Bolton Thermal Recovery Facility Case Study Essay

Bolton Thermal Recovery Facility Case Study - Essay Example The construction of Bolton thermal recovery facility is meant to generate electricity and other sources of energy for Manchester and its surrounding. The facility seeks to create enough energy that can power over 7,000 homes in the city and its neighbourhood. The operation of the Bolton thermal recovery facility has a number of environmental impacts and issues that must be considered. The operations of the facility are also governed by strict environmental legal requirements and provisions that must be adhered to. Analysis of the impacts that may arise from operating the facility which are economical, environmental and social must be done by the management. Introduction The purpose of this report is to provide a critical analysis of the operations of Bolton thermal recovery facility that is based in Manchester. ... There is need for the management to be well averse with the laws, regulations and provisions that influence the operation of the facility. This report will provide a detailed description of the available environmental laws, legal notices and statutory provisions that affects the operation, profitability and efficiency of the facility. The aim of Bolton thermal recovery facility environmental laws and regulation assessment report is to provide benchmark for the implementation of the various environmental requirements that guide operations of such facilities. To facilitate this study, a number of literatures that have been done on the environmental impacts of operating a thermal facility were analysed. These ranged from academic materials and scholarly articles written by academic institutions and departments on their research results on the facility. Literature reviewed articles will also be evaluated to understand the environmental impacts of a thermal recovery facility. To gain insi ghts on the available environmental laws and provisions that govern the operation of a facility of this magnitude, environmental based peer reviewed, academic and university research articles will be evaluated. The press release and legal announcement by bodies and government agencies on the environmental impacts such a facility and the legal requirements that govern its operation will be evaluated. Workshops and symposiums conducted on environmental assessment of thermal recovery will also provide accurate data on the emerging regulatory issues that may affect the operations and smooth running of the firm. Bolton Thermal Recovery Facility The energy produced powers the activities of the

Nursing journals Essay Example | Topics and Well Written Essays - 250 words

Nursing journals - Essay Example ical inactivity, and associated medical conditions, as well as medication, are some of the key factors the journal identifies to be a contributor to obesity. The association between obesity and the occurrence of cardiovascular condition is the primary reason for effective management of obesity in accordance to the journal (Nieswiadomy, 2012). In consideration of the prior knowledge concerning obesity and cardiovascular conditions, I find the journal among the greatest works that exclusively covers the topic of obesity and co-morbidities. Giving an epidemiological inference to the occurrence of obesity and other cardiac conditions, the journal is important in relaying information of the global significance of obesity situations. This is crucial for the health care teams and other health care policy developers to prepare measures to control obesity. Giving both pharmacological and non-pharmacological interventions in the management of obesity, the journal is in line with the world health intervention policies on management of conditions for achievement of universal coverage of health. The journal is thus one I could consider submitting for my paper as it gives a conclusive coverage of systematic approaches in the management of obesity. It is thus agreeable obesity is a complex and multifaceted disease that is chronic and relapsing; thus, the authors of the journal identify the challenges it can pose to the clinicians making obesity a major health concern (Haidar & Cosman,

Fire Safety Management Procedures Of Storage Warehouse Construction Essay

Fire Safety Management Procedures Of Storage Warehouse Construction Essay The individual report is a team members study into one specialist area of the project which is assigned by the team. It should be essential materials to support the final conclusions and recommendation for this project in the team report. The clients requirements details as follows. Building size: 250 sq meters (office) Building size: 3,500 sq meters (warehouse) Building height: 14 meters Twenty glass windows for the offices on the front One door on the front Ten windows for each side Five gates and three windows on the rear Brick front Sainsbury (client) plans to build up a warehouse along with offices of two storeyes. The building will be constructed of pre-engineered steel structure. For example, Fig 1 shows a typical structure of the pre-engineered steel building. Fig 2 displays the inside of the building under construction Figure Figure Background Since the 1960s there has been a rapid increase in the construction of large single storey storage warehouse facilities in the United Kingdom (UK). One of the most notable of these was the 40,000 m2 unsprinklered military storage facility constructed by the Ministry of Defence (MOD) at Donnington. In 1983 this storage facility was completely destroyed by fire despite the presence of an on-site fire service. The fire at Donnington and other unsprinklered warehouses circa 1980 raised concerns in the UK and United States (US). The major concern in unsprinklered warehouses is rapid conflagration, especially if the following features are present: †¢ 12-30m internal building heights †¢ High racked storage †¢ Highly combustible and flammable stored commodities †¢ Combustible wall and ceiling linings, †¢ Poor fire safety management Regardless of the above concerns, recent research undertaken by the Building Research Establishment (BRE) into sprinkler installation trends and fire statistics for warehouse buildings has shown that occupants generally make their escape from fires in unsprinklered warehouses un-hurt. The likely reasons for this are: 1. The large internal volume can act as a reservoir for combustible products and hence will increase the available safe escape time (ASET) 2. An occupants awake and familiarity state within the building reduces the required safe escape time (RSET) on this basis, BREs research stated that it could be difficult to justify the provision of sprinklers solely on safety grounds, indicating that the provision of sprinklers would have a negligible impact for life safety purposes. Since the 1980s there have been several full scale sprinklered fire tests on warehouse commodities (stored to various heights). These tests have been performed by BRE, Underwriters Laboratory (UL), Factory Mutual (FMGlobal) and the National Institute for Standards and Technology (NIST). Such research has assisted in the development of BS5306-2, BS EN12845:2004 and bespoke fire safety engineering guidance such as The Design of Smoke Ventilation for Single Storey Industrial Buildings, including those with mezzanine floors, and high racked storage warehouses by the Smoke Ventilation Association (SVA). Where property protection sprinkler systems are installed with additional enhanced features, significant improvements upon the typical 80% reliability can be achieved. Enhancements such as locking valves in the open position to prevent manual shut-off, fast response sprinkler heads and secondary pumps can all ensure that an enhanced property protection sprinkler system offers an operationa l reliability of in excess of 90%, which is the equivalent reliability for a system designed to a life safety standard. Description The purpose of this Outline Fire Strategy Report is to facilitate preliminary discussions with the Approving Authorities and to outline the approach that will be taken to demonstrate compliance with Part B (Fire Safety) of Schedule 1 to the Building Regulations (2000-2006). This report will provide a brief summary on the all aspects of fire safety which correlate with the corresponding Building Regulations. However it will focus primarily issues pertaining to the Fire Detection and Alarm system and linking factors, such as evacuation times and fire growth. The overarching areas within the project incorporate: Determine metal building frames and column profiles; Choose the materials for the walls and roof; Lay the floors plan out; Fire sprinkler system and fire-fighting water pipe; Fire detection and alarm system; Smoke control system; Architectural design for egress means; Structural fire resistance calculations; Although the provisions for the fire safety aspects noted above are covered under separate regulations, they are interlinked. Therefore, these fire safety aspects will be reviewed holistically in this strategy in order to ensure the requirements of the Building Regulations are achieved in the proposed works. The facility will incorporate approximately 3,500 sq m of warehousing space and a two storey office block. The facility will be typical portal fame construction clad in composite panels with the portal haunch being at approximately 16m above adjacent ground level and the apex of portals being at approximately 18m above adjacent ground level. The two storey office block is compartmented from the remainder of the building in fire resisting construction effectively creating two separated parts. The warehouse compartment is single storey. Automated Garment Racking System The automated garment racking system will be spread over five levels (i.e. ground and four upper access gantries/walkway levels). A common feature of automated hanging garment storage systems is that there are no discernible floors. Access to the automated garment racking system will be via elevated walkways and open stairs. A typical arrangement is shown in figure 3 Figure The existing facility is fitted out with high racking bays incorporating in-rack sprinklers. It is intended to alter the existing high racking bay arrangement to incorporate a more efficient system to meet with specific operational requirements. The existing sprinkler system will be amended/extended to ensure that all high rack storage bays are adequately protected with in-rack sprinklers. Building Regulations Regarding fire safety, the proposed automated hanging garment racking system and associated works must comply with The Building Regulations 2000 (England and Wales) but in existing areas only to the extent where no new or greater contravention of any regulation is created. As a general principle the recommendations of Approved Document B (ADB) Volume 2 Buildings Other Than Dwelling Houses can to be applied to most buildings. Although, in respect of certain buildings and structures, in particular those purpose-designed for automated storage plant, the recommendations set out in ADB might be either inappropriate or unreasonably restrictive. A common feature of automated hanging garment storage systems is that there are no discernible floors and no fire separation provided between deck levels. Automated hanging garment delivery, picking or transportation systems are generally accessed via elevated walkways, stairs and ramps. The Building Regulations are written in a functional manner and rather than follow the prescriptive guidance of a particular code of practice, a fire engineered approach can be taken to demonstrate compliance with Statutory requirements where deemed appropriate. In this regard ADB states the following: Fire safety engineering can provide an alternative approach to fire safety. It may be the only practical way to achieve a satisfactory standard of fire safety in some large and complex buildings and in buildings containing different uses ADB: Fire Safety Engineering (0.3) Therefore, where the proposed development does not fully comply with the recommendations of ADB m it is intended to incorporate the latest guidance available as part of an alternative fire safety engineering approach. This approach will be based on the recommendations of BS7974 with the overarching aim of achieving the optimum design solution and Building Regulations approvals. THE REGULATORY REFORM (FIRE SAFETY) ORDER 2005 When the premises become a workplace, the responsible person, i.e. employer, must ensure that any duty imposed by The Regulatory Reform (Fire Safety) Order 2005, England Wales, specifically articles 8 to 22 or by regulations made under article 24 is complied with. Generally, compliance can be achieved with robust maintenance, staff training and housekeeping regimes and by undertaking regular fire risk assessments (FRA). The local Fire and Rescue Service will be responsible for enforcing these Regulations. Purpose Groups Purpose groups can apply to the whole building or to a compartment in the building. ADB recommends that different uses within a building should be assessed as separate purpose groups except when certain criteria are met (i.e. classified as ancillary if less than1/5 of the compartment floor area). The design of the existing building incorporates a significant amount of single storey open spatial planning, with the warehousing areas being completely separated from the main office block by fire rated construction. Therefore, when account is taken of proposed material alterations and the definitions noted in Appendix D of ADB the proposed warehouse compartment is classified as Purpose Group 7(a) Storage and Other Non-Residential. The existing multi-storey office compartment is classified as Purpose Group 3, Office. Supporting documentation In tandem with the application of recommendations in ADB, a fire safety engineered approach has been used where considered appropriate for aspects of the buildings design. This approach has used recommendations from the following guidance documents to achieve a robust fire strategy: †¢ BS7974 Application of fire safety engineering principles to the design of buildings (BSI 2003) †¢ BS9999 Code of practice for fire safety in the design, management and use of buildings (BSI 2008) †¢ BS5588 Fire Precautions in the design, construction and use of buildings; Part 5 Access and facilities for fire-fighting (BSI 2004) †¢ BS5588 Fire Precautions in the design, construction and use of buildings; Part 8 Code of practice for means of escape for disabled people (BSI 1991) BS7974 framework BS7974 is specifically noted in standard fire safety guidance material as providing further guidance on fire safety engineering principles. Figure 4 presents the basic fire engineering design process suggested in BS7974. Figure Deviations BS7974 states the following regarding the use of fire safety engineering in buildings that are otherwise compliant with standard practice: In many projects it is likely that the provisions of existing codes of practice and other guidance will be largely followed and that fire engineering techniques will not be necessary (or may be used only to justify limited departures from the codes). At its simplest the QDR team may therefore, define the acceptance criteria in terms of compliance with existing code recommendations. The acceptability of a particular design may be evaluated by means of a comparison. The level of safety provided by alternative fire safety strategies can be compared with that achieved by the well-established codes. This approach involves deterministic and/or probabilistic techniques and requires less extensive analysis than a full study. The objective of a comparative study is to demonstrate that the building, as designed, presents no greater risk to the occupants than a similar type of building designed in accordance with a well-established code. Most existing codes and guides allow elements of trade-of f and/or alternative measures. Examples can be found for fire resistance, compartment sizes and building separation In a comparative study these examples may be applicable without the need for detailed analysis. The evacuation strategy for the proposed buildings will involve simultaneously evacuating all areas on activation of the fire alarm system. As part of the Management and Health and Safety procedures the management team shall have prepared and implement procedures for the safe evacuation of occupants from the building. Required Safe Egress Time and Available Safe Egress Time In performance based fire safety engineering approaches it is fundamental that the evaluation of the complex interactions between fire, occupants and buildings for means of escape considers the following: †¢ Required Safe Egress Time (RSET) time to detection warning time (alarm) response time (occupant pre-movement) travel time queuing †¢ Available Safe Egress Time (ASET) Time to untenable conditions governed by fire growth, smoke production and size of room. A simple diagrammatic representation of the relationship between ASET and RSET is shown in figure 5 Research on Evacuation Times Standard fire safety recommendations for means of escape relate to travel time, i.e. the time taken to travel to and through exits to a place of relative safety. However, it is widely acknowledged that the time taken for occupants to start to evacuate can be considerably longer than the time taken to actually move out of the building. Significant research has been carried out in recent decades on occupant behaviour during building evacuations. Fires and human behaviour by Canter in 1990 and Safety and the built environment by Sime in 1988 were significant contributions. Through such research it is now widely acknowledged that occupants behaviour varies appreciably depending on a wide range of factors such as social affiliation, role and responsibility, commitment to a present task, the presence of a focal point, etc. BS7974-6 Human Factors: Life safety strategies occupant evacuation, behaviour and condition is the latest guidance available in relation to human behaviour in evacuatio ns. Recognition and Response Times How occupants respond to a fire will depend initially on the cue they receive. The components of occupants evacuation time are recognition time, response time and travel time. Both recognition and response times are known as pre-movement time. The former represents the time taken to appreciate that the alarm is a fire alarm relating to the occupant (as opposed to a security alarm, car alarm, etc). During this time occupants will continue with activities as they were prior to the activation of the alarm, e.g. staff members undertaking duties, etc. The latter represents the duration taken by occupants to begin to move towards an escape route, e.g. investigative behaviour, shutting down machinery, etc. In warehouse buildings occupants are generally familiar with their surroundings and are trained in fire emergency evacuation protocols. In the proposed storage facility and associated offices, occupants should be familiar with the sounding of the fire alarm and as such would commence evacuation reasonably promptly. Where a reasonable standard of fire safety management is provided and a high standard of automatic fire detection is provided, BS7974-6 recommends that familiar occupants of a building can be expected to take between 1mins and 2mins before they start to evacuate. By comparison, occupants of an unfamiliar building with a complex internal layout and a more basic standard of fire alarm system could take up to 15mins before commencing an evacuation. Recent research would indicate that even in unfamiliar buildings, occupants prompted by familiar staff can commence their evacuation within the first 30secs. Impact of Evacuation Management To comply with ADB and other fire safety legislation a reasonable standard of management will need to be provided in the building. This will include regular fire drills and the appointment of fire wardens for various areas to encourage an efficient evacuation of the building in the event of a fire. Such protocol should assist in limiting the recognition and response times of occupants. However, the proposed strategic approach to fire safety adopted in this fire strategy will not place any greater onus on management of this building than would be considered reasonable for any other storage facility of this size. An extract of Table C.1 from BS7974-6 is partially replicated in Figure 6. This demonstrates the potential variation in pre-movement times of evacuees which is dependent upon on the level of management and fire alarm provision. The management of this building will adopt a proactive fire safety management approach to comply with standard fire safety regulations for the workplac e. Figure A1-A2: Automatic fire detection and alarm throughout the building A3: Automatic fire detection and alarm only in certain areas, or manual call points only throughout Components of Available Safe Egress Time The Available Safe Egress Time is the time from ignition until conditions on occupants escape routes become untenable. The time taken for hazardous conditions to occur on the escape route will depend on three governing factors: †¢ the growth rate of the fire (and rate of smoke production) †¢ time to sprinkler activation and containment of fire size †¢ the compartment size/smoke reservoir Determination of Design Occupancy in the Warehouse Compartment To assess the likely required capacity of escape routes in speculative buildings, floor space factors are commonly used. When a designated bespoke occupancy is not known there are varying recommended floor space factors in current guidance documents that can be used. The proposed works are not for a speculative end user and Sainsburys have a good understanding of necessary staffing levels to carry out their logistics operations based on current arrangements and their other warehousing operations across the UK. Fire Growth Rate During the evacuation period the main hazard to occupants is smoke. The amount of smoke produced is directly linked to fire size and fire growth rate. The most common method of determining fire growth rates for unsprinklered fires is through the use of t-squared fires. Figure 7 illustrates the heat release rates over time of the four common fire growth rates published by the National Fire Protection Association (NFPA). BS7974 acknowledges that storage warehouse commodities growing unchecked will generally follow an ultra-fast fire growth rate. This attracts a coefficient of g = 0.187kW/s2. Charters et al undertook a recent study to review the probabilistic aspect of fire growth in storage warehouses serving retail facilities. One of the main findings of the research was that fires in high-racked storage cash and carry warehouses were ultra-fast growing. This correlates with BS7974-1. An ultra-fast growth rate will be used for the comparative assessment of both the proposed and code c ompliant layouts. Figure Fire Size Sprinklers are installed in buildings to suppress fire size by the distribution of water so as to decrease the heat release rate and pre-wet adjacent combustibles while controlling gas temperatures to avoid structural damage. The proposed warehouse compartment will be fitted with a comprehensive in-rack sprinkler system to ensure fire size is kept to an absolute minimum. Figure 8 below from BS7974-1 demonstrates sprinkler control and extinguishment. Figure Given the enhancements to the property protection sprinkler, the proposed model will be based on a sprinkler controlled fire scenario. Although, there is significant potential that the provision of in-rack sprinklers will fully extinguish a fire, for the purposes of this comparative assessment, it will be considered that the fire size on sprinkler activation in the proposed building will be controlled as per (b) in Figure 7 rather than (d) i.e. the fire being extinguished. This provides an additional factor of safety for the analysis. There has been a number of real fire tests carried out on high rack storage arrangements by insurance companies. Tests carried out by Underwriters Laboratories Inc. concluded that fire size is unlikely to exceed 5MW where in-rack sprinklers have been provided. Smaller tests on single racks of clothing would indicate a typical peak heat release rate of 2.5MW for isolated arrangements. BRE 368 would also suggest a peak heat release rate of 2.5MW for sprinklered retail fires using fast response sprinkler heads. Travel Distances at Ground Floor Level The final exits from Ground Floor Level, independent of the Office Block, will be maintained as part of the proposed works. The existing exits are well distributed around the external faà §ade thus ensuring that occupants can turn their back on a fire and move towards an alternative exit. Existing travel distances to final exits will remain are unlikely to exceed 80m. Code Recommendations When minimum fire protection measures are provided (i.e. manual fire alarm, 2m floor to ceiling height, etc), ADB suggests maximum travel distances in warehouse accommodation of 25m in a single direction of travel and 45m where two means of escape are provided. The proposed building contains a number of inherent fire safety features such as high ceilings, automatic fire detection, sprinklers and an open plan environment. Such features assist in prolonging the onset of hazardous conditions and increase the chance of a person becoming aware of a fire in the early stages of its development independent of the alarm being raised by others. Therefore, the basic recommendations set out in ADB are considered to be unduly restrictive for the proposed building. A detailed assessment of allowable travel distances will be based on the recommendations of BS7974 and the results of this analysis will be presented in the detailed Fire Strategy Report (FSR). A detailed bespoke fire engineering analysis of allowable travel distances based on the recommendations of BS7974 and incorporating Computational Fluid Dynamics (CFD) modelling will be carried out when layouts have been finalised. The results of this analysis will be presented in the detailed FSR in due course. For the purposes of this OFSR and preliminary design we have carried out a preliminary two zone model analysis to gain an understanding of the likely results to be obtained from the detailed CFD modelling. AUTOMATIC FIRE DETECTION AND ALARM Time to Detection and Alarm for the Proposed Arrangement It is proposed to provide a high standard of automatic fire detection and alarm system throughout the Warehousing compartment. The standard of detection and alarm in the building will affect the general time to warning for occupants and provide an enhanced level of fire safety through early warning and shorter evacuation times. Activation of the sprinkler system will also lead to the fire alarm sounding throughout the building. To ensure a conservative estimation of fire alarm activation our analysis has been based on an anticipated sprinkler activation time of 123sec Time to Detection and Alarm for a Typical Code Compliant Arrangement Many code compliant warehouse facilities with code compliant travel distances only require manual fire detection to meet with code recommendations. Therefore the time to detection would depend on the time taken for occupants in the room of fire origin to raise the alarm. However, should the room of fire origin be unoccupied then the time to alarm for people who may be in rooms remote from the fire would depend on them or other occupants becoming aware of cues of the fire scenario, e.g. sounds of burning material, smell of smoke or seeing smoke through a vision panel. Although BS7974-6 recommends a time to detection of at least 15mins for such scenarios, a reasonable worst case for a typical code compliant open plan warehouse could be 3 5mins. Pre-Movement Times The elevated walkways will be accessed by a relatively small number of transient staff who should be familiar with their surroundings and location of their escape routes. In compliance with health and safety legislation, fire drills will be carried out on a regular basis. Therefore, staff should be familiar with the fire alarm signal and the evacuation procedure. Current fire research would suggest that occupant pre-movement times in a managed facility such as this Sainsburys Distribution Centre is between 30secs and 60secs after alarm. However, BS7974-6 Table C1 (see Figure 5) conservatively presents a 120secs occupant premovement time for this type of occupancy. In line with BS7974-6 recommendations the code compliant layout could be 900secs. However, the comparative analysis will consider a pre-movement time of 120secs for both layouts. This is an onerous consideration and as such adds a significant degree of conservatism to the analysis. Travel Times Extensive studies have been carried out on the travel speeds of people of various abilities. CIBSE Guide E Fire Engineering and BR459 Fire Safety Engineering A Reference Guide both state that a travel speed of 1.2m/s is considered reasonable for able bodied people in low occupant density areas. This is based primarily on work by Pauls and Fruin. Personnel who will be accessing the proposed elevated walkways will be doing so to maintain/ensure the smooth operation of the automated system and will need to be reasonably mobile/physically fit to carry out such operations. Therefore, a travel speed of 1.2m/s is considered reasonable for this assessment. As previously noted travel distances on elevated walkways of the Automated Hanging Garment Racking System could be up to 100m when racking layouts are finalised. Based on a 1.2m/s travel speed it could take these occupants 84secs to reach a storey exit. For a typical compliant layout with a 45m travel distance it would take 37.5secs to rea ch a storey exit. For the above RSET components, Table 2 below presents the corresponding trset Δ . The above analysis would indicate that occupants located on one of the elevated walkways could Conservatively take up to 327secs to evacuate from the upper walkway levels of the automated hanging garment racking system. The analysis also demonstrates the benefits of providing a good standard of automatic detection and an in-rack sprinkler system that is linked to the fire alarm system as such systems should ensure that the required safe egress time from the proposed building is kept to a minimum. As can be seen from Table 2 above such systems should also ensure evacuation times from the proposed building would be comparable with many typical code compliant arrangements, if not better. To meet with code recommendations a Type M manual fire alarm system would be necessary in a standard warehouse building. However, the provision of an automatic fire detection and alarm system is an integral part of the overall fire safety package from a fire engineering perspective. The current fire alarm system will be extended to ensure the earliest possible detection of fire in the vicinity of the Automated Hanging Garment System areas. The system will provide high standard smoke detection coverage above and to the underside of elevated levels of the Automated Hanging Garment System level. The sprinkler system will also be linked to the fire alarm system so that in the event of a sprinkler head activating the alarm will sound throughout the building thus ensuring the earliest possible alert of the need to commence evacuation. The additional provision of smoke detection and linking the sprinkler system to the fire alarm is considered a significant additional life safety benefit whi ch should substantially reduce the time to alarm and pre-movement time of occupants in the building. The Type L5 fire alarm system will be designed in compliance with BS5839-1. Office Block Compartment No changes are proposed for the Office Block Compartment. Means of escape from the Warehouse Compartment is independent of the Office Block. Therefore, no further analysis of this area is necessary as part of the proposed works. EVACUATION PROCEDURES Comprehensive fire safety management procedures should be developed in consultation with the Enforcing Authorities. A detailed Fire Safety Management Plan should be developed for the management of the proposed scheme to ensure the safety of all occupants is not comprised. This section only serves as a brief introduction to the evacuation procedures which will need to be written into the Fire Safety Management Plan. Further guidance can be found in BS5588-12 Managing fire safety.

Essays --

OPlaisime After World War II there was a strong anti-communist movement in America for decades prior to the 1950s. Nuclear weapons also sent a shot of distrust and fear between America and Russia. Information about nuclear weapons was very limited to the public. There are some facts, details, and reasons on why did this war happen, effects of the Cold War, and how society reacted to the War. It began in the 1945-1948 timeframe and ended in 1989, having been a dispute over the division of Europe. By another account, the Cold War began in 1917 with the Bolshevik Revolution, and ended in 1991 with the collapse of the Soviet Union, having been a conflict between Bolshevism and Democracy. The Cold war got its name because both sides were afraid of fighting each other in such a â€Å"hot war†, nuclear weapons might destroy everything. So, instead they fought each other indirectly. They played havoc with conflicts in different parts of the world. They used words as weapons. They threatened and denounced each other, or the two countries tried to make each other look foolish. There facts and reasons on why the Cold War happened. The Cold War had two sides. Those two sides were capitalism and communism. Capitalism is that business is owned by private people or firms. It was a free economy that allowed any profit he or she makes is reward for hard work. It also allows that any person should be free to start a business and employ people. Communism is another form of economy. Everything is run by the state and should be run by the government on behalf of the people. No private person is allowed to profit from the work from other citizens. Communism is a controlled economy. All profits don’t go into the pocket of one owner; the pr... ...pons. They both had a large supply of ballistic missiles. The NATO and Warsaw Pact were formed. This war inevitably led to destructive conflicts like the Vietnam War and Korean War. The Soviet Union had collapsed due to its economic weakness. The Berlin was destroyed and the two German nations were unified. The Baltic States and some former Soviet Republics had gained independence. America became the sole superpower of the world. Communism was no more. Communism collapsed worldwide. The Cold War sketched the foreign policies for both the countries through the second half of the twentieth century as both countries fought for accomplices to uphold and widen their own realms of power around the world, but it did not escalate to an apocalyptic World War II. The decade- long standoff between American capitalists and Soviet communists ceased without causing any violence.

Old Age Homes in India Essay

Ans- Old Age Home refers to a multi-residence nursing home for old people, which is also known as retirement home. Each couple or person lives here in a room which is either apartment style or is a set of matching of rooms. Under one roof or in a one building old people are served with different facilities like gatherings, meals, health or sanatorium care, and recreation activities. Levels of these facilities differ from each other. At present 728 Old homes exist in India. Complete information of 547 Old Age Homes is accessible. Among these 325 Old homes do not charge and 95 homes charge money, 116 Old homes include both without charge as well as stay & pay facilities and the information of 11homes is not available. There are 278 homes available for ailing people and 101 Old homes especially for women all around the country. Kerala has the highest number of Old homes in India among all states which is 124. Read more:  Reasons Increasing Number Old Age Homes Society Q2- What are the disadvantages of Old Age Homes? Ans- Disadvantages of Old Age Homes are People generally staying here are very sad. It is but natural for them to be so as they leave their well-known homes for stranger place that lacks in all memories. It is natural for them to fear nursing homes as it is known to be prior step to death. Seeing that they will not be able to get back to their homes, it can be deemed true. Main problem that one faces here is loneliness. Few residents here get visits from families after long time and these are very few in nature. Independence becomes a thing of past when one enters these homes. Many see it as the end of their lives. With independence all gone, they even bid goodbye to their self-esteem. All they live their lives in is scheduled activity. Missing element here is freedom. What is given to them for meals is final. They do not have any say in it. Other freedoms that they lose are: Cooking for friends and family Only with nurses help one can shower that too on their schedule Here service of laundry is provided only with rest of resident’s laundry After getting permission only can watch TV They do not even have independence to go for worship at place of their  option. They instead have to go to retirement home’s service. They are not even allowed to have personal doctors. All they get is one’s at home. Anger at putting them in these homes directed at their children is a natural thing for these residents. Family is bound to get various heartaches from these. Q3- What are the advantages of Old Age Homes? Ans- Advantages of Old Age Homes are Senior citizens that are destitute or are unable in settling with their respective families can easily stay in homes meant for old age people. These homes provide senior citizens with medical facilities like ambulances, well-balanced meals provision, ambulances as well as systems of health care. Thus, these homes provide them with healthy life. Main benefits of these homes are their staff’s good behavior, palatable and wholesome food as well as good services. Senior citizens are also provided with yoga classes in these homes along with medical amenities, shelter and food. For mode of communication they are given telephones that give them access to their families. Other facilities rendered to them are library and entertainment facilities. These play roles of safe haven for senior citizens who have nobody to take care of them or who have not got a place to stay. Residents here get an ambience of complete family. They are given unique sense of friendship as well as security here. It becomes a place for them to share their sorrows as well as joys. With all their free time, senior citizens in these homes can utilize it in something creative. Here in these homes, no body imposes its residents with sense of duties or responsibilities. Nobody hands them out any work to live out a livelihood. In that peaceful atmosphere, residents can pursue their hobbies in full flow. With no expectations, residents do not spend too much money here. Full freedom to participate in one’s religious activities is given here. Life of senior citizens is slow as well as peaceful here. â€Å"Old age home† gives a healthy as well as peaceful life to its citizens. Companionships, solace as well as comfort are given to senior citizens. Al l age-mates get freedom here to give a chance to their favorite hobbies without any restraints. Q4- What are the types of Old Age Homes? Ans- There are mainly two types of Homes for Old Age people available in  India. One is a no charge one or â€Å"Free† type which is mainly for impoverished old persons who have nobody to look after them. They are served with food, clothing, shelter and medical care there. Another type of Old Age Home is based on payment which is known as â€Å"Paid† home. There all facilities are provided if paid for. Now these kinds of â€Å"Retirement† homes have become popular all around India and they are well in view of significance. Q5- What is the relevance of Old Age Homes? Ans- Many factors are accountable for the separation of old persons. Many young couples are relocating themselves for better employment from villages to cities in order to have a better future. Many elders are also reluctant to provide the duty of household, which they are controlling for an elongated time, to children. Youngsters are sometimes indignant in behavioral attitude to their parents. Youngsters have migrated to different places distant from their inhabitant places and also to numerous countries abroad. So they are unable to provide accommodation to their parents in their own houses even if they desire. Elders sometimes are too debilitated or ill to take care of themselves or get medicinal help in any urgent situation. For all these reasons the homes for elders increasingly seem more appropriate in Indian circumstances.

Comparing Sonny’s Blues to the Cathedral

1. Is Patrick lonely? In my opinion, I feel as though the boy is lonely, living in such a remote and desolate place, with only his father to spend his time with. For example Ondaatje says, â€Å"He was born into a region which did not appear on a map until 1910, though his family had worked there for twenty hears and the land had been homesteaded since 1816. In the school atlas the place is pale green and nameless. The river slips out of an unnamed lake†¦Ã¢â‚¬  (10-11).Patrick’s characteristics makes him seem sad or withdrawn from society, for he spends his time gazing out the window searching for bugs. Ondaatje exclaims, â€Å"He walks back into the bright kitchen and moves from window to window to search out the moths pinioned against the screens, clinging to the brightness†¦ Bugs, plant hoppers, grasshoppers, rust-dark moths†¦throughout the summer he records their visits and sketches the repeaters â€Å" (9). I feel bad for Patrick, that his only companio ns are the bugs flying around his house, in search for light.Although Patrick does have his father, his dad doesn’t pay him any attention, unless they are working together. Ondaatje says, â€Å"Hazen Lewis was an abashed man, withdrawn from the world around him, uninterested in the habits of civilization outside his own focus. He would step up to his horse and assume it, as if it were a train, as if flesh and blood did not exist† (15). It would be rough to grow up in that kind of unloving environment. It would be difficult to feel you had to earn your love.For Patrick’s father, only praises him when they are successful at work. For example, Ondaatje says, â€Å"They begin to run back home, looking behind them to see if the cow is following. The boy gasps, ‘If she goes into the ice again I’m not doing a thing’ ‘Neither am I’ yells his father, laughing† (16). The only part in the story when the boys Father demonstrates warmt h and kindness towards his son, is when they save the cow from drowning. The fathers introverted attitude, makes me question how he became so incredibly withdrawn from society.It makes me wonder what happened to his wife. Did she die? Is that the reason why he chooses to act so distant from his son? Does he remind him of her? Patrick’s absent mother also makes me question if that is the reason why Patrick is so quite and reclusive, like his father. With Patrick’s mother missing from his life and Patrick’s father uncommunicative, it causes him to live a very lonely, unhappy, and solitary life. 3. Patrick’s unloving and solitary environment is the reason for his unhappiness.

Paper Report For The Chapters One And Two Of The Book Peoples History - 1

Paper Report For The Chapters One And Two Of The Book Peoples History - 1 Paper Report For The Chapters One And Two Of The Book People's History Of US: (1492 Peoples History of US: (1492 - Present) - Modern ic Identify the central thesis of chapterone and two of Zinn: Chapter one is an account of the discovery of Christopher Columbus of America specifically the area that was occupied by the Arawak people (who are Indians that lived in South America). The main theme is that of morality because it provides an in-depth analysis of how Christopher Columbus mistreated and mishandled the Arawak in order to find the gold, which he believes is present in that land but which turns out to be almost non-existent (Zinn 10). Despite not finding the gold from the places they dig, he still forces them to continue digging and many even die but he seemed to care less. There is also mention of other morality issues about other conquerors and their conquests. The second chapter is about how slaves were brought into America from Africa and their relentless work in the fields of their owners. Just like the first chapter, the slaves who are black people are di scussed extensively of how they were overworking in the plantations without any mercy from their owners (Pickett and Pickett 17). Morality issue is discussed in detail by the author providing examples of how it was non-existent from the owners towards their slaves forgetting that they were also people just the way Columbus forgot the Arawak he overworked were people as well (Pickett and Pickett 36).Discuss why the author chose the title of the chapter:The first chapter â€Å"Columbus, the Indians, and Human Progress† is mainly about the escapades of Columbus and the Arawak and also other people in history who conquered other lands. The second chapter â€Å"Drawing the Color Line† is basically about slaves: how they were brought and how they were overworked by their owners. Petre-Grenouilleau, Olivier. From Slave Trade to Empire: Europe and the Colonization of Black Africa, 1780s-1880s. New Jersey: Routledge, 2004. Print.Pickett, Margaret and Dwayne, Pickett. The Europ ean Struggle to Settle North America: Colonizing Attempts by England, France and Spain, 1521-1608. California: McFarland, 2011. Print.Zinn, Howard. A Peoples History of the United States: 1492 to Present. New York: HarperCollins, 2010. Print.

Describe Yourself Essay Whats It All About

Describe Yourself Essay Whats It All About Whether youre applying to a community college, a four-year college or university, or graduate school, you may be asked to write an essay describing yourself. A Describe yourself essay may also be required for applications to extracurricular programs, special experiences, and certain types of employment. So, where do you begin when describing yourself in writing? Do you talk about your weaknesses, or just your strengths? Make Preliminary Notes Before you begin writing the essay properly, take some time to jot down a few thoughts. You dont have to include everything you write down here in your final draft; this is merely a brainstorming exercise that will give you some material to work with. First, make a list of your strengths and weaknesses. These can be physical, mental, emotional, or spiritual qualities. While youre at it, add any special talents or hobbies. If you have any personal heroes, list those names, whether theyre celebrated figures or not. Next, write down any significant experiences youve had, such as witnessing the death of a pet or family member, winning an award, traveling, or becoming sick or injured. Add dates to refresh yourself, in case you plan to write a chronological account. Finally, list some adjectives that you think other people might use to describe you, as well as words youd use to describe yourself. Pick a Format Some institutions will give you details on how to compose your essay. In the absence of such instructions, its always safe to go with a standard five-paragraph essay. This consists of an opening paragraph, three solid paragraphs, and a conclusion. Dont Be Too Negative While its fine to mention rough times or personal weaknesses, some things are better left unsaid. A run-in with the law or a battle with a serious mental illness is generally not the kinds of things you want to talk about in your essay. Always try to use negative characteristics or events to highlight your good points. For example, if one of your parents abandoned your family and you had to become a caretaker to your younger siblings, you can talk about how that experience made you more mature, responsible, and compassionate. But focus more on the outcome than the bad experience. The more skilled you are as a writer, the better youll do at turning negatives into positives. Open Strong Whether or not you have the option to give your composition a title, youll want your first sentence to reel the reader in. You could mention something that other people say about you, refer to a favorite quote, or make a joke that shows your personality. Write a Thesis Statement A thesis statement, which also belongs in your introduction, is different from a hook or a headline. The thesis is your overall description of what youre writing about. Here are some examples: __________ was the most significant experience of my life. The three values that best define me are __________, __________, and __________. My lifelong dream has been to __________. If theres one thing I regret, its __________. If I can accomplish these three things before I die, I will have lived a good life: Compose Three Distinct Paragraphs There are several ways you can arrange your essay. You might write one paragraph about each of your most important values, memories, or goals. Or you could devote one paragraph to describing yourself physically, one to describing yourself psychologically, and one to describing yourself socially. Again, the construction of the essay may be part of the assignment, so be sure to follow any instructions you receive. Close Memorably In your closing paragraph, sum up the basic point or points you want the reader to remember about you. What did you strive to say in the body of the paper? Recap it here by saying something like, Whatever happens, I know I will have my __________, __________, and __________ to guide me. Finally, remember that this is not a research paper or book report. Keep the tone casual, and make sure it sounds like the real you. If youre naturally a serious intellectual, thats fine. But if youre a clown, it wont serve you well to write a stuffy-sounding paper.

An Analysis of Egalias Daughters

In the satire of the sexes, Egalia’s Daughters by Gerd Brantenberg, there is put forth a society different from which has ever been present in modern times. This would be a society where women were at the forefront and did the decision making, worked and held governmental positions. The men were portrayed in the way females live in present society, though it was often exaggerated to make that point. Men were dominated and ruled by women and had to do their bidding and cook for them and take care of the children, so on and so forth. By taking a hard look at how sexuality is imagined and experienced on all analytical levels and picking apart the social construction of gender in Egalia’s Daughters, society itself in the present can start to be unraveled as well. What is found in this book can transfer over to a point and parallel itself with present experiences of women and their struggle for equality, recognition and acknowledgement. In order to fully analyze the sexes in this book, the micro, meso and macro levels need to be looked at individually to observe where sexuality is imagined and experienced by both genders. On the micro level, the sexes are very different from one another in this book. The women are expected to be large in weight and wear pants and shirts. The men are often wearing skirts and blouses with a contraption called a peho which holds their genitals in place. This can be compared with a bra to women in society today. When Patronius Bram has to buy his first peho he’s struck with much anxiety and wondering. This means he’s beginning to enter adulthood and will attend the Maidmen’s Ball. Here is where boys expect to be â€Å"swept off their feet† by a certain woman and taken into a maidmen-room and engage in some sort of sexual activity. The boys expect it to be a wonderful experience and hope to have actual intercourse. The women on the other hand appear rather rowdy and in it only for the sexual relations. The whole goal of this ball is for the boys to be offered something called â€Å"fatherhood protection† from a woman. This can be compared to becoming engaged to be married in modern society today. Women view men as a sort of hindrance in this book—just view them as weak and by giving them fatherhood protection they’re doing them a huge favor. It’s the men that seem to actually love the women that choose them and try to not always focus on what’s going to happen sexually. On the meso level, it’s clear that there are certain norms regarding sexuality which are present in schools and the community. The classrooms in Egalia’s Daughters are dominated by the girls. There are many degrading comments coming from girls to boys. Boys are expected to be wearing their peho at all times when they leave the house even though it is often uncomfortable and not wanted. If they are seen without it it’s similar to the reaction of people in modern society seeing a woman who isn’t wearing her bra. Johnson writes in â€Å"Patriarchy, the system,† that socialization is just a process used to teach people how to participate in social systems (33). The men in this book are taught by what they are told to do and fall into specific roles that almost appear pre-determined. If they deviate from the norm, they are shunned which becomes evident at the end of the book when Patronius is trying to make changes and is persecuted for it and his ideas/beliefs. This correlates directly with feminists and the feminist movement that’s prominent in society today. The rules and expectations have been in place for so long it almost seems futile that true change will ever occur. However, as the book illustrates there’s always some others with the same beliefs and aspirations of equality. The women in the book don’t fully realize that though the society was built on equality, men are hardly equal to women. Johnson also writes â€Å"patriarchal culture is about the core value of control and domination in almost every area of human existence† (34). Though this is obviously a matriarchy, this domination is clear. Women make all the decisions regarding parliamentary laws and make the household decisions and control all finances. The men don’t usually work and are expected to watch the children (hence the term â€Å"housebound†) so they don’t have any access to money. They are made to be fully dependent on their woman. Even when engaging in sexual activity there are permissible positions and others that are regarded as dirty or deviant because the man is in control, which is unacceptable. It’s very interesting because the same can be said of modern society today. Women often have little access to financial means and have long since been expected to stay home with the children and let the husband work. This can actually be better explained when looked at on the macro-level. Though this book isn’t about a nation it’s fairly well-spread and established that women are in control of everything. There are some societies that differ in the treatment of men but it’s still a matriarchal situation. Gender in Egalia is socially constructed, similar to how it is in modern society—but opposite. Where men are considered inferior to women. Lorber writes â€Å"gender is one of the major ways that human beings organize their lives† (24). He goes on to describe how it occurs at birth when the genitalia are seen. In the book mothers often hope for a daughter like fathers in modern society often want a son. The reactions to certain events and punishments from women mold the men to be obedient and oppressed. When Patronius is telling his mother he wants to be a seawom diver she just tells him that no real menwim want to go to see. This immediately puts Patronius on a path of secrecy regarding his beliefs and ideas because he will just be told he’s not being realistic and his hopes dashed. He also can see from this that similar treatment will occur elsewhere because the society’s ideas are widespread and accepted. His little sister Ba is already demanding and abusive towards Patronius because she feels entitled since she’s a girl and he’s a boy. She ridicules him on being part of the frail sex and makes rude comments often. She’s been born into this society and her mother only encourages her by not punishing her when she ridicules Patronius. She’s just being a girl and that’s what girls do to boys. Sound familiar? Modern society would say the exact opposite, boys will be boys. So it can be said that Ba is not entirely responsible for the way she acts; it’s accepted and widespread although it certainly isn’t very civil. No one has a problem with it and it just begins a vicious cycle. In Egalia women are threatened by any uprising from men. Patronius tries to make changes that make men become more of an equal to women (though far from it) and he is shot down by the female lawmakers. Which are all of them—there are no men to have say in the laws and regulations. These men are looked at like all they are doing is stirring up trouble and are subject to ridicule and various shunning behaviors. This is also recognized by Hogeland in her article â€Å"Fear of Feminism† where she writes about feminism not being a fear of gender but a fear of the politics involved (18). Many men didn’t participate in any rebellion in Egalia because they feared repercussions or didn’t think their lives were all that bad and didn’t understand the magnitude of what was happening. This parallels directly to the feminist movement that occurred in the United States. As shown above, it’s evident that Egalia’s Daughters employs complete role-reversal of the sexes to illustrate the inequality that exists. By doing this every little think is analyzed and the reader can really see and pick out everything that contributes to one sex becoming more authoritative and powerful than another. Sexuality is present on all levels of analysis but experienced differently by each gender. Even in society today, when asking men and women their opinions and ideas on gender equality there will be very different responses. Men will often hinder change without even realizing it because they’re more privileged and don’t want to see their power leave them. The social construction of gender is also very easy to see throughout the book.

How Healthcare Strategies differ from other business Strategies Research Paper

How Healthcare Strategies differ from other business Strategies - Research Paper Example lthcare strategies aim at ensuring excellent treatment services to the patients while business strategies aim at maximizing profits and minimizing losses. The main purpose of this research paper is to outline how health care strategies differ from other business strategies (Moseley 23). In health care, which is different from other business strategies, the business days as usual have ended. Around the globe, almost every healthcare facility is putting efforts to cope with the rising cost and irregular treatment quality in spite of the well-intentioned and trained clinicians’ hard work. Health care facility managers and policy makers have attempted numerous incremental fixes, reducing errors, attacking fraud, trying to make patients better â€Å"customers†, establishing electronic medical data records, and enforcing medical practice guidelines but none of these measures have had much effect (Moseley 24). The scope of this paper is the management and planning of strategy in certain industries, those that associates with the financing and delivery of health care services in the United States. The term health care in its broad sense includes managed care organization, small group practices, large group practices, academic physician academic, health maintenance organizations, and independent and solo physician practices among others (Moseley 25). Heath care also involves Health plans, Health insurance companies, Community hospitals, Specialty hospitals, Teaching hospitals, Community Health centers, and Multi-specialty group practices. The companies associated with Health care strategy are pharmaceutical companies, DME manufacturers, regulatory public health agencies, biomedical and biotechnological companies, public health financing agencies (CMS), Veterans Health Administration (VHA), and state public health departments. Heath care takes into account all these industries for disburseme nts approaching a fifth of the GDP (Gross Domestic Product) of the United

Thomas Jefferson Essay Example | Topics and Well Written Essays - 500 words - 1

Thomas Jefferson - Essay Example In fact, the same historical figure who penned the words â€Å"all men were created equal† owned 200 slaves and more importantly violated his republican political philosophy during his presidency. There have been varied views on the question of the contradictions seen in the greatest of the American Fathers. However, one most justified position to hold would be to see Jefferson taking a part in the American trait of being in conflict rather than perceiving him as a marked contradicting figure. Such a position is partly on the basis of the contradictory views and conclusions on the contradiction of Jefferson, the one time political giant of our Nation and partly on the awareness of American trait of conflicts. Thus, it is of pertinent value to comprehend the interpretations of the historians who consider Jefferson as a person of contradictions. According to Christopher Hitchens who writes of how historians view Jefferson, â€Å"it would be lazy or obvious to say that he contained contradictions or paradoxes. This is true of everybody, and of everything. It would be infinitely more surprising to strike upon a historic figure, or indeed a nation, that was not subject to this law. Jefferson did not embody contradiction. Jefferson was a contradiction, and this will be found at every step of the narrative that goes to make up his life. (Hitchens, 2008). It has ever been remarked that Jefferson was in two minds about slavery throughout his career which can be seen as evidence for his conflicts. On the one hand, as a young politician, he held his views for the prohibition of slavery in new American territories and, on the other, he never freed his own slaves which made him a contradiction in hi mself. The significant question ever have been â€Å"How could a man responsible for writing the sacred words "We hold these truths to be self evident, that all men are created equal" have been a slave owner? He never resolved his internal

The Egyptian War of 1882 Essay Example | Topics and Well Written Essays - 750 words

The Egyptian War of 1882 - Essay Example According to the essay "The Egyptian War of 1882" findings, on January 8th, 1882, the French and the British signed a treaty known as the "Joint Anglo-French note" that initiated dual control of both France and England that was sent to the Egyptian government, declaring their recognition of Khedive Twefik’s authority. However, the nationalist opposition to Khedive (Lord) Twefik who was the current Ottoman ruler of Egypt was greatly increased when the European diplomats supported the agreement. Khedive Twefik, due to the opposition, was forced to appoint the nationalists as the prime minister and war minister on February 25th, 1882 (Cromer 359). Urbi Pasha organized a militia in protest against the wage difference between the Egyptian and the European army, which was exposed on April 12th, 1882, consequently on April 12th, and May 20th, 1882, France and Britain deployed small naval squadrons to the Egyptian coast, which resulted in the arrest of some of the militia members. Urb i Pasha, however, had not given up and he marched a troop of his militia to Alexandria on Sunday, June 11th, 1882 where they caused a riot against the Christian and the Muslim in the town resulting to the death of approximately 50 Europeans (Cromer 715). The British reacted to the attack and bombarded Alexandria, which resulted in the evacuation of the port. By this time, Urbi had begun taking control of the government and the British military initiated and intervention backed by Tewfik’s approval.

New City New Experience Essay Example | Topics and Well Written Essays - 1250 words

New City New Experience - Essay Example always trying to find a good in what you feel is bad; this makes it a tad bit easier to cope up and adapt. This is exactly what the video teaches us- to look at the bright side of things and realize that one could have been in far worse situation than one is in right now. The new city, new experiences video opens with a shot of Ayers Street and the camera pans to a grocery store. Character1 walks in and starts checking out the items displayed on the display racks. A close up of the item shot is shown. Next, the camera shows a blue car being parked outside the same grocery store and character 2 coming out of the door. Both the characters in the video are acquainted. Chracter2 greets chracter1 while the latter expresses his feelings about the high prices that he saw in the grocery store. He says that the prices are far higher that what he is used to in his home country. Chracter2 explains that living in a developed country like the states comes with a price because the minimum cost of living is quite high. However, he also makes character1 realize that since they reside in Edmond they are luckier because the relative cost of living in Edmond is relatively low than the cost of living in other cities of America. Character1 is thankful to God for this and both the characters part ways. The scene begins in a dark street with only the street signboard. The camera pans right showing a streetlight. Perhaps the only light that light up the entire street stretch. The camera continues to pan right and stops at a small grocery store. The opening itself is an indicator of the theme of the video. The camera pans from left to right starting from a dark street and ending in a fairly lighted place which too is an indicator of the core theme of the video i.e. no matter what situation you are in always look on the bright side of things. The street light in the scene is also objective here since the road is dark and it is only the light that is visible; this again is implies the ce ntral theme of the video. The camera is in the store and we character1 walking and entering the shop. He is wearing a black shirt and looks well groomed. The character has a subdued face and exudes an introvert’s body language. He walks past the magazine stand and head directly towards a display rack. He picks up a Snickers bar. The camera zooms in and shows only chracter1’s hands and the snickers bar. The camera then focuses on the bar indicating that even chracter1 is focusing on the bar more particularly on the price printed on the back of the package. The expression on the face of character1 changes to that of surprise. The fact that he looks surprised after finding out the price of the item reveals that he is not accustomed to buying such highly priced products. Perhaps, he is new in town (since till here the video does not reveal his background). Next the camera shows a car’s headlight which is again an indicator of the central theme of the video. The car is shiny blue one and we see character2 switching off the engine and stepping out of the car. The look on character2’s face exudes confidence and his gait is relaxed and confident too. He walks up to the entrance of the grocery store and meets character1. He greets chracter1 by his name- Mohammad and Mohammad replies that he is fine. Character2 enquire of Mohammad what he had been up to and Mohammad explains

Protection of children.A critical analysis of violence upon film Essay

Protection of children.A critical analysis of violence upon film - Essay Example The investigation also disclosed that she was forced to sleep in the bin liner in the bath. And yet, it is also the story of institutions that have failed our children, a bureaucracy that has neglected the most vulnerable members of our society, and individual officials whose individual omissions have resulted in collective negligence. In the hearings subsequent to the death of Victoria Climbie, it was discovered that she was seen by dozens of social workers, medical practitioners and police officers but all of them failed to either detect signs of abuse or failed to act on them until it was too late. The inquiry revealed that there were as many as 12 opportunities were the authorities could have intervened, but failed to. Though Victoria’s abusers were eventually sent to jail and sentenced to life imprisonment, the hard questions still remain. How could this kind of abuse – so horrible and grotesque – to a child of tender years have gone undetected? Is the system so decrepit, so shot full of holes that despite many warning signs and many opportunities to save Victoria’s life, she still ended up battered and dead, with 128 injuries on her frail body? And perhaps the most troubling question of all: could this happen again? Dare we allow this to happen again? Indeed, child abuse is an issue of grave importance, and maltreatment, something more complex than we think1. It has long been established that children’s rights are human rights and that it is the duty of every state to act in the best interests of the child and to provide a safe environment conducive to his development. Under the 1959 UN Declaration on the Rights of the Child, humankind should â€Å"guarantee the human rights of children is to invest in the future. Childrens rights are the building blocks for a solid human rights culture, the basis for securing human rights for future generations†. As human beings children should have more right and their rights are in fact

Kohl's Department store Essay Example | Topics and Well Written Essays - 750 words

Kohl's Department store - Essay Example It also has equally impressive house brands that are price competitive. These give variety to the product lines that the department store carries. One of the company’s strengths is that Kohl has a very wide distribution network, with nine distribution centers located in strategic areas. This enables the company to immediately replenish stocks in the stores. Immediate replenishment means there will be minimal lost sales due to non-availability of the products. Having a lot of distribution centers also results to manageable operations costs resulting from having to bring the products from one area to another. However, Kohl’s main weakness is its company size compared to the industry’s larger players. Kohl only has about 1000 stores located in various parts of the US. Furthermore, its area of distribution is only within the US, whereas other Retail stores have reached other countries. As such, Kohl is very dependent on the economic condition of the US. Kohl has the ability to compete heads on with the larger players as it continues to expand, with the target of having 1,400 stores in 2012 (Economy Disrupts Kohl’s Expansion 2009). In spite of the economic downturn, slowing the company’s expansion from its target of 90 new stores per year to only 75, the company is still confident on its expansion plans. And alongside the expansion plans is their innovative marketing plans, among which is the company’s shopping strategy tool, whereby consumers can create and print customized shopping lists that has product images and pricing so that they can compare values and get the most out of their money (Kohl’s Shoppers Can Count on Tremendous After Thanksgiving Day Savings 2009). Another opportunity is that Kohl is now also maximizing online shopping, as the other retailers in the same league. Doing so would attract more consumers, and connecting them on a personal level as the website offers detailed

Protection of children.A critical analysis of violence upon film Essay

Protection of children.A critical analysis of violence upon film - Essay Example The investigation also disclosed that she was forced to sleep in the bin liner in the bath. And yet, it is also the story of institutions that have failed our children, a bureaucracy that has neglected the most vulnerable members of our society, and individual officials whose individual omissions have resulted in collective negligence. In the hearings subsequent to the death of Victoria Climbie, it was discovered that she was seen by dozens of social workers, medical practitioners and police officers but all of them failed to either detect signs of abuse or failed to act on them until it was too late. The inquiry revealed that there were as many as 12 opportunities were the authorities could have intervened, but failed to. Though Victoria’s abusers were eventually sent to jail and sentenced to life imprisonment, the hard questions still remain. How could this kind of abuse – so horrible and grotesque – to a child of tender years have gone undetected? Is the system so decrepit, so shot full of holes that despite many warning signs and many opportunities to save Victoria’s life, she still ended up battered and dead, with 128 injuries on her frail body? And perhaps the most troubling question of all: could this happen again? Dare we allow this to happen again? Indeed, child abuse is an issue of grave importance, and maltreatment, something more complex than we think1. It has long been established that children’s rights are human rights and that it is the duty of every state to act in the best interests of the child and to provide a safe environment conducive to his development. Under the 1959 UN Declaration on the Rights of the Child, humankind should â€Å"guarantee the human rights of children is to invest in the future. Childrens rights are the building blocks for a solid human rights culture, the basis for securing human rights for future generations†. As human beings children should have more right and their rights are in fact

Health Disparities in Uninsured Americans Essay Example for Free

Health Disparities in Uninsured Americans Essay According to (Kilbourne, Switzer Fine, (2006), Health disparities are significant differences that are needed and viewed clinically and statistically in health care and health outcomes. These differences between groups of people can affect how often an illness(disease) have group affects, the number of people who have gotten sick and how many times do this particular disease or problem ends up with death occurring. There are a number of populations that can be affected by health disparities. ( Felton, (2013). Some of these differences are: Ethnic and racial minorities Rural area residents The elderly, children and women People with disabilities. (Medline Plus.com., (2013). Health disparity can also be defined as differences of populations in health care access, environmental exposures, health status, quality or utilization and outcomes involving your health. Health disparities are related generally to social issues and healthcare systems. The worldwide web coming in existence in the mid 1990s also can lead to health disparities since some ethnic groups would not be able to afford the internet. One of the objectives of Healthy People 2010 was to provide more internet services to the home. (Gibbons, (2005). Since this study will be a quantitative study it will focus on the total number of uninsured or underinsured Americans who didnt have health insurance by the end of 2012. Another focus of this study will be coming up with possible solutions to this growing trend in healthcare. In this study we will also seek to discover how the uninsured or underinsured individuals or families are being effected positively and negatively by gaining feedback from these individuals. There are several ways to obtain this feedback for this study in which we will be conducting surveys and questionnaires to get the answers we need. These ways are: the reasons why they do not have insurance to determine how this may affect their access to care, to determine whether the cost of care is directly affecting the reason why these individuals may not be insured and in this study we need to try to find the problems, come up with solutions and look for ways to get rid of any barriers to persons so that they can find affordable health care policies. Since the Affordable Care Act of 2010 is in effect we need to study how the introduction of a new healthcare law to totally replace the healthcare system that has been in place for years will effect uninsured and underinsured Americans. According to the article by (parkdatabase.org.,(2012). For the surveys we will be conducting our survey samples will be coming from males and females  who are American citizens, all races or ethnic groups, 200 participants will be equally divided by gender. In order to cover a wide variety of people that are being effected by health disparities in quantitative research usually will require a large sample size in order to quantify the research. (Felton, 2013). Background of the Study There are several factors that join together populations to influence someones health and health status which results into health disparity. According to the Healthcare Fairness Act of 2000 House Resolution #3250, populations that have health disparities suffer from numbers that are significant as it relates to the total rate of incidence of disease, mortality, survival and morbidity when compared to the population in general. The most contributing factor to health disparities most often mentioned when watched in the United States population is Socioeconomic status (SES). Other factors related to health disparities include: physical and cultural environment, lifestyle, working and living conditions, and community and social networks. Socioeconomic status can be defined as how persons, households, families, and aggregates and census contracts as it relates to the size to consume or create goods that our society values. (Shavers, (2007). The quality of healthcare experienced by our patients may be related to issues of disparity, socio-environmental determinants of health, practice variation, and substandard of care as scientific evidence seemed to show by the late 1990s. (Gibbons,(2005). Since Disparities in the United States can be caused by rather a mixture that is complex, historic injury intertwined with problems with access along with systematic quality. Health disparities have many sides which include ethnicity, status, geography and race. For policymakers it is critically important to give meaning to the problem in the correct way to make sure any solutions that are goal-related will be able to address the solutions reached. The goal is to provide health security for everyone no matter what your socio-economic characters are. Even though the United States goal is to completely get rid health  disparities there will be efforts to become a part of a broader effort to change health care and by doing so, there must be focus on improving the quality of care delivered to patients individually first and foremost. (Frist, (2005). We can now ask the question, Why the study of health disparity should be pursued and for whom is the study important to? The study of health disparity should be pursued because if nothing else but to determine if the research into health disparity will show any differences in organizational features that are specific. Furthermore the idea that organizational factors may play a significant role in health disparity has brought about more of a deep research on the role of organizational processes that are mutable when you look across the treatment setting. (Kilbourne, Switzer Fine, (2006), Purpose of the Statement The purpose of this study will be to test the framework that is conceptual that will cover health disparities in 3 phases. Detection Reducing and/or Eliminating Understanding The survey will include 200 male and female divided equally on uninsured Americans adults 18 years and older to gain feedback on why they do not have health insurance. (Felton, 2013). Viable Research Questions and Hypotheses What role if any how access to care directly affected your health status because you dont have health insurance? How has the cost of healthcare affected you individually, your families  health status because of no health insurance? How do you think your health status would change if you could afford health insurance? Do you think the new health care law will positively or negatively affect your ability to purchase health insurance? What factors do you believe are directly associated with the uninsured status as it relates to health insurance access? (Felton, (2013). Hypotheses Having no health insurance is directly impacting my access to care. Also the cost of care while having no health insurance is directly affecting my general health of me as well as my family. Also, if I had no cost for health insurance or low cost this would positively affect my health status as well as my family. With the Affordable Care Act of 2010 partially enforced, how do you believe this law will be directly associated with your uninsured status when it comes to access to health insurance. (Felton, 2013). Nature of the Study Design The strengths of Experimental Designs research according to the textbook, (Frankfort-Nachmias, Nachmias, (2008), designs begins with the understanding of the 4 components of research design which are: _comparison(correlation of two variables), manipulation(control over), control, (removal of other factors(, and generalization(different settings, larger populations can be use)._ (Frankfort-Nachmias, Nachmias, (2008).  The strengths of experimental designs is it will help a researcher understand the logic behind all other research designs, another strength is that an experiment lets the researcher observe and draw inferences that are casual with less difficulty no matter what type of variable is used and it allows researchers to be able to understand other design limitations. (Felton, (2013). According to the author,( Bhattacherjee, (2012). The limitations of Experimental Design research can be in the world of experimentation, the situation in the real world may not always relate, in situations where you have to randomly assign the persons to groups this may be impossible and unethical and another limitation would be getting rid of variables that are extraneous may not even be possible. (Felton, 2013). According to textbook by, (Frankfort-Nachmias, Nachmias, (2008). When I consider the quantitative research plan I am developing and my research questions, hypotheses, and variables, I would recommend the classic experimental design for research. The reason is my research plan involves, Health Disparities, which is a topic that can touch on several specific groups whether it be based on race, gender, insured, uninsured. In the classic experimental research design as the researcher you do have more control over the intrinsic and extrinsic variables for your research which is an advantage for me. Also in experimental design it allows the researcher to have control to introduce the variable that independent to help determine which direction the causation is being led to. Since Health Disparities will need to cover several areas in order to be effective I feel that experimental research design offers me the best chance of reaching the goal of my research which are three phases: 1. Detection, 2. Understanding of the problem and 3. getting rid of or eliminating health disparities all together. ( Felton, 2013). Since there are so many issues that are affecting Health Disparities in our world today, I feel I need to choose a research design plan that offers flexibility to the researchers which allows them to properly research the  issue, look at all sides to the issues to help come up with valid and ethical conclusions. Also, since I want to focus on uninsured Americans, just like me, and a hot topic in our world today, I will need an research design that will aid in my success to properly research this issue fully. iii. Instrumentation and materials According to the authors, (Keppel, Pamuk, Lynch, Carter-Pokras, Kim, Mays, Pearcy, Schoenbach, Weisman, (2005). S The levels of measurement that will be important for my study in Health Disparities can involve at the nominal level, ordinal level and ratio level. Health disparities can be measured according to six issues that are between populations and groups: 1. a reference point will need to be selected in order to measure disparity. 2. Disparity need to be measured in either relative or absolute terms. 3. Measurements for health disparities need to be in terms of adverse or favorable events. 4. Health disparity needs to be measured in summary fashion or pair-wise. 5. In health disparity you need to choose whether to weigh groups according to the size of the group. 6. In health disparity there needs to be a decision whether to order the groups in a inherent way. (Felton, (2013). According to the textbook, (Frankfort-Nachmias, (2008). The nominal level will be important to my study on health disparity because at this level you can measure a different symbol that will represent each symbol. For example: ethnicity, gender, nationality, martial status, religion, and where you live. According to Messer, (2008). The ratio level is also another level of measurement that can be used in my research study on Health disparities  because variables at this level have fixed natural zero points and absolute because these variable can be based on length, time, weight and area. Frankfort-Nachmias, (2008). Ratio measurement are the most common level of measurement used in disparity due to the scale of measurement. At the ratio level when measuring disparity it can be used in both as an absolute measure as well as a level of ratio. (Felton, (2013). Validity in research is concerned with whether you are measuring what you really need to or intend to measure for your research. There are three kinds validity in research: content, empirical and construct validity. I will ensure content validity, empirical validity, and construct validity for my study in health disparity in uninsured Americans by first understanding what each of the three types of validity mean: 1. Content validity is when your measurements are actually covering all areas you are intending to measure. In other words, nothing is left out. According to the textbook authors (Frankfort-Nachmias, (2008). Under content validity we have what is called face validity or the researchers evaluation that is subjective in their research. Another content validity is called sampling validity which is concerned about whether the population given in the research is sampled adequately. (Frankfort-Nachmias, (2008). Since health disparity covers a large area to be sampled, as a researcher I will have to find one area to focus on such as uninsured Americans, covering persons 18 years and older, male and females, all ethnic groups will all be a part of the sample. (Felton, 2013). According to authors (Hidalgo Goodman, (2012). Empirical validity refers to the relationship that is between an instrument that needs to be measured and the outcomes of the measurements. Construct validity relates the issues you are measuring to theoretical framework that is general. In disparities research it will be important to assess the standard criteria needed for the research to do what it is intended to do, especially if you are using different populations. In some cases, questionnaires may be needed to create validity in the study, but not in all studies. If in your disparities  research for uninsured Americans, where things like racism, race, ethnic groups which are considered constructs that are social can be hard to measure. (Felton, 2013) According to the article from (Active Campaign, (2009). In order to ensure validity in my research using content research which will be requiring all areas in my research I want to cover as it relates to health disparities for the uninsured American I would need to use a subjective form of measurement.(Felton, 2013). In the textbook, (Frankfort-Nachmias, (2008). The strengths and limitations in the reliability and validity I chose Construct validity strengths are based on how many dimensions and measures construct validity has, construct validity can be operated in a number of ways. (Felton, 2013). In order to ensure reliability for the measurement in my study, first I need to understand as a researcher the importance in the degree of reliability. Reliability is when your measuring instrument contain variable errors or mistakes that appear not all the time between your observation of your research for one time only or every time a variable is measured. So measurements contain two components which are called error component and true component. To further explain reliability which is measured on a ratio between true-score variance and variance in the total score measured. To ensure that my research study on health disparities is reliable for the measurement I will need to be able to distinguish that the results of the research may not be the exact same each time it is done. (Felton, (2013). The strengths and limitations when it comes to health disparities in the terms of reliability and validity can be linked to the fact that there are several components by which health disparities can be measured. Empirical validity and reliability are part of the research that deals with health disparities. One strength of empirical validity is relationships between prediction and results. According to the authors, (Ogden and Lo, (2011). The scale that is most appropriate to use for researching health disparities in uninsured America  Likert scale (tests attitudes) since it requires the researcher build a list of items that needs to be scaled, random research, then total of results. In using Likert scales there will be some limitations in the research involving health disparities. Some limitations are due to the debate on the role of comparisons socially and the impact it would bring on how the scales are completed and the results of the data being researched. ( Felton, 2013). According to authors Lobo and Mateus, (2013). Since in health disparities there are so many areas that need to be measured even access to health care and scales for measurement can help to achieve the needed results for the researcher if you take into account the aspects of the scale that you can enhance and you will continue to need to validate scales in your other populations. (Felton, (2013). According to ( Nowjack-Raymer, (2013), the test that is appropriate for my health disparities research plan would probably looking to better understand inequalities as well as health disparities, another test could involve developing testing with interventions that would be targeting people living in poverty, and we could also consider testing implementation and dissemination approaches for exploration to findings that would be effective in order to assure translation that is fast that could be put into practice, bring about some policies with action within communities. (Felton, (2013). The populations used for the scale and test as it relates to health disparities according to the NIDCR authors (Nowjack-Raymer, (2013), will involve research that will be focused on the vulnerable and disadvantaged population in subgroups. The testing population could include: Elders All ethnic and racial populations that are considered to be under health disparities, this will include Hispanic(Mexican, Puerto Rican, South and Central America, Cuban, and all Spanish speaking nations), African Americans, Native Americans, Pacific Islander, and Alaskan Rural low income persons, urban dwellers, including Appalachians Persons who are unable leave their homes due to disabilities and persons who are in institutions  the special needs populations that includes persons living with AIDS, developmental or acquired intellectual or physical disabilities. (Nowjack-Raymer, (2013) Data analysis plan: Since in program research there a number that is limited in the efforts to evaluate and create health disparities involving new strategies with the health care system. Here are some of these program that are being supported by the AHRQ Agency for Healthcare Research and Quality for example: (EXCEED) or Excellence Centers to Eliminate Ethnic/Racial Disparities, this is a grant program that looks for ways to eliminate health disparities. (Gillian, (2004). Sampling According to website (HHS.gov.,(2013), For my Quantitative Research Plan on Health Disparities using ratio measurement because it is the most common level used to measure disparity. The population (units of analysis that are relevant) for this research will include all uninsured African Americans in the United States today. Statistically according to the new Health Care Law or the Affordable Care Act there are 6.8 million African Americans eligible for benefits under the ACA. (Felton, 2013). The population for my study includes all uninsured African Americans in the United States according to the ACA. Population: 6.8 million African Americans (including male and female), almost half of this number of young adults. This population need to be defined on the basis of: A. Content, B. Extent, and C. Time. Size: 6.8 million. (HHS.gov.,(2013). I have made a  change in my population for research which will be first finding a reference point which is critical when doing research on disparity. According to the authors, (Keppel, Pamuk, Lynch, Careter-Pokras, Kim, Mays, Pearcy, Schoenbach, and Weissman,(2005). I will also need to measure disparity in relative or absolution terms. Disparity is very obvious when you realize that disparity occurs when the amount that separates a group from a reference point that is specified on a measure that is particular to health that is expressed in the terms of percentage, rate, means or some other measure that is quantitative. (Felton, 2013). . According to authors, (Keppel, et al, (2005) Sampling: an individual within the Population such as for example the young adult population size of 3.2 million or 47% don t have health insurance from the ages 18 to 35 years of age. Type of Sampling used: Probability sampling. A sample need to be able to represent the population it will be used for. When you want to measure a sample and your objective is to work from individual groups in a certain domain then use comparisons that are pair-wise. When you summarize the measures used in your disparity this will quantify all the groups in opposition and any conclusions based on your summary results should be joined and interpreted using all groups. (Felton, 2013) How the sample will be drawn? When disparities are measured, first the reference point need to be identified, next if any two groups need to be compared the reference point with the favorable group need to be used(lowest rates). When using disparities samples it should be measured in both relative and absolute terms and when you are measuring disparities over various of health indicators it should be shown in terms of events that are adverse. Why did you choose this sample size and why it was chosen in relation to the size of your population? I initially chose this sample size since I had 3 populations to choose from  for the uninsured African American population which were male, female, or young adults and I chose the young adult population since I had a solid statistical number of how many of young adults between the ages of 18 to 35 who are uninsured. I am not totally convinced that choosing a sample size representing millions of people will be the correct course for me to take and I had a terrible time trying to create a graph or chart to show my numbers and I could not get the graph to show. Since the number of uninsured Americans is very high even with the Affordable Care Act being in place, I may have to consider working in another area in health disparity. I was attempting to doing a basic line graph chart showing the age of young adults with no health insurance. Since health disparities covers such a wide range of issues I will have to reconsider what area under health disparity I want to cover and research. Ethical Concerns Health Disparities research has emerging advances which include comparative effectiveness studies and controlled trials that are often conducted at academic sites and multiple communities. The institutional review boards (IRBs) has presented a impediment that is major to the effective and timely conduct of health disparity research. When the research involved the underserved communities and minority along with institutional requirements, ethical standards interpretation may be different. These differences can cause complications in the research protocol and informed consent process and may have a negative effect on how the participants will respect this type of research and the quality of the trials. Also the IRB or institutional review board, can also lead to delays that are unnecessary, jeopardizing the capacity to perform collaborative projects and funding. The Research Centers in Minority Institutions (RCMI), Translational Research Network (TRN) have created a community-partnered approach to run side by side with the IRB review directly across the 18 RCMI institutions grantees that make sure compliance while making it better quality of health disparity research. (Hammatt,. and Nishitani, Junko and Heslin, Kevin and Perry and Szetela, and Jones, and Williams, and Antoine-LaVigne, and Forge, and  Norris, Keith C, (2011). Even though Americans are living longer and are healthier, health disparities still exist. However, policymakers are making a response to the health disparity issue by putting together and introducing legislation that are geared toward getting rid of health disparities. (ncsl.org., (2014). The Uninsured Americans as a health disparity There is about 44 million Americans total without health insurance and another 38 million Americans who do not have enough health insurance to meet their healthcare needs. If persons do not have health insurance it will usually mean putting also necessary care such as: Childhood Immunizations Preventive care Routine check-ups no Primary care doctor no access or limited access to prescription drugs being hospitalized for a condition that otherwise would not have led to a hospital stay that could have been avoided if you had health insurance Because of fear of medical bills you may choose to delay care which will usually lead to more cost to you, especially if you have to go to the emergency room. We must also understand that when the uninsured persons face a health crisis because they cant pay the burden of the cost will be to the insured population. (Glied, (2014). References: Active Campaign, ( 2009). Validity in Research Design. Retrieved from website http://www.activecampaign.com/blog/validity-in-research-design/ Bhattacherjee, A.,(2012). SOCIAL SCIENCE RESEARCH: PRINCIPLES, METHODS, AND PRACTICES. Retrieved from website http://scholarcommons.usf.edu/cgi/viewcontent.cgi?article=1002context=oa_textbooks Felton. (2013). _An analysis of personality theory._ Unpublished manuscript, Walden University. Frankfort-Nachmias, C., Nachmias, D. (2008). Research Methods in the Social Sciences 7th Ed. New York: Worth Frist, W., (2005). Overcoming Disparities in U. S. Healthcare. _Health Affairs. Retrieved from website http://content.healthaffairs.org/content/24/2/445.short._ Gibbons, M., (2005). A Historical Overview of Health Disparities and the Potential of eHealth Solutions. _Journal of Medical Internet Research. Retrieved from website http://www.jmir.org/2005/5/e50/_ Gillian, S., (2004). Addressing Unequal Treatment: Disparities in Healthcare. _The Common Fund. Retrieved from website http://www.commonwealthfund.org/usr_doc/SteelFisher_unequaltreatment_cong2004_70 9.pdf?section=4039_ Glied, S., (2014). The Uninsured. Retrieved from the website http://www.pbs.org/healthcarecrisis/uninsured.html HHS.gov(Health care.,. The Affordable Care Act and the African Americans. Retrieved from website http://www.hhs.gov/healthcare/facts/factsheets/2012/04/aca-and-african- americans04122012a.html012). (HAMMATT,. AND NISHITANI, JUNKO AND HESLIN, KEVIN AND PERRY AND SZETELA, AND JONES, AND WILLIAMS, AND ANTOINE-LAVIGNE, AND FORGE, AND NORRIS, KEITH C, (2011). PARTNERING TO HARMONIZE IRBS FOR COMMUNITY-ENGAGED RESEARCH TO REDUCE HEALTH DISPARITIES. PUBMED.GOV. RETRIEVED FROM WEBSITE HTTP://WWW.NCBI.NLM.NIH.GOV/PUBMED/22102302 (Hidalgo Goodman, (2012). Validation of Self-Reported Measures in Health Disparities Research. _Journal of Biometrics and Biostatistics. Retrieved from website_ http://www.omicsonline.org/validation-of-self-reported-measures-in-health-disparities- research-2155-6180.1000e114.pdf (Keppel, Pamuk, Lynch, Carter-Pokras, Kim, Mays, Pearcy, Schoenbach, Weisman, (2005). Methodological Issues in Measuring Health Disparities. Retrieved from website http://www.cdc.gov/nchs/data/series/sr_02/sr02_141.pdf Kilbourne, A., Switzer, G., Hyman, K., Crowley-Matoka, M., Fine, M., (2006). Advancing Health Disparities Research within The Health Care System: A Conceptual Framework. Retrieved from website http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1698151/ LOBO, A., MATEUS, S., (2013). VALIDITY AND RELIABILITY OF AN EQUITY IN HEALTH CARE SCALE. _SAGE JOURNALS. RETRIEVED FROM WEBSITE_ HTTP://SGO.SAGEPUB.COM/CONTENT/3/4/2158244013506716 Messer, L., (2008). Invited Commentary: Measuring Social Disparities in Health-What Was the Question Again? _American Journal of Epiderminology._ Retrieved from website http://aje.oxfordjournals.org/content/167/8/900.full.pdf ncsl.org., (2014). 2014 Health Disparity Legislation. Retrieved from website http://www.ncsl.org/research/health/2014-health-disparities-legislation.aspx nlm.nih.gov., Medline Plus., (2013). Health Disparities. Retrieved from website http://www.nlm.nih.gov/medlineplus/healthdisparities.html Nowjack-Raymer, (2013). Health Disparities Research Programs. Retrieved from website http://www.nidcr.nih.gov/Research/DER/ClinicalResearch/HealthDispar.htm Ogden, J., Lo, J.,(2011). How meaningful is data from Likert Scales? An evaluation of how ratings are made and the role of the response shift in the socially disadvantaged. Journal of Health Psychology. Retrieved from website http://hpq.sagepub.com/content/early/2011/08/06/1359105311417192, Parkdatabase.org.,(2012). Qualitative and Quantitative Research Techniques for Humanitarian Needs Assessment. _An Introductory Brief._ Retrieved from website http://reliefweb.int/report/world/qualitative-and-quantitative-research-techniques- humanitarian-needs-assessment. Shavers, V., (2007). Measurement of Socio-economic Status in Health Disparity Research. _Journal of National Medical Association. Retrieved from website_