Brighton Nightlife Research Paper Example | Topics and Well Written Essays - 500 words

Brighton Nightlife - Research Paper Example Various entertainment spots compete for the large population of revelers. To satisfy this population, various entertainment spots have a variety of brands that keep making them outstanding to their competitors. In addition, the location of the clubs influences the accessibility and the population of revelers who visit the clubs (Winston, 2014). Tru Brighton uses the free cocktail strategy in attracting clients. Tru Brighton is known for entertaining its guests with the famous free cock tail offers on Friday evenings for those revelers who come before midnight. The club also has adequate accommodation for its revelers. In addition, Brighton has ample space that can host up to 1200 guests in the main room alone with other rooms remaining and several balconies. The average cost of drinks at the club is at  £1.00. Tru Brighton is also renowned for its renting of private booths and suites for those who wish to have private and quality time together. The club reaches out to its clients through the social media platform such as Facebook and Twitter as one of its promotional strategies. Brighton is also strategically located next to the Brighton fishing museum that is a major tourist attraction site (Winston, 2014). The honey club reaches its target market by hosting various night themed nights all through the week. The university of Sussex students are known to specifically take up the Thursday evening events. Drinks at the club have an average cost of at  £1.00-1.5 all night. The honey club also has entry fees which keep changing based on the days of the week. The entry from Saturday nights before 11 pm is about at  £8 after which it increases to up to  £12. On the week nights the cost are at  £1-  £3.The clubs offers the perfect scenery with its terraces facing the Brighton beach. Many events are held at this venue due to the kind of scenery it gives of the brig ton beach. The club

Slope-Intercept Formula to Determine the Annual Increase Essay Example for Free

Slope-Intercept Formula to Determine the Annual Increase Essay Select an inventory management problem that applies to your work or personal life. Prepare a project proposal in which you: †¢Describe the organization, the inventory problem it faces, and the expected benefits that are motivating the organization to implement a solution. †¢Convert time series data collected in Week Two to seasonal indices. You may choose to use the University of Phoenix Material: Summer Historical Inventory Data or University of Phoenix Material: Winter Historical Inventory Data if the data you collected is insufficient. †¢Use seasonal indices to analyze the inventory data. oUse the slope-intercept formula to determine the annual increase in inventory. oProvide monthly seasonal indices for the given data. oIdentify the busy months of year. oIdentify the slow months of year. †¢Construct a histogram of the inventory data using Microsoft ® Excel ®. †¢Forecast the future inventory costs using time value of money concepts. University of Phoenix Summer Historical Inventory Data The University of Phoenix Summer Historical Inventory Data is the source for developing Team B’s inventory management proposal. Annual trend lines were plotted in Microsoft Excel  © to display the inventory amounts for each year. The trend line in this case is positive, which indicates that the likelihood of inventory levels in the subsequent years will continue to rise without considering any additional factors that may influence the business. Factors  to support the observation include economic instability from stock market volatility, a decline in consumer confidence, severe weather, and acts of terrorism. Table 1 shows the existing data and includes the fifth year projections. Figure 1 displays the trend line.

Long Bone Fractures in Children: IN Fentanyl Treatment

Long Bone Fractures in Children: IN Fentanyl Treatment Introduction The clichà © that states children are just small adults is certainly not true in the case of long bone fractures. A childs experience of long bone fractures is dramatically different from that of an adult on account of their rapidly developing physiology (Wood et al 2003). This rapid development results in biochemical and physiological differences between a childs and an adults skeleton, the mechanisms of fracture and healing, are an important component of their treatment needs and consequently crucial part of emergency care management (Bonadio et al 2001). In addition, children, from infancy through to adolescence, have common fracture patterns related to their stage of development. The structural differences between the bones of a child and an adult enable childrens bones to endure greater forces and to heal quicker a childs remodeling potential supports full recovery with limited or no long term side effects from long bone fractures (Lane et al 1998). Injuries of all types are the second leading cause of hospitalization among children younger than 15 years (Landin 1997). Musculoskeletal trauma, although rarely fatal, accounts for 10% to 25% of all childhood injuries (McDonnell 1997, Landin 1997, Lane et al 1998). Boys have a 40% risk and girls a 25% risk of incurring a fracture before the age of 16 years (Landin 1997, Ritsema et al 2007). The most common site of fracture is the distal forearm which accounts for 50% of paediatric fractures. The rates of fracture increases with age as children grow; peaking in early adolescence. Fortunately, most fractures in children are minor greenstick and torus fractures constitute approximately 50% of all fractures in children (Landin 1997, Lane et al 1998, Gasc Depalokos1999, Richards et al 2006) and only 20% require reduction. Thus, the management of paediatric fractures is often straightforward. Without exception children will experience pain at the time of injury, attending the accident and emergency department and during recovery. The most common pain management strategies involve a multi-modal approach that includes both pharmacological and non-pharmacological components delivered via the least invasive technique (Worlock et al 2000). In practice this includes oral medication, such as oramorph, paracetamol, and NSAIDs, inhaled entonox, intranasal diamorphine (IND) or intravenous opioid where necessary and distraction with age appropriate devices, such as interactive books, bubbles, music and computer games in older children. Notably, IND is currently embraced as the key route of opioid delivery for children attending AED with fracture pain in the UK British Association for Accident and Emergency Medicine (BAAM E 2002). Parents and guardians of children frequently seek care in AED for the relief of pain from traumatic injuries and as a result the field of emergency medicine has assumed a leadership role in paediatric pain management. However, despite this the literature suggests the provision of pain relief for children attending AED remains suboptimal when compared to adults with the same injuries. Further discrepancies are reported between paediatric accident and emergency departments (PAED) and district general accident and emergency departments (DGAED) (Emergency Triage 2004). One reason suggested for these differences is the geographic distribution of specialised services, which are predominantly located in large cities where they are affiliated with universities. However, a recent audit by the British Association for Emergency Medicine (BAAEM 2005) of their guideline for the management of pain in children shows inconsistencies in provision of analgesia particularly for fracture pain throughout the country with no measurable difference between PAED and DGAED. A key feature of this guideline is the algorithm which advocates the use of IN diamorphine for acute moderate to severe pain in children over the age of one year (see appendix 1). The whole topic of analgesia in the paediatric population is complex and still imperfect especially in acute moderate to severe pain requiring urgent treatment in the emergency department (Schechter et al 2002). The road to pain free suffering is still paved with impediments such as failure of pain recognition and methods of delivery of analgesia (Murat et al 2003). Oral administration can be inadequate in an emergency situation with particular limitations in potential choice of drug and delay in gastric absorption and gastric emptying. Intramuscular (IM) and intravenous (IV) administration can be distressing to children and have been shown to influence future response to painful procedures (Gidron et al 1995, McGrath et al 2000, Fitzgerald et al 2005, Walker et al 2007). Rectal administration has limited acceptability given unpredictability of onset together with occasional problems of consent (Mitchell et al. 1995). By contrast, the efficacy and safety of the IN route has been well documented for desmopression acetate (DDAVP), insulin, antihistamines, midazolam and calcitonin (Jewkes et al 2004, Loryman et al 2006). In contrast, intranasal administration has a number of advantages. It is technically straightforward, socially acceptable and demonstrably effective. The nasal mucosa is richly vascular and administration by this route avoids the first-pass metabolism phenomenon Summary Studies in the 1990s such as Yearly Ellis (1992) have also demonstrated the efficacy of administration of intranasal medication via a nasal spray rather than drops in adults, although the efficacy of this application in the paediatric population remains to be proven. Intranasal administration is possibly the ideal route of analgesic administration in children. Currently, within the accident and emergency department (AED) of Bristol Royal Hospital for Children (BRHC) intranasal diamorphine is used as the first rescue analgesia in the paediatric population presenting with acute moderate to severe pain, most frequently in patients with long bone fractures who do not require intravenous access for resuscitation. Diamorphine is a semi synthetic derivative of morphine with a number of properties that render it a desirable analgesic agent for administration via the nasal route. It is a weak base with a pKa of 7.83 and is water soluble allowing high concentration to be administered in small volume (Rook et al 2006). Unfortunately the legal use of diamorphine is limited to two European countries i.e. United Kingdom (UK) and Sweden. Furthermore periodic problems with its availability during the past few years (with further shortfalls in availability predicted by the NHS purchasing and supply agency) have resulted in an alternative efficacious analgesia being sought for this population. Fentanyl, however, is a short rapidly acting opiate has several qualities that render it useful as an IN analgesia and a potential candidate to replace IN diamorphine in the AED for acute facture pain management in children. It has a very high lipid solubility, potency and diffusion fraction, and unlike diamorphine it is not a prodrug and does not cause histamine release (Reynolds et al 1999). Assessment of a patients pain experience is not directly accessible to others, collecting and analyzing information about the processes of pain relief and pain prevention is not straightforward and presents significant challenges to health care professionals. In children, this task is further complicated by their varied stages of physical and cognitive development. Recent research by Bruce Frank (2004) however, has shown that the ability to measure pain in the paediatric population has improved dramatically and that today there now exists a plethora of age appropriate pain assessment tools for acute pain in children ranging from pre-term infants to adolescents, the majority claiming validity (strength and robustness) and reliability (consistency). However, most clinical research into pain management strategies continue to rely on the gold standard self report and visual analogy score tools (mostly 0-10) (Chalkiadis 2001, Walker et al 2007). Although these tools are reliable they are not always adapted appropriately for a childs stage of development. Childrens understanding of pain and their ability to describe pain change with increasing age in a developmental pattern consistent with the characteristics of Piagets preoperational, concrete operational and formal operational stages in cognitive development (Smith et al 2003). The quality or int ensity of the pain can be difficult to determine in children, as most tools rely upon a patients relative judgment between the intensity of present pain versus a patients worst pain experience (Murray et al 1996). These tools can therefore be unreliable where a childs age of development means they have limited or no memory of pain experience. Stevens et al (2002) recently described a conflict of understanding that resulted in a study bias and an insignificant reported power of (p=0.6). In the study an 8 year old boy had chosen the VAS (0-10) but frequently reported his score as 10, although he understood the increasing value of the scoring system further questioning identified he perceived 10 of 10 to be a good score and 0 of 10 to be poor. The boy was at a stage of development that limited his understanding of less is more. This case highlights the importance of utilizing a pain assessment technique that reliably accounts for a childs age of development. A preliminary search of literature suggests there is currently exists limited research to support for the use of intranasal diamorphine or intranasal fentanyl for the management of acute pain in long bone fracture in children as evidenced based medicine. Despite this lack of evidence it remains a key strategy within paediatric AED for the pain management of long bone fractures and is anecdotally reported as a gold standard for paediatric pain management. Therefore; its lack of availability could profoundly compromise pain management for this population. Thus, this extended literature review will examine the efficacy of intranasal fentanyl as an alternative to intranasal diamorphine for traumatic fracture pain in children attending accident and emergency departments. However, in these days of evidence based medicine, it clearly needs to be established beyond all reasonable doubt. In view of that only research into paediatrics will be included increasing the credibility of its applicat ion to practice. SEARCH STRATEGY A range of complimentary search techniques were used to capture key research including a systematic electronic literature search of the Cochrane library, Embase, CINAHL, Proquest, Medline, PubMed since 1990 up to 2009 (this has to be to year of submission). The scope of the search was extended beyond the recognised five years of current research so as to include the empirical work into the development of IN analgesia in children. Key words used included the following: pain, acute pain management, intranasal diamorphine, intranasal fentanyl, procedural, accident and emergency, emergency department, child, pediatric, paediatric, child and fracture pain, as well as various combinations. In addition, in order to ensure the completeness of the search, an internet search was completed using the Google search engine, IASP, Pain Journal, Paediatric Nursing, BAAEM, NICE, Medline, EBM; the RCN was also utilised. Backward chaining of references found was also performed to ensure all relevant papers were identified. Although this review identified twenty seven citations it should be noted that historically there are fewer Randomised Controlled Trials (RCT) in children compared to adults possibly due to problems gaining ethical approval and consent. Additionally even experienced researchers will be unable to find all relevant papers and much research is not submitted for publication. The studies identified were divided into the three modalities of IN route, IN diamorphine and IN fentanyl with the majority presenting evidence for the IN route. All papers were critiqued using a tool published by the Learning and Development Department within the Public Health Resource Unit of the NHS (www.phru.nhs.uk/casp). The tool facilitated critiquing different forms of quantitative research and is based on work by Sackett (1986), Sackett et al (1996) and Phillips et al (2008) (see appendix 2). The results of the critique process for each paper and level of evidence applied in line with the modalities they address informed understanding of current practice and development of a research proposal. STRUCTURE OF THE LITERATURE REVIEW This literature review will focus on determining whether IN fentanyl is an effective alternative to IN diamorphine for the management of long bone fracture pain in children attending an AED. The scope of the literature review considers literature from 1990 onwards although occasionally earlier research has been referenced. Given the limited available evidence on the topic the following review structure has been selected. Chapters 1, 2 3 will present the evidence sourced on each theme intranasal route, intranasal diamorphine and intranasal fentanyl with a short summary to conclude each chapter. Chapter 4 will present an in-depth discussion and conclusion on the utility of the evidence, its application to practice and the requirement for a multi-centred comparative randomised control trial to improve the credibility of the evidence base for this field of treatment. Finally chapter 5 will present a research proposal for a comparative study of these modalities. Intranasal (IN) route of medication delivery in children. Nasal administration of drugs has been reported as having several significant advantages over current practice which are predominately oral, IM, IV and rectal (Williams Rowbotham 1998). It is emerging as a low-tech, inexpensive and non-invasive first line method for managing either pain or other medical problems (Wolf et al 2006). Nasal medication delivery takes a middle path between slow onset oral medications and invasive, highly skilled delivery of intravenous medications. The nose has a very rich vascular supply, IN facilitates direct absorption to the systemic blood supply due to increased bio-availability of the drug by missing first pass metabolism, It avoids the potentially technically difficult of sterile intravenous access, is essentially painless and is considered acceptable to children when compared to other routes of administration (Shelly Paech 2006) (see table 1). a theory which will be considered when reviewing the studies within this chapter Therefore suggesting th e IN route will result in therapeutic drug levels, effective treatment of seizures and pain without the need to give an injection or a pill, furthermore; it is quite inexpensive, an advantage in this era of increasingly expensive medical technology (Shelly Paech 2006). Additionally given the complexity of the developing child and the known consequence of poorly managed pain on the future responses to pain the IN route does, if it is as efficacious and as safe as suggested offer one of the most acceptable, definitive forms of analgesia delivery in children. The degree of accuracy of the previous statements will be established within this chapter by critically reviewing the 16 studies identified on IN medications other than intranasal diamorphine or intranasal fentanyl in the paediatric population (see table 2) as these agents are considered individually in later chapters. The rigour of the studies will be addressed within this chapter and reflect the level of evidence applied according to Sackett (1986) criteria (see appendix 3). Most studies reviewed were randomised clinical trials and in some cases compared against a placebo Conversely, this does not concur with the trials discussed earlier (Lahat et al 1998, Al-rakaf et al 2001, Fisgin et al 2002, Mahmoudian and Zadeh 2004 and Holsti et al 2007) where significant dosing was applied or in Wilson et al (2004) who retrospectively studied 30 children age 2-16 years receiving 0.3mg/kg at 5mg/1ml INM and 13 patients receiving rectal 0.2mg/kg diazepam for seizures. The authors report equal efficacy for both routes. Success of these agents was considered on cessation of seizures, no reported complication and not needing to attend A+E. A total of 27/30 families who had used INM found it effective and easy to use. Although 20/24 (83%) who had previously used rectal diazepam still preferred it mostly due to the coughing and the volume of liquid administered via the IN route. Given it is generally considered that the optimum IN dose as stated above is 0.1- 0.2 ml per nostril, all but the studies discussed so far were using drug concentration and dosing regimes whic h resulted in large volumes of liquid being dripped in to the nasal cavity. This is particularly poignant in Wilson et al (2003) who compared buccal to IN midazolam in 53 children aged 3-12 years experiencing seizures lasting > 5 minutes attending AED. A key feature of this study is the mean age of the children (age 9 years), mean weight (24kg) the study drug concentration as with previous studies was of 5mg /ml. IN dosing was at a dose of 0.3mg/kg. Given these figure the average dose would have been 7.2mg = a volume of 1.4ml being administered. Since the comparative route of administration for this study was buccal there is a possibility that part of the IN dose was buccally absorbed therefore creating a flaw in this study methodology, raising questions over why this comparative route was chosen and suggesting the only real conclusion to be taken from this particular study is buccal midazolam is effective and safe in children. Furthermore although this is described as a blind RCT and the authors claim the time to cessation of seizure was quicker for the INM group 2.43 (SD 1.67) to 3.52 (SD 2.14) for buccal route there is little detail on the blinding process or data collection procedure suggesting the rigour of the study maybe flawed therefore the efficacy and safety claimed for the IN route should not be embraced without further study. On the other hand Fisgin et al (2002) and Hardord et al (2004) compared the INM with rectal diazepam. In Fisgin et al (2002) in an unblinded RCT equivalence study the authors compared INM with rectal Diazepam to ascertain the safety and efficacy of INM for the development of a clinical protocol in the management of prolonged seizure in children attending the AED. Forty five infants and children age 1 month -13years experiencing prolonged seizures > 10 minutes were either given INM 0.2mg/kg or rectal diazepam 0.3mg/kg. The authors report proven efficacy (p Intranasal Diamorphine (IND) The delivery of opioids via the IN route is perhaps one of the most valuable indications for IN medication delivery. Acute pain is a frequent experience for children whether attending an AED, hospital and hospice setting (Hamer et al 1997). Furthermore it is not unusual for them to experience frequent episodes of breakthrough pain which requires additional support from fast acting analgesic agents. Owing to the developmental and physiological difference in the paediatric population there is a need for a variety of effective treatment option from which to select and individualise the patients therapy to meet their needs. IN opioid is simply one such option available which may be useful in children. It has been suggested that the delivery of medications via the IN route results in rapid absorption with medication levels within the cerebral spinal fluid (CSF) being comparable with (IV) administration (Chien and Chang 1997). Diamorphine hydrochloride is a semi-synthetic derivative of morphine. It is extremely hydrophilic, which makes it ideal to use when preparing in high concentrations in solution, thus allowing high doses to be administered in smaller volumes via the intranasal route (Kendall Latter 2003). However, this route of administration can be a painful process as reported by adults (Henry et al 1998). Despite this the intranasal route is considered more acceptable to children and their parents and is thought to lessen the opioid side effect profile seen in IV administration (Stoker et al 2008). This concept has been well recognised throughout the UK and many centres already use intranasal diamorphine for acute pain in children, following the guidelines by the British Association for Accident and Emergency Medicine Clinical Effectiveness Committee (2002) (BAAEM). Although the administration of intranasal diamorphine is now a first line choice for moderate to severe acute pain for children atten ding AED, as is the case within our institution, there is very limited research to substantiate this practice although as noted above it has been readily accepted by the BAAEM for acute pain management in children and very successfully used within our institution A recent shortage of diamorphine evoked the search for an equally effective and acceptable alternative. Early research in animals and adults reported pharmacokinetics of nebulised inhalation and intranasal administration of diamorphine as detected morphine in plasma at six minutes (Masters et al 1988, Kendall 2001). Despite the age of this research and the fact that the later study was in adults, it is still quoted as creditable evidence to support this practice in paediatrics. However the legitimacy of this should be questioned, due to children not being just small adults but have physiological differences intrinsic to their age and stage of development which may affect the bodys absorption and level of toxicity in different ways to adults. The extensive literature search highlighted four randomized controlled trials (RCT) that demonstrate IND to be clinically superior to intramuscular morphine and inferior to IV morphine particularly in the management of acute pain in children, a case study of an 8 year old boy and clinical audit of IND for pain relief in children attending AED (see table 3). The key methodology in the RCTs by Wilson et al (1997), Kendall et al (2001), Brennan et al (2004) and Brennan et al (2005) suggest these are superiority studies where the authors hypothesised improved pain management with the IND when compared to a variety of routes. The rigour of the studies will be discussed later in the chapter. Although while the critiquing process takes place it is fundamentally accepted that RCT are considered level 1 or 2 evidence as opposed to case study or audits at Level 3b and therefore generally sourced to Latest published clinical evidence to support the use IND in the paediatric population is presented in an audit by Gahir Ranson (2006) of 54 children whose care was managed by the use of an integrated care pathway for acute pain management while attending the local AED. This integrated care pathway focused strongly on the use of IND. Data collection was on a one page performa and included consent, date, patient demographic, pain score and side effect profile. Data collection was retrospective and data analysis illustrated limited recording of side effect profile but improved pain scores. However only 60% of patients have this information documented so data collection was difficult. Despite this lack of hard evidence no clinical incident, including the side effect profiles, were reported. Thus suggesting the practice of IND for acute fracture pain management in children could be safe, effective and more acceptable to children than the more painful alternative of IM or IV administration. However there is limited strength in an audit, other than a review of practice (Bowling Ebrahim 2005) and in this case a key feature for review should be the documentation process in the department as there were facets in the care pathway administration documentation missing. Therefore this audit suggests that IND is safe and effective pain management for children, but this conclusion can not be categorically drawn from the limited data available. The potential outcome of this audit could be education on documentation, to do a more rigours prospective audit of practice. Unfortunately at this point it only offers an insight to their clinical practice which is favourable for this agent and route. Albeit as noted before IND has improved childrens pain management and over all experience of acute care in our PAED additionally as with the results of the audit we have experienced no side effects or complications, further highlighting the importance of seeking an alternative to IND which offers equally efficacy. Intranasal Fentanyl (INF) Monitoring of the usual observations and pain scoring in the child was recorded prior to the administration of fentanyl (20 micrograms for 3-7 year olds and 40 micrograms for 8-16 yrs) and continued at 5 minute intervals for the 30 minute period. Additional doses of fentanyl (20  µg) were available if required at 5 minute intervals. Pain assessment was achieved with two validated pain assessment tools, the visual analogue scale (VAS) in older children and the Wong-Baker Faces (WBF) for younger children. Both are reliable and known to support consistency in pain assessment. Though there was no mention of training for those assessing this primary end point using these tools in the paper therefore this should be considered in the overview of the standard of evidence produced by this study. Additionally although forty five patients were randomized following consent unfortunately no details on the randomization process was disclosed in the paper either. This may not be significant, but when reviewing the credibility of the authors claims these obvious omissions could be responsible for a flaw in this study and remains to be established. On the other hand, the methodology that has been disclosed in the paper appears sound as it addresses key areas of sample calculation (power of the study) as a superiority study with the sub groups size adequate to detect a significant difference (Greenhalgh 2004); demographics, blinding of the drugs, assessors and appropriate statistical analysis of the data therefore supporting the validity of the results claimed and the application of the results to the age of patient targeted that this literature review is aiming to find an analgesic alternative to IND for. The results concluded by Borland et al (2002), are a reduction in pain score at 10 minutes to 44.6 mm (95% confidence interval) 36.2-53.1 mm from 62.3 mm 53.2-69.4 mm (95% confidence interval) at assessment using the VAS and 2.2 (95% confidence interval 1.3-3.1) at 10 minutes from 4.0 (95% confidence interval 3.3-4.7) at assessment in 16 children using WBS. Visual analogue pain scores demonstrated clinically significant reductions in pain scores by 5 minutes that persisted throughout the entire study (up to 30 minutes) for both INF and IV morphine. The second primary end point of this study (side effect profile) showed no significant change in physiological parameter of the childrens pulse or respiratory rate, blood pressure or oxygen saturations, interestingly the side affect profile chosen for monitoring such as pulse and blood pressure are not considered to be one of the primary side affects of morphine, however nausea and vomiting which are was not assessed. Ultimately, there wer e no negative side-effects and the sizeable reduction in pain scores (compared to baseline assessments) was accomplished in children using INF by 10 minutes and maintained throughout the 30 minute period with the mean INF dose at 1.5 µg/kg and ranging from 0.5-3.4  µg/kg. Interestingly 35.5% of children in the INF group only required one dose. Given the clinical equivalency of these two agents and routes the authors conclusion that INF offers the benefits of a simple painless technique for treating acute pain is substantiated. These benefits suggest that the IN route could be a valuable technique not only in an AED but also for breakthrough pain by offering a fast onset of pain control in moderate to severe painful conditions. It could also provide pain relief and allow topical anaesthetics to take effect on the skin prior to IV establishment. Therefore this may be a suitable alternative to IND. A similar and more recent double blinded RCT trial by Saunders et al (2007) claimed efficacy of a larger dosing regimen with a mean dose of 2 µg/kg INF (50 µg/ml) for pain reductions in paediatric orthopaedic trauma compared with IVM at 0.1mg/kg in 60 3-12 year old children. This study reports positive outcome for INF following both patients and carers reporting very effective pain management and satisfaction using this treatment method. However there is little information in the paper of methodology and results are given in percentages rather than a P value or NTT which should be expected in a rigorous creditable RCT of two agents (Bowling Ebrahim 2005) reducing the level of evidence applied to the paper to L3. Even supposing the results are an accurate reflection of the efficacy and safety of INF, particularly the fact that no significant difference in pain score or side effect profile and INF is a way forward, the lack of detail the randomisation process and analysis of data in the study methodology merely implies that these results maybe flawed. Interestingly given the concentration of fentanyl 50 µg/ ml a dosing volume for a 25kg child would have required one ml = 0.5ml per-nostril therefore suggesting some of the administration may have been oral rather than IN and present the issues of bad taste which is put forward as a possible study limitation by the authors. Then again there are no complications or reports on taste presented in the results and the authors conclusion on the efficacy of INF for acute pain management in children may be founded. However, without sourcing more details from the authors it cannot be considered evidence to inform this dissertations aims but merely an ex ample of poor research or appropriate omission by publishers. Further suggesting there remains a requirement for more research on the topic within double blind, equivalence, RCT focused on INF efficacy and dosing with sound methodology that is transparent in publication to answer the dissertation question. Conversely an older and more rigorous study which also looked at dose related analgesic effect between routes of administration is by Manjushree et al (2002). The authors demonstrated the clinical efficacy of INF in a cohort of 32 children (aged 4-8 yrs) in a postoperative situation and with a double blind level 1 RCT. The study design gives the impression of sound methodology as blinding, assessment and analysis of data was appropriate and available for scrutiny in the paper, particularly the analysis of both nonparametric and nominal data. The only weakness is possibly the sample size of 32 patients. Although the authors performed a power calculation which identified 40 patients to show a significant affect, they only recruited 32 patients, furthermore, this appears to be an equivalency study where the authors hypothesised INF would be equal to and not inferior to IVF therefore would have needed a larger sample to de

Affirmative Action :: Affirmative Action Essays

à ¢Ã¢â€š ¬Ã…“The à ¢Ã¢â€š ¬Ã‹Å"under representationà ¢Ã¢â€š ¬Ã¢â€ž ¢ of any racial group, it was decided, was evidence of discriminationà ¢Ã¢â€š ¬?(Guernsey). Affirmative action did not start out as a reverse discrimination towards white males, but it was meant to help everybody, but failed nearly completely after a time of which it was affected. The original concept of affirmative action excluded any mention of preference. à ¢Ã¢â€š ¬Ã…“Launched during the late 1960s by the administration of President Richard M. Nixon, affirmative action programs call for guidelines and goals in the hiring of racial and ethnic minorities, the handicapped, and women. They have been effective in promoting change in hiring practices because they have the weight of the federal government behind them. As a direct result, a broader range of opportunities have become available for blacks in government, the corporate world, and colleges and universities. In the beginning, the 1960à ¢Ã¢â€š ¬Ã¢â€ž ¢ s, when President Johnson used the affirmative action policy it was necessary and effective. At that time there was racial discrimination towards people of all black races in the United States of America, so it was a necessity to have such a law to create equal opportunity, but this was also created to have a racially and gender blind solution. This has turned into a racially unequal program that now has a negative effect on society. Affirmative due to quotas and favoritism towards minorities have a negative effect on society and have created a reverse discrimination. Many years ago there was a mistreatment of blacks and other minorities. à ¢Ã¢â€š ¬Ã…“During much of American history, it was generally accepted by white people that blacks were not the same kind of human beings as whites and that slavery was the proper role for black people(Guernsey). People were not permitted to attend certain schools due to their à ¢Ã¢â€š ¬Ã…“color.à ¢Ã¢â€š ¬? There were separate eating facilities, bathrooms, parks, and drinking fountains for them as well. The first legal sign that the mistreatment of blacks was finally realized when in 1954 the Brown v. Board of Education overturned the Plessey v. Ferguson case. In 1964 there was there was the Civil Rights equal protection laws passed to make discrimination illegal were the 1964 Civil Rights Act, Title II and VII of which forbid racial discrimination in "public accommodations" and race and sex discrimination in employment, respectively; and the 1965 Voting Rights Act adopted after Congress fo und "that racial discrimination in voting was an insidious and pervasive evil which had been perpetuated in certain parts of the country through unremitting and ingenious defiance of the Constitution.

A Case Study Of Rainwater Harvesting Structures Environmental Sciences Essay

Feasibility of reaping H2O at Konkamthan Village in Ahmednagar District of Maharashtra State is studied utilizing annually rainfall informations. It is said that â€Å" H2O is life † because, the H2O is required from birth to decease for human being. In the planetary image, India is identified as a state where H2O scarceness is expected to turn well in the coming decennaries. Further drought status, climatic variableness cause considerable human enduring in many parts of the state in the signifier of scarceness of H2O for both satisfaction of imbibing demands and irrigation demands. The consequences of adult male made crisis be seen as planetary heating and alteration in climatic conditions. The rain has become irregular because of perturbation in natural rhythm and hence do non make when one wants them. â€Å" A Drop Harvested is a Crop Harvested † dictates upon the importance of rain H2O harvest home. Thymine he measure of rainfall is fickle, decreased and unsure. Hence, demand for preservation has been felt much more than of all time before. In this survey, hydro-meteorological information is obtained from Indian Meteorological Station at Kumbhari, of Kopargaon taluka. To analyze the profile of land, study was carried out with Ttotal Station. Contour sheet was plotted with scale 1 † to 160 ‘ at 0.5 m contour interval. The infiltration rate of dirt was studied by dual ring infiltrometer. Depending upon design demands different overflow reaping constructions, like contour bunding, compartment bunding, nalah bunding and farm lb has been suggested. The survey shown that with the aid of reaping constructions 60 to 70 % of rainfall can be harvested. Cardinal words: Annually rainfall, Rain H2O reaping constructions, planetary heating, Entire Stationss, Profile, Contour, Infiltration, Double pealing infiltrometer. Introduction: It is good known that, the land force per unit area is increasing twenty-four hours by twenty-four hours due to population growing, doing the more and more H2O is required for domestic, agribusiness and industrial intents. At every topographic point there is ground H2O, but its geographic expedition needs money, as a consequence it becomes a restraint, nevertheless there are other restraints such as rainfall form, handiness of surface overflow and storage of H2O. Hence rain H2O reaping constructions are indispensable for effectual use of extra rainfall. Rainwater harvest home is the knowing aggregation of rainwater from a surface and its subsequent storage in order to provide H2O during the clip of demand. Rain-water harvest home is indispensable in position of the fact that rainfall, which is a beginning of fresh H2O, occurs in every short enchantments and runs off as a waste unless agreements are made for its storing ( NIH,1993 ) . In the present survey effort has been made to analyze the topography of the country, based on study work carried out utilizing entire Stationss. Besides the rainfall form for six old ages and dirt strata has been studied. The rain H2O reaping constructions were proposed based on topography, rainfall form, climatic conditions, and geological characteristics of the survey country. Site Detailss: The location of site is at Kokamthan, 03 km off from Kopargaon, District Ahmednagar. The Latitude and Departure of Sanvatsar small town are 190 54 ‘ N and 740 33 ‘ E severally. The country under probe is about 125 estates. River GODAVARI COMPOUND WALL 74.00 m PIMPLE TREENitrogen19.45 m ST-1 Figure-1: Site Detailss Data Collection: The informations aggregation portion of the country under probe has been loosely carried out in two parts, 1 ] Topographical surveies 2 ] Hydrological surveies Survey Record: – The study for the proposed site has been carried out with the aid of Entire Station DTM-352 and R.Ls of 405 Stationss are determined and listed in the tabular array below. Table-1 [ Sample record of observations ] Obs. no. Northing Easting R.Ls Description 1 0 0 100 ST1 2 -70.6743 -24.8749 98.5763 WC 3 -63.305 -35.5295 98.5771 RC1 4 -34.5137 -58.375 98.6694 RVC1 5 -27.3761 -34.3426 98.5275 RC2 6 -26.4177 -21.1967 98.363 WC2 Based on entire station observations, the Contour map has been prepared with a contour interval of 0.5m. , as shown in figure-3. It is observed that the elevational difference in the surveyed country in two terminals is about 2m. Rainfall Data: – The rainfall informations of last 20 old ages was obtained from the Irrigation Department and Indian Meteorological Department, Jeur Kumbhari. The information is tabulated as below and rainfall tendency has been observed as shown in figure-2. Table-2 [ 20 Year rainfall informations ] Year Rainfall ( millimeter ) 1987-88 520.4 1988-89 610.8 1989-90 715.6 1990-91 680.5 1991-92 500.4 1992-93 560.1 1993-94 180.4 1994-95 270.2 1995-96 165.8 1996-97 650.9 Year Rainfall ( millimeter ) 1997-98 353.6 1998-99 501.3 1999-00 311.5 2000-01 504.8 2001-02 477.2 2002-03 531.3 2003-04 376.6 2004-05 455.2 2005-06 484.4 2006-07 761.9 Figure- : 2 Rainfall Pattern. Structures. Figure- : 3 Contour Plan demoing RWH Structures. Proposed Action Plan: To plan the rain H2O reaping constructions, the rainfall, overflow, vaporization and ooze informations are basically required but these are by and large non available for most of the sites, nevertheless if these are available, the cost of an extended hydrologic probe is rarely justified. However, based on few chief factors impacting the design, a general guideline has been followed to plan the contour bund, compartment bund and nalah bund. Water harvest home and overflow recycling has four distinguishable constituents, viz. , aggregation ( reaping ) of surplus rainfall, efficient storage of harvest H2O, H2O application ( including lifting and conveyance ) and optimal use of applied H2O for maximal benefits. Based on the catchment country, rainfall, land incline and overflow volume, the suitableness demands of the farm pool has been proposed to build on both right and left side of the probe country. Decision: The basic thought behind rainwater harvest home is that the rainfall in India is extremely seasonal, with most of the precipitation happening within a few months of the twelvemonth and within that period the strength, being concentrated within a few hebdomads, that precipitation is besides extremely variable between different parts of the state and from twelvemonth to twelvemonth, that ‘s why it is necessary to hive away rainwater with assorted constructions suited for that country. The principal concern in set abouting this undertaking is to reload the land H2O, run into the industrial demand, protecting agribusiness from the vagaries of the monsoon, and carry through the domestic demand and to command the inundations to a certain extent. The elaborate contour study of country under probe at Sanvatsar was carried out with the aid of entire Station and contour sheet was plotted. By analyzing the dirt features, metrological factors, infiltration rate and land incline of the country under probe, we have suggested the contour bunding, compartment bunding, farm pool and nalah bunding as the rain H2O reaping constructions suited for that country. Looking into the different losingss and other factors it can besides be concluded that approximately 70 % of the rain falling in that country can be harvested. Looking into the scarceness of H2O and high energy input for H2O supply strategy, it should be made compulsory to implement such rain H2O reaping techniques so that the job of H2O scarceness can be minimized.

Thesis Example

enjoy!!! :]]] EFFECTS OF ILLEGAL ABORTION A Research Paper Presented to Ms. Rivera RAMON MAGSAYSAY (CUBAO) HIGH SCHOOL Ermin Garcia St. Cor. EDSA Cubao Quezon City In partial fulfillment of the requirement of English IV By: Rowena Louise V. Eustaquio IV-Scarlet ii APPROVAL SHEET This research entitled â€Å"Effects of Illegal Abortion† was prepared by Rowena Louise V. Eustaquio and hereby submitted for approval. ————————————————- Approved with a grade of ______ on _____________________. ————————————————- Accepted as partial fulfillment for English IV. iiiACKNOWLEDGEMENT I liked to thank God for finishing this Research paper because without the guidance of Him I can’t finish this. I thank my parents for supporting me for the time I used of our compute r to do some research about my topic. I thank my brothers and sisters for helping me when I need them to buy something for me. Especially I liked to thank to my Kuya Leeran because he gave me yellow pad papers for my draft. I liked to thank the librarian of RMCHS because of letting me to borrow the encyclopedias for I have to Xerox it, and also I liked to thank the RMCHS library for giving me some source for my research.I would like to thank Christine Pedrasita for her companion with me when I need to go to the library. I liked to thank Ms. Rivera for giving us this project. She gave us this project so that we are challenge to go to the library and how to use it and so that we can have time management because of hectic schedule. Thank you very much!!! –The Researcher— iv TABLE OF CONTENTS Title page †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦ ii Approval Sheet †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. iii Acknowledgement †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. iv Table of Contents †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. v CHAPTER 1 A.Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 6 B. History / Background†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 7 C. Limitation of Study †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 8 D. Purpose of the Study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 9 E. Thesis Statement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 10 F. Definition of Terms†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 11-12 CHAPTER 2 A. Review of Related Literature†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 13 Types†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 13-14 Methods†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 14-16 Abortion Law†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 16-17 Effects of Abortion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 17-18 A List of Major Physical Sequelae Related to Abortion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 8-20 Footnotes†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 20 CHAPTER 3 A. Summary†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 21 B. Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 22 C. Recommendation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 23 CHAPTER 4 A. Bibliography†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 24 B. Sample Survey†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 25 C. Permit†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 26 D. Curriculum Vitae†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 27 V CHAPTER 1 A. INTRODUCTION If you beco me pregnant at the age of 16, what would you do to your baby? Will you give birth or will kill your baby because you are too young to take care of a baby or to become a mother?Killing your baby is not an answer to this problem, even if it is just weeks old or a month young old, because it is not right to kill a human being it is in the Ten Commandments. I want to introduce to you my topic for this research paper. Abortion. I chose this topic because I want to give more information about abortion like the effects of it and why it was discovered. Enjoy learning! B. HISTORY/BACKGROUND Abortion was said that no one invented it, it was just discovered by physicians who were experimenting about the Hippocratic Oath in Ancient Greece, forbade doctors from helping to procure an abortion by pessary. 1) It began on 1800’s when laws forbid the act after 16 weeks of conception. In 1900’s many women was still using it even if it was at risk because of the different procedures that can affect to their health. It became legal in 1973 by the supreme court. (2) But still many countries are saying that abortion is illegal so other countries said to their law that abortion is illegal. There are many people knew about abortion but they have different ways and in different beliefs about it. And many women are still use and do it in different procedures. ________________________________ 1. http://en. ikipedia. org/wiki/Abortion#History 2. http://www. chritianet. com/abortionfacts/historybackgroundofabortion. htm C. LIMITATION OF THE STUDY This research paper only talks about the effect of illegal abortion only. This research is only for the people of the Philippines who wanted to know more or to learn more about abortion. This is to inform you want are the things you really want to learn about abortion. D. PURPOSE OF THE STUDY My purpose of choosing this topic for a research paper is because I really want to know more about abortion and I want to know why someone inve nted it or discovered it.Nevertheless, I want to inform all the people what are the good and especially the bad effects of it and why should we be informed about it. E. THESIS STATEMENT Many people, most of them were women teenagers, those were became pregnant early in a young age, use this kind of procedure so that they can not take the tasks as a young adult mother. They are thinking that this is just a easy thing and pregnancy is just a joke or a play but they are wrong. I want to prove from this research that abortion is not an answer to our problem of being pregnant so young because we are not ready for this situation.If you are pregnant you should be prepared and be proud because God gave you a child. F. DEFINITION OF TERMS ABORTION – any of various surgical methods for terminating a pregnancy, especially during the first 6 months. EUTHANASIA – also called mercy killing the act of putting to death painlessly or allowing to die. SACROSANCT – extremely sacre d or inviolable CONTRACEPTION – the deliberate prevention of conception or impregnation by any of various drugs EPIDEMIOLOGIC – of or relating to epidemiologySONOGRAPHY – a diagnostic imaging technique utilizing reflected high-free body sound waves to delineate, measures or examine internal body structures or organs AMNIOCENTESIS – a surgical procedure for obtaining a sample of amniotic sac in the uterus of a pregnant woman by inserting a hallow needle through the abdominal wall, used in diagnosing certain genetic defects or possible obstetric complications PREMATURE BIRTH – the birth of an infant after the period of viability but before full term ABORTIFACIENT – a drug or device used to cause abortionTANSY – any of several composite plants of the genus tanacetum, especially a strong-scented, weedy, old world herb CONTRACEPTIVE – tending or serving to prevent conception or impregnation PESSARY – a device worn in the  v agina to support a displaced uterus. GYNAECOLOGY – the branch of medicine concerned with diseases in women, esp those of the genitourinary tract PERFORATION – a hole, or one of a series of holes, bored or punched through something, as those between individual postage stamps of a sheet to facilitate separation.PENNYROYAL – an aromatic Old world  plant, Mentha pulegium,   of the  mint family, having clusters of small purple flowers  and yielding a pungent essential oil used medicinally and as an insect repellent. MENSTRUAL – of or pertaining to menstruation or to the  menses PHYSICIAN – a person who  is legally qualified to practice medicine; doctor of medicine. EMBRYO – the young of a viviparous animal, especially of a mammal, in the  early stages of development within the womb, in humans up to the end of the second month. Compare fetus.MENSTRUATION – the periodic discharge of blood and mucosal tissue from the  uterus, occurring approximately monthly from puberty  to menopause  in nonpregnant women  and females of other primate species. FETUS – the  young of an animal in the womb or egg, especially in the later stages of development when the body structures are in the recognizable form of its kind, in humans after the end of the second month of gestation INVOKED – to call for with earnest desire; make supplication or pray for UNSCRUPULOUS – not scrupulous; unrestrained by scruples; conscienceless; unprincipled.MORBIDITY – the proportion of sickness or of a specific disease in a geographical locality. CHAPTER 2 A. REVIEW OF RELATED LITERATURE Abortion is the expulsion of a fetus from the uterus before it has reached the stage of viability (in human beings, usually about the 20th week of gestation). An abortion may occur spontaneously, in which case it is also called a miscarriage, or it may be brought on purposefully, in which case it is often called an induced a bortion. Spontaneous abortions or miscarriage, may be caused by a number of factors, including disease, trauma, or genetic biochemical incompatibility of mother on fetus.Occasionally a fetus dies in the uterus but fails to be expelled; this condition is termed a missed abortion. Induced abortions may be performed for reasons that fall into four general categories to preserve the life or physical or mental well-being of the mother; to prevent the completion of a pregnancy that has resulted from rape or incest; to prevent the birth of a child with a serious deformity, mental deficiency, or genetic abnormality; or to exercise birth control, that is to keep from having a child for social or economic reasons.Abortions performed for any of the reasons in the first two categories are often termed therapeutic or justifiable abortions. Numerous medical techniques exist for performing abortions. During the first trimester (up to about 12 weeks after conception) eurettage or suction may be use d to contents of the uterus. From 12 to 19 weeks the injection of saline solution may be used to trigger uterine contractions; alternatively, the administration of prostaglandins by injection, suppository, or other method may be used to induce contractions, but these substances may cause severe side effects.Hysterotomy, the surgical removal of the uterine contents, may be used during the second trimester or later. In general, the more advanced the pregnancy the greater the risk of mortality or serious complications following an abortion. (1) TYPES Induced A 10-week-old fetus removed via a therapeutic abortion from a 44-year-old woman diagnosed with early-stage uterine cancer. The uterus (womb), included the fetus. A pregnancy can be intentionally aborted in many ways. The manner selected depends chiefly upon the gestational age of the embryo or fetus, which increases in size as the pregnancy progresses.Specific procedures may also be selected due to legality, regional availability, and doctor-patient preference. Reasons for procuring induced abortions are typically characterized as either therapeutic or elective. An abortion is medically referred to as a therapeutic abortion when it is performed to: * save the life of the pregnant woman; * preserve the woman's physical or mental health; * terminate pregnancy that would result in a child born with a congenital disorder that would be fatal or associated with significant morbidity; or * selectively reduce the number of fetuses to lessen health risks associated with multiple pregnancy.An abortion is referred to as elective when it is performed at the request of the woman â€Å"for reasons other than maternal health or fetal disease. † (2) Spontaneous Spontaneous abortion (also known as miscarriage) is the expulsion of an embryo or fetus due to accidental trauma or natural causes before approximately the 22nd week of gestation; the definition by gestational age varies by country. Most miscarriages are due to incorrect replication of chromosomes; they can also be caused by environmental factors. A pregnancy that ends before 37 weeks of gestation resulting in a live-born infant is known as a â€Å"premature birth†.When a fetus dies in utero after about 22 weeks, or during delivery, it is usually termed â€Å"stillborn†. Premature births and stillbirths are generally not considered to be miscarriages although usage of these terms can sometimes overlap. Between 10% and 50% of pregnancies end in clinically apparent miscarriage, depending upon the age and health of the pregnant woman. Most miscarriages occur very early in pregnancy, in most cases, they occur so early in the pregnancy that the woman is not even aware that she was pregnant. One study testing hormones for ovulation and pregnancy found that 61. % of conceptuses were lost prior to 12 weeks, and 91. 7% of these losses occurred subclinically, without the knowledge of the once pregnant woman. The risk of spontaneous ab ortion decreases sharply after the 10th week from the last menstrual period (LMP). One study of 232 pregnant women showed â€Å"virtually complete [pregnancy loss] by the end of the embryonic period† (10 weeks LMP) with a pregnancy loss rate of only 2 percent after 8. 5 weeks LMP. The most common cause of spontaneous abortion during the first trimester is chromosomal abnormalities of the embryo/fetus, accounting for at least 50% of sampled early pregnancy losses.Other causes include vascular disease (such as lupus), diabetes, other hormonal problems, infection, and abnormalities of the uterus. Advancing maternal age and a patient history of previous spontaneous abortions are the two leading factors associated with a greater risk of spontaneous abortion. [14] A spontaneous abortion can also be caused by accidental trauma; intentional trauma or stress to cause miscarriage is considered induced abortion or feticide. (2) METHODS Medical â€Å"Medical abortions† are non-sur gical abortions that use pharmaceutical drugs. As of 2005, medical abortions constitute 13% of all abortions in the United States.Combined regimens include methotrexate or mifepristone, followed by a prostaglandin (either misoprostol or gemeprost: misoprostol is used in the U. S. ; gemeprost is used in the UK and Sweden. ) When used within 49 days gestation, approximately 92% of women undergoing medical abortion with a combined regimen completed it without surgical intervention. [17] Misoprostol can be used alone, but has a lower efficacy rate than combined regimens. In cases of failure of medical abortion, vacuum or manual aspiration is used to complete the abortion surgically. (3) SurgicalIn the first 12 weeks, suction-aspiration or vacuum abortion is the most common method. [18] Manual vacuum aspiration (MVA) abortion consists of removing the fetus or embryo, placenta and membranes by suction using a manual syringe, while electric vacuum aspiration (EVA) abortion uses an electric pump. These techniques are comparable, and differ in the mechanism used to apply suction, how early in pregnancy they can be used, and whether cervical dilation is necessary. MVA, also known as â€Å"mini-suction† and â€Å"menstrual extraction†, can be used in very early pregnancy, and does not require cervical dilation.Surgical techniques are sometimes referred to as ‘Suction (or surgical) Termination Of Pregnancy' (STOP). From the 15th week until approximately the 26th, dilation and evacuation (D;E) is used. D;E consists of opening the cervix of the uterus and emptying it using surgical instruments and suction. Dilation and curettage (D;C), the second most common method of surgical abortion, is a standard gynecological procedure performed for a variety of reasons, including examination of the uterine lining for possible malignancy, investigation of abnormal bleeding, and abortion.Curettage refers to cleaning the walls of the uterus with a curette. The World H ealth Organization recommends this procedure, also called sharp curettage, only when MVA is unavailable. Other techniques must be used to induce abortion in the second trimester. Premature delivery can be induced with prostaglandin; this can be coupled with injecting the amniotic fluid with hypertonic solutions containing saline or urea. After the 16th week of gestation, abortions can be induced by intact dilation and extraction (IDX) (also called intrauterine cranial decompression), which requires surgical decompression of the fetus's head before evacuation.IDX is sometimes called â€Å"partial-birth abortion,† which has been federally banned in the United States. A hysterotomy abortion is a procedure similar to a caesarean section and is performed under general anesthesia. It requires a smaller incision than a caesarean section and is used during later stages of pregnancy. The Royal College of Obstetricians and Gynaecologists has recommended that an injection be used to sto p the fetal heart during the first phase of the surgical abortion procedure to ensure that the fetus is not born alive. (3) Other methods Bas-relief at Angkor Wat, Cambodia, c. 150, depicting a demon inducing an abortion by pounding the abdomen of a pregnant woman with a pestle. Historically, a number of herbs reputed to possess abortifacient properties have been used in folk medicine: tansy, pennyroyal, black cohosh, and the now-extinct silphium (see history of abortion). The use of herbs in such a manner can cause serious—even lethal—side effects, such as multiple organ failure, and is not recommended by physicians. Abortion is sometimes attempted by causing trauma to the abdomen. The degree of force, if severe, can cause serious internal injuries without necessarily succeeding in inducing miscarriage.Both accidental and deliberate abortions of this kind can be subject to criminal liability in many countries. In Southeast Asia, there is an ancient tradition of attemp ting abortion through forceful abdominal massage. One of the bas reliefs decorating the temple of Angkor Wat in Cambodia depicts a demon performing such an abortion upon a woman who has been sent to the underworld. Reported methods of unsafe, self-induced abortion include misuse of misoprostol, and insertion of non-surgical implements such as knitting needles and clothes hangers into the uterus.These methods are rarely seen in developed countries where surgical abortion is legal and available. (3) ABORTION LAW East Country| To protect woman's life| Physical health| Mental health| Rape| Fetal defects| Socio-economic factors| On request|   Brunei| Yes| No| No| No| No| No| No| Cambodia| Yes| Yes| Yes| Yes| Yes| Yes| Yes| China| Yes| Yes| Yes| Yes| Yes| Yes| Yes| Hong Kong [9][10]| Yes| 2nd (up to 24 weeks)| 2nd (up to 24 weeks)| 2nd (up to 24 weeks)| 2nd (up to 24 weeks)| No| No|   Indonesia| Yes| No| No| No| No| No| No| Japan (details)| Yes| Yes| Yes| Yes| Yes| Yes| Yes (de facto under socio-economic factors)|   People's Dem.Rep. of (North) Korea| Yes| Yes| Yes| Yes| Yes| Yes| Yes|   Republic of (South) Korea [11]| Yes| Yes| Yes| Yes| No| No| No (but illegal abortions, in this regard, are not punished)|   Laos| No| No| No| No| No| No| No| Malaysia| 1st| 1st| 1st| No| No| No| No| Mongolia| Restricted| Restricted| 1st| 1st| 1st| 1st| 1st|   Myanmar| Yes| No| No| No| No| No| No| Philippines (details)| Yes| No| No| No| No| No| No|   Singapore| Yes| Yes| Yes| Yes| 2nd| Yes| Yes| Thailand| Yes| Yes| Yes| Yes| No| No| No| Taiwan| Yes| Yes| Yes| Yes| Yes| Yes| Law is unclear| Yes| Yes| Yes| Yes| Yes| Yes| Yes| | | | | | | EFFECTS OF ABORTION (ILLEGAL AND LEGAL) The effects of abortion could be either physical or emotional and they will range with each woman who experienced this procedure. It may be difficult to tell beforehand who is at greater or lesser risk for such effects, and the fact that abortion is legal in most places certainly reduces risk of phy sical complication. That being said, there can be complications to this procedure of a physical and emotional nature, and it is wise to understand any possible risk factors. Right after an abortion, women may feel some soreness and cramping.This, and possibly bleeding from the procedure, which is generally no heavier than menstrual bleeding, may last for several weeks. Some women also experience stomach upset that can take the form of vomiting or simply nausea. These tend to be normal after effects of abortion, but if women feel concerned they should contact their doctor or the clinic where the procedure was performed. Sometimes complications do arise after an abortion, though risk of this is low. Women should watch in the first few weeks for signs or very heavy bleeding, fever, severe pain in the pelvis or severe stomach pain.These signs might suggest dangerous infection or hemorrhage and need immediate medical care. In extremely rare instances, death does occur during or after an abortion, but risk of this is about on par with risk of death during childbirth. There are also emotional effects of abortion, which do exist and need to be noted and looked for. Of these, the most significant is the development of postpartum depression. Postpartum depression is a risk any time a pregnancy ends, at any stage and no matter how. The body can respond by becoming deeply depressed as pregnancy hormones rapidly fall.What this would suggest for most women seeking an abortion is that they have a strong support system; this could be the help of friends, group support, work with a counselor, or a supportive family. Isolation after an abortion tends to increase risk for serious depression, and the circumstances under which a woman gets an abortion may also make depression more or less likely. Those who feel conflicted about the decision or must keep it secretive may suffer more. (5) Other emotional effects of abortion exist. Some people feel guilt, while others feel relief.Wit hout full-blown post-partum depression, some women may still feel tearful, moody, or simply endure a difficult emotional ride during the first few weeks to several months after abortion. Again, not all women have this experience, but some do. Understanding the effects of abortion allows women to make informed choices. There are strong arguments for and against this procedure, and people on both sides of this issue may frequently hold up one or two of the effects as a reason for or against having an abortion.What is most important is that effects be neither aggrandized nor minimized. It is important for anyone who faces this decision to understand effects clear of taint of a political position. (5) A LIST OF MAJOR PHYSICAL SEQUELAE RELATED TO ABORTION DEATH: The leading causes of abortion related deaths are hemorrhage, infection, embolism, anesthesia, and undiagnosed ectopic pregnancies. Legal abortion is reported as the fifth leading cause of maternal death in the United States, tho ugh in fact it is recognized that most abortion related deaths are not officially reported as such. 6) BREAST CANCER: The risk of breast cancer almost doubles after one abortion, and rises even further with two or more abortions. (6) CERVICAL, OVARIAN, AND LIVER CANCER: Women with one abortion face a 2. 3 relative risk of cervical cancer, compared to non-aborted women, and women with two or more abortions face a 4. 92 relative risk. Similar elevated risks of ovarian and liver cancer have also been linked to single and multiple abortions. These increased cancer rates for post-aborted women are apparently linked to the unnatural disruption of the hormonal changes which accompany pregnancy and untreated cervical damage. 6) UTERINE PERFORATION: Between 2 and 3% of all abortion patients may suffer perforation of their uterus, yet most of these injuries will remain undiagnosed and untreated unless laparoscopic visualization is performed. Such an examination may be useful when beginning an abortion malpractice suit. The risk of uterine perforation is increased for women who have previously given birth and for those who receive general anesthesia at the time of the abortion. (6) Uterine damage may result in complications in later pregnancies and may eventually evolve into problems which require a ysterectomy, which itself may result in a number of additional complications and injuries including osteoporosis. (6) CERVICAL LACERATIONS: Significant cervical lacerations requiring sutures occur in at least one percent of first trimester abortions. Lesser lacerations, or micro fractures, which would normally not be treated may also result in long term reproductive damage. Latent post-abortion cervical damage may result in subsequent cervical incompetence, premature delivery, and complications of labor.The risk of cervical damage is greater for teenagers, for second trimester abortions, and when practitioners fail to use laminaria for dilation of the cervix. (6) PLACENTA PRE VIA: Abortion increases the risk of placenta previa in later pregnancies (a life threatening condition for both the mother and her wanted pregnancy) by seven to fifteen fold. Abnormal development of the placenta due to uterine damage increases the risk of fetal malformation, perinatal death, and excessive bleeding during labor. (6)HANDICAPPED NEWBORNS IN LATER PREGNANCIES: Abortion is associated with cervical and uterine damage which may increase the risk of premature delivery, complications of labor and abnormal development of the placenta in later pregnancies. These reproductive complications are the leading causes of handicaps among newborns. (6) ECTOPIC PREGNANCY: Abortion is significantly related to an increased risk of subsequent ectopic pregnancies. Ectopic pregnancies, in turn, are life threatening and may result in reduced fertility. 6) PELVIC INFLAMMATORY DISEASE (PID): PID is a potentially life threatening disease which can lead to an increased risk of ectopic pregnancy a nd reduced fertility. Of patients who have a chlamydia infection at the time of the abortion, 23% will develop PID within 4 weeks. Studies have found that 20 to 27% of patients seeking abortion have a chlamydia infection. Approximately 5% of patients who are not infected by chlamydia develop PID within 4 weeks after a first trimester abortion. It is therefore reasonable to expect that abortion providers should screen for and treat such infections prior to an abortion. 6) ENDOMETRITIS: Endometritis is a post-abortion risk for all women, but especially for teenagers, who are 2. 5 times more likely than women 20-29 to acquire endometritis following abortion. (6) IMMEDIATE COMPLICATIONS: Approximately 10% of women undergoing elective abortion will suffer immediate complications, of which approximately one-fifth (2%) are considered life threatening. The nine most common major complications which can occur at the time of an abortion are: infection, excessive bleeding, embolism, ripping or perforation of the uterus, anesthesia complications, convulsions, hemorrhage, cervical injury, and endotoxic shock.The most common â€Å"minor† complications include: infection, bleeding, fever, second degree burns, chronic abdominal pain, vomiting, gastro-intestinal disturbances, and Rh sensitization. (6) INCREASED RISKS FOR WOMEN SEEKING MULTIPLE ABORTIONS: In general, most of the studies cited above reflect risk factors for women who undergo a single abortion. These same studies show that women who have multiple abortions face a much greater risk of experiencing these complications. This point is especially noteworthy since approximately 45% of all abortions are for repeat aborters. 6) INCREASED RISKS FOR TEENAGERS: Teenagers, who account for about 30 percent of all abortions, are also at much high risk of suffering many abortion related complications. This is true of both immediate complications, and of long-term reproductive damage. (6) LOWER GENERAL HEALTH: In a survey of 1428 women researchers found that pregnancy loss, and particularly losses due to induced abortion, was significantly associated with an overall lower health. Multiple abortions correlated to an even lower evaluation of â€Å"present health. While miscarriage was detrimental to health, abortion was found to have a greater correlation to poor health. These findings support previous research which reported that during the year following an abortion women visited their family doctors 80% more for all reasons and 180% more for psychosocial reasons. The authors also found that â€Å"if a partner is present and not supportive, the miscarriage rate is more than double and the abortion rate is four times greater than if he is present and supportive. If the partner is absent the abortion rate is six times greater. (6) INCREASED RISK FOR CONTRIBUTING HEALTH RISK FACTORS: Abortion is significantly linked to behavioral changes such as promiscuity, smoking, drug abuse, and eating disorders which all contribute to increased risks of health problems. For example, promiscuity and abortion are each linked to increased rates of PID and ectopic pregnancies. Which contributes most is unclear, but apportionment may be irrelevant if the promiscuity is itself a reaction to post- abortion trauma or loss of self esteem. (6) ————————————————- 1. AbortionBritannica Encyclopedia Encyclopedia Britannica, Inc. , 1974-1990 Vol. 1 page 37 1a 2. http://en. wikipedia. org/wiki/Abortion#Types 3. http://en. wikipedia. org/wiki/Abortion#Methods 4. http://en. wikipedia. org/wiki/Abortion_law#East 5. http://www. wisegeek. com/? what-are-the-effects-abortion. html 6. http://www. abortionfacts. com/reardon/effect_of_abortion. asp CHAPTER 3 A. SUMMARY Abortion is a surgical method for terminating a pregnancy, especially during the first 6 months. It has many reasons like because of earl y pregnancy, pregnancy and rape or incest by accident.Women are very careless today because they knew that they can handle it, but they’re wrong. There are two types of abortion, one is spontaneous but also known as miscarriage, it is the expulsion of an embryo or fetus due to accidental trauma or natural causes before approximately the 22nd week of gestation. The other one is induced abortion, is a therapeutic abortion, it is performed when the mother was raped and to preserve the life of physical or mental well-being of the mother. There are two methods of abortion.One is the medical method, they use pharmaceutical drugs so that the womb will be aborted. The other one is the surgical procedure, they use the suction aspiration or they will suck the blood or the embryo so that the fetus is smashed and can not live anymore. In the Philippines, many use medical but sometimes they do not use it because you will go to the hospital and then you will buy expensive drugs. Sometimes Filipinas who abort their child uses the procedure of sucking them but not doing it in the right place, right time and right medical instruments.The procedure they used is very illegal here in the Philippines and especially very dangerous especially to the woman who is carrying the child, it is prohibited against the law in our country. Sometimes woman who aborted their child when it was just a fetus, they just leave it in the trash bags and throw it away in the river and creeks. Here are some effects of illegal abortion: DEATH- many women die because of hemorrhage, infection, embolish, anesthesia and undiagnosed ectopic pregnancies. BREAST CANCER- the risk of breast cancer almost double after one abortion and rises even further with two or more abortions.UTERINE PERFORATION- all abortion patients may suffer perforation or their uterus, yet most of these injuries will remain undiagnosed and untreated unless laparoscopic visualization is performed. CERVICAL LACERATIONS- significant l acerations requiring structures occur on at least one percent of 1st trimester abortions. PLACENTA PREVIA- Abortion increases the risk of placenta previa in later pregnancies (a life threatening condition for both the mother and her wanted pregnancy) by seven to fifteen fold.Abnormal development of the placenta due to uterine damage increases the risk of fetal malformation, perinatal death, and excessive bleeding during labor. ECTOPIC PREGNANCY- are life threatening and may result in reduced fertility. ENDOMETRITIS- is a post-abortion risk for all women, but especially for teenagers. B. CONCLUSION Many women die everyday because of illegal abortion. Many babies too die because of abortion. I therefore conclude that any types and even the methods of abortion is illegal and bad because you are killing many human lives even if it is not yet living but still it is not right.Many effects of abortion may lead to infections or even death. In the Philippines many cases were listed about abo rtion that were illegal and many of them were not yet observe and the other cases were disapproved and been canceled. Women who had just done abortion just put their fetuses in the trash and just throw them away and never think about the life of the beings. C. RECOMMENDATION I recommend to the readers of this research paper is never use abortion because it is illegal and can lead many women to death.Killing a human being is never the answer to the problem of rape or early pregnancy because that is a gift from God and we should treasure it. If you don’t want to become pregnant you should take care of yourself. CHAPTER 4 A. BIBLIOGRAPHY http://en. wikipedia. org/wiki/Abortion#History Abortion Britannica Encyclopedia Encyclopedia Britannica, Inc. , 1974-1990 Vol. 1 page 37 1a http://en. wikipedia. org/wiki/Abortion#Types http://en. wikipedia. org/wiki/Abortion#Methods http://en. wikipedia. org/wiki/Abortion_law#East http://www. wisegeek. com/? what-are-the-effects-abortion. html http://www. bortionfacts. com/reardon/effect_of_abortion. asp http://www. chritianet. com/abortionfacts/historybackgroundofabortion. htm B. SAMPLE SURVEY NAME:__________________________ DATE:____________________ AGE:________ GENDER:_________________ DIRECTIONS: Check the box if your answer to the following questions is YES or NO. QUESTIONS| YES| NO| 1. Do you have knowledge about abortion? | | | 2. Are you aware of the abortion law? | | | 3. Do you agree about abortion? | | | 4.Do you agree that abortion should be illegal? | | | 5. Do you agree that abortion should be legal? | | | 6. Do you know someone that used abortion? | | | C. PERMIT Ramon Magsaysay (Cubao) High School Ermin Garcia St. Cor. EDSA Cubao, Quezon City Dr. Josefina T. Perlado Principal Ramon Magsaysay (Cubao) High School Ermin Garcia St. Cor. EDSA Cubao, Q. C Dear Madam, I would like to request from your good office to allow me to conduct a survey for the purpose of my research entitled â€Å"Effects of Illegal Ab ortion† of school year 2010-2011. This is in compliance with the requirements in English IV.Rest assured that the data would be treated with confidentially. Thank you very much! Respectfully Yours, __________________________ Rowena Louise V. Eustaquio Researcher Noted by: __________________ Ms. Rivera D. CURRICULUM VITAE NAME: Rowena Louise V. Eustaquio ADDRESS: 184 Ermin Garcia St. Cubao Quezon City BIRTH DATE: May 3, 1995 BIRTH PLACE: Marikina City CONTACT #: 09359623977 GENDER: Female CIVIL STATUS: Single CITIZENSHIP: Filipino RELIGION: Roman Cathoic MOTHER’S NAME: Lynn Anne V. Eustaquio OCCUPATION: Call Center ManagerFATHER’S NAME: Raul M. Eustaquio OCCUPATION: n/a SIBLINGS: 1. Lee Randolph V. Eustaquio 2. Liam Romeo v. Eustaquio 3. Regina Lorraine V. Eustaquio EDUCATIONAL BACKGROUND: ELEMENTARY ADDRESS SCHOOL YEAR Eulogio Rodriguez Sr. Elementary School Ermin Garcia St. 2001-2007 Cubao Q. C HIGH SCHOOL ADDRESS SCHOOL YEAR Ramon Magsaysay (Cubao) HS Ermin Ga rcia St. Cor 2007-2011 EDSA Cubao Q. C

Exploration of the New World essays

Exploration of the New World essays 1. The most significant change to Europeans and Native Americans both were disease. Disease from both cultures, each had their own effects on the other but no matter what the effects the diseases devastated both populations, none more than the native Americans. When the Europeans first arrived they brought along many new and different things the natives had never heard of or seen, one of these things was smallpox, this disease was disastrous in Europe when it first showed up so when brought to the new world they took over the natives and wiped them out. This affected the native population in everyway socially, economically, and culturally. When some of the survivors had built immunity to these diseases they were forever changed to have to now live by European control. The Europeans brought back with them syphilis, a std, that was contracted by having sex with the native women. When taken back to Europe the women and men their had no idea what had happened and had to adjust medically and physically to accommodate the disease. 2. Exploration in itself was one of the greatest changes to both cultures. With the Europeans expanding out to find trade routes to the east they stumbled upon the new world. With this they met the natives of the land. It changed European culture, now instead of having a single minded approach they found that there were other people who did different things. The biggest change to the Europeans was economically because now they had slavery a cheap and easy way to get a lot of work done. With the addition of slavery to Europe landowners could get many things done for very little price. The natives culture however changed for the worse, with slavery came the breaking up of families and the shipping of men and women across the Atlantic, some of which never survived the trip. 3. Finally the third most significant change, was exploration. Europeans used exploration to search out and claim new ...

Cartoon Strip Social Interactions

Cartoon Strip Social Interactions Introduced as Cartoon Strip Conversations by Carol Gray, creator of Social Stories, cartoon strips are an effective way to support the instruction of appropriate interactions to children with language and social deficits, especially children with autism spectrum disorders. Children with autism, or children with other social deficits due intellectual or physical challenges face difficulty with acquisition, performance and fluency in social skills. Cartoon Strip Social Interactions support all levels of challenge. For children who have difficulty with Acquisition, The cartoon strip offers very explicit, visual, step by step information on how to interact. For a child with difficulty with Performance, writing the interaction phrases in the bubbles creates a practice that will enhance performance. Finally, for children who have not attained Fluency, the Cartoon strip will give them opportunities to build fluency and mentor children who are still acquiring the skills. In each case, cartoon strips provide opportunities to acquire and practice social interactions that meet them where they are at. This is differentiation at its best. Using Cartoon Strip Interactions Not everyone can draw, so I have created resources for you to use. The cartoon strips have four to six boxes and have pictures of the people participating in the interactions. I am offering a range of interactions: requests, greetings, initiating social interactions, and negotiations. I also offer these across milieux: many children do not understand that we interact differently with an adult, especially an unfamiliar adult or an adult in authority, than we do with a peer in an informal social situation. These nuances need to be pointed out and students need to learn criteria to figure out the unwritten social conventions. Introduce the concepts: What is a request, or an initiation? You need to teach and model these first. Have a typical student, an aide, or a high functioning student help you model: A request: Could you help me find the library?A Greeting: Hi, Im Amanda. Or, Hello, Dr. Williams. Its nice to see you.An interaction initiation: Hi, Im Jerry. I dont think weve met before. Whats your name?A Negotiation: Can I have a turn? How about after five minutes? Can I set the alarm on my watch? Templates for Comic Strips for making requests. Templates and lesson plans for Comic Strips for Initiating Interactions with Groups. Model creating a strip: Walk through each step of creating your strip. Use an ELMO projector or an overhead. How will you start your interaction? What are some greetings you can use? Generate a number of different ideas, and write them on chart paper where you can refer to them again, later. The large Post It Notes from 3M are great because you can stack them and stick them around the room. Write: Have students copy your interaction: You will have them decide on their own greetings, etc., after they have done one conversation together and practiced it. Student Role Play: Lead your students through practicing the interaction you have created together: you might have them rehearse in pairs and then have a few groups perform for everyone: you can have all perform or a few depending on the size of your group. If you videotape the interaction, you can have students evaluate each others performance. Evaluate: Teaching your students to evaluate their own performance and the performance of their peers will help them generalize the same activity when they are in public. We typical folks do it all the time: Did that go well with the boss? Maybe that joke about his tie was a little off color. Hmmmm . . . hows the resume? Coach and prompt the elements you want students to evaluate, such as: Eye contact: are they looking at the person they are addressing. Do that count to 5 or 6, or do they stare?Proximity: Did they stand a good distance for a friend, a stranger, or an adult?Voice and pitch: Was their voice loud enough? Did they sound friendly?Body Language: Did they have quiet hands and feet? Were their shoulders turned to the person they were addressing? Teach Feedback Skills: Typical kids have trouble with this since in general, teachers are not very good at giving or receiving constructive criticism. Feedback is the only way we learn from our performance. Give it kindly and generously, and expect your students to start doing it. Be sure to include Pats (good stuff,) and Pans (not so good stuff.) Ask students for 2 pats for every pan: i.e.: Pat: You had good eye contact and a good pitch. Pan: You didnt stand still.

Oil and Gas Management Essay Example | Topics and Well Written Essays - 1500 words - 1

Oil and Gas Management - Essay Example Another basic form of unconventional methods is the conversion of coal and gas using synthetic fuel techniques and advanced technology. Unconventional methods of drilling oil are still in their beginning phase and have come out of the need by the advanced nations to cater for the demand and balance it with the supply for continuous use. However, these methods have had their possible dangers especially to human health and the impacts to the environment.Conventional or otherwise the traditional methods pose enormous losses and environmental impacts on the subjects. Firstly, they destroy the formation of the earth’s crust and core. The drilling of the well to create room for exerting pressure so as to extract the oil is by itself noise pollution and especially to the people living around the mining sites and more so to those undertaking the drilling works (Boesch and Rabalais, 2000, p.117). Potential environmental disasters arise in the sense that there are threats posed to the w ildlife living nearby that has to flee to create room for the drilling process; displacement. This, in turn, threatens the survival of wildlife and especially with the availability of predators thus causing the extinction of some species. Drilling requires broad land occupation and the possible environmental impacts would be the release of harmful air into the environment, contamination of groundwater from uncontrolled gas, fluids and spills and even uncontrolled waste discharges and leakages.

Crime Prevention Strategy Essay Example | Topics and Well Written Essays - 1500 words

Crime Prevention Strategy - Essay Example d finally coming up with actionable strategies for dealing with the crime problem, to be recommended to the Tucson Police Department and all leveraging the SARA model as the overall framework for the exercise (Center for Problem-Oriented Policing, 2013; Hoffman, Legosz, and Budz, 2005; City of Tucson, 2013). The City of Tucson Police Department details incidences of major crimes in the city over a period from 1997 to 2001 and breaks down statistics for different crimes. The plots reveal a general downward trend in incidences of crimes from homicides to arson to and robberies, with some crimes peaking in some years and some in other years in the early part of the last decade, with the exception of drug-related crimes, or so-called â€Å"Narcotic Drug Law Cases†, which have been relatively sticky and persistent over the observation period, varying over a relatively narrow range and generally being intractable from 1997 all the way to 2011, with the rates actually peaking and the n returning to 1997 levels in the intervening period of time. This is the chosen crime problem for the purposes of this discussion. It is worth noting that as of 2011, the incidence of such crimes is recorded at about 1,000 per 100,000 persons living in the city, an uptick from the 900 per 100,000 persons recorded in 1997 (City of Tucson, 2013b, p. 8). II. Discussion A. The Crime Problem, Qualitative and Quantitative Measures The plot below details the occurrence of the narcotic drug law crime problem in the city of Tucson from 1997 to 2011, as earlier mentioned, showing the relative stubbornness or persistence of this crime problem over time (City of Tucson, 2013b, p. 8): Graph Source: City of Tuczon, 2013b, p. 8 In the plot above, one can see that from 1997 to 2011, there was a considerable uptick in the drug crime problem in the city, with the last set of figures from 2003 to 2011 seeing the city facing a seesaw battle with the problem over time, and with the rates stubbornly hig her compared to the rates that were recorded in the latter part of the last century (City of Tuczon, 2013b), In contrast to this crime problem, the city seems to have fared better battling other crimes, which as can be shown from corresponding plots have been on downward trends after peaking at various points in the intervening years from 1997 to 2011. From a strategic point of view, there is value in further examining this problem in hopes of helping the Tuczon Police Department deal with the stubborn drug problem and improve the statistics in line with the progress that has been made dealing and briging down the incidence of other major crimes (City of Tuczon, 2013). From the field, we are able to get qualitative counterparts to the drug statistics provided by the police department above. One can classify the drug problem in Tucson as consisting of two main parts, one having to do with prescription drug abuse, which has the aid of health care workers in some cases, and one having to do with the trade in illegal substances such as crystal meth, which

How the New, New York State Annual Professional Performance Review Essay

How the New, New York State Annual Professional Performance Review (APPR) Regulations changed the Employee Selection Process - Essay Example This paper critically analyzes the impacts of the new NYS Annual Professional Performance Review (APPR) Regulations on employee selection process. How the new NYS APPR Regulations Have Changed the Employee (Teacher) Selection Process Introduction In the year 2010, New York State approved the adoption of a new teacher evaluation law that requires the performance review of the teachers to be based on evidence of teacher effectiveness, student growth, student achievement as well as a number of other locally selected measures. Generally the primary objective of the new annual professional performance review (APPR) has been to provide a timely feedback on the effectiveness of the teachers as well an opportunity to acknowledge the strengths and the weaknesses of the educators in their capacity as employees. Previously the recruitment and selection process has been found not to focus much on quality since it led to poor selection by not factoring in other aspects of teaching which may not b e inherent during the normal selection process (Odden, 2011). Consequently the new APPR regulation were introduced to help improve the quality of learning in New York State particularly through enhanced decision making during the teacher selection process. ... This implies that the education system needs highly qualified teachers capable of instilling what is required to enable students to be successful for college and/or post-secondary careers. The need for more quality teachers is currently putting many states under intense pressure to conform to the NCLB act which aims at ensuring that only quality teachers are hired, those who can provide quality education to students(Freeport Public Schools, 2012). New York State is one of the states in America that have successfully made bold steps aimed at improving the quality and value of teachers. With its acceptance for the Race to the top incentive program, hiring effective teachers is now paramount. (www2.ed.gov, 2012).This paper critically examines how the New York State’s (NYS) APPR regulations have changed the employee selection process since its introduction. The relationship between the New NYS APPR Regulations on human resource activities For many years, organizations have always used referrals to help them carry out their human resource activities particularly during the employee selection process when hiring or promoting their employees (Hays and Kearney, 2001). Studies have confirmed that the use of performance reviews in employee selection processes is one of not only a reliable option but is also an easy and cost effective approach that ensures satisfaction both to the organization and to the employees. On the other hand, with the current high number of lawsuits those organizations are increasingly facing as a result of their decisions to hire, promote or terminate an employee, there has been an urgent need to develop new regulations

Principles of criminal liability Term Paper Example | Topics and Well Written Essays - 1750 words

Principles of criminal liability - Term Paper Example The rule that says that the prosecutor has to prove every element of the principles beyond reasonable doubt is called â€Å"corpus delicti rule† (Hall, 2011). When a crime is committed, it is said to have some elements that directly show how and why the crime has been committed in a broad view. These elements may include the presence of a mental state, a prohibited action and a lack of legal justification. These elements should be proven by the prosecutor beyond reasonable doubt and in the cases where these elements are not proven, the person who is charged of the crime should be charged not guilty. The principles are mens rea, actus reus, concordance and causation. These principles are related to one another in a significant way as if one doesn’t satisfy, then it can change the whole scenario, and thus all should collectively apply on the crime (Lanser and  Bloy, 2000). Mens rea Mens rea is the Latin word for â€Å"guilty mind†. This is an element which shows that every crime is convicted in a state of mind. It is the state of mind of the defendant when he is or has committed the prohibited act of crime. In the American Law Institute’s Model Penal Code, the primary source used to define mens rea sets four standards. These standards suggest that the guilty mind can be attributed to those individuals who commit crimes â€Å"purposely†, â€Å"knowingly†, â€Å"recklessly†, or â€Å"negligently†. There have been developed statutes that provide more to the definition of these elements and they specify which mental states apply to which particular crimes (Hall, 2005). When an individual knows that his act will cause an expected negative result, it is â€Å"purposely†. When he commits an act being aware that his conduct will be highly risky of causing a negative result, he acts â€Å"knowingly†. When he knows that the act is going to be risky and still disregards the existence of the unjustifiabl e risks associated with the act, he is said to act â€Å"recklessly†. Lastly, if the individual has totally deviated themselves from the standard of care that he has towards a reasonable person, so he has committed the act â€Å"negligently†. In the criminal law, mens rea is considered as one of the most important and necessary elements that have to be present at the time of a crime. The common law system made the rule that the liability applies on the criminal on the grounds that the act will not make a person guilty of charge until and unless his mind is also guilty. Thus, it is important that there should be actus reus where mens rea is present to make sure that the defendant is charged of the crime he committed. So it can be held that the person who committed a crime without being at mental fault is generally not criminally liable for that act (Hall, 2005). Mens rea is not required in civil law as a subjective element to prove liability, but if a tort or a contract is breached with wrong intention, that may be counted in the offence and it would increase the scope of the liability on the offender and the measure of damages may be increased that have to be paid to the plaintiff. Therefore, it is evident that the existence of mens rea allows the accompanying principle of the actus reus as well and is closely related to each other. Without the presence of any one, liability will not be imposed (Hall, 2011). The principle issues on which mens rea is applied hold many stages of development. Some issues are said to be