Occupational Therapy Efficacy After Stroke Health And Social Care Essay

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

Customer Service and Data Warehouse

Liu, An Chi (Allison) #20, Truong, Dominic #31 Tseng, Chun Yao (Gary) #33, Wang, Wei (Chloe) #35 Wang, Zhuoqun (Mask) #36, Zhang, Tao (Kevin) #48 Professor Kim MGT 205 Assignment #5: IT’s About Business 3. 2 1. Why was it necessary for the Isle of Capri Casinos to develop a data warehouse? The Isle of Capri Casinos experienced challenges in the geographical location of their properties as well as their diverse clientele. This made it very difficult for the publicly traded gaming company to segment customers and to establishing an inclusive brand image.With that, the company caters to a variety of customers in Mississippi, Louisiana, Missouri, Iowa, Colorado, and Florida. They found the past Customer Relationship Management (CRM) model to have generalized their customer view, thus initiating a need for a ‘single view of the business and the customer’. This new database warehouse method would enhance their competitive strategy by encouraging continuous guest relatio nships and surpassing guests’ needs and expectations in terms of atmosphere. 2. Describe the variety of benefits that the Isle realized from its data warehouse.There are many benefits for Isle in the development of their new data warehouse. Firstly, the system quickly and conveniently allowed the company to establish segmentation within the market. The system identified segments centered on the number of visits, which ultimately determined the level of offers and values. Eg. Company researchers determined that players who visit four times a month required an alternative incentive package that those who visited once a month. The company was also able to interpret the data generated by the warehouse to develop information for market experiments.The series of segmentations allowed for cross tabulation within customers— Who stayed at least two or three times? Who gamed and who didn’t? How much did staying in a hotel affect customer’s gaming activity? The dete rmination of these experiments created business opportunities within demographics of consumers. One study showed that local customers ‘game more’ when they stay in the casino hotel. Through this experiment, a local promotion was established to encourage customers to stay one free night.In turn, this proved to be profitable in the precision of their targeted offers, consequently motivating customers to visit the company’s casino locations. Lastly, another benefit from the database warehouse was in the strategic determination of slots and game locations. The company could enhance revenue and profit by strategically placing new games and machines based on past behaviors from high-value players. All in all, the data warehouse serves as a valuable resource for market analysis and customer segmentation.

Special Economic Zone in Tamilnadu

Special Economic Zone in Tamilnadu, India By Dr. Srinivasan and Mr. Alagarswami â€Å"The protests against land grab for SEZ's have spread like wildlife. † Vandana Shiva ( 2007). The overarching problem this study tries to address is the question why the wild-fire of protest spreads in some regions, while in others it is either doused living behind a dying ember or perceived not as a fire but as a well spring of hope. What can explain the regional differences in public responses to SEZ?The state of Tamil Nadu has been proactive in implementing SEZ policy both at the regional level as well as at the central policy levels. Mukherji and Shivpuri Singh argue that â€Å"the Act has made partial progress towards evolving a procedure for single window clearance of SEZ projects. Issues such as labour regulations; skill shortages; land acquisition; environmental clearance; power availability; a developer’s powers with respect to town planning; transport linkages; access to fina nce; corruption; and the overall propensity to approve foreign direct investments will have a state-level component.In most of these cases, state-level SEZ Acts will determine the extent to which state-level policies are synergised with central policies†(Mukherji and Shivpuri Singh, 2006). Even before the central SEZ Act was passed in 2005, Tamil Nadu had formulated its policy on SEZs in 2003 and passed the Tamil Nadu SEZ Act in 2005. Since 2005, a series of public hearings were organized by various civil society groups, political parties and government agencies. Civil society groups have argued that the bulk of the land being acquired for SEZs is fertile agricultural land, especially in case of the multi-product zones.The state of Tamil Nadu(TN) one of the four southern states of Indian sub-continent is considered â€Å"a pioneer in implementing many developmental programs such as nutrition noon-meal scheme for school children, integrated rural development program, adult-lit eracy programs, Rs. 1 (4. 7 cent) per kilogram of rice for poor, and more recently self-help group based micro-finance initiatives. It has also been a forerunner in implementing industrial policy focused on small scale industries and marginally successful land reform that sought to distribute land to landless farmers.Tamil Nadu has followed a unique trajectory that blended industrial policy and developmental initiatives, which have withstood the vagaries of local politics, corruption and other malaises that have been traditionally associated with governance in India. † (Ref)Tamil Nadu, being among one of India’s most industrialised states, shows certain unique patterns emerging in the establishment of SEZs. The Indian SEZ model was most widely adopted in the state with both negative and positive fallouts.Even before the central SEZ Act was passed in 2005, Tamil Nadu had formulated its policy on SEZs in 2003 and passed the Tamil Nadu SEZ Act in 2005 (Dhurjati Mukherjee, 2007). With 122 notified and proposed Special Economic Zones (SEZs), Tamil Nadu boasts of maximum number of SEZs in the country after Andhra Pradesh and Maharastra. Two large and powerful state agencies State Industrial Promotion Corporation of Tamil Nadu Ltd (SIPCOT) and Tamil Nadu Industrial Development Corporation Ltd-(TIDCO) exercise considerable influence and authority in the acquisition of land.The government is intent on pursuing a policy of aggressive industrialisation, especially of a capital-intensive nature and has proposed to create 10,000 acres land bank in the state as per the 2007 Industrial Policy (TN Industrial Policy Note, 2007). Till date the state has 44 notified, 66 ‘formally approved’ and 19 ‘in-principally’ approved SEZs. Proposals are pending for another 13 SEZs. With over SEZ 54 approvals, State of Tamil Nadu (TN) has one of the highest numbers of SEZs in the country.In Tamil Nadu, 55 SEZs have been approved with 13045 hectares (32, 235 acres) of land as of 2012. In response to the opposition to SEZ in some localities (see chapter on Discourse Analysis for details) as well as in response to national developments in places like Nandigram, where the opposition to SEZ had turned violent, in 2007 , Tamil Nadu released the new industrial policy and announced several measures aimed at mid-course corrections as well as aggressive promotion of SEZ. For example the policy supported the evelopment a land bank of 4,000 hectares to promote industrial development in the state. The new industrial policy announced plans to build a land bank of 10,000 acres eventually to meet the growing demands for SEZ or industrial parks. The state has explicit policy of not acquiring cultivable land. The land for private parks / SEZs should, as far as possible, be barren, non-irrigated and dry land and the government will not allow proposals for industrial park involving more than 10 per cent cultivable land.Tamil Nadu was also the first st ate to make it a policy to support voluntary acquisition of land, rather than forcible acquisition. The policy also stipulates that promoters of private industrial parks would be required to purchase land directly. In its 2007 policy, the state government said that 10 per cent of the area in new industrial parks promoted by the State Industries Promotion Corporation of Tamil Nadu (SIPCOT) and the Tamil Nadu Industrial Development Corp (TIDCO) would be set apart for social infrastructure.According to the new policy, in order to have equitable regional development, proposals for special economic zones (SEZ) in industrially backward areas will be given priority. 20 per cent of the allot-able area in new industrial parks / special economic zones (SEZ) or expansion of existing ones promoted by the Sipcot / Tidco would be reserved for small and medium enterprises (SME) including SME vendors to major industries in the same park.The consequences of 2007 industrial policy were that there was a tremendous increase in applications for SEZs. The speed at which the state government has been sanctioning the projects has raised several questions. There were apprehensions and widespread resistance from the farmers, politicians and academicians towards the implementation of the policy in Tamil Nadu. Opposition to SEZ in TN There are growing concerns over the impact of SEZ on local communities such as loss of agricultural land, unfair land transactions, undermining of uthority of local government, environmental degradation and fears of emergent gated communities. The feasibility and profitability of SEZ are also being re-evaluated in the light of growing opposition to SEZ and volatile markets. There have been several cases of reported opposition to SEZ, but many of these issues were eventually settled. Highlighting numerous instances of speculative land-bank acquisitions, the protestors condemned the Government for targeting the most vulnerable sections with eviction.Acquisitio n of bhoodan land Oragadam (Sriperumbadur), panchami land in Cheyyar (Thiruvanamallai), saltpan land in Ennore (Thiruvallur), grazing land in Thervoy (Thiruvallur), tenancy land in Nanguneri (Tirunalvelli), multi-cropping agriculture in Hosur (Krishnagiri), Sivarakottai, Puliampatti, Swamimallmpatty (Thirumangalam), Ranipet and Panapakkam (Vellore), agriculture land and homesteads in Mangal (Thiruvanamallai) are some examples of controversy over land acquisition in Tamil Nadu.Even though local people participated in protest against land acquisition, these protest did not materialise into any concrete action as it had happened in other states. The government of Tamil Nadu commissioned a report to examine the claims of those opposing the SEZ. Civil society organisations held several public hearing on the impact of SEZ in Tamil Nadu. In the public hearings, several critical questions were raised: Are people willingly giving away their land? What is the process of land acquisition in th e state?What role does the government agencies like Industrial Promotion Corporation of Tamil Nadu Ltd (SIPCOT) and Tamil Nadu Industrial Development Corporation Ltd. (TIDCO) play in acquiring land for private companies? The loss of agriculture land, accompanied by livelihood insecurity has been on the raise for over a decade in TN. As per official figures, Tamil Nadu has lost more than one million hectares of cultivable land between 1991 and 2003 (Government of India, 2007 Agriculture Statistics at a Glance 2006-2007. Ministry of Agriculture).The government itself does not know how much agriculture land has been diverted till date as has been made clear by the Planning Commission’s July 2006 report of the Working Group on Land Relations for the11th Five Year Plan. The Ministry of Commerce, government of India does not provide any information on the livelihoods lost as a result of creation of SEZs. At the public hearings the verdict was that the bulk of the land acquired for SEZs is fertile, agricultural land, especially in case of the multi-product zones. A special report on SEZ in Tamil Nadu prepared by Dr.Palanithurai(Palanithurai,2009) makes an attempt to document issues related to land acquisition and peoples opposition to SEZ. The report is extensively based on case studies and interview based evidences to make an argument against SEZ. Especially the report focused on the issue of acquiring cultivable land for SEZ, against the government’s own commitment not to acquire fertile lands. The report refers to authoritarian strategies adopted by the government to force local Panchayats to pass resolutions in favour of SEZ.The report cites the example of SEZ at Cheyyar in Thiruvannamalai wherein the Mathur Panchayat passed a resolution objecting to land acquisition, expressing unwillingness to part with common lands. Similar resolutions were passed in Gram Sabha against land acquisition in eight Village Panchayats. The question that is asked was: â€Å"Will Cheyyar be Tamil Nadu’s Nandigram? † (Palanithurai, 2009). But the issue in Cheyyar took a different turn with many local people settling for a land sale and Panchayats now co-operating with the government and the promoters. Is this a case of coercion or voluntary agreement?The report presents the case of Irunkattukottai near Sriperumbudur and Hundai car manufacturing plant in Kancheepuram district, Valasamudram,in Tuticorin District as examples of opposition to SEZ. In the case of Bairamangalam near Hosur in Krishnagiri district local opposition to acquire cultivable land lead the government and private promoters to withdraw the project (Palanithurai,2009). Perhaps the case that drew much media attention was Oragadam village near Chennai, where the claim was that out of the 950 acres nearly 300 acres were cultivable land (Palanithurai, 2009). However as the development of SEZ ontinued, the opposition soon melted. One reason was that the agricultural land ha s been in the process of being re-developed as real estate since early 1990s and thus many of the land claimed to be cultivable were already being reclassified as housing development property—a move encouraged by the government to meet the growing demands for properties in close to Chennai. Villages in another districts lose to Chennai, Chengulpet was already a highly valued real estate’s with many educational, religious organisations already in position of large tracks of fertile land ready to be reused for non-agricultural development.The report also sites examples of SEZ that had little or no oppositions. â€Å"Perambalur District Perambalur is one of the districts in Tamil Nadu . â€Å"Contrary to the stories of land grabbing and bureaucratic compulsion that reeled off about land acquisition in many other districts of Tamil Nadu, people in Perambalur had altogether a different story to narrate†¦ The entire process of land acquisition was smooth, and the loca l community had no discontentment – not even a speck of disapproval, about having lost the land (Palanithurai, 2009). Despite such variable and mixed responses the report concludes by stating that â€Å"If at all, SEZ should do some good to the local development: (i) let it get established in real barren lands based on actual surveys carried out in identified regions, and not as per the British period records in possession of the government; and (ii) the community unrest in SEZ can be avoided, if the National Policy on Rehabilitation and Resettlement 2007 was taken as guidelines for resettlement and rehabilitation of people affected† (Palanithurai, 2009).But more tellingly the report presents rather dramatic description of â€Å"eviction of people, leveling of houses, handling over the land to the SEZ developers. and paying cash compensation to those who part with lands† and concludes that â€Å"The current tendency of making steadfast move towards eviction of people†¦ would only cause damage to agriculture, mock grassroots level democracy, and aggravate poverty†.These observations in the report have exclusively relied on the people who have lost their land and have grievances against the compensation packages. The report draws its conclusions based on selected individual case studies and incidents of few clear opposition to SEZs/ But what about the other stakeholders. Does SEZ have an impact only on those who lose their land?

Pressure groups in U.K. and U.S. politics Essay

Pressure groups in U.K. and U.S. politics - Essay Example Pressure groups are essential part of democratic process - they provide a real possibility to influence governmental decisions and transform public views into actions which often assert government to change its policy, but there are also essential lacks: the groups often defend their interests ignoring other sections of population and making misbalance in governmental policy. Pressure groups activity is widely developed in such democratic states as the United States and the United Kingdom. There are differences and similarities of pressure groups activity features in these countries, and the aim of this paper is to analyze and compare the roles played by pressure groups in U.K. and U.S. politics. The paper will be referred to common trends of U.K. and U.S. pressure groups development, as well as specific organizations and their activities in the both countries. 2. The main difference between U.K. and U.S. pressure groups activities is that there are more such groups in the United States than in the United Kingdom. ... So, pressure groups features in Great Britain are determined by its political system. One more feature of U.K. pressure groups activity is that groups and parties in Great Britain cannot influence governmental policy so much as in the United States because of partial secretiveness of the British political system, and the range of pressure groups is not so widely presented as in the USA with their constitutional and more democratic traditions. Some of the most powerful British sectional pressure groups (groups which present interests of some sections of the population) are the National Union of Teachers, Trades Union Congress, the Confederation of British Industry, the Nation Farmer's Union and some others. There are also promotional pressure groups in U.K. politics. These groups are fighting for real aims, and they can consist as well of small amount of members as great amount. The examples of such groups are Liberty and Campaign for Nuclear Disarmament (CND), but their influence on British political parties and governmental decisions is limited unlike such groups in U.S. political life. One of the reasons of this situation is that the British government is not so fragmented and decentralized as that of the United States where the policy of federalism is prevailed. So, "in the early 1980s over 250,000 supporters of CND marched in London on several occasions. Despite this show of popular support, CND failed to influence the government's defense policy" (What are promotional pressure groups). As was mentioned before, pressure groups in the political process of the United Kingdom provide wide developing of democratic processes and allow public opinion to be heard. Political parties in Great Britain cannot represent the

Financial Analysis of a Local Government in South Florida Essay - 1

Financial Analysis of a Local Government in South Florida - Essay Example the findings of my financial analysis revealed that: Net assets of FKEC activities decreased 2.1 percent to $123.5 million. However, most of those net assets are either restricted as to the purposes they can be used for or they are invested in capital assets. Unrestricted net assets showed a $0.1 million surplus at the end of this year. This surplus does not mean that FKEC has significant resources available to pay its bills next year. (Monroe County 2003) Rather, it is the result of having long-term commitments that are a little less than currently available resources. The surplus balance has remained similar to the prior year. Specifically, FKEC did not include in past annual budgets the full amounts needed to finance future liabilities arising from various claims and to pay for unused employee vacation and sick days. FKEC will include these amounts in future years' budgets as they come due. (Monroe County Although the net assets of our business-type activities increased by 3.5 percent to $85.6 million, these resources cannot be used in governmental activities. FKEC generally can only use these net assets to finance the continuing operations of its business activities such as food service. Changes in net assets. FKEC’s total revenues increased by 3.9 percent to $114.3 million. (See below)A significant portion, 49 percent of FKEC's revenue comes from taxes. (See below Twenty-five percent comes from state allocations, and most of the rest is from federal and state grants.

Course work Coursework Example | Topics and Well Written Essays - 750 words - 2

Course work - Coursework Example se; the answer of this synchronous communication is that the answer of the interviewer is more spontaneous, without an extended reflection (Pistone, Riccomagno & Wynn 2001, 78). Face to face interview can also be recorder if the interviewees give permission, making it more accurate than writing notes. It also enhances interviewer ambience; making use of a standardization of the situation. The use of questionnaire ensures there are already formulated questions that require responses, thus reducing time wastages during the interview. These formulated questions are quiet clear of the type of response that is required. A part from questionnaire being practical, large amount of data collected within a short duration of time make this method relatively cost efficient. It can also be carried out by any one with limited research analysis knowledge. On the disadvantage part, with the use of questionnaire it is not possible to determine the level of truthiness of the information they give and how much the respondent thought has put (Spurr & Bonini 1973, 156). In some cases, the respondent may miss interpret the question thereby, giving irrelevant response. b.) Standard deviation is the inverse of precision. A low standard deviation indicates that the data points tend to be very close to their arithmetic mean whereas high standard deviation indicates that the data points are spread out over large range of values (Barra & Herbach 1980, 45). Standard deviation of company A tends to cluster around the mean as opposed to the standard deviation of company B; hence larger standard deviation implies lower precision. In most countries, more than 50% of urban population have access to these social amenities; generally, there seem to be more access to the amenities in urban compared to rural apart from Gambia where the reverse is justified but by marginal difference. c.) The development agency should target the rural area part of West Africa. This is due to the fact that almost

Mao zedong Research Paper Example | Topics and Well Written Essays - 2250 words

Mao zedong - Research Paper Example He became the main participator in the United Front. Mao was appointed as leader of the Peasant Movement Training Institute. Mao’s work included organizational and ideological instruction for peasant leaders. The opportunity opened Mao’s eyes to the potential of the Chinese peasants to engage in a revolution.2 Mao married Yang Kaihui, a daughter of one of his Beijing University’s mentors, in 1921. In 1930, Yang was executed by the Kuomintang. However, Mao had begun to stay with an 18-year old girl, He Zizhen. In the next nine years, they had sired five children. Mao divorced He in 1937 and married Jiang Qing. 1937 became a cataclysmic year for every person involved in the Chinese Revolution. Mao and his fellow Communists were involved in the futile southern China after the April Shanghai coup. The experience resulted into a distrust of Soviet advice. There was a deep animosity toward Chiang Kaishek that resulted in a search for new strategies to a mass-based revolution. Mao moved with a small group of loyalists to Jinggangshan, a mountainous and forested region in the province of Jiangxi. It was here that Mao faced the reality of real rural revolution.3 The political attitudes of Mao materialized against a background of great crisis in China in early 20th century. China was weak and divided. The main national problems were the need to reunify China and to expel foreign occupiers. Mao, who was young, was seen as a nationalist. He was strongly anti-imperialist and anti-Western and even before becoming attracted to Marxism. His nationalism combined with his combativeness to admire the martial spirit- martial spirit later became a pillar of Maoism. 4 There was a strong need for change and social reform. China’s social structure was obsolete. For instance, the gentry class was an obstacle to modernization. This class dominated the peasants, who comprised the significant majority

Ethics on computing with reflection Essay Example | Topics and Well Written Essays - 1500 words

Ethics on computing with reflection - Essay Example Hence, moral and ethical attitude of the consumer of this website plays a major role in sustaining the records of this service. The people who browse this site are worried about the protecting their privacy not only while accessing the web service but also in their normal routines lives as the risk of incursion of personal privacy is very high in this website as in any other website that deals with the client’s personal information. In area of healthcare, the primary code that forms the foundation of any sort of treatments is chiefly the deference for the patient’s dignity. Respecting dignity also involves dealing with ultimate care with a patient’s info. Trust is an integral part of this project as it is the service’s responsibility to provide its users optimum dependability in terms of keeping their info safe from any sort of spasm or stalkers. Therefore protecting the personal information of the patients, which is collected from the hospital, is the foremost priority of the firm that maintains this website. If a situation arises in which it is necessary to share the info with an outsider, this should not be done before getting complete approval of the individual involved or the patient’s relatives (if the patient is not in a condition to give his/her consent). Only under two conditions such information should be shared i.e. if the management changes or the hospital is collaborated with another firm. In such a situation, information should be made available to the new administration as well. The idea of the website is to give quality health care services via internet. The various facilities provided by this website comprises access to doctors of personal records accessible online and allowing the patients to be able to seek advice regarding a particular medical state from other online members of the same forum. All the points

East Germany from 1980 until the end Essay Example | Topics and Well Written Essays - 1500 words

East Germany from 1980 until the end - Essay Example The policies made to overcome structural problems led to the collapse of the economy. The policies aimed at centralizing the economy did not have a positive impact. This made the problems harder to solve, making it necessary for West Germany to bail out the economy. Market orientation problems were solved but the original structural problems were not. This has made it difficult for East Germany to match output levels in West Germany. The stagnation in East Germany began when the monetary union overvalued the East German mark, leading to the decrease of the price of capital stock and the increase in labor cost per unit. Competition also faced a serious downfall. Funds that were given to alleviate private households and to heighten the investment sector were channeled to many other sectors, hence economic expansion became difficult. The public was given ill advice on areas of investment, and, therefore, production levels were reduced. Unemployment increased, leading to high public budg ets. The Federal Government spent on arrears to unify finance, thus increasing inflation tendencies. The Bundesbank tried to reduce inflation by raising interest rates. There was a negative impact on international competition, which slowed down the process of adaptation. Transparency in the East German was lost due to linguistic deceit (Markovits 189). Regulations that were set to cover up legal realities by the use of words became a recognized practice. East Germany has not yet found a solution to the problems brought by the communist system. Many people who lived around the Berlin area were affected by the division of the economy. Most of them worked in the West but resided in the East. Social control became low among these people, leading to the increase in the nonstandard behaviors. Antisocial behaviors caused violence even on football grounds (Dennis and LaPorte 137). Mortality rates were increasing at a steady pace, leading to an increase in life expectancy (Kronenberg 14). In the past, many people died in road accidents due to the social changes. Restrictions concerning personal freedoms were made to solve the problem. Local regulations were the basis of the foundation of civil legislation. The regulations in the set code books only applied to the region which did not have local regulations. East Germany also had policies that tried to break the link between marriage and childbirth. Single mothers were paid when they were on a one year leave, but this only applied to the first child. The leave scheme only applied to the single mothers. There was a rise in nonmarital births, because the policy encouraged many to push their marriage programs forward. Many women opted to bear their first children out of wedlock to enjoy the leave scheme. It was in 1986 that the scheme also applied to mothers who bore their first children after marriage. In the Eastern region, rates of nonmarital fertility were higher than in the Western region (Knapp, Madden, and Fowler-Ke rry 210). The average age of women by the time they gave birth was lower in East Germany. The region did not have strict restrictions concerning marriage. Regulations that were made were inspired by the needs of children. A man who made a woman pregnant had the responsibility of giving the woman compensation and taking care the child. The constitution of the region also stated that it was not wrong to be born by a nonmarried couple. The Church in Europe tried to inform

Gender,Sexuality and Diversity Essay Example | Topics and Well Written Essays - 2000 words

Gender,Sexuality and Diversity - Essay Example This paper shall critically discuss the post-feminist argument that in Western societies, women are empowered to choose whether or not to engage in beauty practices. A discussion on the various manifestations of women empowerment will be included in this paper. Body Western societies are now seemingly perceived to be post-feminist, which may mean that structural elements negatively affecting women have already been managed and that any lingering differences between men and women are being attributed to the manifestations of individual choices (Jeffreys, 2005). Writers acknowledge that choice has become the battle cry of the post-feminist era; under these conditions, as long as the actions of women are based on their own choices, there is no need for further assessment of their actions and choices (Braun, 2009). Beauty practices are very much related to such post-feminist ideas and arguments. Even if the use of beauty products have been subjected to feminist critique, practices like p utting on lipstick or shaving one’s legs do not any more represent issues for feminists (Stuart and Donahue, 2012). Third-wave feminists express that women’s power to choose the engagement in these beauty practices is a welcome element of feminism (Baumgardner and Richards, 2000). However, even with much support attributed to various choices, and even with the entry of women into areas in society where they were not previously included, women’s bodies are still made part of high surveillance and discipline (Jeffreys, 2005). The chances given to women to increase their achievements which were not available to them before has not been coordinated with the power to do away with the oppressive elements and practices of femininity. Scholars argue that the discarding of traditional female roles in the workplace has been matched with a greater focus on feminine bodies (Gill, 2007). Gill (2007) points out that femininity for the current western culture has followed the suggested trajectory laid out by Bartky (1990), Bordo (1993), and Wolf (1990) where social applications relating to femininity are not anymore directed towards the manifestation of traditional gender roles, but are leaning more towards practices which strongly highlight the management and beautification of women’s bodies. Postfeminist marks of liberation via empowerment and choices are placed within the context of harsh beauty requirements and images which Western women are compared to and judged against (Gill, 2006). In effect, with all the apparent choices, the contemporary western culture puts a very harsh and intense evaluation of women’s bodies. Contextualizing femininity within the post-feminist conditions is a major focus of contemporary feminist work (Evans, et.al., 2010). Feminine beauty practices were a clear focus for the second-wave feminism with a more critical assessment made on the means by which such practices have impacted on the reification of the dis parities between men and women, as well as the objectification of women (Bartky, 1990). By the end of the 1980s, as feminism secured more success in the liberation of women, the negative reaction against the second wave feminism caused new restrictions on women’s liberties (Jeffreys, 2005). The conditional message has been suggested relating to women gaining a more liberated status, for as long as such status is not made at the cost of their femininity. Such message is seen in

Assessment and Assessment Techniques Essay Example | Topics and Well Written Essays - 2500 words

Assessment and Assessment Techniques - Essay Example Formative assessment is a contrast of summative assessment because summative assessment seeks to monitor outcomes of education for external accountability. Developmental stages are the stages that a child goes through from childhood to adulthood. According to the study made by Erickson, the interaction of a person’s body, cultural influences, and mind determines development. With this in mind, Erickson organized eight development stages which progress from birth until death. The eight stages of development include: Infancy (birth to eighteen months), early childhood (eighteen months to three years), play age (three to five years), school age (six to twelve years), adolescence (twelve to eighteen years), young adult (eighteen to thirty five years), middle adulthood (thirty five to sixty five years), and late adulthood (sixty five to death). During my teaching profession, I sought to understand the assessment of the ever changing developmental stages in children. In this respect I planned an activity that would enable me to assess the differing developmental stages of the children in my work setting. This paper explores the devised plan, and implements a formative assessment activity, that takes into account the needs and interests of the children within my work setting. It demonstrates a systematic process of planning, evaluation, implementation, and the rationale for the design. Rationale for planning and implementing an assessment activity. The rational for formative assessment is quite clear and vivid. To start with provision of feedback, formative assessment provides feedback to the teachers so that they can modify the experience, and learning activities that are subsequent. Feedback involves focusing on the content that is being learnt (Blight, S. 2000). This is the epicenter of formative assessment. It facilitates self assessment development, clarifies the essence of good performance, and it is used in the provision of quality information to learner s concerning their learning. Feedback also boosts self-esteem and positive beliefs, and motivates peer and teacher dialogue in learning. Apart from this, formative assessment is important tool to be used to remediate the deficiencies of children (Cowie, B. 1999). It increases the self efficacy of a child and reduces the effect brought about by extrinsic motivation by moving the focus from obtaining grades into the process of learning. This method of assessment also improves the students’ metacognitive recognition of how they can learn (Black, P. 2000). It enables a teacher to fine tune instructions so that the students can focus on learning progress. Being motivated by the rationale for formative assessment, one thinks of an appropriate activity that could be used to assess the developmental stages in children. From many choices of formative activities and, techniques, the appropriate activity that can be used to quench the need for an assessment is the use of the tray painti ng activity with the help of an age and stage questionnaire (ASQ) for analysis. Planning and implementation of this technique is made possible by the use of a lesson plan shown below. Assessment

Gothic settings are desolate, alienating and full of menace Essay Example for Free

Gothic settings are desolate, alienating and full of menace Essay Gothic settings are desolate, alienating and full of menace. In the light of this comment, consider some of the ways in which writers use settings in the gothic texts you have read. In The Bloody Chamber and Wuthering Heights, Carter and Bronte conform to the gothic conventions with desolate and alienating settings that are full of menace, but there are also elements that subvert this view and portray purity and entrapment; the need to escape the gothic mould. A desolate setting is a place without life in a state of bleak and dismal emptiness. This is expressed in The Courtship of Mr Lyon when the girl finds herself bored in the country. This subverts the gothic as the country is associated with purity and feminine inexperience, compared to the male dominated, corrupted city. We see here that the girl longs to break the mould of female passivity with the mean kitchen and her boredom. All the snow and the words light bright and white infer purity and represents her total innocence but also isolation from the outside world, living down a long unmarked country road. Carter places the girl at the window in his tale and ses a lack of description of the kitchen to create a sense of longing for the outside world. She is trapped in the domestic sphere in the kitchen but pauses on her chores. This foreshadows transgressing gender barriers in the story. For a gothic setting to be alienating it could be it makes someone feel isolated or estranged. The girl in The Bloody Chamber feels cut off from her previous, un-married life in the castle surrounded by water. She described how she goes into marriage, into exile and would always be lonely. She feels alone in a patriarchal society because his orefathers had ruled the coast for centuries. This highlights the in which the woman must conform to his wishes, but also connotes medieval undertones of a fairy tale. The girl presents the castle as a magic place, the fairy castle whose walls were made of foam alluding to the supernatural in the magic place like a fairy castle, which highlights gothic architecture of grand castles. The foam however subverts to the gothic as it suggests pleasant freedoms and a lack of substance, almost like its from a dream. In contrast to this image, the reality of a thick darkness, unlit by any tar represents her entrapment and struggle to recover from discovering his dead wives in the bloody chamber. She feels deeply corrupted with no hope of escaping her new knowledge for which she must pay the price, as the room is unlit by stars. This suggestion that women should not have knowledge connotes religious imagery of when Eve corrupted Adam and they paid the price for Eves sin. This knowledge gives the girl the power to question the Marquiss power because when looking at the picture of Saint Cecilia, she asks what had been the nature of her martyrdom? in which she questions her corruption. She suggests Cecilia was only beheaded for her disobeying a man. A bloody chamber is present in some form in each of the ten stories and whilst taking different forms throughout the book, it serves the same symbolic purpose. It is a room where violence and enlightenment occur simultaneously. It is a place of transformation for the heroine. The term the connection between womens sexuality and the violence they experience. ln The Courtship of Mr. Lyon, the bloody chamber is the Beasts room. Even though the Beast does not hurt anyone in the room, it represents the violent and bloody reputation. If the Beast is seen as a being who devours, his room is perceived as a place of terror a bloody chamber. The Beasts room is also a place of transformation for both himself and the heroine. It is there that she realizes her love for him and that he transforms back into a human. Alienating settings can also cause someone to become unsympathetic or hostile. The characters in Wuthering Heights fit in to their new surroundings, subconsciously, and adapt to its beliefs and values and become hostile to their previous way of life. They adapt to the narrow windows deeply set in the wall with a range of gaunt thorns. The Grange rich regal colours such as crimson and blues, showing that the characters have become aware of their social standing and expectations; whereas at Wuthering Heights, there are gaudy painted canisters with objects that are liver-coloured, black and green. Wuthering Heights portrays violence and freedom to act as you please and when Lockwood encounters Cathys ghost he pulled its wrist on the broken pane, and rubbed it to and fro till the blood ran down and soaked the bed-clothes. He states that terror made me cruel and this fear of what is uncertain or obscure at Wuthering Heights explains his violence. This state contrasts to his highly cultured and civilised behaviour at the beginning of the novel. If a setting is full of menace then it poses a threat or danger in a hostile manor. During Lockwoods first visit of Wuthering Heights he feels threatened by the way he describes its appearance among a wilderness of crumbling griffins. Griffins are inhuman evil creatures, suggesting the residents of Wuthering Heights to be cruel and wild. Lockwood feels under threat because he does not know how to act around a family that is crumbling from societys control. Therefore, passing the threshold would mean Lockwood transgressing the oundaries of social norms. Once inside, Lockwood feels trapped because the narrow windows are deeply set in the wall making it impossible to get out. It gives the impression of a prison, where the morally corrupted are kept, with their secrets and taboos. It can also be seen that Wuthering heights poses a threat to Thrushcross Grange because the characters keep wanting to go there and escape from culture at the Grange and become free from entrapment in an oppressive society and become reunited with nature. This is the case for Cathy, Isabella, Catherine and Nelly, who feel drawn to danger, which is liberating and freeing.

Polaris Human Trafficking Organisation

Polaris Human Trafficking Organisation Polaris is NGO whose soul motto is to stop human trafficking and slavery. The organization helps those who are victims of human trafficking and provide them legal help. Polaris is also one of the anti-trafficking organization in the united states. Headquarters of Polaris is in Washington, DC; and also operates from Newark, New Jersey. They also control the National Human Trafficking Resource Centre (NHTRC) which is the countries hotline for human trafficking. Polaris also allows it data to be used by other NGOs such as International Justice Mission Truckers against Trafficking. Polaris hase taken few steps and has some initiatives to help the victims of Human Sex trafficking: Global Safety Net Polaris collaborates with border forces of countries to prevent illegal and cross border development in human trafficking Temporary Visas Polaris helps the victims of human trafficking attain temporary visa to help them travel to their home country safely. Hotels Polaris engages in the hotel industry and identifies the human trafficking activities in the hotel industries. According to Polaris hotel are most common venues for sex trafficking. Polaris supports almost all the laws that help get justice to the victims of human trafficking. They have a specific set of priorities regarding their policies: Run away and Homeless Youth and Trafficking Prevention Act. This act focusses in prevent the crime before if happens. They make sure that the government take all possible step and provide basic necessities to homeless youth Supply Chain Transparency. The Business Supply Chain Transparency on Trafficking and Slavery Act of 2015 (H.R. 3226 and S.1968) makes sure that all the business have a transparency in their supply chain and the decisions they make for their labor force in the supply chain. Prioritizing the strategic action plan. Polaris ensure that the victims of human trafficking are given justice on time and also makes sure that all the agencies are working together effectively. Polaris is also partnered with The Alliance to End Slavery and Trafficking (ATEST) which a US based collaboration of 14 NGOs that fights against human trafficking and sex trafficking and provide justice to the victims. Polaris is a NGO who is focused only in aiding and proving justice to the people who are the victim of Human Trafficking, so they take the help of every last law to provide the justice. There is no law they oppose as there is no law that allows or supports crimes like human trafficking, so theres no such law (according to my research) that Polaris should appose. NGOs such as Polaris who fights human trafficking may impact business a lot, businessmen indulge in human trafficking to lower their employee cost and increase their profits. In some case victims of human trafficking are not paid at all. So NGOs like Polaris would not only stop trafficking but also help the victims to get justice and punish the guilty, which inturn would affect the business scenario. Though, the affect would not be good for the business but it would, definitely be good according the Natural Law (humanity). Human trafficking is a very serious topic in today world as it no long legal but is still practiced in some parts of the country. Polaris along with the federal government make sure that all the aspect of human traffic is covered by creating new law without leaving any loop holes. Polaris in its web site mentioned Polaris works to ensure that the U.S. government prioritizes efforts to eradicate all forms of human trafficking and protect victims of this crime at home and abroad. We build government support for promising practices in our field, including anti-trafficking hotlines, the development of data standards and data-sharing, and protection policies for victims and vulnerable populations. to which Polaris is very much dedicated. To do so Polaris has helped create laws relate o trafficking with are very affective in tacking the issue in the United States. Traffic victims protection reauthorization act 2003, 2005, 2008 2013 is a law to which has Polaris contributed. Another legislative law to which Polaris influenced is the safe harbor law, which provides protection to children who area victim of child labor, human trafficking of children and sex trafficking. Polaris does what it takes to influence the legislative process (the reason it is one of the largest human trafficking NGO in U.S.) and help wipe human trafficking and crimes related to it once and for all. Polaris also mentioned on its website that Our public policy focus drives legal and regulatory changes that enable the United States and international governments to better protect victim populations, reduce worker vulnerability, increase support to survivors and increase human trafficking investigations. According to Polaris; South Dakota, North Dakota, Colorado, Utah, Arizona and few states in the east U.S. lack few aspect in fighting human trafficking (2013), either due to high activity in trafficking or laws supporting trafficking. Their aim is to help reduce these statistics in the next 3 year. But Polariss aim is to need complete the task in less than 3 years as they believe that the more time it takes the more people suffer and Polaris will continue support the victims whenever they need them. Mind map: Polaris helps human trafficking victims to travel to their country safely buy helping get temporary visas. To do so, Polaris must become an intermediary between the international laws of the other country and the American federal law. Polaris has to follow certain international laws in order to send the victims to their home country. References Polaris. (2016, March 1). Policy priorities. Retrieved February 21, 2017, from Polaris Project, https://polarisproject.org/policy-priorities Polaris. (2016, February 23). Policy legislation. Retrieved February 21, 2017, from https://polarisproject.org/policy-legislation

Sustainability in Project Management

Sustainability in Project Management This review discusses the journal Sustainable Project Life Cycle Management: the need to integrate life cycles in the manufacturing sector (2005) authored by Labuschagne and Brent. The theme of this paper is that incorporating the current project management methodologies with the principles of sustainable development requires comprehensive understanding and integration of different life cycles.[1] This journal provides a good introduction of life cycle management; however, the authors do not make holistic perspective on the aspects of sustainability in project management. At the outset of the paper, the authors note that the social, economic, and environmental impacts of a project long after its completion have required increasing attention; the project life cycle management principles thus require revision. However, reasons for the consideration to life cycles when aligning sustainability with project management has not been specified. According to Azapagic (2004), people may unintentionally aggravate the impacts when trying to alleviate them. Therefore, protecting the environment without increasing burdens can only be assured by adopting a systems approach based on life cycle thinking which takes the whole life cycle of an activity into account.[2][3] Labuschagne and Brent (2005) have focused on defining various life cycles, yet the descriptions of the proposed impact assessment indicators on the three main sustainability dimensions are only briefly stated which causes the concept rather vague. In 2005, Brent and Visser demonstrated an environmental performance resource impact indicator (EPRII) calculation procedure by introducing the life cycle impact assessment (LCIA) framework for comparing burdens at operational level.[4] The approach evaluated impacts in four different resource groups including water, air, land, and mined abiotic resources[5] based on three process parameters comprising water and energy usage, and waste produced.[4] Research regarding the social sustainability dimension has also been executed subsequently. All the social criteria and its sub-criteria were verified with respect to project management and business[6][7], but particular impacts were found to be more significant in certain appraised asset or techn ology life cycle phases. The EPRII approach was used as a basis to calculate the social impact indicators; however, results appeared to be unreliable and the method was hence concluded to be not applicable for decision-making purposes at the moment due to the lack of social project and footprint information (Labuschagne and Brent, 2008; Labuschagne and Brent, 2006).[7][8] Despite its defect, this paper is a well structured piece of work which utilizes a large number of diagrams and tables. Koedinger (1992) explained that diagrammatic representation outperforms sentential expression due to its use of location to group information which facilitates search and avoids the need of symbolic labels and also encourages perceptual inferences.[9] This consequently enables readers to have a better understanding of the concept. In conclusion, although this journal does not provide a holistic overview of sustainability in project management, its detailed descriptions of various life cycles and their interactions in projects have provided an explicit concept of project life cycle management. Moreover, a considerable amount of literature review has been carried out in this article; it therefore deserves to be widely read. References Labuschagne, C. and Brent, A.C. (2005), Sustainable Project Life Cycle Management: the need to integrate life cycles in the manufacturing sector, International Journal of Project Management, vol. 23, no. 2, pp. 159-168, Azapagic, A. (2004), Appendix: Life Cycle Thinking and Life Cycle Assessment (LCA), in Azapagic, A., Perdan, S., and Clift, R. (ed.), Sustainable development in practice: case studies for engineers and scientists, John Wiley and Sons, pp. 426-437. Azapagic, A., Millington, A., and Collett, A. (2006), A Methodology for Integrating Sustainability Considerations into Process Design, Chemical Engineering Research and Design,vol. 84, no. 6,pp. 439-452. Brent, A.C. and Visser, J.K. (2005), An environmental performance resource impact indicator for life cycle management in the manufacturing industry, Journal of Cleaner Production, vol. 13, no. 6, pp. 557-565. Brent, A.C. (2004), A life cycle impact assessment procedure with resource groups as areas of protection, The International Journal of Life Cycle Assessment, vol. 9, no. 3,pp. 172-179. Labuschagne, C., Brent, A.C., and van Erck, R.P.G. (2005), Assessing the sustainability performances of industries, Journal of Cleaner Production, vol. 13, no. 4, pp. 373-385. Labuschagne, C. and Brent, A.C. (2008), An industry perspective of the completeness and relevance of a social assessment framework for project and technology management in the manufacturing sector, Journal of Cleaner Production, vol. 16, no. 3, pp. 253-262. Labuschagne, C. and Brent, A.C. (2006), Social Indicators for Sustainable Project and Technology Life Cycle Management in the Process Industry, The International Journal of Life Cycle Assessment, vol. 11, no. 1, pp. 3-15. Koedinger, K.R. (1992), Emergent Properties and Structural Constraints: Advantages Diagrammatic Representations for Reasoning and Learning, SS-92-02, AAAI Technical Report, viewed 21 March 2010,