having the ability to empathise with the patient would show that the nurse has the ability to understand the patients thoughts and feelings about their current problem. Unconditional positive regards is viewing them as a person and focusing on positive attributes and behaviour (Forster 2001). The orientation phase also gives the nurse the chance to asses the patients current health and once the assessment has been carried out the can then move the relationship forward to the identification phase. The identification phase is where the patients needs are identified through various assessment tools. Assessment will be discussed in detail in the next chapter. Butterworth (1994; DH 1994a; DH 2006a) says that during the identification phase the nurse and the patient will both work together discussing the patients identified needs, needs that can be met and those that cannot be met. They will al so identify risks and how to manage the risks and aim to formulate a care plan. Butterworth said the care plan should focused on the patients individual needs, long and short term goals and their wishes, whilst being empowered at all times to make informed decisions and choices that matter in their care. Collaborative working between multi-agencies ensures the needs of the patient are being met through appropriate assessment and treatment under the Care and Treatment Plan (CTP). The Care and Treatment Plan is one of a number of new rights delivered by the Mental Health (Wales) Measure (2010). The Measure also gives people who have been discharged from secondary mental health services the right to make a self referral back for assessment and it extends the right to an Independent Mental Health Advocate to all in-patients. A care co-ordinator must ensure that a care and treatment plan which records all of the outcomes which the provision of mental health services are designed to achieve for a relevant patient is completed in writing in the form set out (Hafal, 2012). The Sainsbury Centre for Mental Health (Rose 2001) found that patients are often not involved in the care planning process and many service users were not even aware of having a care plan. The exploitation phase is where interventions are implemented from the needs and goals set out in the identification phase which enables the service user to move forward, these interventions will assist in managing auditory hallucinations, whilst educating the patient and family members about the illness. Helping approaches will be discussed in detail in the next chapter looking at various up to date interventions available for the management of auditory hallucinations. A trusting relationship can help with recovery and during these interlocking phases is what the nurse and the patient are aiming for (Hewitt and Coffey, 2005). Building of a trusting therapeutic relationship is essential for nursing interventions to work (Lynch and Trenoweth, 2008). Nurses need to be sensitive, show compassion at all times and understanding to a patients needs. Nursing interventions needs to address physical, psychological and social needs; this involves having holistic approach (Coleman and Jenkins, 1998). Nurses need to work with the best evidence based therapeutic treatment available, this then being a positive approach to care (NMC 2008). The Chief Nursing Officer (CNO) review of the Mental Health Nursing (2006) noted that to improve quality of life, service users risks need to be managed properly, whilst promoting health, physical care and well being. However, Hall et al., (2008) argues that the CNO review does not take into consideration the great pressure nurs es are under and also the complex needs of the service user. Therapeutic interventions are an important aspect of recovery (Gourney 2005). Recovery can be described as a set of values about the service users right to build a meaning life for themselves without the continuous presence of mental health symptoms (Shepherd et al., 2008). The purpose of recovery is to work towards self determination and self confidence (Rethink 2005). National Institute for Mental Health in England (NIMHE, 2005) described recovery as a state of wellness after period of illness. Nurse need to provide a holistic view of mental illness with a person centred approach that can work towards the identification of goals and offer the patient appropriate support through interventions like CBT, family therapy and coping skills, this will enable the patient to be at the centre of their own care, thus taking responsibility for their own illness and improve quality of life. Service user who have a full understanding and accept their illness can engage more with therapies and in terventions with the necessary support from professionals, this then leads to self determination and better quality of life (Cunningham et al., 2005). However, Took (2002) says it is important to remember that with a service user experiencing auditory hallucinations, their mood and engagement can fluctuate and also the side effect of prescribed medication can affect this which may slow down the recovery process. Early intervention is also recognised to improve long term outcomes of auditory hallucinations in schizophrenia (McGorry et al., 2005: NICE 2009). However, not all service users will seek advice when first experiencing symptoms, due to stigma attached to mental illness and fear of admission to hospital (French and Morrison 2004). Some service users have also complained that the hospital has a non therapeutic environment and that they also feel unsafe and in an orison like setting (SCMH 1998, 2005; DoH 2004b). Drury (2006) says that service users felt that some professionals lacked compassion. Mental health nurses are encouraged to adopt a client centre approach, some research suggests nurses lack empathy and have general uncaring attitude (Herdman 2004). The final phase of Peplaus theory is the resolution phase. This is where the nurse and the service user will end their professional relationship. The relationship can end either through discharge or death. For the purpose of this dissertation the ending of the relationship that will be discussed at a later chapter will be discharge. Therapeutic relationship is seen as paramount during these interlocking phases of peplaus interpersonal relations theory, nurses needs to promote the service users independence whilst treating them with respect, privacy and dignity. By identifying treatment goals, implementing and evaluating treatment plans the service user can move on to interventions that will help them manage and cope with auditory hallucinations. Chapter 3 Assessment of a patient with Auditory Hallucinations Assessment of Auditory Hallucinations Assessment is the decision making process, based upon the collection of relevant information, using a formal set of ethical criteria, that contributes to an overall estimation of a person and his circumstances (Barker 2004). Hall et al (2008) described assessment as one of the first steps to the nursing process; it is also part of care planning and a positive foundation for building a relationship and forming therapeutic alliance. It is an ongoing process that enables professional to gather information that allows them to understand a persons experience. Most assessments have similar aims. However, how assessments are conducted can vary enormously. Such differences are very important and can influence greatly the value of the information produced (Barker 2004). In Wales CTP was introduced under the Mental Health (Wales) Measures 2010. CTP means a plan prepared for the purpose of achieving the outcomes which the provision of mental health services for a relevant patient is design to achieve and ensures service users have a care plan, risk assessment and a care co-ordinator to monitor and review their care (see appendix one). NICE (2010) suggest that assessment should contain the service users psychiatric, psychological and physical health needs and also include current living arrangements, ethnicity, quality of life, social links, relevant risk and other significant factors that may affect the service users quality of life. Assessment of a patient relies upon the collection of information through interviewing: the patient, member of their family, direct observation of the nurse, questionnaire, rating scales, and previous history (Previous records). However, Barker (2004) argues that despite the importance of the history, if relied upon as the sole method of assessment, not only may the final picture of the patient be of a doubtful accuracy but it may also lack the fine detail necessary for the planning o

Cons Of Cloning :: essays research papers

Many people say that everyone in the world has a twin. Today, science and technology has the ability to make this myth reality through the process of cloning. I am strongly against cloning for many reasons. People should not utilize cloning because it would destroy individuality and uniqueness, cause overpopulation, animal cruelty, it is against morals and ethics, and it violates many religious beliefs.   Ã‚  Ã‚  Ã‚  Ã‚  In order to strongly argue against cloning, there must be an understanding of its process and what exactly it is. Simply stated, a clone is a duplicate just like a photocopy. A good example of such â€Å"copies† that occur are identical twins, which are duplicates of each other. â€Å"The first step of DNA cloning is to isolate a complete gene and is to chromosomal sequences and then to gradually begin flaking the chromosomal sequences of a single DAN molecule. Then the DNA clone can be electronically labeled and used as a probe to isolate the chromosomal sequences from a collection of different types of genes, which should contain cloned sequences that would represent the whole gene. This action will produce new sets of cloned cells identical to the mother cell. The new set of cells are isolated and likewise the simplified process is repeated all over again until the cells form a complete organ. In order to produce a complete organism the DNA must be alte red in a variety of way to come out with the finished product to be the complete organism.† In simple terms, a cell is taken from a donor woman. Then an unfertilized egg is taken from a second woman. The DNA from the cell is removed and transferred to the egg. The egg is then implanted into a surrogate mother. The resulting baby is genetically identical to the original donor.   Ã‚  Ã‚  Ã‚  Ã‚  Human cloning destroys individuality and uniqueness. â€Å"What makes people unique is the fact that we have different genes and cloning would lose these important parts of our bodies makeup.† There would be less of a variety of people and everyone would be the same. This would not only be the good qualities, but also the bad that would pass on. Since clones and the original donor will look alike and have the same DNA, it would be nearly impossible to tell the difference. Overtime, they would lose their individuality and uniqueness. For example, say a crime was committed.

First Year Psychology Students’ Memory for The News as a Function of Media of Presentation

7O psychology students were presented with a selection of four news stories in three different media; print form, audio form and audio visual form. Participants were tested immediately after exposure to the news to measure retention of story details, via a questionnaire. Subsequent results showed significant differences in information recall between the medium of presentation. Recall of detail was greatest from print, and worst from audio mode. It was made clear that when in print form, information is better absorbed, processed and retained than when in audio-visual mode and audio form. INTRODUCTION As the world's technology grows, and the public's demand for information is ever increasing, the news is presented in increasingly varied media. The news is a key factor in modern day society, with the vast majority of the U.K population being exposed to it at least once every day. Despite the various forms in which news can be accessed, for example radio, print and even music, it can be gathered from public opinion surveys that the vast majority of individuals endorse television as their most important source of news information. Subjective views of audiences indicate that television is an important news source, from which they learn a lot. Yet, research in the past has shown that on the whole, individuals frequently fail to remember very much from television broadcasts. One survey of people living in the San Francisco area, where respondents were telephoned shortly after the evening's main broadcast and asked, â€Å"What do you recall from tonight's broadcast?†, showed 51% could not recall any stories. On average subjects remembered just 6% of bulletin's stories.(Stern 1971) These losses of information recalled can be due to various factors concerning the viewer's motivation, attention, interest in the story and relationship with the story (Gantz 1979, Neuman 1976). For example, British research indicated that gender differences in the recall of TV news is linked to content factors. Interestingly, males recalled information from news narratives about violent incidents accompanied by violent images better than females did. Yet when these same stories were presented in sound only and print form, these gender differences disappeared(Gunter,Furnham and Gietson 1984). Also, research has questioned a variety of news presentation factors as having significant effects on learning(Berry, Gunter and Clifford 1981). It must therefore be questioned whether television is in fact the most memorable form of presentation of information, when compared with audio-only or print form. Printed media convey greater quantities of information, and also allow readers to process the news at their own pace, whereas in both visual and audio-visual modes, the pace of information presentation is set by the producer. It is also argued that people are able to process information more deeply when reading or listening to the source. This is due to the fact that when watching the news item, the viewer is given all the information at once; visual and audio. This can not only be somewhat confusing(especially if the visual information does not correlate to the audio or narrative, often due to quick cutting of visual scenes), but also means the individual does not need to pay attention as much, as no extra thinking must be done. When reading and to some extent listening to an article, the individual must think of the visual ingredient themselves, as this is not given. This additional processing of the material can result in better retention. This has been supported by various researchers(Greenfield 1982, Meringoff 1980). It should be noted that this theory is argued in research, it has been found that recollection of the same story in print and audio-visual modes is better from print(Beighley 1952; Browne 1978). On the other hand, a study using television, radio and print to present information, it was reported that retention of abstract information is far superior when from television, in turn with better memory performance from radio than print(Williams,Paul and Ogilvie 1957). Yet more recent research by Wilson (1974), which involved all three media, found that retention was better from print than audio and audio visual. It is possible that these differences in findings is because Williams tested recognition, whereas Wilson tested free re-call(Gunter,Furnham and Gietson 1984). This therefore could help argue that printed presentation of information produces better free recall performance as reading requires more cognitive effort and requires deeper information processing than television. Millions of pounds are spent on advertising and sponsorship on television, as it is presumed that information that people see on TV will be remembered and hence may lead to buying a certain product. This, therefore is an important and interesting area of research, not only due to the controversy of previous results, but due to the present day necessity for effective advertising and could also lead to future improvements in education and teaching methods. In this experiment, it is Hypothesised that- scores regarding information retention would be higher from groups who receive written material than audio, which would be higher than audio-visual material. In order to carry out this study, a similar study's framework was used as a template for the design. In this case, the study- â€Å"Memory for the news as a function of the channel of communication† (Gunter, Furnham and Gietson 1984) was replicated. METHOD Design and Materials- Random assignation of participants (a control) produced three groups (see participants subsection later) with no limitation on sex ratio in each group. These three groups were the independent variable. The groups were presented with varying media all of which gave the same narrative script (a constant throughout each item), in different forms. Group A(n=25) were presented with news in audio form. Group B(n=22) received the information in print form and Group C(n=23) received the news in audio-visual form. The news items were originally recorded from TV news bulletins transmitted by an experimental TV service, and had not been aired on mainstream networks throughout the U.K. The bulletins were originally broadcast separately over 18 years ago, therefore further reducing the likelihood of a participant having previously seen said items. Participants in were confronted with four separate news stories, which were presented in the same order for each media. In its audio/audio-visual state, each of the four stories lasted approximately one minute, with a total time of 4 minutes, 33seconds from beginning of story 1 to the end of story 4. Two items were scenes of street fighting between protesters/demonstrators and police in El Salvador and South Korea. The two other news items depicted non-violent events – Japan lifting trade restrictions and A Greek Prime Minister's visit to Yugoslavia. Each story had a common narrative voiced over by an unseen narrator, and it was this common narrative which was transcribed in the print form given to Group B. Footage presented to Group C depicted the following scenes- the El Salvador footage showed gun-fighting between individuals in the streets, with commentary from the narrator. Footage from South Korea showed rioters throwing stones at police and rioters reprimanded being clubbed and beaten by officers. The story told gave reasons for these disturbances, which were varying social groups' dissatisfaction with each Government. Japan's reduction on tariffs on certain goods due to disapproval from the U.S.A and the E.E.C was accompanied by footage of delegates at a summit meeting in Versailles concerning various matters including those mentioned previously. The last story concerning the Greek Prime Minister's visit to Yugoslavia depicted images of the visit and documented reasons for the visit. Group C were presented the stories via a colour screen with sound capability. Group A were presented with only the sound stream from the audio-visual medium. Group B were given transcripts of the narrative from the broadcasts. A questionnaire was then given to the groups, which contained twenty questions, five from each story, which questioned the groups about certain facts from the news items, hence testing the content retention of each group. The questions tested remembrance of where and why certain events occurred. The participants then were awarded two points for each correct answer, one point for a partially correct answer and zero for an incorrect answer, giving a maximum score of forty points. Participants- A total of 70 subjects were used in the experiment, all of whom were University of Bath first year psychology students, with ages ranging from 18 to 40. Group A,B and C each had three males in them, and subsequently contained 22, 19 and 20 females respectively. Procedure- Once seated, participants were given a letter which referred to their group- A,B or C. Group B were then removed from the room, and given scripts which they had four minutes to read. They remained in the building's foyer until time was up. Groups A and C were presented with a video with sound on a projected colour screen in the main room. Group A (audio only) were then instructed to cover their eyes as to only listen to the audio from the video, whilst Group C were allowed to watch the video and listen. The exposure times for each group were equated across each media. Once all groups were re-assembled, they were handed with a questionnaire which they had twenty minutes to complete. Subjects then were told the correct answers and marked their own tests. They then handed in the scripts with their group letter and total score on, from which the results were calculated. RESULTS Table 1 (shown below) shows the processed data gained from the experiment. The table presents the means from each group's results on the questionnaire, and the standard deviation of each group. Table 1 Group Number of subjects Mean Score Standard Deviation A- audio 25 7.9 4.6 B- print 22 12.0 5.1 C- audio-visual 23 8.9 4.9 The mean scores of each group are a point of interest in this study as they illustrate the extent to which each medium was recollected, as an average for each group. Group B gained the highest mean score on the questionnaire with an average of 12. Group C gained the next highest average, with a mean score of 8.9, and Group A had the lowest score with 7.9. This indicates that those who received information via print recalled the greatest level of detail, as they scored highest (on average) in the questionnaire. The comparison of mean scores also indicates the superiority of audio-visual medium over audio in terms of detail recollection. It was also necessary to include standard deviation in the data as this shows the dispersion of individual results around the mean for each group. As can be seen from Table 1, the standard deviation for each group was relatively similar; 4.6, 5.1 and 4.9 respectively for groups A, B and C. The standard deviation scores were also relatively low in each group, with group B having the most dispersed results around the mean with the highest standard deviation (5.1). Group A had the lowest standard deviation with 4.6, with group C in between with 4.9. The standard deviation indicates that scores were more agglomerated in group A than groups C and B. As the dispersal around the mean for each group were rather similar, it is indicated that the memory performance of participants in all three groups varied to a certain extent, even though averages were different. DISCUSSION The extent to which the news was recalled by participants was highly dependant upon the mode of presentation. As hypothesised, the results show that the level of detail recalled was greatest following pint presentation of the news. This was the expected outcome, and has been confirmed in previous research, for example Beighley(1952) and Browne(1976), who both found that print in the most memorable medium of presentation. There are a number of theories as to why print is the superior format for news recollection, firstly it is argued that in print form, there is a greater quantity of information offered to the reader. Although the print format was purely a transcript of the narrative of the audio/audio-visual media, the amount of information that can be absorbed and processed by the reader is greater. This can be due to the fact that when in print format, information can be processed at a self-paced speed( Gunter, Furnham and Gietson 1984), whereas in audio and audio visual formats, i nformation is presented at the set pace decided upon by the producer. This leads to a greater absorption of information from print format and hence a greater level of detail recall (as shown in the results of this report; the mean score for subjects given the print format was 12, compared to 7.9 and 8.9 for audio and audio-visual formats respectively),indeed imagery is known to act as a strong mnemonic device(Paivio and Csapo, 1973; Kosslyn and Pomerantz 1977). Printed news also necessitates the reader to conjure up his/her own images whilst reading the script, in order to get a mental picture of the scenes documented. It is this process which also may lead to greater remembrance of detail, as the reader must process the information further than participants who received the audio-visual format( Greenfield 1982 and Meringoff 1980). To some extent, this is prevalent with audio only subjects, as images are not given, so must be imagined. The experiment showed that, contrary to the hypothesis, Group C(audio-visual) scored a higher average than Group A(audio),as can be seen from the results; Group C's average on the questionnaire was 8.9 whilst Group A's average was 7.9. This determination was also made by Williams, Paul and Ogilvie (1957) in a similar study. The findings in their study showed that audio-visual media led to greater information retention than audio only. This result was unexpected, yet there are a number of reasons as to why news presented in audio-visual format was better recalled than in audio. Firstly, the structure of the audio feed was not purposefully made for audio presentation – subjects in Group A(audio) simply covered their eyes and listened to the video's audio stream. Therefore it could be argued that if the audio format was structured for audio presentation, then absorption of information would be greater, as the audio-visual format would rely somewhat on its visual imagery to present its information, therefore Group A(audio) would miss out on this extra source. Another bias in performance could be due to Group A simply having to cover their eyes so as to prevent them from watching the video. This could prove to be distracting, as the subject would to some degree focus on not watching the video footage and therefore lose slight interest in listening to the information. It could also be argued that the act of shielding the information source from oneself has subconscious implications, in that the listener subconsciously feels removed and distanced from news source due to covering his/her eyes. This would limit the amount of information processed and therefore retained. Listeners may also get bored of the blank visual stimuli, therefore making it harder to focus and retain information. There is also the possibility that those who watched the news scored more highly on average than those who listened to the news due to the violent images displayed. It is said that many individuals(especially male) recall images in the video which aid them in retaining information(Gunter, Furnham and Gietson). This is especially prevalent when concerning images of a violent nature- for example scenes from El Salvador of gun fighting. Emotionally charged images, such as war and fighting are proven to be better recalled than neutral images(i.e those with no emotional connotations)(Cohen, Wigand and Harrison, 1976). Therefore video footage may in fact aid the retention of detail. A theory put forward by A. Paivio is that of Dual Coding Theory(Paivio and Csapio 1973), which helps to explain why the hypothesis in this report was partially disproved(in that audio-visual ave rage was higher than audio). Dual Coding theory suggest two cognitive sub-systems, one which deals imagery and the other specializes in language. In this case, Dual Coding theory would assume that due to two sources of information(audio and visual) a were presented to group C, the group members had more information to gather, and furthermore, each source re-enforces the other. This means that the visual imagery would be re-enforced by the audio source, but would itself re-enforce the audio, therefore creating a circumstance in which information is easily absorbed and processed and consequently retained. The investigation could have been hindered and distorted by certain factors encountered. Firstly, Group B were kept in a seating area in a building's foyer whilst reading the transcript. This could have proved to be distracting due to events outside of the building visible through the windows and the coming and going of unrelated individuals through the foyer. Perhaps a closed room would have been more suitable to use for the reading group. The audio feed was not perfect either, as subjects had to sit with other group members and cover their eyes whilst listening to the video, this could result in distancing from the source and loss of focus hence distorting the results. The questionnaires were also marked by the subjects themselves, once told the correct answers. Therefore there was the possibility for cheating, and so the results themselves may be incorrect. This could be improved by using external markers to score the questionnaires, as they have no bias towards the result. Future research could focus on whether Dual Coding theory is a valid argument, and the extent to which it operates.