Evaluating a New Service or Product Essay Example | Topics and Well Written Essays - 1500 words

Evaluating a New Service or Product - Essay Example In this scenario, he also asks his staff to develop the necessary survey questionnaire. His staff provide him with the necessary analysis and feedback. He decides on the content in his website. His education and memberships in prestigious real estate institutions take him to his destination. Lawrence Holdings Associates (LHA) has been in the business of real estate for the past 40 years. Over the years they have built a reputation of building quality residential buildings in and around the city of Nashville, Tennessee. The present CEO of the company, William L. Holdings Jr., (WLH) has just taken over the control of the company from his father who had run the company for the better part of his able life. Holdings Sr. has decided to retire from active service and wants to spend the rest of his life travelling throughout the world. Holdings Jr., armed with a Harvard MBA, has been with his father for the past 6 years and with the exit of Holdings Sr. he has plans of entering into the lucrative business of building office spaces for huge multinational companies. His market surveys suggest that he build in 4-5 cities in Asia and the Middle East. He has plans to build office complexes in Dubai, Shanghai, Kuala Lumpur, Hong Kong and Bangkok. His father has over the years groome d a group of executives who are very knowledgeable in this field and professional in their approach. He and his team decide that a lot of things have to be changed for an international outlook. This is when his team decides to completely revamp their company's website. The purpose of this write-up is on how he and his team evaluate the importance of a corporate website and go about setting up one. From now on we will be hypothetically setting up a website for Lawrence Holdings Associates (LHA). Setting up an effective website To setup a website for showcasing LHA, WLH considered a lot of things. He ensured that he had the best technical staff and he hired experts who were excellent in communication and could manage the relevant software and hardware. The purpose of setting up this website was very crucial for LHA and the website of a LHA reflected the various facets it was willing to show. The website, it was decided, should reflect the various strategies involved in marketing, branding, information sharing, mobilizing resources, public relations and knowledge sharing. WLH personally ensured that the website of LHA should always be very clear. For, he realized that the website is not just a technical project and hence care was taken in designing the content and the layout. Research design and methodology Having decided to setup a website it was more important for WLH laid a lot of emphasis on the focus and scope of the website. Next he wanted to promote the website and then to monitor and evaluate the website. For a company like LHA it is imperative the target audience got the right information and at the right time for the right price. So he devised a methodology whereby he could decide on his future course. He wanted to ask a closed community about the usefulness of his website before he went in for the actual marketing. He began a process of surveying the usefulness of his website identifying people who could be surveyed. Then he had to draft the questionnaire and do the actual survey. Finally he had to analyze and interpret the data collected. 1) Identifying the people to be

Spanglish & Linguistics Essay Example for Free

Spanglish Linguistics Essay Spanglish is a well-known term that describes the linguistic behaviors on Spanish speakers, who’s Spanish is uniquely influenced from the English language. Spanglish can also be defined as a â€Å"mixed-code vernacular that includes a range of linguistic phenomena, most notably code-switching†. Despite the fact that Puerto Rican linguist, Salvador Tio, coined the term ‘Spanglish’ in the late 1940’s, this language contact phenomena has actually been used over the past 150 years, since the Treaty of Guadalupe Hidalgo was signed. Some would consider Spanish a 3rd language and some would dismiss it as unorganized slang. In modern society, Spanglish is classified as a popular term, not a technical one. Although many variations of Spanglish do exist and is widely denounced for being a form of slang, Spanglish has proven, to hold its own flexible syntax, grammar interface, and switching rules. Spanglish can be found in the speech of the Hispanic population of the United States, especially in communities located near the border, such as Southern Texas, and communities with significant Latin influence, like Miami and New York City. Every Hispanic group has its own variant of Spanglish (Cuban, Dominican, Puerto Rican, Boricuan, Mexican,  e. t. c) and can differ depending where the region is located. San Diego, for example, borders Mexico where many Spanish and Spanglish-speaking citizens currently reside. Historically, the United States and Mexico were both seeking land near the border during the mid 1800’s, but both countries spoke opposing languages (English and Spanish). â€Å"They were TWO RADICALLY DIFFERENT COUNTRIES IN TERMS OF SOCIAL CONDITIONS, ECONOMICS, POLITICS, AND CULTURE. † (5. JESUS VELASCO-MARQUEZ). AMERICAN AND MEXICAN POLITICIANS WERE FORCED TO USE CODE SWITCHING TO COMMUNICATE WITH ONE ANOTHER AND EACH SIDE. ATTEMPTED TO ACQUIRE THE OPPOSING COUNTRY’S LANGUAGE. EVENTUALLY, THE TREATY OF GUADALUPE, SIGNED IN 1848, ENDED THE MEXICAN-AMERICAN WAR AND BEGAN AN ERA OF PEACE BETWEEN BOTH COUNTRIES. THE PEACE TREATY ALSO ESTABLISHED THE BORDER BETWEEN BOTH COUNTRIES, ATTRACTING COLONIES TO VILLAGES ALONG THE BORDER FOR TRADE AND STOCK ROUTES. THE CULTURE OF THESE VILLAGES, WHOSE RESIDENTS HAIL FROM BOTH AMERICA AND MEXICO, CREATED ‘SPANGLISH’ AS A RESULT. DURING THE CONSTRUCTION OF THE PANAMA CANAL IN 1881-1914, AMERICANS NOW HAD ACCESS TO TRAVEL DEEPER INTO SOUTH AMERICAN, WHICH MADE SPANGLISH AND CODE SWITCHING A  VITAL FORM OF COMMUNICATION. ASIDE FROM THE MEXICAN BORDER, SPANGLISH HAS ALSO FOUND ITS WAY ONTO THE TONGUES OF CUBAN-AMERICANS AND CUBANS, WHO’VE MIGRATED FROM CUBA during the 1953-1959 Cuban Revolution. During the early to mid-1900s, New York City was also experiencing a similar wave OF MIGRATION, AS MANY PUERTO RICANS WERE SETTLING IN NEW YORK FOR ECONOMIC AND SOCIAL REASONS. †¢Spanglish can be divided into three subdivisions: 1. Adapting lexical items (â€Å"loan words†) from one language into the other on a phonological or morphological (roots/affixes) level. (e. g, ‘saying updatear’ [to update]  instead of the Spanish alternative â€Å"actualizar†). Borrowed verbs tend to carry the borrowing language’s inflections (e. g. parquear [to park]). 2. Calques: Words or phrases in one language whose semantic components are directly translated from another language. (e. g. â€Å"to call back† becomes â€Å"llamar para atras† which is the literal word-for-word translation. Although the translation was entirely in Spanish, the grammar influence was due to English. 3. Code-switching: The phenomenon that occurs when adapting loan words from one language into the other in the same utterance or conversation. Two main types of code switching can be identified. Internsentential code-switching occurs when the switch is made at a clause boundary (e. g. I’m extremely tired, me voy a domir), Intrasentential code-switching occurs when the switch is made within a clause (e. g. Mi abuela le gusta cooking). Intersentional code switching tends to be more popular than Intrasentential code switching, as speakers tend to â€Å"alternate among multiple CONSTITUENTS WITHOUT ERROR (TORRES 330)†. THE FLEXIBLE, YET RULE GOVERNED, LINGUISTIC PHENOMENA OF SPANGLISH INCLUDE SIMILAR (YET MORE COMPLEX) COMPONENTS OF SPANISH-ENGLISH CODE SWITCHING. ANGLICISMS/LOAN WORDS ARE BORROWED WORDS (OR PHRASES) FROM THE ENGLISH LANGUAGE AND INCORPORATED INTO SPANISH (OR ANY LANGUAGE). AN EXAMPLE OF THIS BEHAVIOR IN SPANGLISH WOULD BE THE TERM â€Å"TROCA† (WHICH TRANSLATES TO â€Å"TRUCK† IN ENGLISH AND â€Å"CAMIONETA† IN SPANISH) OR THE WORD â€Å"PARQUEADERO† (WHICH TRANSLATES TO â€Å"PARKING LOT† IN ENGLISH AND â€Å"ESTACIONAMIENTO† IN SPANISH). NEITHER ONE OF THESE WORDS CAN BE CLASSIFIED AS CODE SWITCHING NOR CAN BE PROPERLY DEFINED AS ENGLISH OR SPANISH. IN FACT, SOME LINGUISTS BELIEVE THAT IN ORDER TO  USE PROPER CODE SWITCHING, THE SPEAKER MUST ATTAIN A HIGH COMPETENCY IN EITHER LANGUAGE, AND THEREFORE SHOULD NOT EVEN BE COMPARABLE TO SPANGLISH. THESE LOAN WORDS TEND TO FOLLOW A SET OF LINGUISTIC PATTERN IN SPANGLISH, SUCH AS ADDING THE SPANISH INFINITIVE ENDING OF â€Å"-AR† TO ENGLISH WORDS, LIKE: MAPEAR (TO MOP), TEXTEAR (TO TEXT), CHANGEAR (TO CHANGE), LINKEAR (TO LINK), AND RELESEAR (TO RELEASE). ‘FREE MORPHEME CONSTRAINT’ AND ‘EQUIVALENT CONSTRAINT’ ARE TWO LINGUISTIC CONSTRAINTS IN SPANGLISH. FREE MORPHEME CONSTRAINTS STATE THAT SWITCHING BETWEEN BOUND MORPHEMES IS  PROHIBITED (E. G. ESTAMOS TALK-ANDO OR YO ESTOY EAT-IENDO). EQUIVALENT CONSTRAINTS STATE THAT NO SWITCH CAN BE MADE IF THE RESULT IS UNGRAMMATICAL, AND MUST BE GRAMMATICAL TO BOTH LANGUAGES (E. G. I SAW LO INSTEAD OF I SAW HIM). IN NEW YORK CITY, PUERTO RICANS HAVE BEEN OBSERVED TO SWITCH FORM CLASS WORDS, SUCH AS NOUNS AND PRONOUNS, AND RARELY SWITCH AUXILIARIES AND ADJECTIVES. MANY SOCIOLINGUISTS, SUCH AS ILLANA STAVANS), ARGUE AGAINST ‘FREE MORPHEME CONSTRAINTS’ BY USING LEXICAL WORDS LIKE â€Å"JANGEAR† EVEN THOUGH â€Å"-EAR† IS A BOUND MORPHEME IN SPANISH USED TO CREATE VERBS. STAVANS ARGUMENT DECLARES THAT EVEN THOUGH ‘FREE BOUND MORPHEME’ RULES STATE THAT SWITCHING BETWEEN BOUND MORPHEMES IS PROHIBITED, EXCEPTIONS CAN BE MADE IF THE LEXICAL WORD IS PHONETICALLY INTEGRATED INTO THE BOUND MORPHEME’S LANGUAGE. CALQUES, OR LOAN TRANSLATIONS, GO FURTHER THAN JUST BORROWING WORDS OR PHRASES. THE SPEAKER CREATES A LITERAL TRANSLATION OF THE SENTENCE WITHOUT CHANGING THE GRAMMAR FORMAT; UNGRAMMATICAL TRANSLATION. ‘FALSE COGNATES’ FOLLOW A SIMILAR FORMAT AS THEY BORROW WORDS FROM ENGLISH TO SPANISH BUT PROVIDE A ROOT WORD THAT TRANSLATES INTO A DIFFERENT MEANING (E. G.  Ã¢â‚¬Å"CARPETO† IS INDEED A SPANISH WORD, BUT THE SPEAKER WOULD BE INCORRECT IF THEY WERE USING IT TO DESCRIBE A â€Å"CAR PET†, AS â€Å"CARPETO† ACTUALLY MEANS â€Å"FOLDER† IN SPANISH. BECAUSE ROOT WORDS TEND TO BRANCH ACROSS MULTIPLE LANGUAGES, ‘FALSE COGNATES’ ARE THE MOST COMMONLY USED DEVICES IN SPANGLISH. Based on public literature, specifically Spanglish: The Making of a New American Language (2003) by Illan Stavans, each Spanglish speaker has their own regional dialect depending on their heritage, social lass, and age. Some of these include, â€Å"Cubonics† (Cuban-Americans), â€Å"Nuyorrican† (Puerto Rican spoken in New York  City) and â€Å"Dominicanish† (Dominican-Americans). Stavans explains that there’s no such thing as one Spanish, and each group has its own speech pattern. His view on â€Å"Chicano Spanish†, (which he considers Mexican-American Spanglish), contrasts opposing views from another sociolinguist, Carmen Fought. Fought studies Chicano Spanish, and believes that is â€Å"neither Spanglish nor a version of nonstandard Spanish but, rather, is a unique dialect used by speakers who are typically not bilingual. † Fought even challenges Chicano Spanish stating the speakers are likely to not even know  Spanish at all, and because of their high vowel pronunciation on the letter â€Å"I† (words like â€Å"going† are spoken as â€Å"go-WEEN† or â€Å"talking† becomes â€Å"talk-EEN†) other people might believe what they’re hearing is â€Å"the accent of a native Spanish speaker†, which is false. Cubonics however, uses many loan words like ‘pulover’, which is literally almost spelled the same as the English word it borrows from (‘pullover’), but the Cubonics definition is referring to a â€Å"shirt† whereas â€Å"camiseta† would be the proper Spanish translation. Social motivation for code switching

Curiosity Killed a Friendship Essay -- Personal Narrative Essays

How many people wonder about holes in the ceiling and cracks on the floor? When did they happen? What caused them? Or what about when you see a cigarette in someone’s hand and ask yourself how do they feel about smoking even though they know it’s dangerous. And even if people do think about these things, why? For what purpose? I guess I do it out of boredom. But is boredom really an excuse? I mean, really, how bored can a person get? I don't believe it is boredom after all, probably curiosity, which can build to all sorts of lengths, and I believe it most certainly starts there. How else can you explain why I want to know what happened to a certain somebody when a certain somebody else, punches them in the eye? I am almost positive it isn’t boredom, but curiosity and that is where and how I try to make sense of this story. It begins on a nice hot October morning, with birds singing and flowers in full bloom, ok, not really. I live in Washington for crying out loud. But how awesome would it be if it worked out that way. It really would put something beautiful into this mesh of words. Actually it really didn't have a starting place, but starting people. A group of friends. All the people in this group and all the people that surrounded this group were a part of my life and some still are. I don't really understand why, but at first I really did enjoy hanging out with these people. I guess maybe because they were 'cool', but I mean we never really did anything cool. So basically we sat around pretending to be cool, because we were considered cool. Or maybe it was just the others that were considered cool. I really don't know, but pretending to be cool was just not all that cool to me. I don't understand how people can hang out w... ...re. Sadly, the infection, the disease had taken over me too. I had officially become part of the crew, in fact that one conversation, everything I hated about myself and anything else bestowed upon me had been poured out, through words on my phone. The girl I told this to was very upset and lost a friend. I went from the loved to the hated in a matter of a fifteen-minute conversation. And quite frankly I was so upset that I really didn't care to speak to any of them again. I decided not to do anything mean (wow, I really had become a bad person if I had to decide not to be mean). So maybe my story was pointless and you don't understand why I think curiosity is the cause of all things and why it kills all, but it killed my friendships, it killed my personality, it killed my life. But then she changed, a little, and we became friends again. Or at least I hope... ï Å'

Phonemic awareness Essay

Phonemic awareness has been defined as the ability to deal unequivocally and segmentally with sound units which are smaller than the syllable. Phonemes are the tiniest elements that make up the spoken language. Phonemic awareness thus is the ability that enables an individual to focus on and manipulate these phonemes in spoken language (National Reading Panel (NRP), 2010). It has been established that the term phonemic awareness became popular in 1990s when researchers were attempting to study the development of early literacy and reading disability. Having been defined as the ability of the language learner to manipulate the sounds of spoken words, phonemic awareness plays a crucial role in language development in children. This paper will explore the impacts of phonemic awareness on the child’s early development of reading and spelling skills. Phonemic skills: More often than not, the term phonemic awareness has been used interchangeably with phonological awareness. However, the two terms are very distinct considering that phonemic awareness concentrates on the phonemes which are the smallest units that make up the speech whereas phonological awareness focuses on both the small and the larger units as well including the syllables, onsets, and rhymes. A child who possesses the phonemic awareness skills will be able to segment sounds in words for instance, they are able to recognize and identify a word from the separate sounds in the word (International Reading Organization, 1998). Phonemic awareness can therefore be said to be the only aspect of reading that is highly crucial in children before they can start to learn reading. Phonemic awareness is therefore a pre-requisite for development of reading in children (Brummitt, 2007). Impacts of Phonemic Awareness: Phonemic awareness has great impacts on a child’s early development of reading and spelling skills. Phonemic skill like segmentation of words is very crucial in determining how the child will be able to master spoken language. The amount of sound information that children can handle at a time will determine the ability of the children to learn the phonological skills in language. Studies have shown that phonemically aware children are more capable of reading words in prose with minimum mistakes than those who are phonemically unaware. Children are known to learn the spelling skills in two ways which includes internalization of the orthographic patterns of written words through imitation, and by synthesizing their understanding of letters and letter clusters with how the word is said in an analogy process. Learning to spell unfamiliar words either by imitation or analogy with familiar words is usually â€Å"influenced by Knowledge of letter-sound mappings, the amount of complexity of orthographic information the kids can process, and their knowledge of word structures† (Munro, 2010, para 27). Definitely, there is a relationship between the awareness of sound segmentation in words and learning how to spell using the two techniques described above (Munro, 2010). Conclusion: Phonemic awareness is a very essential aspect of language development in children during their development stages.  Phonemic awareness can be responsible for positive development in IQ, vocabulary, listening, comprehension, and how well kids can learn to read, write, and spell. The children should also be able to express what is in their mind by the aid of phonemic awareness even when they had never seen the printed version of the word before. It is evident that by teaching the children how to manipulate the sounds in language improves their reading capabilities. In general, training in phonetic awareness positively impacts on the children’s language development in reading and spelling.

Enhancement Of Computer Literacy In Primary Students At Central Colleges

1. Beginning of usage of Information and Communication Technology have been re-engineering about all the Fieldss of human life from basic demands like pass oning with friend populating abroad to cardinal demands like instruction, wellness and administration. That is non merely a technological development but besides a societal revolution that enforces the primary pupils, to detect new wonts, advanced ethical motives and production of new life systems, so that to accommodate with planetary alteration in human civilization and life manner. Our instruction system besides to be formulate to run into this construct and to be aligned with this new engineering. Hence, the advanced distribution of Information Communication Technology ( ICT ) for instruction of primary pupils is going compulsive demand since the professionalism is the anchor that could alter the civilization and the society in clip to clip towards create outstanding life status expected by the people. 2. Today, it is highly of import that a primary pupil should be competent with coherency in the country of computing machines and engineering. It is impossible to be successful in today ‘s occupation market and high tech life style, if our primary pupils are failed for seasonably educate every bit early as possible to accommodate the bing demand to this topic. 3. The computing machine literacy is now an indispensable tool that all pupils must be familiar with in order to finish their everyday surveies and concentrating for future occupation demand. Whatever our occupation ; Teacher, Planner, Lawyer, Accountant or Salesperson ; computing machine literacy are compulsory them to win. Primary pupils are besides need to derive certain degree of computing machine literacy in order to finish basic every twenty-four hours skills to confront our future society. In Cardinal Colleges in Sri Lanka most of the primary pupils are cognizant with computing machine surveies but they have to utilize it in a manner to accomplish compulsory consequences need for fall in the future universe and fall in the hereafter community. 4. The usage of the cyberspace installation is extremely required accomplishment for pupils and they are to exhaustively get the hang it decidedly. Computer literacy and Internet are about one ; in the same thing normally one is n't mentioned without the other tagging along. Without the Internet, there would be no manner to immediately happen the name of a celebrated book your favourite author was in five old ages ago. Primary pupils will necessitate to be familiar with the Internet in all types of educational methods whether it is research on any subject or surfing for information. For this purpose primary pupils need to cognize what a hunt engine is and how it works, what a keyword is and how it works, how to open a browser and how to utilize a nexus, etc. The Internet is a immense wealth of information that every pupils should take advantage for gather information accomplishments. There are web sites that will assist primary pupils to happen educational Tourss by posting their ske tch online. Online skills allow primary pupils to larn and portion societal, cultural, environmental facts of other states, people and faiths. Many secondary degree pupils today are now acquiring their degree online in the comfort of their ain places on their ain agenda. It ‘s astonishing how today with a twosome of chinks, every pupil can travel anyplace in the universe in two, three seconds without go forthing their computing machine. 5. Promotion of computing machine literacy is one of the most indispensable countries in instruction. The of import function which it plays is rational, societal, emotional and religious development of kids. The pupils usually use centripetal perceptual experiences to cognize his immediate milieus. It is automatically widens his vision. The computing machine literacy accomplishments of pupils are non a one clip experience. It is a uninterrupted life-time experience. It is accepted that a proper accomplishments of Computer Literacy has to be inculcated and nurtured in the early old ages of age. 6. It must be distinguished as the ability to work with understanding and grasp. In Sri Lanka computing machine is largely a â€Å" Information Communication Technological † accomplishment which is brought about by beastly repeat of a given stimulation together with the appropriate response. It is a affair of some uncertainty whether all kids have acquired the ability to larn in the echt sense, by the clip they have reached school go forthing age. It needs at least four old ages to achieve the computing machine accomplishment and is it sensible to anticipate these kids who drop out after primary degree to prolong that accomplishment afterwards? Computer literacy is a non a terrible complex procedure. It is an mean simple accomplishment which one time learned, can be increased with referral to the Information Technological contented publications.Chapter IIMethodologyPurpose1. This paper will emphasis and analyse why the kids are non skilled in Computer Literacy and for examine the factors which determine computing machine literacy in kids and what stairss have to be taken for the sweetening of computing machine literacy and information technological accomplishments in primary school kids in Central Colleges in Sri Lanka.STATEMENT OF THE PROBLEM2. It is required to analyze of Primary degree pupils of Central Colleges computing machine literacy and the present environment to heighten their capablenesss in computing machine literacy. In this research demand to concentrate on their Computer educational system and clear up the troubles and the to the mechanism that they required to beef up the computing machine literacy, information engineering facets, as sing the future occupation chances that can be gained by primary pupils in Central Colleges Sri Lanka. 3. The inquiry is at present scenario is, the primary school pupils in Central Colleges in Sri Lanka have non been able to get the needed criterion of Computer literacy, and information engineering to heighten their minimal accomplishments required in Computer field. 4. This paper will place and analyse why the Computer Literacy in primary pupils is dwindling, the factors which determine literacy and suggest recommendation for the publicity of mechanism that needs to heighten accomplishments, cognition in primary degree pupils.RESEARCH HYPOTHESIS5. Mechanism will be beef uping to confront the future occupation demand. In this facet is to be achieved in a manner of researching experimental computing machine survey of counsel in preparation with Government educational policies on Information Technology for sweetening of Computer Literacy of primary pupils in Central CollegesScope OF STUDYThe range of this research focused on the primary pupils in Grade 1 to Rate 5, their instructors and principals are to pull out their thoughts by questionnaire and interviews. Besides the research will analyse educational specializers ‘ personal positions on what should be the background environing the primary school kids to advance their Computer literacy. The namelessness of the research worker was maintained by inquiring inquiries from certain group caputs and instructors under the name of a consented person. The intent was to extinguish colored replies which may be given as a consequence of the fact that the inquiries are presented by a known IT teacher. This is besides to look into any differences in response for the same inquiries based on computing machine literacy. This method is adopted as the subject is of sensitive nature and based wholly on single attitudes.METHOD OF DATA COLLECTION7. Data aggregation methods are as follows. a. Primary beginning. ( 1 ) Primary beginning of information were collected by questioning IT educationists and caputs of schools. ( 2 ) Further information aggregation done by a questionnaire prepared for the primary school pupils and their instructors. B. Secondary beginnings. Books, paper articles and web sites used as the secondary beginnings of information.Chapter ORGANIZATIONThe thesis is structured as follows: a. Chapter I Introduction B. Chapter II Methodology Chapter III Computer Literacy of Primary Students in Central Colleges ( 1 ) Computer literacy debut of primary pupils ( 2 ) Present literacy accomplishments and IT environment of primary pupils Chapter IV Weather educational support and the needed counsel and aid will supply to heighten the computing machine literacy How instructors adopt educational method to better computing machine literacy of pupils through policies of educational section. How the other facets on substructure installations given to better on computing machine literacy of primary pupils ( 3 ) Enhancement of Computer literacy and IT Skills of Students I Learning involvements of pupils two Students involvements in cyberspace three College IT Environmentfour Teachers sentiment about Computer literacyChapter V Impact of Computer Literacy for primary pupils at Central Colleges and future Job demand at society ( 1 ) . How the computing machine literacy aid to increase occupation demand for future society ( 2 ) . Increase occupation demands and the computing machine literacy as chief educational facets of demands in primary pupils. Chapter VI Reasons behind the inefficiency of present patterns on computing machine surveies of pupils. Why the basic computing machine demands can non continue the computing machine instruction at Central Colleges Present accomplishments of pupils and personal involvement on computing machine literacy of primary pupils. Education degree of primary pupils in line with present engineering alterations behind computing machine educational systems. Awareness surveies and competence of instructors on freshly introduced package systems and theories on computing machine surveies. Other facets that can be used to increase the computing machine surveies. The malfunction exist in modus operandi and system stableness on computing machine surveies of pupils Advantages and disadvantages of using equal survey hours for addition computing machine literacy. Chapter VI Chapter VII J. Chapter VIIIChapter IIILANGUAGE APTITUDE OF PRIMARY SCHOOL CHILDREN1. Language is a procedure that helps people to show themselves and to do effectual societal relationship among people all over the universe. It is done linguistic communication that people could get information to better their basic demands such as wellness wonts, consciousness, scientific alterations and different types of accomplishments to gain a life. Piaget, the celebrated physiologist believed that the existent key to human rational development, conceptual development, is linguistic communication. Language is the most effectual manner of communicating. The deficiency of linguistic communication ability frequently hinders one ‘s advancement. The linguistic communication aptitude and literacy public presentation of the primary degree indicates the criterions of kids ‘s reading wonts and information accomplishments.LANGUAGE LEARNING OUTCOME IN SRI LANKA2. Sri Lanka has attained the first coevals ins truction aim of supplying widespread entree to primary instruction ( grades 1-5 ) . However one major challenge that the state has to get the better of is the moderate degree of larning accomplishment in linguistic communication proficiency among primary school kids. 3. Harmonizing to recent surveies carried out by NIE and NEREC, University of Colombo merely between 35 to 38 per cent of primary school pupils have achieved standard degree of their female parent lingua ( Annex ‘B ‘ ) . This is a serious restraint to further acquisition, as all subsequent surveies will pull on the kid ‘s female parent lingua capableness. 4. There is a considerable difference in the accomplishment of command degree in their first linguistic communication between urban and rural schools. Harmonizing to the above surveies more than 40 per cent of urban kids achieve command degree in their female parent linguistic communication contrast to below 34 per cent in rural countries. Besides more than 1/3 of students have failed to accomplish standard degree for their female parent linguistic communication. This shows the dwindling of reading wonts and information accomplishments among primary school kids. 5. The regional disparity in accomplishing command degree in first linguistic communication is clearly shown in Table III.I. 41.24 per cent of Western state Grade 5 pupils achieve command degree in contrast to 42.40 per centum in Uva state pupils have failed to accomplish the needed criterion degree. This shows how the handiness of physical and human resources affects public presentation. Mastery = 80 % – 100 % Non Mastery = 0 – 59 % Table III.I – Achieving command degrees in literacy in Grade 5 – by provincial degrees Source – Performance of Grade 5 pupils in literacy and numeracy – NIELITERACY SKILLS OF CHILDREN5. Harmonizing to the research undertaking on development of linguistic communication accomplishments among primary school kids carried out by NLDC ( Annex ‘C ‘ ) , the overall public presentation of Grade 2 students is satisfactory. There is barely any disparity between territories or among school types. 6. The Grade 4 appraisal revealed disparity in public presentation among the territories and between school types. AAVG degree schools show highest public presentation while SS degree schools show hapless public presentation. These fluctuations in public presentation pin-point the inequalities in distribution of acquisition and instruction installations for the school topics, peculiarly in linguistic communication accomplishments. 7. More than half of the figure of students in the sample have non been able to achieve the expected accomplishment degree for the vocabulary & A ; synonyms/ opposite word, spelling and grammatical authorship ability and originative squeeze accomplishments for the Grade, after four old ages of schooling. This suggests that they are enduring from deficiency of reading wonts.Chapter IVReading INTERESTS AND INFORMATION SKILLS OF CHILDRENReading INTERESTS OF CHILDREN1. There is no peculiar age at which a kid should really get down the procedure of larning to read. It should appeal to existent activity, to self-generated work based upon personal demand and involvement. Children have an innate desire to cognize about their milieus. As the kid develops larning through centripetal perceptual experience, he becomes more and more funny to understand his environment ; what has happened and what is go oning are his involvements. 2. Children may come to understand an of import portion of their universe through the experience of reading. They start to larn about reading in a natural and incidental manner. If a book satisfies child ‘s demands, he will get down reading it for pleasance. A kid begins familiarity with a book by looking at images. If the book catches his involvement, he returns to the book once more. Besides he is being exposed to the printed word in the environment such as coach boards, assorted postings on the main road, route marks, labels of goods in the market, advertizements on telecasting and newspapers. The kid sees tonss of words in his environment and attempts to hold on them meaningfully. Therefore, most kids have a signifier of consciousness of the printed word. 3. Harmonizing to the survey it has clearly shown that kids are interested in books, magazines, kids ‘s documents and they have a thirst for information, cognition and communicating. This built-in desire and involvement found in kids has to be harnessed to better their reading wonts and information accomplishments. As such it is the responsibility and duty of the parent, the instructor and the governments to take the full usage of it. Table IV.I would wish to pass my Table IV.II would wish to pass my leisure clip aˆÂ ¦aˆÂ ¦.- Grade 2 leisure clip aˆÂ ¦aˆÂ ¦.- Grade 4CHILDREN ‘S INTERESTS IN MEDIA4. The child gets motivated to read when he hears narratives or when an grownup reads aloud a narrative to him. Today the kid could acquire this type of satisfaction through the mass media. When kids watch telecasting or listen to the wireless, those programmes which are meant for kids create consciousness and demand for reading and they could be made usage of to develop reading wonts and information accomplishments. 5. As per the survey it is revealed that Both Grade 2 and 4 kids ‘s best telecasting programme is cartoon narratives. Most of kids like to listen to vocals and narratives by wireless. These involvements could be made usage of in varied ways to develop reading wonts and information accomplishments in the schoolroom and place. Table IV.V – Interest on Television Table IV.VI – Interest on Television Grade 2 Grade 4 Table IV.V – Interest on Radio Table IV.VI – Interest on Radio Grade 2 Grade 4Table IV.I – Grade 2 Table IV.II – Grade 4Children ‘s involvements on kids ‘s paper6. Above two tabular arraies indicate that a really high per centum of kids in all three territories read kids ‘s documents. It was found that this is a wont developed by the good instructors of those schools by interchanging documents within the category, when those parents who could afford to purchase documents for their kids convey them to school. This high per centum suggests that if reading stuffs are made available to kids, and so reading wonts and information accomplishments of primary school kids could be decidedly improved.Chapter VReading AND CHILDHOOD ENVIRONMENT1. As a foundation for the development of reading wonts and information accomplishments, the four linguistic communication accomplishments listening, speech production, composing and reading has to be developed in the schoolroom and the place. The kid should be able to read with easiness and installation in order to develop reading as a wont. The first necessity for this is to derive ability to place letters and words. Then the kid has to read words and sentences to deduce significance and addition cognition, information etc. This is a complex procedure. 2. Reading accomplishments could develop merely if reading stuffs are available. Non handiness of suited reading stuffs create serious restrictions in developing reading wonts. Hence the laying of foundation on a sound terms is the duty of the parent, the instructor and the school.SCHOOL BACKGROUND3. A teaching-learning state of affairs is significantly affected by the handiness of edifice with sufficient figure of schoolrooms, siting adjustment and furniture. Primary subdivisions of some popular urban schools have more than 50 students in one schoolroom, which could suit merely 40. This state of affairs has resulted adversely. Neither the instructor nor the student could travel approximately freely to give and have single attending. 4. The state of affairs is worse in some schools where the categories are conducted in unpartitioned unfastened halls. In such schools both learning and acquisition has become plodding and some instructors are force to carry on categories under the trees in the garden. 5. The instructor is the cardinal factor in bettering reading accomplishments and wonts in students when resources are sub criterion. In those schools the instructor is the lone beginning of larning. Out of the 25 instructors who supplied information through the questionnaire, 21 are primary instruction trained and 3 are trained alumnuss. However the response of caput of the schools revealed that there are quite figure of instructors who are non trained. The criterion of instruction doubtless recedes when instructors are non trained for the profession. 6. Out of 15 schools entirely primary instruction is given in merely 5 schools. In those schools primary instruction is wholly managed by a Deputy Head. Of other 8 school primary caputs three are trained five are alumnuss with station sheepskin. Academic professional position of the caput of the school, his attitude toward bettering the female parent lingua, committedness to his profession, his support in supplying reading stuffs and advancing reading wonts is of significance in this context. 7. Out of 15 schools of the sample five schools do non posses libraries providing to the reading demands of primary school kids. Out of the 10 school libraries three of them have 100 – 500 books. Three school libraries have less than 1000 books and two National schools in Colombo territory and one National school in each other two territories have a wealth of 3000 or more books. The two schools in the sample which have a few books received as a contribution complained that there are no storage installations available for them even to maintain them safely. Out of the 15 schools 7 schools do non purchase even a individual newspaper. In the average clip out of remainder 8 schools merely 5 schools buy kids ‘s paper for the primary school kids. 8. Except for the national schools bibliothecs trained for the occupation are non available in the remainder of the schools. In most of these schools a instructor from the staff helps in the library. In three schools a miss is employed for the work in the library paying a nominal fee. 9. This clearly displays the disparity between schools with sub standard resources and schools with above mean standard resources. This fact substantiates the position presented earlier that the socio economic degree at place and school affect achievement degree of kids.TEACHERS OPINION ABOUT Reading10. The response presented by the 25 instructors of the schools of the sample revealed that kids are truly interested in reading and instructors do their best to advance reading by pull offing schoolroom libraries under hard state of affairss. Each kid in the schoolroom brings a narrative book at the beginning of the twelvemonth. Sometimes instructors give the names of the list of narrative books. Besides those who can afford to purchase kids ‘s paper conveying them to the category. These books and documents are exchanged among the students. There by instructors help kids to develop reading wonts. Alternatively in some schools instructors get a few books, approximately 30 from the s econdary school library and administer them among kids one time a month or so. 11. Some instructors are of the sentiment that the primary course of studies contain far excessively much stuff for the twelvemonth that they can non finish and it is hard for them to concentrate on developing the reading wonts separately. There should be truth in the content of the course of study to provide single demands. Besides they pointed out that Grade 2 and Grade 4 even Grade 5 text books do non actuate kids to read as the narratives do non rouse their feeling and wonder. Narratives do non make chances for kids to believe. Therefore the instructors say that kids automatically read by bosom, even if they can non place letters, words or significance of what they pretend to read. Therefore the governments concerned have to be more cautious in the choice and rating course of study and text book content. 12. Teachers besides revealed that in add-on to the scarceness of reading stuff, kids of sub criterion and mean type schools suffer from other lacks such as socio economic conditions at place, big households, parents non been educated, their inability to recognize the importance of reading. 13. Method of learning dramas an of import function in larning state of affairs. What was observed was instructors are more concerned with covering the course of study, simply utilizing general methods of learning without thought of particular and advanced techniques and single differences of scholars. There is barely any system of measuring reading. Teachers do non look to set about feedback programmes and maintain record of it. Lack of learning AIDSs was observed in most of the schools and instructors depend merely on ‘Talk and Chalk ‘ .Home BACKGROUND14. Research done in western states has revealed that success in reading had been achieved by kids who were provided with plentifulness of chances for reading and entree to books. Avid readers had narratives read or told to them on a regular basis by parents or expansive parents. 15. Children read anything and everything they get hold of as they are interested in reading. If is hence the responsibility of the grownups to choose suited books for kids, as they can non know apart between suited books and books non suited for them and measure them. 16. It is assumed that when household size is big, kids do non acquire equal demand satisfaction enjoyed by kids of little households of the same income degree. In the questionnaire the household size of students was divided in to two classs. a. Class 1 – Number of household members four or less B. Class 2 – Number of household members five or more Table V.I – Bespeaking household size 17. Harmonizing to the tabular array V.I in Colombo territory smaller sized households per centum is higher than other two territories. This factor seemed to hold affected the achievement public presentation of kids, as it is evident from the highest ML per centum in Colombo territory. 18. Parental support in providing reading stuffs such as books, documents and magazines doubtless helped development of kids ‘s reading wonts and information accomplishments. This in bend is conditioned by the socio economic position of parents. Table V.II & A ; Table V.III indicate the figure of books Grade 2 and Grade 4 kids posses is quite eloquent of this factor. Table V.II – No. of books kids posses for auxiliary reading – Grade 2 Table V.III – No. of books kids posses for auxiliary reading – Grade 4 19. The tabular array V.II shows 10 per cent of Grade 2 students in Colombo territory have more than 10 books for excess reading while other two territories kids have below 10 books. Besides the tabular array V.III indicates 54 per cent of Grade 4 students in Colombo territory have more than 10 books for excess reading while other two territories it is below by 36 per cent. This factor besides seemed to hold affected the achievement public presentation of kids, as it is evident from the highest ML per centum in Colombo territory. 20. The names of books read by students indicate that they read whatever those come in their manner, they have no pick. They read anything and everything they get hold of as they are interested in reading. It is hence, the responsibility of the grownups to choose suited books for kids as they can non know apart between suited books and books non suited for them and measure them. Daily%Lord's daies%Sometimes%Never%Kandy 12.9 40.5 35.3 11.2 Kalutara 19.5 34.5 32.7 13.3 Capital of sri lanka 22.4 41.3 28.4 7.8 Entire % 18.2 38.8 32.2 10.7 Table V.IV – Houses that bargain newspapers – Grade 4 21. 10.7 per cent of the overall sample of kids ‘s parents do non purchase a newspaper. However 38.8 per cent of the sample bargain Sunday newspapers. This may be due to the fact that other signifier of mass media like the telecasting and wireless are being sought after for enjoyment and acquiring information. Thereby a good chance that the parents could offer in actuating the kid to develop his wont of reading is neglected. It is merely a really hapless per centum of parents buy newspapers daily. Even in Colombo territory 22.4 per cent of the sample merely buy newspapers daily. It may hold been caused by two factors. It may be due to miss of money or of clip to read documents. Whatever it is, if the parents could afford to purchase newspapers day-to-day it would be a motive for the kid to read and better their information accomplishments.Chapter VISUMMARY OF FINDINGS1. More than 1/3 of primary school students have failed to accomplish standard degree for their female parent li nguistic communication. 2. Most of Grade 2 students have acquired the linguistic communication skills satisfactorily. 3. a. More than 50 per cent of students have non acquired the linguistic communication accomplishments expected for the class, at the terminal of the twelvemonth. B. Performance of Grade 4 students in vocabulary & A ; synonyms/ opposite word, spelling and grammatical authorship ability and originative squeeze accomplishments are really hapless. 4. There is a pronounced disparity in accomplishment of linguistic communication accomplishments among territories and between school types. 5. There is no just proviso of physical and human resources available in schools as yet for the publicity of reading wonts and information accomplishments. 6. Most of the primary schools of the sample do non posses libraries. Lack of suited reading stuffs, bibliothecs, varied sorts of books, a big measure of books of quality to provide to change demands and involvements of primary kids are found to be obstructions which stand in the manner of development of reading wonts and information accomplishments. 7. The course of study, text books and methods of learning do non look to accommodate the changed society of the modern twenty-four hours and it will non supply any encouragement to kids for the betterment of reading wonts. 8. The parental support and encouragement at place is non plenty for the kids to develop reading wonts and information accomplishments. 9. Family size the and the socio economic position of parents affect to the development of reading wonts and information accomplishments of kids. 10. Childs are interested in books, magazines, kids ‘s documents and they have a thirst for information, cognition and communicating.Chapter VIIDecision1. Reading is one of the most of import constituents of linguistic communication. It is a basic tool topic particularly in primary school. Reading helps to larn all the other countries of the school course of study and provides critical agencies of larning. Reading is believed as a procedure of geting information, having a massage from a print in a meaningful manner. 2. Reading is of greatest significance to the educationalist because it is their duty to steer the kid to develop his entire personality for the public assistance of the single kid and for the public assistance of the full society and besides because it is the right of the kid to be literate. It is of import for kids to read good books and develop their reading wonts and information accomplishments, in order to turn physically and mentally. Good reading wonts are necessary for a healthy rational growing. 3. It is a affair of some uncertainty whether all kids have acquired the ability to read in the echt sense, by the clip they have reached school go forthing age. Teacher influence, place background and book proviso hold the key to an betterment in reading. The chief aim of transporting out this survey was to happen out the ground for lack in reading wonts and information accomplishments among primary school kids. The quality of reading wonts and information accomplishments of anyone depends on many factors. Cardinal factors among those are ability to read with easiness and installation, comprehended what is read and infers information. Besides achievement degree of reading wonts and information accomplishments depend on the ability to construe either in written or unwritten signifier when necessary state of affairs arise. 4. During this research it has been observed that there is no just proviso of physical and human resources in the schools to develop reading wonts and information accomplishments in primary school kids. It is besides revealed that this of import duty has non been undertaken earnestly and satisfactorily either by the parents or by the instructors and governments concerned though the kids have clearly shown that they are like to be engaged in excess reading. 5. This survey suggests that there should be quality and measure betterment in kids ‘s reading wonts in Sri Lanka. Besides there should be better methods of choosing books for kids and better technique to administer them, within primary school kids. Further it suggests to supply sufficient physical and human resources to the primary schools to develop kids ‘s reading wonts and information accomplishments.Chapter VIIIRECOMMENDATIONS AND SUGGESTIONSRECOMMENDATIONS FOR EDUCATION AUTHORITIES1. About 50 per cent of the schools of the sample suffer due to miss of physical and human resources. Equitable proviso of resources to all primary schools in the inland is an impossible undertaking. Yet, action has to be taken to relieve these disagreements by providing basic necessities, such as separate categories, libraries and reading suites, 500 – 1000 kids ‘s books a few magazines and kids ‘s documents, storage installations and trained bibliothecs. Renovating pri mary school edifices at least one time a twelvemonth and besides maintain the ambiance of the school pleasant and attractive to kids is recommended. 2. Principles as leaders have to educate the parents and acquire their aid for the public assistance of the school. Besides could seek community aid for readying of learning AIDSs, acquiring reading stuffs as contributions from the flush etc. Leadership and committedness of principals is critical importance for the betterment of kids ‘s instruction. Therefore caput of the schools have to be selected carefully and they should be given a preparation how to develop primary kids ‘s instruction by bettering reading wonts.SUGGESTIONS FOR PARENTS AND TEACHERS3. Developing the love for good reading is one of the greatest benefits that we can supply for kids. In order to enrich the reading environment of kids, reading wonts should make the people in rural countries. We have to advance reading among them. Therefore engagement of people in the community should be promote in reading publicity activities, because first and first parents have to understand how of import it is for kids to read good books and develop a reading wont. 4. Parents ‘ consciousness towards reading dramas an of import function in advancing reading by making a reading household environment. The parents should recognize that reading must get down from a really immature age and the instructors should steer them. Mothers can assist a great trade in advancing reading wonts by narrating narratives, singing rimes, vocals, verse forms etc, while feeding, dressing their kids. 5. Those who are able can read books to kids who can non read letters. This will make merely an involvement in kids to read. When kids can read female parents should listen to their reading and praise them. Then kids will experience proud of them and go fond of reading and accordingly parents would purchase reading stuffs whenever they could. 6. The school is the centre in advancing reading wonts and information accomplishments among kids. The instructor is the cardinal factor who integrates all activities of kids ‘s acquisition. One possible agencies of advancing reading wont by the instructor is to form a category library or a book corner exposing kids to a richer reading environment by supplying more printed stuffs to accommodate the class degree. This could be done with the cooperation of parents. 7. The instructor should form a free reading activity one time a hebdomad. She could present such points as marionette shows, games, competitions, dramas, play, narrative relation and other activities related to linguistic communication development and reading involvements. 8. The instructors besides must try to associate reading to every activity of the school twenty-four hours. This is possible in the primary school as it offers a conductive environment for integrating survey accomplishments and reading development work into the regular course of study. Because one instructor is normally responsible for most countries of the course of study, the instructor could easy set her normal schoolroom activities for reading publicity.MASS MEDIA AND READING HABITS DEVELOPMENT9. Using mass media is another avenue for making an involvement in reading. For illustration holding interesting book reappraisal columns in newspapers, treatments on books over the wireless and telecasting and besides treatments, kids ‘s programmes etc. These activities would help in circulating information to the multitudes about value of books and reading on a wider graduated table. However sometimes parental neglect force kids to acquire addicted to watching the telecasting and it would be an obstruction for reading wont development. 10. Therefore parents should ; a. Curtail telecasting screening clip and offer kids other interesting activities as options. B. They should watch good programmes with kids and discourse their good facets. c. Talk about force shown on telecasting and show disapproval of aggressive behaviour and point out alternate ways of confronting jobs and see that they watch less force.Distribution OF QUALITY BOOKS11. It has been found that still there are lacks in the production of quality books for primary school kids. Besides there are lacks in appropriate and just distribution of books, both bibliothecs and instructor replacements etc. Quick remedial action has to be taken to extinguish these defects, for the betterment of reading wonts among primary school kids. 12. There is a deficiency of clear apprehension among authors and publishing houses, of the aim of bring forthing kids ‘s books and how it should be directed. Therefore stairss have to be taken to bring forth quality books, which become more originative and awaken kid ‘s imaginativeness and wonder so that kids begin to read for pleasance, which is a stepping-stone for life long involvement in reading. 13. Distribution of books has to be carried out in such a manner that many kids are benefited. It could be done through public libraries, provincial libraries, community libraries, school libraries and so away. It is indispensable that all primary schools in the island be provided with a library equipped with a scope of books, kids ‘ paper and suited magazines and trained bibliothecs. Thus publicity of better library installations all over the state is envisaged. 14. Library system has to be recognized in such a manner that even a class 2 student could do usage of the library. The kids should be taught how to happen a book, what type of book to choose etc. The instructor should look into the kids ‘s reading wont by inquiring inquiries about the inside informations of books read. These manner kids could be motivated to read, making a life long involvement for reading. 15. Another demand for the twenty-four hours is altering of the library system in conformity with the altering society. Librarians could play a important function in advancing reading wonts among kids with dedication and devotedness. These Public and Provincial libraries can form interesting activities such as ; the narrative hr, quiz competition, book nines, book carnivals, reading cantonments, reading hebdomads at regional, provincial and national degrees with the co-operation of high bookmans.

Tianamen Square essays

Tianamen Square essays Tiananmen Square is where thousands of Chinese people gathered to try to overthrow the Chinese government. Every writer there witnessed and viewed this event in his or her own way. The writers different versions contradicted so much the audience had every reason to be confused over what really happened. The goal of these writers was to persuade the audience to see this event the way the writer saw it. This event in history can show readers how one event that happened only one way, can be told in many different ways. The Beijing Review interviewed a Chinese Military Official, naturally his story will favor the Chinese government. The leaders of the revolt were referred to as bad people; these bad people were accused of influencing the students and viewers to shamefully overthrow the government. This official also said that their losses were great because of the good mingling with the bad, this caused a mass state of confusion resulting in personal loss. He then made it look like the government assault on the people was necessary, and this showed the integrity of the peoples army. A writer for the New York Times wrote from a neutral perspective. This writer didnt take a side or judge either group. The writer just gave a story from what he or she eye witnessed. This version was descriptive and filled with facts. The writer also explains why the revolt was taking place. The Military Official sided with the government, and the New York Times Writer was neutral. The Official labeled people the Times writer did not. The Official used his opinions in his version. The Times writer used facts to demonstrate his or her eye witnessed account. Both writers wrote about things they saw during the event to prove a point, like when the tank drivers were forced from safety by fire then beaten when they would evacuate. After all the versions were viewed the audience couldn ...

Phobia Intervention Outline Essays

Phobia Intervention Outline Essays Phobia Intervention Outline Essay Phobia Intervention Outline Essay Phobias â€Å"A phobia is strong, persistent, specific fears lasting more than 6 months and accompanied by intense physiological symptoms and avoidance or distress typify the presence of a specific phobia. † –DSM-IV-TR Article #1: Intensive Treatment of Specific Phobias in Children and Adolescents Population: Children and Adolescents * Ages: 7-17 * Boys girls Hypothesis: Researchers wanted to see what the actual implementation of OST with children and adolescents would be while extending the techniques from the unpublished OST Manual for Children. Researchers also wanted to see a host of practical issues associated with using exposure therapy for the treatment of specific phobias. Method: A type of Cognitive-behavioral therapy- One Session Treatment About the Intervention: * OST is developmentally informed and intensive- lasting 90-180 minutes * Combines in vivo exposure, psycho-education, particular models, cognitive challenges, reinforcement (contingency management), and skills training in intensive treatment model. Creates a fear hierarchy simultaneously probes for catastrophic thoughts associated with varying levels of exposure * GOAL: not to create another traumatic experience but to create an opportunity for child to learn that the negative expectations and thoughts believed to surround the stimulus either do not occur or if they do occur are not as anxiety-arousing as believed. Before applying the treatment researchers conducted: Diagnostic Assessment- chose appropriate evidence-based treatment for the phobia. * Anxiet y Disorders Interview Schedule for DSM-IV Child Parent Version * Makes diagnosis for phobia and introduces a rating system of fear for child * Fear Survey Schedule for Children-Revised * Discriminates types of phobia and proved an index of fear level/ intensity * BAT- Behavioral Avoidance Test Info from observing the child’s reaction and avoidance to stimulus * Functional Assessment (45 mins)- meeting for parents and children in different setting * Determine maintaining variables, generate fear hierarchy, catalog child’s most severe catastrophic cognitions (asking child what the easiest interaction with stimulus is, then most difficult and then ask for ranks in-between) , determine onset and course of phobia, build rapport and present rationale for treatment * GOAL: to assess both child and parent(s)’ motivation for treatment * Family and Parental Factors Rationale and pretreatment instructions * Lets parents know what’s coming and alleviates misconcepti ons about treatment and how it will be conducted and experienced Conducting OST * Exposure (negotiation)- *in vivo* * Elicits fear so that catastrophic cognitions expectancies can be activated and addressed * Permits fear to habituate and avoidance to extinguish * Prevents behavioral and cognitive avoidance in a safe and controlled environment * TECHNIQUES: â€Å"foot in the door† and â€Å"door in the face† * Cognitive Challenges Participant Modeling * Reinforcement * Psychoeducation and skills training * Implementation After OST * Instructions to continue self-exposure for next few months + follow up appts Results: Results showed that this approach is effective and not only works better with girls but also children with animal phobia. Discussion: Benefits of OST * Follows children’s expectations 75. 4% * Satisfied with treatment 82. % Evaluation: We decided that we would use this intervention. It alters one, if not more, of the cognitive, behavioral and physi ological aspect of the patient’s phobic emotional response. How OST came about: Researchers were not coming up with new interventions, they just modified â€Å"the wheel†, therapies that have existed for years. They wanted to see how treatments worked better together.

Latin vs English Differences in Word Order

Latin vs English Differences in Word Order A typical English sentence puts the subject first, followed by the predicate, but its not true that every English sentence starts with a subject, places the verb between the subject and the object, and has the object, if there is one, at the end. Below, you can read  two sentences where the verb comes first. Still, the examples conform to English grammar, which doesnt allow random placement of subject, verb, and object. In English, Use SVO Speakers of English are used to putting the subject of the sentence at the beginning of the sentence, the verb in the middle, and the direct and indirect object at the end (SVO Subject Verb Object), as in Man bites dog, which means something entirely different from Dog bites man. In Latin, Use SOV or OVS or... When learning Latin, one of the obstacles to overcome is the word order, since it is rarely SVO. In Latin, it is often Subject Object Verb (SOV) or Object Verb Subject (OVS) or Object Verb (OV), with the verb at the end and the subject included in it.* At any rate, it wouldnt matter whether the dog or mailman came first, because who did the biting would always be clear. canem________ vir_____________ mordetdog-acc_sg.(object) man-nom._sg.(subject) bites-3d_sg.man bites dog vir_____________ canem________ mordetman-nom._sg.(subject) dog-acc_sg.(object) bites-3d_sg.man bites dogbut:canis___________ virum___________ mordetdog-nom_sg.(subject) man-acc._sg.(object) bites-3d_sg.dog bites man Exceptions to the English SVO Rule Although English has a fixed word order, it is not entirely foreign to us to find the words in an order other than SVO. When we utter a sentence in the imperative, like an order, we put the verb first: Beware of dog! Incidentally, the Latin imperative can have the same order: Cave canem!Beware dog! This word order is VO (Verb-Object) with no stated subject. An English question has the verb first, too (even if it is an auxiliary), and the object last, as in Will the dog bite the man? The point of these examples is that we are able to understand sentences that are not SVO. Inflection Accomplishes the Same Thing As Word Order The reason Latin is a more flexible language in terms of word order is that what English speakers encode by position in the sentence, Latin handles with case endings at the ends of nouns, adjectives, and verbs. English word order tells us that what is the subject is the (set of) word(s) that comes first in a declarative sentence, what is the object is the set of words at the sentence end, and what is the verb separates subject from object. We rarely confuse a verb with a noun, except in ambiguous cases like Bart Simpsons: What has 4 legs and ticks? There is ambiguity in Latin, as well, but most of the time, an ending will show, just as efficiently, what is the subject, what is the object, and what is the verb. omnia______________ vincit______________ amoreverything-acc._pl._neut. conquers-3d_pers._sg. love-nom._sg._masc.Love conquers all. (attributed to Vergil.) An important point: A Latin verb can tell you the subject of the clause/sentence or it can tell you much of what you need to know about the subject of the sentence. The verb vincit can mean he conquers, she conquers or it conquers. If the noun amor werent in the sentence omnia vincit amor, if all that were there were vincit omnia or omnia vincit, you would translate the sentence as he conquers everything or she conquers everything.

What led to US military action in the Vietnam Research Paper

What led to US military action in the Vietnam - Research Paper Example China would continue to rule there for the next 1,000 years, until 939 AD when Vietnam would regain some measure of independence (Bureau of East Asian and Pacific Affairs). Following this, two families fought for control of the country, and civil war was common until the late 18th century (Bureau of East Asian and Pacific Affairs). A peasant revolt in 1802 again unified the country under one governor, but was beaten down by an emperor who ruled as Gia Long (Bureau of East Asian and Pacific Affairs). The Vietnamese, by the time of the entry of American troops into their country, were most likely used to seeing foreigners in their country. The Americans, however, were still about 150 years away. First were the French in 1855, which ruled Vietnam as a colony, along with Cambodia and Laos, and called it French Indochina (Bureau of East Asian and Pacific Affairs). The emperor of Vietnam remained in the country at Hue and was given very limited authority, but that was all (Bureau of East Asian and Pacific Affairs). In 1919, a young man known as Ho Chi Minh joined the French Socialist Party, and became fascinated by the teachings of V.I. Lenin (Lawrence). Lenin, while adamant that full-blown Communist revolution could only occur in countries with high industrialization, encouraged agrarian societies to form small cells of communist supporters (Lawrence). Ho Chi Minh not only believed in this principle, but believed that it formed a road map for him to carry out revolution and free Vietnam from colonial rule forever (Lawrence). The path to the Vietnam War had, in some ways, begun with his thoughts. Vietnam faced further occupation during World War II. The Japanese entered and quickly took over for France, forcing them to concede French Indochina (Lawrence). In the confusion of the final year of the war, Ho Chi Minh took advantage of the opportunity to bring his party to the forefront of politics by relieving a famine and feeding the starving masses of Vietnamese

Business Conditions Analysis (1) Essay Example | Topics and Well Written Essays - 500 words

Business Conditions Analysis (1) - Essay Example During this time span, there is considerable amount of decline or downfall in the economic activities. On the other hand, the definition of expansion, which is used by the committee, is that it is the time span between the trough and peak of the economic cycle. During this time span, the economic activities increase by a considerable rate (NBER(a)). The method used by the committee for determining the dates of the important events of the business cycle is inefficient in terms of identifying temporary shifts in the recession and expansion. As, the committee only take its decisions on the basis of the pre-defined definitions and has no method of identifying that the contraction or expansion are only temporary interruptions or actual (NBER(a)). Along with this, there is no appropriate definition of economic activity. For this purpose, the committee takes help from different economic measures which are used to determine the overall broad activity. Some of these measures, which are used by the committee, are product based real Gross Domestic Product (GDP), income based real Gross Domestic Product (GDP), and the real income of the economy (NBER(a)). Apart from these broad economic indicators, Business Cycle Dating Committee also sometime uses the narrow economic indicators which are not able to cover the whole economy, for example the industrial production determine by the index of the Federal Reserve and the real sales. Although, use of these narrow economic indicators along with the broad economic indicators can result in the problem of double counting the of the industries and sectors included in both indicators but still these narrow economic indicators can be beneficial when there is conflict between the broad indicators (NBER(a)). It is also important to establish, that the method used by the committee for the determining peaks and troughs is completely different from the two

Malaria Prevention and Treatment Essay Example | Topics and Well Written Essays - 1500 words

Malaria Prevention and Treatment - Essay Example According to World Health Organization, â€Å"half of the world’s entire population that is approximately 3.3 billion people is at the risk of malaria† (WHO, 2010). This results into two hundred fifty million cases of malaria every year with the majority belonging to the underdeveloped countries. Africa, in particular is highly vulnerable to the disease with 20% of the deaths in children attributed to this disease, which means that roughly every 30 seconds, malaria takes away one young life. What is malaria? Malaria is a â€Å"parasitic disease characterized by high fever, flu-like symptoms, and anemia† (WHO, 29, 2010). It results from a parasite carried from one human to another by the bite of a female mosquito, Anopheles. As the infection transfers, the parasites called sporozoites enter the bloodstream and arrive at the liver where they develop into merozoites and then attack the red blood cells present in the blood. The symptoms of malaria occurs 10 days to a month after the infection strikes the red blood cells but this time span can fluctuate from 8 days to over an year. The symptoms include â€Å"nausea, vomiting, chills, sweating, muscle pains, jaundice, headache, fever, bloody stools, and convulsions† (WHO, 2010). These symptoms are outcomes of anemia, which might follow from the destruction of red blood cells or a surplus of hemoglobin in the blood due to massive breaking of these cells. Not only human to another human, parasite can also transfer from a mother to her unborn baby and by blood transfusions as well. However, the parasite thrives in high temperature, which makes the countries on the equator most vulnerable to the disease. A major challenge is that in some parts of the world mainly Africa, the malarial mosquitoes have developed a strong immunity towards the insecticides, which means that it is getting harder and harder to get rid of them. Worse, the parasites, which attack the cells of

European Union Essay Example | Topics and Well Written Essays - 2500 words

European Union - Essay Example However, the idea of Europe cannot be entirely appreciatedwithout having the mentality of historical evolution of the Europe continent prior tothe periods of World War II and by extension the recent integration process that has been realized in the United States of Europe. By definition, stagnation in economic sense implies that there is a noticeable cease in motion, progress or generally activity. The progress as well as stagnation has been both customary and yet understandable stages in the expansion of the European Union and its antecedent, the European Communities (EC). European integration has had a kind of stop-and-go or an oscillating developmental pattern since the inception of the idea after the First World War (Louis Meuleman 2008; p. 401). Several factors have worked in a bid to understanding and shaping the composition and the future of the Union, for example issues like the adoption of a Constitution for the EU; the extension of EU membership to slot in ten new Member States; the ballot vote to the European Parliament; as well as the recommendation of a novel European Commission. In the 70s there was huge realization of lack of advancing the idea of EU among the member states. Citizens of independent member states were duly considered the then obstacles to the strong establishment and expansion of the EU. For instance, citizens of nations like the Netherlands and France at one time are in record having voted for their countries to pull out of the EU, leaving the reform process. In this regard at least according to Cini, (2007, 442); Citizens continue to disengage from the EU institutions, including what is ostensibly 'their' Parliament; the richer member states are seeking to reduce their contribution to the EU budget rather than increasing it to allow equitable treatment of the then new entrants in cohesion and agricultural aid. In fact the EU integration crisis in 70s Cini, (2007, 442) continue to declare, precipitated a situation dabbed Eurosclerosis. Eurosclerosis she explains further that it is the time period when the political integration in Europe mired. Fundamentally, it was the outcome of authority decisions in member states and by extension acute prevailing lack of public concern in regarding the condition of the European integration. There was also member state party politics as well as ethnicity issues (Bache, Ian & Stephen George 2006; 273). The principal issue here was how member states made policy decisions to shape their preferences regarding the EU (Folke, C., T. Hahn, P. Olsson, & J. Norberg, 2005; 361). The independent member states held varied political culture as well as big picture opinions of their national interest and preferences. These factors are by extension shaped by complicated bundles of issue-specific factors which further depends on negotiations between the EU27 members and t he apparent constantly shifting patterns of domestic politics within each member states. A pretty good example, according to Cini (2007, p. 450) is the French 'Non' to the Constitutional Treaty motivated by the then president. The French resisted the recommended liberalization of services in the Single Market which has been a prime EU policy, commonly called Bolkestein Directive. There is therefore divergent views on

Evaluating the Business Impact, Operations Management Issues and Term Paper

Evaluating the Business Impact, Operations Management Issues and Effectiveness of Business Decision-Making Relations to Recent Natural Disaster Events - Term Paper Example The paper tells that the problems and issues that have been identified with BMW Manufacturing Company, one of the biggest car producing corporation, is that the materials it is using to build cars that must be transported to South Carolina, the United States from its European   manufacturing plant are: 1) supply of car parts has been temporarily disabled because of the eruption from an Icelandic volcano that grounded most outbound and inbound air flights since the ash cloud reduced visibility, which may cause accidents if flights continue with normal operations; 2) how to get or secure critically needed car parts from other suppliers; 3) how to reroute and ship the car parts needed to South Carolina; and 4) how to keep the plant in South Carolina operational in the meantime until the natural disaster has been overcome. The response of the company regarding the natural disaster that affected their operations is first to find alternate shipping routes so that the parts needed in Sout h Carolina can be flown in. BMW Manufacturing Company also contacted its other suppliers if they can fill the supply requirements until the situation in Europe goes back to normal. And while the company is waiting for that to happen it will reduce its normal daily production as well as shorten the working shifts of its employees so that the company is still running and its workers will still have a job to go to everyday. In considering the events that happened with BMW, I can say that in making business decisions, any business company must understand that customers, investors, and business partners remain the same. And that the company is expected to deliver what it must deliver no matter what happens because of commitments and agreements that were made before the disaster happened. Therefore, BMW Manufacturing Company is expected to make good on every delivery that was promised and should see to it that necessary people, as well as the equipment to make good on that promise, are av ailable Lynch. In this particular business sense, BMW is doing its best to find a solution to the problem it is currently encountering so that the negative effect, financial and otherwise, it may have on the company, in the long run, will not be very overwhelming. Taking into great consideration that the car manufacturing industry has just started to recover and grow again, which is putting heavy pressure on every manufacturer and supplier across the whole industry. Although BMW is doing making the correct decision by trying to find other ways on how to transport the much-needed supplies from their European manufacturing plant and making some adjustments in the local daily production and working shifts of its employees. It can also avoid encountering such problems again in the near future by trying to make appropriate changes in its business priorities and objectives. While the monitoring of the company’s survival on a daily basis is being done without lapses, short-term solu tions are only good for a particular span of time. But since times are changing environmentally and economically, BMW must acknowledge that the way that things may have been done yesterday may no longer be how they should be done tomorrow. It may be difficult to try and make changes where long-term solutions are interlinked with the company’s short-term goals, but this will make the company more flexible in times when unforeseen events arise and when the company’s usual method of dealing with business must be made so it can easily adjust to the necessary change.

European Union Essay Example | Topics and Well Written Essays - 2500 words

European Union - Essay Example However, the idea of Europe cannot be entirely appreciatedwithout having the mentality of historical evolution of the Europe continent prior tothe periods of World War II and by extension the recent integration process that has been realized in the United States of Europe. By definition, stagnation in economic sense implies that there is a noticeable cease in motion, progress or generally activity. The progress as well as stagnation has been both customary and yet understandable stages in the expansion of the European Union and its antecedent, the European Communities (EC). European integration has had a kind of stop-and-go or an oscillating developmental pattern since the inception of the idea after the First World War (Louis Meuleman 2008; p. 401). Several factors have worked in a bid to understanding and shaping the composition and the future of the Union, for example issues like the adoption of a Constitution for the EU; the extension of EU membership to slot in ten new Member States; the ballot vote to the European Parliament; as well as the recommendation of a novel European Commission. In the 70s there was huge realization of lack of advancing the idea of EU among the member states. Citizens of independent member states were duly considered the then obstacles to the strong establishment and expansion of the EU. For instance, citizens of nations like the Netherlands and France at one time are in record having voted for their countries to pull out of the EU, leaving the reform process. In this regard at least according to Cini, (2007, 442); Citizens continue to disengage from the EU institutions, including what is ostensibly 'their' Parliament; the richer member states are seeking to reduce their contribution to the EU budget rather than increasing it to allow equitable treatment of the then new entrants in cohesion and agricultural aid. In fact the EU integration crisis in 70s Cini, (2007, 442) continue to declare, precipitated a situation dabbed Eurosclerosis. Eurosclerosis she explains further that it is the time period when the political integration in Europe mired. Fundamentally, it was the outcome of authority decisions in member states and by extension acute prevailing lack of public concern in regarding the condition of the European integration. There was also member state party politics as well as ethnicity issues (Bache, Ian & Stephen George 2006; 273). The principal issue here was how member states made policy decisions to shape their preferences regarding the EU (Folke, C., T. Hahn, P. Olsson, & J. Norberg, 2005; 361). The independent member states held varied political culture as well as big picture opinions of their national interest and preferences. These factors are by extension shaped by complicated bundles of issue-specific factors which further depends on negotiations between the EU27 members and t he apparent constantly shifting patterns of domestic politics within each member states. A pretty good example, according to Cini (2007, p. 450) is the French 'Non' to the Constitutional Treaty motivated by the then president. The French resisted the recommended liberalization of services in the Single Market which has been a prime EU policy, commonly called Bolkestein Directive. There is therefore divergent views on

MEDIA ANALYSIS Essay Example | Topics and Well Written Essays - 750 words

MEDIA ANALYSIS - Essay Example For example when the photograph of Miriam is introduced to the priest, he quickly jumps to the conclusion that Elijah is guilty of the sexual assault however upon learning more information one quickly learn that he is the least likely to be the one guilty of the crime. The narrative structure takes on a kind of ratchet formula in which the story quickly takes steps forward only to immediately takes a step back which is a common theme across many detective shows. In regards to how the narrative structure is plotted around moments of disruption there are frequent incidences that centre on this theme. For example one can quickly identify the deception from Elijah as he originally escapes from the police, when "The Devil" quickly assaults Detective Elliot Stabler in the bathroom. What these actions imply is that there is a relative moment of tranquility before the aforementioned incidents and it is the case that this affects the narrative insofar as it causes moments of excitement. Lastly there is the case of issues of resolution. Whilst several resolutions were in fact brought about they brought with them severe consequences. By having Elijah identifies â€Å"The Devil of Ghulu† it in fact would bring resolution to the countless people that he harmed but will cost Elijah his freedom. By having Miriam identify the war criminal she in fact can help aide in his conviction however she would bring about her own unpleasant feelings. By Elijah taking refuge in the Church he in fact eliminates his chances of ever gaining American citizenship. As such the narrative of the story implies that there is in fact not supposed to be any clean and clear resolution. The character types that are utilized to effectively tell this story are the dynamic character as epitomized by Elijah who was the child soldier who ends up doing everything he can to help Miriam. The ‘Foil

Crossing Heavens Border Essay Example for Free

Crossing Heavens Border Essay After the division of Korea in World War II, North Korea introduced communism into their country aiming to create a country where everyone was equally wealthy. However, unlike the expectation, NK’s national plans didn’t work out well, and North Koreans started to suffer from political oppression and chronic food shortages. North Koreans who could not stand the situation in their home country started fleeing from North to South Korea. first broadcast in July 2007 reveals the 10 day journey of the North Korean defectors who cross several border to settle in South Korea. The journey of North Korean defectors begins in Tumen and Yalu river, the rivers defectors have to cross to reach Shenyang, a city in China. As soon as they arrive in China, North Korean defectors always have to be careful. This is because they can be caught by Chinese authorities that repatriate defectors back to their home country, where they face cruel punishments. Often, defectors temporarily settle in Shenyang to raise money before they smuggle into South. Some women defectors are even tempted into sex industries, and they often lose their opportunity to reach South Korea. Those who successfully depart Shenyang ride on an illegal bus for 10 hours that takes them to Beijing. In Beijing, group of defectors spread out themselves and melt into the crowd to avoid authority until they board a train to Kunming. On the train, the defectors hide themselves from Chinese officials’ inspection by either leaving their seat or pretending to sleep when the officials are around. After three tenth days, they arrive in Kunming. From there, they face another 8 hour drive through the mountains toward the jungle border with Laos. Even for North Korean defectors who are chastened by adversities, crossing the jungle, which takes 18 hours on foot, is strenuous. Finally, after they cross another border to Thailand from Laos, the defectors can apply for asylum at the South Korean embassy in Bangkok, and their long arduous trip ends there (Crossing Heavens Border, PBS). At the embassy, we interviewed a 23-year-old North Korean refugee Lee Ok Kyung, who was waiting for her South Korean visa to be issued. Lee recalled her memory of childhood in the North as a nightmare.â€Å"Everyone around me was struggling to find food so dying from hunger wasn’t anything new to us† she said. â€Å"My parents ran their pants off on farms day and night, but they were paid much less than the amount of work they did because all their money was sent to the supreme leader Kim Jong Il. However, no one complained about this because everyone was brainwashed that Kim was their demigod of North Korea. Unlike my neighbors, however, I knew that Kim and the high officials were deceiving us. I left North Korea because I was eager to free myself from suppression of the North Korean government. From my respect, North Korea was a heavenly country without any future or freedom. † Until now, many of North Koreans risk their lives in the hope of resettling in South Korea, a country now home to more than 23,500 defectors. However, against the refugee’s expectation, life in a new country is not easy. Many find themselves unable to cope with the faster pace of life in the South, and they are often looked down upon by their Southern neighbors. Nevertheless, North Korean refugees take such adversities lying down because they have a desperate bid for freedom that can only be acquired by crossing the border.

Tobacco addiction case study

Tobacco addiction case study Nick is a thirty-year-old Caucasian male who recently enrolled in your patient panel. He comes in today because he desires to â€Å"kick the habit† of tobacco use. He had tried to quit before and succeeded twice, only to start up again. He denies any health problems but has a strong family history of COPD and lung cancer. His father died of lung cancer three months ago, and he has been dreaming of him since then. He does not want to end up the same way. Past medical history The patient denies medical problems. He had a vasectomy four years age at his ex-wife’s request, no other surgeries. He has noticed a recurrent morning cough and increased production of mucus over the past two months or so. Medications – none Allergies – none Stage of change – contemplation Diagnosis – tobacco abuse and addiction Patient education Through the use of tobacco, nicotine is one of the most heavily used addictive substances and the leading preventable cause of disease, disability, and death in the United States (Brunton, Chabner, Knollman, 2011). According to the Center for Disease Control and Prevention, cigarette smoking accounts for around one of every five deaths in the United States (Center for Disease Control and Prevention). When a person is addicted to a substance, they have a compulsive urge to seek out and use the substance, even when they understand the harmful effects it can have (Brunton, Chabner, Knollman, 2011). Tobacco products are addictive. With each inhalation of a cigarette the smoker pulls nicotine and other harmful substances into the lungs, where it is absorbed into the blood stream (Brunton, Chabner, Knollman, 2011). Nicotine is shaped like the natural brain chemical acetylcholine. Acetylcholine is a chemical called a neurotransmitter; this carries messages between the brain cells or neurons (Brunton, Chabner, Knollman, 2011). Theses brain cells or neurons have specialized proteins called receptors, into which specific neurotransmitters fit. Nicotine locks into acetylcholine receptors. Nicotine attaches to acetylcholine receptors that release a neurotransmitter called dopamine. Dopamine is released normally when a person experiences something pleasurable. Smoking causes neurons (brain cells) to release excess dopamine, which is the cause of feelings of pleasure when smoking (Brunton, Chabner, Knollman, 2011). This effect wears off quickly, causing the smoker to get the urge to light up another cigarette for another dose of the drug (Brunton, Chabner, Knollman, 2011). Nicotine is the primary addictive component in tobacco, but it is not the only important ingredient (Brunton, Chabner, Knollman, 2011). People who smoke have a reduction in the level of an enzyme called monoamine oxidase (MAO) in the brain and body. Lower levels of MAO in the brain may lead to higher dopamine levels and this leads to the reason people continue to smoke and continue to get the pleasurable effects from smoking (Brunton, Chabner, Knollman, 2011). Long-term use of nicotine products leads to addiction. The way nicotine is absorbed and metabolized by the body enhances its addictive potential (Brunton, Chabner, Knollman, 2011). Each inhalation brings rapid distribution of nicotine to the brain, but it quickly disappears along with the pleasurable feelings. This triggers the smoker to seek that same pleasurable sensation throughout the day (Brunton, Chabner, Knollman, 2011). Over the course of the day tolerance develops, requiring more frequent doses or higher doses to get the same effect. Nicotine, heroin, and cocaine have similar effects on the brain (Brunton, Chabner, Knollman, 2011). Many people who have a nicotine addiction are in denial. They may be social smokers, meaning they only smoke when out with friends, or they believe they can stop when they are ready (Center for Disease Control and Prevention, 2008). Recognizing the signs of addiction is important for the getting over the addiction. Common signs of addiction include requiring increased use of tobacco to get the same satisfaction, experiencing withdrawal when nicotine levels are low, having the desire to quit but not being able to, experiencing cravings and urges to smoke, and continuing to smoke despite being aware of the health risks (Center for Disease Control and Prevention, 2008). The physical symptoms of nicotine addiction are caused by withdrawal. Withdrawal occurs because the brain can no longer naturally produce adequate levels of dopamine. Nicotine withdrawal symptoms include anxiety, frustration, irritability, depression, difficulty concentrating, increased appetite, and weight gain (Brunton, Chabner, Knollman, 2011). Some of the health risks associated with nicotine use include chronic obstructive lung disease (COPD), lung cancer, asthma, gum disease, mouth and esophageal cancer, heart disease, and stroke. The carcinogens in tobacco products cause abnormal cell growth that can develop into cancer (Brunton, Chabner, Knollman, 2011). Deciding to quit smoking is the first step toward becoming a non-smoker and better health (Center for Disease Control and Prevention). After quitting, the risk of stroke can be reduced to that of a non-smoker in as little as two years after quitting (Center for Disease Control and Prevention). Heart rate and blood pressure return to the non-smoker levels after only two hours of not smoking. The rate of heart disease related to smoking is decreased to fifty percent and the rate of lung cancer is substantially reduced (Center for Disease Control and Prevention). Steps to nicotine abuse and addiction recovery that may help are to set a date to quit; this allows the person to get in the mindset to stop (Center for Disease Control and Prevention, 2008). Knowing the triggers that make the person want to smoke is another important factor. Some triggers commonly observed that increase the desire to smoke are after a meal, while driving, drinking alcohol, boredom, stress, coffee, and being around other people that smoke (Center for Disease Control and Prevention, 2008). Having a strong support system is another important factor in quitting. Informing the people around the smoker of the decision to quit may help to support the decision as well as holding the smoker accountable for the goal of quitting. It is easier to stop smoking if the people around support the effort to stop smoking (Center for Disease Control and Prevention, 2008). If the smoker is thinking about quitting, or has made the decision to quit, there are several products to help in the process of quitting and prevent many of the withdrawal symptoms. Nicotine replacement is an alternative to stopping cold. Many people find it easier to use a replacement therapy such as the nicotine patch, inhaler, or nicotine gum. This may make the transition easier and more comfortable for the person trying to quit (Center for Disease Control and Prevention, 2008). Tobacco dependence is a chronic disease that often requires repeated interventions and multiple attempts to quit. Effective treatments exist; however, that can significantly increase the rate of long-term abstinence. Counseling and medications are effective when used by themselves. The combination of counseling and medications, however, is more effective than either alone (Center for Disease Control and Prevention, 2008). Products designed to help quit tobacco abuse and addiction Bupropion SR treatment should begin one to two weeks before the quit date. The starting dose for tobacco cessation is 150mg orally every morning for three days, then 150mg orally twice daily. This dosage should be continued for seven to twelve weeks. For long-term dosage, use of bupropion SR 150 mg for up to six months post-quit may be used (Center for Disease Control and Prevention, 2008). Common side effects include insomnia and dry mouth. Insomnia may be addressed by taking the evening pill at least eight hours before bedtime, with at least eight hours between doses (Center for Disease Control and Prevention, 2008). Nicotine gum is available in both regular and flavored forms. The gum dosage is available in two milligrams and four milligram doses. Smokers should use at least one piece every one to two hours for the first six weeks (Center for Disease Control and Prevention, 2008). The gum should be used for up to twelve weeks with no more than twenty-four pieces to be used per day. Common side effects of the gum include mouth soreness, hiccups, dyspepsia, and jaw ache. These effects are generally mild and transient, often caused by the patient’s chewing technique (Center for Disease Control and Prevention, 2008). This can be alleviated by correct chewing techniques. The gum should be chewed slowly until taste emerges, then parked between the cheek and gum line to facilitate absorption. The gum should be slowly and intermittently chewed and parked for around thirty minutes or until taste dissipates from the gum (Center for Disease Control and Prevention, 2008). Nicotine Inhalers- A dose from the nicotine inhaler consists of a puff or inhalation. Each cartridge delivers a total of one milligram of nicotine over eighty inhalations (Center for Disease Control and Prevention, 2008). Recommended dosage is six to sixteen cartridges per day. Duration of the therapy is up to six months. Side effects include local irritation in the mouth and throat, coughing, and rhinitis. The severity of the irritation is mild and the frequency of symptoms decline with continuous use (Center for Disease Control and Prevention, 2008). Nicotine lozenges are available in two milligrams and four milligram doses (Center for Disease Control and Prevention, 2008). Generally, smokers should use at least nine per day in the first six months of therapy, and should be used for up to twelve weeks, with no more than twenty lozenges used per day (Center for Disease Control and Prevention, 2008). The two milligram is recommended for smokers that have the first cigarette more than thirty minutes after waking. The four milligram is used for patients that have the first cigarette within thirty minutes of waking (Center for Disease Control and Prevention, 2008). The most common side effects include nausea, dry mouth, hiccups, and heart burn. Use of the four milligram lozenges may also cause increased rates of headaches and coughing. The lozenge should be allowed to dissolve in the mouth rather than chewing or swallowing it (Center for Disease Control and Prevention, 2008). Nasal spray- The nicotine nasal spray produces higher peak nicotine levels than other nicotine replacement therapies (NRT) and has the highest dependency potential (Center for Disease Control and Prevention, 2008). A dose of the nasal spray consists of one 0.5 mg dose delivered to each nostril (1mg total). Initial dosing should be one spray per hour, increasing as needed for symptom relief (Center for Disease Control and Prevention, 2008). Minimum dosage is eight doses daily with a maximum of forty doses per day. Each bottle contains around one hundred doses. Recommended duration of therapy is three to six months (Center for Disease Control and Prevention, 2008). Patients should not sniff, swallow or inhale through the nose while administering doses, as this increases irritation. The spray is best delivered with the head slightly tilted back. Users report moderate to severe nasal irritation in the first two days of use. Nasal congestion and transient changes to taste and smell are al so reported (Center for Disease Control and Prevention, 2008). Nicotine patches treatment of eight weeks or less have been shown to be as effective as longer treatment periods (Center for Disease Control and Prevention, 2008). Patches of different doses are available. Dosing regimens should be based on patient characteristics such as amount smoked and degree of dependence (Center for Disease Control and Prevention, 2008). The step down dosage includes four weeks of twenty-one milligram per day patches, then two weeks of the fourteen milligram per day patches, then two weeks of the seven milligram per day patches (Center for Disease Control and Prevention, 2008). There is a single dose regimen available in twenty-two and eleven milligram per day patches for other step down regimens. Up to fifty percent of patients using the patch will experience a local skin reaction. These skin reactions are usually mild and self-limiting, but may be worsened during the course of therapy (Center for Disease Control and Prevention, 2008). Local treatment with a o ne percent hydrocortisone cream or a five percent triamcinolone cream, and rotation of patch sites may ease the skin irritation. Other side effects of the patches include insomnia and vivid or strange dreams. At the start of each day the patient should place a patch in a relatively hairless area, typically between the neck and waist, rotating the site daily to reduce irritation (Center for Disease Control and Prevention, 2008). The patch should be applied as soon as the patient wakes on the quit day. If insomnia is a problem, the patient should remove the patch prior to going to bed (Center for Disease Control and Prevention, 2008). Varenicline is an approved non-nicotine agent for smoking cessation (Center for Disease Control and Prevention, 2008). The FDA added a warning regarding the use of this agent. Depressed mood, agitation, changes in behavior, suicidal ideation, and suicide have been reported in patients attempting to quit smoking when using Varenicline (Center for Disease Control and Prevention, 2008). Any history of psychiatric illness should be discussed before using this medication. Side effects of the medication include nausea, trouble sleeping, and abnormal or vivid dreams (Center for Disease Control and Prevention, 2008). The patient should start Varenicline one week before the quit date, with a dose of 0.5 milligram daily for three days followed by 0.5 milligram twice daily for four days, followed by one milligram twice daily for three months. Varenicline is approved for maintenance therapy for up to six months (Center for Disease Control and Prevention, 2008). The patient should quit smoking on day eight, when the dosage is increased to one milligram twice daily. To reduce the insomnia problem, the second dose should be taken at dinner time rather than bedtime. To reduce the nausea, the medication should be taken on a full stomach (Center for Disease Control and Prevention, 2008). Varenicline is a non-nicotine medication. The mechanism of action is due to its partial nicotine receptor agonist and antagonistic effects (Center for Disease Control and Prevention, 2008). Because Varenicline is eliminated almost entirely unchanged in the urine it should be used with caution in patients with severe renal dysfunction. It is not recommended to be used with other nicotine replacement therapies because of its nicotine antagonistic properties (Center for Disease Control and Prevention, 2008). Plan of treatment Patient will be advised that the increased cough and mucus production is related to the use of tobacco products and that once he no longer smokes the frequency of cough and mucus production will decrease as this is related to irritation in the lungs caused by tobacco use. A smoker’s cough is a persistent cough that develops in long-term smokers. At first it may be dry, but over time it usually produces phlegm. The cough is usually worst upon awakening and improves throughout the day. The airways are lined with tiny hair like cells called cilia, which catch toxins in inhaled air and move them upward toward the mouth to be expelled. Smoking paralyzes these cells. Instead of toxins being caught in transit, toxins enter the lungs and create inflammation. This leads to coughing as the lungs attempt to clear these toxins. As the Celia begins to repair themselves during the night and attempt to remove the accumulated substances from the lungs, the result is coughing upon arising. Thi s cough will usually fade as the Celia is allowed to repair themselves from the abstinence of cigarette smoking. Treatment will consist of smoking cessation counseling and support, Varenicline 0.5 mg daily, starting immediately, orally once daily for three days, then 0.5 mg orally twice daily for four days, followed by one mg orally twice daily for three months. Follow up should be in three days to evaluate side effects and patient response. The next follow-up will be dependent on patient progress and response to medication. The patient will be instructed on the community resources for smoking cessation support groups and how to cope with the stress of not smoking and how to manage daily frustrations related to smoking cessation. Dietary counsel will be offered for possible nutrition advice and weight management. The patient will be encouraged to enroll in an exercise program or to increase physical activities during the initial phase of smoking cessation. A chest x-ray will be ordered, at the patient’s convenience, to rule out COPD or other lung issues. References Brunton, L., Chabner, B., Knollman, B. (2011). Goodman Gilmans: The pharmacological basis of therapeutics (12 ed.). McGraw-Hill. Center for Disease Control and Prevention. (2008). Clinical practice guidelines: Treating tobacco use and dependency. Retrieved from CDC.gov: http://www.bphc.hrsa.gov/buckets/treatingtobacco.pdf Center for Disease Control and Prevention. (n.d.). Smoking and tobacco use. Retrieved from Center for disease control and prevention: http://www.cdc.gov/tobacco/quit_smoking/how_to_quit/you_can_quit/nicotine