Obamacare: a Threat to America

President Barack Obama has been written into the history books for becoming the first African American president of the United States. The president plans on changing history again by bringing universal health care into the United States, which has won him much popularity among Democratic voters. President Obama’s speeches are adored by his fans but raise many red flags for the majority of America. Major concerns Americans have with President Obama’s two proposed health-care bills are that health-care options will no longer be available, the real cost of Obamacare, and small businesses.As many Americans believe Presidents Obama’s health-care plan is what the United States has needed for decades, considering he did get elected, his polices will prove to be a bane for the United States. The main concern for many Americans about the Obama’s Health-Care plan is the fact that they will lose the freedom to choose. Choosing health-care benefits, doctors, and high -deductable coverage is important to every insured American citizen, so why would Obama change that?In his speeches, Obama has promised Americans that they will be able to keep their existing health-care coverage but the proposed bills tell a different story. Both bills necessitate that Americans buy approved plans that have a number of universal benefits or face penalties. Even with a five year grace period given to big employers to convert to the new plans, there will be no options if the bills are passed. Choosing what benefits are included in one’s health-care plan often times saves money that could put food on the table for a struggling family.Several states have already imposed a list of required benefits for health-care plans; everyone from â€Å"chiropractors to alcohol-abuse counselors† competes to be included on lists of required benefits (Tully). This competition is one reason health-care costs continue to rise. A few of the mandated benefits of the bills in clude coverage for prescription drugs, substance-abuse services, mental-health services, as well as insuring â€Å"children† until they reach 26 years of age. Before the bills are finalized, the Department of Health and Human Services will hire â€Å"experts† to complete he list (Tully). Thus, nobody will know exactly what this standardized list of benefits will include until the bills are passed. For some Americans, choosing their doctors is very important. Whatever the reason, some people feel more comfortable around certain doctors than others. Why would Obama take away such a simple freedom? With passing of the bills, Americans will be assigned primary care physicians who then will assign patients to specialists, if needed. It is up to the â€Å"gate-keeper† which specialist the patients sees and when.Of course, the choice is to be made on which route is the most â€Å"cost-effective† (Tully). The situation only gets worse when primary care physicians deny patients care, and still get paid. Another freedom Obama’s Health-Care bills will strip from Americans is the choice of high-deductable coverage. Currently about 5 million Americans take advantage of Health Savings Accounts (HSA) offered by their employers (Tully). These work when an employee puts money into the account, requiring the employer to make an equivalent deposit.Employees use Health Savings Accounts to pay for high-deductable coverage plans which, in turn, they use to cover several-thousand dollar medical bills. With high-deductable plans, patients are to cover regular doctor visits themselves; HSAs help cover these bills as well. The proposed bills cause great concern to HSA participants for the simple fact that they will no longer be able to choose a plan with â€Å"stripped† benefits. To rub salt on an open wound, John Goodman of the National Center for Policy Analysis says, â€Å"The government could set extremely low deductibles that would elimin ate HSAs..And they could do it after the bills are passed. † Mandating minimum benefit packages will only drive up medical costs for those who now rely on HSAs to cover medical expenses, ending â€Å"consumer-driven† care (Tully). By eliminating money coming in from independent consumers instead of big insurance companies, the proposed bills will snuff out any type of market health-care now has. Another major concern for Americans about Obamacare is a topic President Obama would rather not mention: cost.According to the Congressional Budget Office, the price tag of the bill coming from the Senate Health Committee would be approximately $1 trillion spanning ten years, and that would only cover a small portion of uninsured Americans. Even worse, the Congressional Budget Office estimates another bill from the Senate Finance Committee at over $1. 6 trillion (Reich). These numbers come at the worst possible time when the United States deficit has reached an all-time high at over $14 trillion as of January (Sahadi).This begs the question, how does Obama expect to pay for these tremendous bills? The answer: Obama plans to raise taxes. Though Medicare cuts and increased taxes will pay for much of the immediate â€Å"overhaul,† according to the proposed bills, the first sign federal tax credits will not be seen until 2013. Only eligible small businesses, up to 25 employees, can receive very limited tax credits up to 35% towards employee health coverage, which Obama hopes will persuade small businesses to offer employee health-care plans (Fox News).But in reality, the cuts affects only one-third of small businesses, leaving the nearly rest of America to get insurance through their big business employer or buy it themselves (Danner). The United States is less than $300 billion away from our debt ceiling, what would another $1 trillion in debt do to our country? Experts predict â€Å"crippling† results. Even in the best case scenario, the value of U. S. bonds and currency would be destroyed. If the U. S. did default, markets around the world would see the effects (Sahadi). If the U. S. overnment is about to lose the ability to pay its own bills, why is the president trying to reform health-care knowing it will add to the already outstanding debt? Small business are another key concern for Americans as President Obama is pushing harder than ever for his proposed health bills. In his campaign Obama ensured Americans that his bills will include benefits for small business, however that is not the case. Looking closely, the proposed tax credits for small businesses will put each small business through a series of tests to decide whether it is eligible for the credit and how much they could receive.With less than one-third of small businesses fully eligible under the restrictions, President Obama’s Health-Care plan will leave Americans with few options when it comes to health-care. Even more, the president neglects to me ntion is that his tax credits for small business are only temporary, six years at the most (Danner). After the credits run out, small businesses will be forced to pay full price for employee health costs, driving up the cost of business dramatically.Businesses that cannot afford the full price tag of employee coverage and newly imposed taxes will have no choice but go out of business. Small businesses created 64% of all new jobs in the last 15 years; the idea of unemployment taking another dramatic rise caused by the closing of numerous small businesses is something the current economy of the United States cannot handle (SBA. gov). There is no doubt Americans like President Obama but when a record number of Americans lose their jobs because of his bills, what will Americans think of him then?There is no doubt President Obama is an excellent speaker but his way with words hides truths that Americans need to know. Now that these truths have leaked out to the public, Americans are conc erned about many different aspects of the president’s proposed bills. Understand, the idea of every American citizen having health insurance sounds great to everybody, but at what cost? Major concerns of American citizens are that health-care options will no longer be available, the real cost of Obamacare, and small businesses.President Obama’s promise that Americans could keep their current plans has been proven bogus, he has neglected to mention the tremendous costs of his proposed health-care bills, and these bills could irreversibly damage the American economy; is Obama the change that America was searching for? As his 2,000 page documents conceal the truths behind his proposed ideas, President Obama’s health-care plan has proven itself to be yet another bane that could very possibly be placed on top the United States’ already weighted shoulders.

Hardy Neutral Tones †Pathetic Fallacy Essay

Throughout Neutral Tones, Hardy effectively communicates his feelings about love using the natural world and its (neutral) colours and characteristics. His use of rich imagery of the natural world produces a melancholic note about love, which resounds through the whole poem portraying the end of an affair between Hardy and his former lover. The backdrop of the poem is set in the first stanza as a ‘winter day’. Hardy uses the time of year to convey a sense of melancholia as winter often has a negative connotation and is associated with colder feelings and emotions. In this way, ‘winter’ could be representing the frosty nature of the relationship and how Hardy’s former lover was cold towards him. The descriptions in the first stanza are all colourless (neutral tones) which suggests that Hardy feels as if he has no colour in his life, no love. His negative feelings about love are conveyed especially effectively here because they are expressed right at the beginning of the poem – this sets an unhappy tone for the first stanza, which deepens further into the poem. In the second line of the first stanza, Hardy describes the sun as ‘white’ and ‘chidden of God’. His use of the colour ‘white’ suggests that his feelings about love are blank (or neutral), lifeless, and even depressing. It contrasts with the typical colour of the sun – yellow – a symbol for vibrancy and happiness, both emotions that Hardy does not feel about or achieve from loving the woman. In addition, the sun and pond are circular and non-angular in shape; this portrays that Hardy feels as if there is no escape from the negativity that he finds to be attached to his love and that it is never ending, in a loop. Hardy also may have meant for the sun to symbolise his relationship – God could have made it shine with yellow positivity, but instead He has made it a drab white tone; perhaps Hardy feels as if his relationship and love have been condemned by God. Hardy’s miserable feelings are further emphasised by the alliteration of the letter ‘L’ in ‘a few leaves lay’ – when read aloud, the sound of the letter creates a kind of idle yet unsettled tone which relates to Hardy’s feelings towards love. He feels idle yet unsettled in the sense that whilst he cannot do anything to stop his affair from falling apart, he does not wish for it to do so. The ‘L’ sound contrasts with the ‘S’ sound later in the line, which is a harsher, more acute sound, perhaps representing the attitude of the lover towards Hardy at the end of their affair. The image created by the ‘few leaves’ symbolises Hardy’s feeling that the love between him and his lover is disintegrating; the leaves are related to natural life dying, but in this instance Hardy uses a metaphor to relate the leaves instead to love dying. The ‘starving sod’ suggests that Hardy feels that his relationship is ‘starving’, as if it were not being ‘fed’ enough love to keep it strong and happy and it has therefore been reduced to ‘sod’ – treaded on and not special. The leaves that ‘had fallen from an ash, and were gray’ symbolise the way that Hardy and his lover have also ‘fallen’ out of love. ‘Ash’ could mean ashes as well as the type of tree, carrying on the theme of death that was introduced earlier in the stanza. Also, the colour of ashes as well as the leaves is ‘gray’, a neutral colour, suggesting that Hardy has quite reserved feelings about love. In addition, the description of the fallen leaves from the ash is quite gentle – that is, that the language is relatively reserved. This conveys the lack of passion that Hardy and the woman share within their relationship. At the end of the third stanza, Hardy’s lover’s bitter grin is described as sweeping ‘thereby/Like an ominous bird a-wing†¦Ã¢â‚¬â„¢ This suggests that Hardy feels a sense of impending doom about love and his relationship with the woman as if he knows that something harmful is bound to happen in the future and that the relationship is going down a dangerously steep downhill slope, destined for a crushing ending. The ‘bird a-wing’ kind of represents how his love and passion for the woman is flying away, like a bird. Another interpretation is that Hardy feels that the ‘ominous bird’ mocks him, circling over him like a bird of prey – he is stuck in a cycle of love and pain in his relationship whilst the he imagines the bird soaring free. In the last stanza, Hardy refers to the sun as â€Å"God-curst†. This depicts a change in Hardy’s feelings about love from the beginning of the poem – his language starts to show anger, rather than sadness. The reader or listener may interpret this as a religious reference from Hardy – perhaps he feels that his failing love is inevitable because it has been predefined by God (this introduces the idea of fate coming into the equation). The poem starts and ends with the same location and memory – the pond. This suggests that Hardy feels like he cannot escape from the constant cycle of love and pained grief that he has been experiencing, and that his memory of the pond scene and his feelings about love keep on repeating in his head; perhaps Hardy feels somewhat trapped within his own mind with no escape. Hardy’s description of the natural world at the end of the poem, ‘Your face, and the God curst sun, and a tree,/And a pond edged with grayish leaves.’ is very blunt and mostly monosyballic symbolising blankness, as if Hardy’s feelings are numb. This contrasts greatly with the much more emotive and descriptive language he used at the beginning to depict the same objects. This change suggests that Hardy has changed his view about love to a more cynical one, feeling as if love ‘deceives’ and tricks him. Hardy uses this paradox to combine the feeling of melancholia and the notion of a passionless relationship, emphasising the point that what passion there once was between Hardy and his lover is there no longer.

Cultural approaches to disease Research Paper Example | Topics and Well Written Essays - 2000 words

Cultural approaches to disease - Research Paper Example On the other hand, Procter defines disease as the presence of an illness in the human body, often caused by infection, a definition that dominated in the early twentieth century’s-understanding of human health in which the biomedical perspective adopted was characterised by the narrow view of health as the mere absence of illness in the body. However, this vintage point has been replaced by a more encompassing one in which the role of the three aspects of biomedical, socio-cultural, and psychology in promoting society wellbeing have been brought together to form the modern day bio-psychosocial model. In fact, in 1948, the World Health Organization gave a standard definition of health as not the absence of disease or infirmity, but rather the complete mental, social, and mental state of well being. This definition captured the intricacy and multidisciplinary nature of health as a concept. The inclusion of the social dimension points to fact that the individual is a social being influenced and affected by the society they are in and his/her health being more than merely physiological (Card, et. al. 76). This widened viewpoint has over the years led to a shift from the traditional focus on the individual, as the sole unit of analysis and primary factor in preventing diseases and promotion of health. The modern day psychological approaches views individuals form a subset of a set influenced significantly by other factors of the social, economic, cultural, and physical environments. This paper will argue about the different cultural perspectives of disease, precisely HIV/AIDS, and their influence the global spread of diseases. Both the theoretical and applied approaches to health need to develop a culturally receptive understanding. This understanding is that models developed mostly in the developed world are expanded and improved by observing their efficiency and impact across varied cultural societies. This

The Tendency of the Firm in a Monopolistic Market Essay

The Tendency of the Firm in a Monopolistic Market - Essay Example These differences between perfect competition and monopolistic competition have social welfare implications. In perfect competition, marginal revenue is the same as price and this reflects the optimum utility of goods as the price is also equal to marginal cost. Supply also meets the demand at the most efficient level. This is illustrated in Figure 1 where supply and demand achieved equilibrium. The case is different in a monopolistic competition where there are few or no competition. The tendency of the firm in a monopolistic market is to restrict production as can be shown in Figure 1 to drive prices up as represented by P1. The market then becomes inefficient because firms are not producing at a minimum cost where price is much higher than the cost of production. This has an implication in social welfare as inefficiency would mean requiring more resources to achieve the same utility of good thereby increasing the social cost. This is not the case in a perfect competition where mar ginal revenue is the same as price. In the diagram in Figure 2, a competitive market achieves an equilibrium where demand is met with supply (MC and AR intersect). It meant that the social service can be had at its cost and is, therefore, the most optimum level where the needed service is appropriately supplied without waste. Thus comparing perfect competition with a monopolistic market, price in the monopolistic market is higher as shown in P1 compared to Price of perfect competition in P2. Production is also inefficient in the monopolistic market as shown by Q1 as it is deliberately restricted to drive the price or P1.

Is health care a right or privlege Essay Example | Topics and Well Written Essays - 1250 words

Is health care a right or privlege - Essay Example Getting good healthcare is not possible for everyone as you need a background of money for that, but every individual has a right to an average rated healthcare. These people are not asking for the best, they just want somebody to help cure them and help them live a little longer. In America 20 per cent of the people are below the poverty level which means that they can not afford to pay for health insurance or for any other medical expenditure incurred by them. This level of poverty shows that one out of every six children goes to bed hungry. The government to solve this problem of health care can allocate a bigger portion of the budget for this service and especially help those people out who are in dire need of it. Another approach that can be used to provide proper heath care is to take it as a personal responsibility. If every individual himself starts living healthy by eating the right diet and causing less of self harm by smoking cigarettes and drinking less alcohol, it would make things much easier. It is not just the government or the doctors who are responsible for health it is every individual. (Christopher et. al, 2004) People who belong to different social strata hold differing opinions about health care. Health care is directly related to the amount of money a person has. The richer you are the more you are concerned about your health. While people who belong to the lower income groups are not really bothered and will not take precautionary steps to reduce the risk of getting sick. In America there are 45 million people who do not have health insurance. (Papadimos, 2007) Aristotle believed that anything that has a soul displays life. The body can grow, decay and provide itself with nutrition while the soul has powers of sensation, thinking and motivation. According to Aristotle, "If the whole body was one vast eye, sight would be it soul. As the eye is a tool for seeing with, but a living tool which is part of ourselves, so the body is like a tool or instrument for living with. Hence we may say of the soul that it is the 'end' of the body, the activity to which the body is instrumental, as seeing the 'end' to which the eye is instrumental." (Papadimos, 2007) What Aristotle is trying to say is that for the soul to be nourished, health care needs to be provided to individuals so that they can grow to their fullest extent. According to Thomas Hobbes (1588-1679), man would eventually realize the things that are needed to preserve life. He gives us the law of nature which says, "A law of nature (lex naturalis) is a precept or general rule, found out by reason, by which a man is forbidden to do that which is destructive of his life or taketh away the means of preserving the same, and to omit that by which he thinketh it may be best preserved." (Papadimos, 2007) Basically he said that every human being has a right to anything he wants, even if it is another human's body. He considers three aspects: seeking peace, laying down the right of nature and making covenants, and performance of covenants. By seeking peace he means that if an individual has a problem such as a hearing defect then seeking peace

Establish relationships with customers Essay Example | Topics and Well Written Essays - 250 words

Establish relationships with customers - Essay Example Accordingly, a "satisfied customer" is not enough to create customer loyalty because customer loyalty is established not only through meeting basic needs, but in delighting the customers so that they will continue to patronize and repeatedly purchase the products or services of organizations. Further, all organizations aim to satisfy their customers but only a few establish customer loyalty due to the added value provided. Products that generate a lot of customer loyalty are Coke, Johnson and Johnson, Procter and Gamble, Nestle, Colgate-Palmolive, to name a few. These products exemplify giving their customers more value for the products patronized in terms of extending care, addressing inquiries immediately, ensuring high quality of products for the price paid, and making them instrumental part of the customers’ daily lives. Microsoft could be deemed as an organization that earned customer loyalty due to the exemplary quality of products offered to the consumers. A lot of its products have been replicated by other computer organizations but their mission and genuine commitment to help people and business organizations through sharing the products that they offer are commendable and consistent with the ideals for social responsibility; as well as conformity to ethical and moral

Product Life Cycle and Consumer Loyalty Essay Example | Topics and Well Written Essays - 500 words

Product Life Cycle and Consumer Loyalty - Essay Example There are four basic stages in a product's life cycle; introductory, growth, maturity, and decline. The Pantene Pro-V line, which has been around for many years, is in the mature stage of the product life cycle. As author Allan Reddy notes, the "underlying objective is to capture substantial market share in the introductory stage and harvest profits during maturity stage" (1994, p. 53). There are several ways that a company can develop customer loyalty while seeking to gain profits from a mature product. First, the company can enhance the features of its product so that it doesn't stay static. With Pantene Pro-V, Proctor and Gamble has developed a large number of variations targeting consumers who color their hair, or by focusing product innovation on specific segments of the market along demographic lines. A producer can also lower the price of the mature product since the initial marketing costs have been recovered and competition has likely increased. Further, the company can enha nce its distribution strategies through added incentives and intensifying its efforts in successful segments. Finally, the company can use a promotional emphasis to demonstrate their enhancements and recover market share by distinguishing these developments against the competition.

Public Policy Analysis Essay Example | Topics and Well Written Essays - 2500 words

Public Policy Analysis - Essay Example This is one of the legislative ways the government of the USA came up with to control the market. In light of this, the paper will venture into the history of the act to try and establish its necessity. It will then create a prescription that will indicate who failed in operation for this law to be enacted. The impact of the law on business and society will be discussed followed by a review of literature as per the course content. The viability of the law will be discussed based on its strengths and weaknesses. History of the Policy and Current Situation The US financial market had witnessed a large series of frauds in the corporate sector in 2002. Some of the highly publicised scandals included some large companies like Enron Corporation, Tyco and WorldCom. Due to these market malpractices, there were serious consequences that saw Enron collapse in 2001 after filing for bankruptcy on December 1. According to Healy and Palepu (2003), the company was a power in the US energy sector ha ving been formed in the year 1985. This large success led the management to into venture production of other energy related products; natural gas, pulp, paper and communications sectors. A critical analysis of the operations of the company according to economic consultants indicated that the rise to stardom of the company was not genuine. Many accounting practices that were unethical had taken place which killed the trust of the public in the US large sector market (PriceWaterhouseCoopers 34). Together with scandals at other companies like WorldCom and Tyco International, the public truly believed that there are several accounting practices yet to be discovered. Due to these happenings where the greedy executives wanted to benefit from their positions in companies, the Sarbanes-Oxley Act of 2002 of 2002 was formed. It is also called Public Company Accounting Reform and Investor Protection Act of 2002 and abbreviated as SOX act of 2002 (Healy and Palepu 15). The SOX bill was signed i nto law on July 30 2002 by the then president George Bush and had provisions creation of reforms in the accounting and corporate business world by use of a board which it mandated, the â€Å"Public Company Accounting Oversight Board." The current position of the act has been a creation of corporate responsibility and it has seen a drastic overhaul of the entire US financial operations where there is a high level responsibility in management. This is a step that has highly reduced bankruptcy among companies. Having not created such an act earlier on means that the government had failed to implement its duties as this act was created as a matter of contingency. Public Prescription and Implementation of the Act As an act that was created as a matter of contingency, the act took care of the matters that were happening at the time and remained to take care of future similar matters. It was an emergency measure that made sure that the confidence of the public in the large business sector was restored. The policy has eleven chapters and each seeks to create accountability to the management teams of the large

Trade Off Pecking Order Essay Example for Free

Trade Off Pecking Order Essay The trade-off theory is derived from the debate over the Modigliani-Miller theorem. Modigliani-Miller (1963) accounts for corporate income tax into their original theorem. This created a benefit for using debt as it shields taxable income. They argue that corporate tax allows for the deduction of interest payments in calculating taxable income. As a result, the use of debt will increase the firm’s after-tax cash flow. This means that profitable firms should use debt to shield their income from tax. This would imply that a firm would use 100% debt financing. However, Modigliani-Miller (1958) failed to take into account the agency costs and bankruptcy costs associated with debt. Using debt carries additional risk, which means that it is not optimal to finance using debt alone. One of the main costs of debt is the threat of financial distress. These costs occur when a company uses so much debt that it cannot meet its financial obligations. According to Warner (1977) and Barclay et al. (1995), financial distress has both direct and indirect costs. These direct costs include legal and administrative costs of liquidation. Indirect costs could include the loss of customers and suppliers. Based on previous analysis by Bradley et al. (1984), firms with volatile earnings are more likely to face the costs associated with financial distress. This is because the possibility of a firms earnings dropping below their debt obligations is higher, meaning that these firms have less leverage. This makes it unattractive for firms to have too much debt. The trade-off theory can be broken down into two parts. The first is known as the static trade-off theory. Frank and Goyal (2005) , defines a firm to follow this if : â€Å"A firm’s leverage is determined by a single period trade-off between the tax benefits of debt and the deadweight costs of bankruptcy.† The trade-off theory goes back to Kraus and Litzenberger (1973), which implies that a firm evaluates the various benefits and costs of different leverage plans. Financial managers often think of the firm’s debt-equity decision as the trade-off between the tax benefits of using debt and the cost of financial distress. The company should reach a decision so that marginal costs and benefits are balanced. This threshold of debt is generally called the optimal (target) level of capital structure and is defined by the trade-off between costs of debt and its benefits. More precisely, it will be at the point where the marginal benefits of each additional unit of debt equal to its marginal costs. The trade-off theory of capital structure recognises that target debt ratios of can vary from firm to firm. Companies with safe, tangible assets and a high amount of taxable income should favour high leverage ratios. Companies that have low profits and risky, intangible assets should prefer to rely primarily on equity financing. The second part of the trade-off theory is known as the target adjustment behaviour (Frank and Goyal 2005). This focuses on the deviations in from the target level of debt and this is gradually obtained over time. Under the static trade-off theory, financial managers look to obtain optimal capital structure. Random events can occur which will move the company away from it. As long as the optimal debt-equity ratio remains stable, then the firm should move gradually back and mean reverting behaviour can be observed. According to Myers (1984), a firm will set a target debt-equity ratio balancing the debt tax advantages against the costs of potential bankruptcy. If there were no costs associated with adjusting capital structure, then companies should always be at their target debt-equity ratio. In reality there are associated costs, which results in delays in adjusting to the optimum (adjustment costs). Random events may occur that will move firms away from their target capital structure. In practice, it should be possible to observe random differences in debt-equity ratios among firms with the same target debt levels. According to Myers (1984) and Flannery and Rangan (2006), the presence of adjustment costs may restrict the firms’ ability to revert back to their target capital structure immediately, suggesting the occurrence of partial adjustment toward the target level. The partial adjustment mechanism allows for the firms’ observed leverage ratio not always being equal to their target level. This mechanism suggests that firms make leverage adjustment if the costs of being away from the target leverage ratio are higher than those of moving toward the target; otherwise it is not rational for these firms to make leverage adjustments, because the adjustment costs will be large enough to cancel out the benefits of moving toward the target level. However, it assumes that adjustment towards the target occurs at symmetrical rates. No distinction is being made between the below target leverage ratio and the above-target leverage ratio, suggesting that the adjustment costs as well as the ben efits of increasing and reducing leverage are symmetrical.

Genetically modified food Essay Example for Free

Genetically modified food Essay The past score of years has witnessed the astonishing revolution in the scope of plant breeding technologies. The biological technologies have regularly been utilized to create new gene combinations for progressing crop diversities. This intentionally modified by the manipulation of the DNA, and transformation of certain genes to create new variations of life, which called genetically modified (GM) food. There is presently some debate about whether to accept GM food. The disadvantages of GM food are labelling issue and transformation of certain genes might lead to environmental issues. Nevertheless, there are also a number of crucial advantages such as farmers could improve their economic benefits and GM food could improve the nutritional quality to prevent disease. Therefore, this essay will argue that GM food has obvious benefits to the society because it can improve economic benefits by trading and decrease allergenic. GM food has some negative consequences for society. The main adverse effect is that GM food may has mandatory labelling scheme issues. Research has shown that some manufacturers realize that implement a mandatory labelling scheme could cost a fortune (Steiner 2000, p. 158; Uzogara 2000, p. 188). Moreover, labelling of GM food could remind consumer these products are biotech, and this could lead to customer losses (Uzogara 2000, p. 188). Then, the concept of mandatory labelling scheme for GM food in some countries is uncertainty (Steiner 2000, p. 158). For example, manufacturers use misleading and confusing labelling to muddle the consumer such as ‘may contain genetically modified material’ (Steiner 2000, p. 158). Indeed, labelling issue for GM food is extremely difficult to implement in some countries, governments may promulgate a series of legislation to implementation. Secondly, transformation of new DNA technology used to create GM food that has environmental risks. This involves monarch butterfly early death and threatens beneficial insects, which would seriously destroy the balance of the ecosystem. Some species are suffering from premature death after insects fed by GM crops, and also this might result in difficulty in reproduction such as monarch butterfly and green lacewing insects (Steiner 2000, p. 153). Furthermore, Lemaux (2009, p. 528) has reported an experiment, Bacillus thuringiensis (Bt) in genetically engineered (GE) corn pollen could lead to colony collapse disorder that  accelerate the bees’ decline. It can be seen then that mandatory labelling scheme issue and environmental threats could give rise to some negative aspects for GM food. If one looks closely at the literature on this topic, nevertheless, there are a number of significant advantage points to GM food. One of these is that GM food could improve farmers’ economic benefits. According to Uzogara (2000, p. 193), GM food could be converted from annuals to perennials that would increase crop yields during the year. Perennial crops would lead to increased labor allocation, reduced labor costs, decreased fertilizer use and cost of production for farmers to make more economic profits (Uzogara 2000, pp. 193-194). For example, according to USDA surveys from 2001 to 2003, 79% of US farmers who choose Bt corn to increase yields (Lemaux 2009, p. 536). He also states that the Zaragoza region is one of the three leading GE corn-growing regions in Spanish and has at least 11.8% yield increase. Indeed, the profitability of farmers’ growth is approximately $69 per acre per year higher than conventional farmers (Lemaux 2009, p. 536). Especially, farmers in developing countries realized the most significant economic benefits from GM rice because large-scale farmers have higher yields and less infestation (Lemaux 2009, p. 536). This evidence shows that GF food farming is a potentially high profit margin business, and profitability often depends on factors relating to crop yield and pest infestation. Thus, GM food could change the status quo to achieve the highest profitability for farmers. Allied to this is the further advantage of GM food which could improve nutritional food quality. This involves nutritional content and health-enhancing properties of particular foods that might solve malnutrition and population health problems in developing countries. Uzogara (2000, p. 194) states that GM crops would help the population to reach their daily based requirements and prevent malnutrition. For example, cassava has been genetically modified to have a higher nutrient value (Anon cited in Uzogara 2000, p. 194). Furthermore, the nutritionally enhanced crops like iron, vitamin A and Beta-carotene dense rice could help alleviate malnutrition (Bouis 2007, pp. 80-83). For instance, according to research, approximately three million preschool children in developing countries are suffering from vitamin A deficiency that could lead to visible eye damage,  however, GM rice can increase vitamin A and iron which could prevent blindness (Bouis 2007, pp. 82-86; Ferber cited in Uzogara 2000, p. 194). It is clear that farmers could gain significant economic benefits through GM food because it would increase the yield and reduce labor costs, and nutritionally enhanced crops could help the population to prevent disease or malnutrition. Consequently, although GM food as one kind of biological technologie can have some negative outcomes for labelling and environment issues, GM food arguably has more positive effects. The effect of global trading that is a significant benefit to improve economy. The USA is the dominant exporter of both GM soybeans and GM maize, which are account for 76% of GM maize and 50% of GM soybeans exports (Nielsen et al. 2003, p. 780). He also claims that high-income Asia is the main importer of GM maize and GM soybeans that are 41% and 30% respectively. Moreover, Nabradi Popp (2011, p. 8) report that GM crops account for a great proportion from global trading that providing significant export profits for many countries. For example, The United States, Argentina and Brazil are the world’s three largest GM soybean and GM maize exporters with above 90% and 80% share of world soybean and maize trade (Nabradi Popp 2011, pp. 9-10). Similarly, the volume of global soybean trade increased from 85.4 to 87.9 million tonnes from 2009 to 2011, and the volume of global maize trade increased from 86 to 88.5 million tonnes in three years (Nabradi Popp 2011, p. 10). They also indicate that China has significant soybean importing volume that from 46 to 49 million tonnes during three years. Further to this, eliminating allergens as a result of GM food has been one of the prominent concerns among food quality and human health. Allergenic foods usually contain multiple allergens, such as milk, soy, peanut, crustaceans, fish, egg and tree nuts. According to Herman (2003, p. 1318), using GM to remove intrinsic allergens from soybeans that present in thousands of processed and prepared foods in developed and developing countries. He also claims that eliminate allergens from GM soybeans that has high relationship to the development of GM crops, and transgenic soybeans is a first step in solving food allergies (Herman 2003, p. 1 319). Otherwise, the alternative GM method to remove the allergen from food, for instance, some experiments to use gene suppression technology  attempts to reduce and/or eliminate allergens in rye and rice seed, and even use this measure to suppress an allergen in shrimp that is potentially dangerous to sensitive people (Herman 2003, p. 1319). Plausibly, GM food may eliminate allergen from all of food that would help people to stay away from food allergies. Although some argue that GM food may has some negative impacts to mandatory labelling scheme, there is considerable labelling of GM food still has positive impacts on consumer and manufacturers. Uzogara (2000, p. 188) claims that labelling for GM food would enable the consumer to avoid ethical, cultural, or religious reasons by certain foods. For example, Jews and Muslims usually insist on Kosher and Halal foods because the purity of this food can be guaranteed, which not contain pig genes (Uzogara 2000, p. 187). He further maintains that product quality can be improved by labelling, for instance, improved favour, longer shelf-life, and build brand identity. Similarly, according to General Labelling Directive, labelling for GM food that means this can be guaranteed by European regulation, and consumer can trust the information on the products (Andersen 2010, p. 139). Furthermore, while some authors claim that GM food has negative impacts on environment, Uzogara (2000, p. 195) indicates that GM food has still environmental benefits include protection against plant diseases, improvement of saline soil, and herbicide tolerance. GM food like tomatoes, squash and corn become virus resistant that against GM food destroying viruses or viral diseases (Uzogara 2000, p. 195). According to Bouis (2007, p. 80), GM crops can improve soil conditioning that is changing highly saline soils. Then, herbicides are effective against several target weeds also cuts conventional herbicide use significantly (Uzogara 2000, p. 195). While discussing GM food may has some negative impacts to mandatory labelling scheme and environment issues, the considerable positive consequences to improve global trading and remove intrinsic allergens can never be neglected. In conclusion, GM food clearly has advantages on economy and human health. While GM food lead to the mandatory labelling scheme hard to implement and has threats to the environment, success in the labelled GM food let some consumer more easier to choose food and make the crops stronger to against different threats. Furthermore, GM food References: Andersen, LB 2010, The EU rules on labelling of genetically modified foods: mission accomplished?, European Food Feed Law Review, vol. 5, no. 3, pp. 136-143, viewed 8 November 2014. Bouis, HE 2007, The potential of genetically modified food crops to improve human nutrition in developing countries, Journal of Development Studies, vol. 43, no. 1, pp. 79-96, viewed 28 October 2014. Herman, EM 2003, Genetically modified soybeans and food allergies, Journal Of Experimental Botany, vol. 54, no. 386, pp. 1317-1319, viewed 12 November 2014. Lemaux, PG 2009, Genetically engineered plants and foods: a scientists analysis of the issues (Part II), Annual Review Of Plant Biology, vol. 60, no. 1, pp. 511-559, viewed 11 November 2014. Nabradi, A Popp, J 2011, Economics of GM crop cultivation, APSTRACT: Applied Studies in Agribusiness and Commerce, vol. 5, no. 3, pp. 07-19, viewed 10 November 2014. Steiner, MP 2000, Food flight the changing landscape of genetically modified foods and the law, Review Of European Community International Environmental Law, vol. 9, no. 2, p. 152-160, viewed 11 November 2014. Uzogara, SG 2000, ‘The impact of genetic modification of human foods in the 21st century: A review’, Biotechnology Advances, vol. 18, no. 3, pp. 179-206, viewed 3 November 2014.

Immediate and Late Effect of Cryotherapy on Balance

Immediate and Late Effect of Cryotherapy on Balance immediate and late effect of cryotherapy on balance IN HEALTHY SUBJECTs Abstract Background: cryotherapy application is commonly used as a physical therapy tools with many known advantage, however several research have reported decrease in subject balance which affect quality of movement following cryotherapy application, therefore the purpose of study to investigate the immediate and late effect of cryotherapy on ankle dominant joint on static balance and test the difference in static balance change between both sexes. Methods: thirty normal subjects, Subjects had their static balance tested during two conditions: (1) an experimental condition where the subject received the cryotherapy application by using cooled gel pack to the dominant ankle joint for 15 minutes immediately before static balance testing and (2) a control condition finished at room temperature. The order of testing condition was randomized by using a coin flip. Biodex balance system was used to measure static balance. Result: analysis of data using ANOVA and unpaired test ,show insignificantly statistically effect in all aspect of static balance within female group with p value of overall stability index =0.669,Anterior/posterior stability index =0.196 and medial/lateral stability index =0.989,insignificantly statistically effect in all aspect of static balance within male group with p value of overall stability index =0.382,Anterior/posterior stability index =0.552 and Medial/lateral stability index =0.46 and insignificant statistically difference between male and female in all aspect of static balance. Conclusion: The result of current study suggest that fifteen minutes of cold gel pack on ankle dominant extremity have no effect on static balance on both sexes . Key words: static balance, cryotherapy Introduction: cryotherapy therapy is a popular non-pharmacological intervention, The term cryotherapy was used in year 1908 by A.W. Pusey to describe the treatment of skin injuries with low temperatures[1,2] , The primary aim of cryotherapy is the removal of heat energy from the site of injury, in order to facilitate a therapeutic effect [3] by produces a number of physiological effects to the human body including a reduction in blood flow, edema, hemorrhage[4], cellular metabolic rate, hypoxia, enzymatic activity and tissue damage[5]. Cryotherapy has also been demonstrated to significantly increase the pain threshold and pain tolerance by reducing nerve conduction velocity and muscle spasm [6]. Cryotherapy often used in athletic and rehabilitation cases to manage injury during the immediate and rehabilitative phases [7]. Cryotherapy treats the muscle damage caused by High-intensity exercise including predominantly eccentric activity, unaccustomed activity, and exercise of long duration and/or high intensity which has been shown to induce an inflammatory response [8]. In spite of the characterized treatment advantage of cryotherapy, there are reduction in subjects performance variables are likely to occur after returning to normal movement immediately after cryotherapy application,[9]especially , decrease speed of running, muscle strength speed and agility measures have been noted after cryotherapy application over many anatomical areas and studies[10,11]. The ability to conserve postural control or balance is important for the correct carrying out of all daily activity ranging from standing and walking to sitting and standing from a chair [12]. Possessing the ability to conserve several positions, to react automatically to voluntary movements of the body, and to react to external disturbance represents a postural control domain needed in daily life [13]. The maintenance of balance is important in the prevention of injuries and this ability depends on proprioceptive input from capsuloligamentous and musculotendinous mechanoreceptors in combining with vestibular and visual input to the central nervous system (CNS)[14,15] . This input used in feedback and feed-forward loops to provide the proper neuromuscular response [16-17]. Variations in any of these inputs would disturb balance and increase the risk of injury [18]. There is also growing awareness that rehabilitation using cryotherapy has deleterious effects on balance, or return patients to their previous functional levels [19, 20].Quality of movement is important as strength of movement, and the key of movement quality is balance [21]. Even if a patient has regained full strength and range of motion, if they still have poor balance and proprioception, they are at risk for re-injury. During the management of acute distortion, cryotherapy is commended after the injury and in rehabilitation, ice application is supposed to promote the beginning of active exercise and its progression [7]. In practice it can happen that sportsmen are sent back to exercising or competition immediately after cryotherapy. Although the question is controversially discussed, if physical activities after ice application can be re-established without risk or increase liability to injury. This study takes up the problems if cryotherapy application at the ankle disrupts static balance so that an increased risk of injury could result and the study also clarify the immediate and late effect and test the difference in static balance between both sex. Methodology The current study was conducted at biomechanics laboratory at faculty of physical therapy, modern university, in the period from December 2015 to April 2016 to investigate the immediate and late effect of cryotherapy application on dominant ankle joint on static standing balance and test the difference in static balance between both sexes. Design of study Cross over (single repeated measurements) design used in this study to determine the immediate and late effect of cryotherapy application on dominant ankle joint on static standing balance and test the difference in the static standing balance between both sexes. Subjects A sample of thirty healthy normal subjects (fifteen male and fifteen female), subjects were recruited using publically distributed posters and by online social media. Subjects had their static balance examined during two situations: (1) an experimental situation where the subject received the cryotherapy application by using cooled gel pack to the dominant ankle joint for fifteen minutes immediately before static balance testing and (2) a control situation finished at room temperature. The order of examining situation was randomized by using a coin flip. Participant finished the control situation first immediately finished the experimental situation following assessment. Participants randomized to the cryotherapy situation first had the control session arranged at a separate time to confirm no lingering effects remain from the cryotherapy procedures. Subjects participate in the current study after approval of ethical committee of faculty of physical therapy, Cairo University with number P.T.REC/012/001035 and all subjects provided written informed consent. Subjects were included if their age range from 18 to 40 years [22] free from musculoskeletal diseases and neurological diseases affecting the lower limb. Excluded if had musculoskeletal disorders in lower limb, had infected skin diseases and loss of sensation, had Metabolic or vascular disease with neurological component such as diabetes, had previous ankle operation and had recent injury of ankle joint. Instrumentation Measurement instrumentation The device used in this study (Biodex Medical Systems Inc., Shirley, New York, USA) was a foot platform (circular in shape with a diameter of 21.5΄, which permits up to 20 ° tilting from horizontal in all directions), support rails that were adjustable from 25΄ to 36.5΄ above the platform, and could be swung away if desired, a display module whose height was adjustable from 53΄ to 68΄ above the platform and angle was adjustable from vertical back to 45 °, with a display viewing area of 24.8 ÃÆ'- 18.4 cm and a printer. This testing machine has 12 dynamic levels plus locked for static measurements [23]. Stability indexesthe stability index represents the variance of platform displacement in degrees from level. An increase in number indicate considerable motion, which indicates a problem with balance [24] . The participants ability to control the platforms angle of tilt was measured by the system and noted as a stability index. The data on the balance of the tested participants were supplied to the system. These data included anteroposterior stability index (APSI), mediolateral stability index (MLSI), and overall stability index (OSI). The smaller the amount of sway, the lower the numerical value of these indexes [24]. OSI: represented the variance of foot platform displacement in degrees, from level, in all motions during the test. A high number was indicative of considerable movement during this test. APSI: represented the variance of foot platform displacement, in degrees, from level, for motion in the sagittal plane. MLSI: represented the variance of foot platform displacement, in degrees from level, for motion in the frontal plane [24] . Therapeutic instrumentation: Reusable cold gel pack 25.4 x 48.1 cm. 5 +/- degree C [25] was frozen and wrapped with a towel and supported with elastic strap around the ankle joint of dominant lower extremity. Procedure Each participant received a verbal explanation about the test steps. When the system was on, the first displayed screen was the main menu. It allowed us to choose entering testing, training, or system utilities. Choosing to enter testing showed the next screen, which allowed determination of the test parameters such as test duration and the stability level chosen. The weight and height of the participant were recorded and the next screen was used for the centering process. The next screen was the stability test screen, where the start key was pressed to lock or unlock the platform and begin the test. A cursor appeared during the test tracing the movement of the platform while the clock counted till the time of the test ends. The next screen showed a menu. The examiner chooses the numeric report option on this screen to allow the participants numeric screen appear. Pressing start while on this screen initiates printing of the report, which includes the numeric values of the APSI, MLSI , and OSI (operation and service manual). Step 1: balance assessmentthe participants were tested without footwear and asked to perform two test trials before a specific test condition for the purpose of instrument familiarity before data collection. Then, the participant was first asked to assume the test position (standing on dominant foot) with arms held at the sides, eye closed and to attempt to control his/her balance as much as possible. Each participant was asked to center him/herself on the foot platform before starting the test. The test parameters introduced into the device were: Participants age , weight and height Stability level: all participants were tested on stability level 0 for 15 s. Then, the start key was pressed in the control panel (which took 5 s) with an auditory alarm just before the beginning of the test. The participant was instructed that the test was started just after the alarm. Each participant was instructed to maintain his/her balance for the period of the test. Three trials were performing prior to the measurement. There was report obtained at the end of each test include information on OSI, APSI, and MLSI. Step 2: cryotherapy application Reusable cold gel pack 25.4 x 48.1 cm. 5 +/- degree C was employed as the cryotherapy modality in this study. Application duration will be 15 minutes. Wrapping of pack by towel will applied all around ankle joint of domain extremity with towel in between .Two elastic straps will used to secure the ice pack. The subject will asked to relax during cryotherapy application to limit activity of muscle and lessen any change in temperature of tissue.Step 3: balance reassessmentthe participant was asked to repeat the same balance testing procedures directly after cryotherapy application, 30 minutes later and 60 minutes later to measure post OSI, MLSI, and APSI. Statistical analysis All statistical analysis were carried out by using SPSS,version 23 for windows; SPSS Inc., Chicago,Illinois,USA.the normality of data distribution was tested through the Shapiro-wilk test.Descriptive data for participants, characteristics was calculated as the mean, standard deviation and range minimum maximum of measured variables, ANOVA tests used to compare between pretest and posttest. Unpaired test used to compare between male and female. Level of significant will set at Results: General characteristics of the subjects: In this study, thirty subjects were assigned randomly, the range of the ages is between 18 to 40 years overall. There was no statistically significant differences between the groups in their ages as the p-value are 0.412. The range of the weight is between 50 to 105 kg. There was no statistically significant differences between the groups in their weight as the p-value are 0.214. The range of the Height is between 156 to 195 cm. There was no statistically significant differences between the groups in their weight as the p-value are 0.366. Table (1): Demographics Distribution Items Male Female Comparison Significant Mean ±SD Mean ±SD T-value P-value Age (years) 26.4  ± 6.08 25.533  ± 5.41 0.412 0.682 No Significant Weight (Kg) 70.89  ± 14.57 77.2  ± 5.41 -1.270 0.214 No Significant Height (cm) 165.27  ± 4.57 166.66  ± 6.41 -0.411 0.366 No Significant Figure. (1): Demographics Distribution As for the gender distribution, 15 subjects (50%) were male and 15 subjects (50%) were females. In addition, 26 subjects (86.7%) had their dominant right leg tested, and 4 subjects (13.3%) had their dominant left leg tested. Static Balance Pre-test The results are shown using the following table (2) and illustrated in figure (2). 1) Overall Stability Index Independent t-test was used to show difference between pretest for females and males. The female mean value of overall stability index (3.47à ¯Ã¢â‚¬Å¡Ã‚ ±1.42) was significantly different from (5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.31) with t test = -2.242 and p value = 0.033*. 2) A/P Stability Index Independent t-test was used to show difference between pretest for females and males. The female mean value of A/P Stability index (2.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 0.85) was significantly different from (3.393à ¯Ã¢â‚¬Å¡Ã‚ ±1.65) with t test = -2.157 and p value = 0.043. 3) M/L Stability Index Independent t-test was used to show difference between pretest for females and males. The female mean value of M/L Stability index (2.01 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.08) was insignificantly different from (2.99à ¯Ã¢â‚¬Å¡Ã‚ ±1.72) with t test = -1.887 and p value = 0.072. Table (2): The pre-test results for the Stability Indices Static Stability Index Overall Stability Index A/P Stability Index M/L Stability Index Pre-test for Females 3.67à ¯Ã¢â‚¬Å¡Ã‚ ±1.41 2.407à ¯Ã¢â‚¬Å¡Ã‚ ±0.85 2.01à ¯Ã¢â‚¬Å¡Ã‚ ±1.08 Pre-test for Males 5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.3 3.39à ¯Ã¢â‚¬Å¡Ã‚ ±1.65 2.99à ¯Ã¢â‚¬Å¡Ã‚ ±1.72 Independent t-value p value -2.492 0.033* Significant -2.157 0.045* Significant -1.884 0.072 Insignificant Data are expressed as mean  ± SD. P> 0.05= insignificant. *P Figure (2): The pre-test results for the Stability Indices Static B) Within Group (Females) The results are shown using the following table (3) and illustrated in figure (3).ANOVA F-test was used to show difference between pre and post-test in the stability indices. Overall Stability Index: The mean value was pretest (3.47à ¯Ã¢â‚¬Å¡Ã‚ ±1.42) when compared with its corresponding no significant difference after assessment immediately (3.78à ¯Ã¢â‚¬Å¡Ã‚ ±1.868), after 30 minutes (3.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.27), and after 60 minutes (4.29 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.86) with f test = 0.521 and p value = 0.66. A/P Stability Index: The mean value was pretest (2.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 0.85) when compared with its corresponding no significant difference after assessment immediately (2.47 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.52), after 30 minutes (2.14 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.27), and after 60 minutes (3.27 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.43) with f test = 1.616 and p value = 0.196. M/L Stability Index: The mean value was pretest (2.01 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.08) when compared with its corresponding no significant difference after assessment immediately (2.2 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.07), after 30 minutes (2.12 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.84), and after 60 minutes (2.13 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.98) with f test = 0.04 and p value = 0.989. Table (3): The mean values and S.D of Stability Indices before starting and after the test for Females Static Data of evaluations Overall Stability Index A/P Stability Index M/L Stability Index Pre-test 3.47 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.42 2.41 à ¯Ã¢â‚¬Å¡Ã‚ ±0.85 2.01à ¯Ã¢â‚¬Å¡Ã‚ ± 1.08 Post-Immediate 3.73 à ¯Ã¢â‚¬Å¡Ã‚ ± 1.868 2.47à ¯Ã¢â‚¬Å¡Ã‚ ± 1.52 2.2à ¯Ã¢â‚¬Å¡Ã‚ ± 1.07 Post-30 minutes 3.41 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.27 2.14à ¯Ã¢â‚¬Å¡Ã‚ ±1.27 2.12à ¯Ã¢â‚¬Å¡Ã‚ ± 1.84 Post-60 minutes 4.29 à ¯Ã¢â‚¬Å¡Ã‚ ± 2.86 3.27à ¯Ã¢â‚¬Å¡Ã‚ ± 1.43 2.13à ¯Ã¢â‚¬Å¡Ã‚ ± 1.98 F-value ANOVA 0.521 1.616 0.04 p value 0.669 Insignificant Difference 0.196 Insignificant Difference 0.989 Insignificant Difference Data are expressed as mean  ± SD. P> 0.05= insignificant. *P Figure (3): The mean values and S.D of Stability Indices before starting and after the test for Females Static D) Within groups (Males) The results are shown using the following table (4) and illustrated in figure (4). ANOVA F-test was used to show the difference between post-test in the stability indices. Overall Stability Index: The mean value was pretest (5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.3) when compared with its corresponding no significant difference after assessment immediately (5.01à ¯Ã¢â‚¬Å¡Ã‚ ± 1.765), after 30 minutes (4.42à ¯Ã¢â‚¬Å¡Ã‚ ±2.22), and after 60 minutes (3.95à ¯Ã¢â‚¬Å¡Ã‚ ±1.56) with f test = 1.039and p value = 0.382. A/P Stability Index: The mean value was pretest (3.39à ¯Ã¢â‚¬Å¡Ã‚ ±1.69) when compared with its corresponding no significant difference after assessment immediately (3.4à ¯Ã¢â‚¬Å¡Ã‚ ±1.42), after 30 minutes (3.11à ¯Ã¢â‚¬Å¡Ã‚ ± 1.78), and after 60 minutes (2.67à ¯Ã¢â‚¬Å¡Ã‚ ± 1.416) with f test = 0.707and p value = 0.525. M/L Stability Index: The mean value was pretest (2.99à ¯Ã¢â‚¬Å¡Ã‚ ± 1.72) when compared with its corresponding no significant difference after assessment immediately (3.02à ¯Ã¢â‚¬Å¡Ã‚ ±1.28), after 30 minutes (2.52à ¯Ã¢â‚¬Å¡Ã‚ ± 1.55), and after 60 minutes (2.33à ¯Ã¢â‚¬Å¡Ã‚ ± 1.02) with f test = 0.874and p value = 0.46. Table (4): The mean values and S.D of Stability Indices before starting and after the test for Males Static Data of evaluations Overall Stability Index A/P Stability Index M/L Stability Index Pre-test 5.04à ¯Ã¢â‚¬Å¡Ã‚ ±2.31 3.39à ¯Ã¢â‚¬Å¡Ã‚ ±1.65 2.99à ¯Ã¢â‚¬Å¡Ã‚ ± 1.72 Post-Immediate 5.01à ¯Ã¢â‚¬Å¡Ã‚ ± 1.765 3.4à ¯Ã¢â‚¬Å¡Ã‚ ± 1.42 3.02à ¯Ã¢â‚¬Å¡Ã‚ ± 1.28 Post-30 minutes 4.42à ¯Ã¢â‚¬Å¡Ã‚ ± 2.229 3.11à ¯Ã¢â‚¬Å¡Ã‚ ± 1.78 2.52à ¯Ã¢â‚¬Å¡Ã‚ ± 1.55 Post-60 minutes 3.95à ¯Ã¢â‚¬Å¡Ã‚ ±1.56 2.67à ¯Ã¢â‚¬Å¡Ã‚ ± 1.42 2.33à ¯Ã¢â‚¬Å¡Ã‚ ± 1.02 F-value ANOVA 1.039 0.707 0.874 p value 0.382 Insignificant Difference 0.552 Insignificant Difference 0.46 Insignificant Difference Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (4): The mean values and S.D of Stability Indices before starting and after the test for Males Static D) Post test results Static The results are shown using the following table (5) and illustrated in figure (5). Independent t-test was used to show difference between post-test in the stability indices. 1) Overall Stability Index Independent t-test was used to show difference between immediately post-test for females and males. The female mean value of overall stability index (3.73  ± 1.868) was insignificantly different from (5.01  ± 1.765) with t test = -1.913and p value = 0.063. Independent t-test was used to show difference between 30 minutes post-test for females and males. The female mean value of overall stability index (3.41  ± 2.27) was insignificantly different from (4.42  ± 2.229) with t test = -1.227and p value = 0.23. Independent t-test was used to show difference between 60 minutes post-test for females and males. The female mean value of overall stability index (4.29  ± 2.86) was insignificantly different from (3.95  ± 1.56) with t test = 0.415 and p value = 0.682. Stability Index Immediate 30 Minutes 60 Minutes Overall Stability Index Post-test for Females 3.73  ± 1.868 3.41  ± 2.27 4.29  ± 2.86 Post-test for Males 5.01  ± 1.765 4.42  ± 2.229 3.95  ± 1.56 Independent t-value p value -1.913 0.063 Insignificant -1.227 0.23 Insignificant 0.415 0.682 Insignificant Table (5.a): The mean values and S.D of Overall Stability Index post-test for both Females and Males-Static Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (5.a): The mean values and S.D of Overall Stability Index post-test for both Females and Males-Static 2) A/P Stability Index Independent t-test was used to show difference between immediate post-test for females and males. The female mean value of A/P Stability index (2.47  ± 1.52) was insignificantly different from (3.4  ± 1.42) with t test = -1.699and p value = 0.1. Independent t-test was used to show difference between 30 minutes post-test for females and males. The female mean value of A/P stability index (2.14  ±1.27) was insignificantly different from (3.11  ± 1.78) with t test = -1.723and p value = 0.096. A/P Stability Index Immediate 30 Minutes 60 Minutes A/P Stability Index Post-test for Females 2.47  ± 1.52 2.14  ± 1.27 3.27  ± 1.43 Post-test for Males 3.4  ±1.42 3.11  ± 1.78 2.67  ± 1.42 Independent t-value p value -1.699 0.1 Insignificant -1.723 0.096 Insignificant -0.925 0.363 Insignificant Independent t-test was used to show difference between 60 Minutes post-test for females and males. The female mean value of A/P stability index (3.27  ± 1.43) was insignificantly different from (2.67  ± 1.42) with t test = -0.925 and p value = 0.363. Table (5.b): The mean values and S.D of A/P Stability Index post-test for both Females and Males-Static Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (5.b): The mean values and S.D of A/P Stability Index post-test for both Females and Males-Static 3) M/L Stability Index Independent t-test was used to show difference between immediate post-test for females and males. The female mean value of M/L Stability index (2.2 ±1.07) was insignificantly different from (3.02  ± 1.28) with t test = -1.898and p value = 0.068. Independent t-test was used to show difference between 30 Minutes post-test for females and males. The female mean value of M/L stability index (2.12  ± 1.84) was insignificantly different from (2.52  ± 1.55) with t test = -0.656and p value = 0.518. Independent t-test was used to show difference between 60 Minutes post-test for females and males. The female mean value of M/L stability index (2.13  ± 1.98) was insignificantly different from (2.33  ± 1.02) with t test =0.097and p value = 0.729. Table (5.c): The mean values and S.D of M/L Stability Index post-test for both Females and Males-Static M/L Stability Index Immediate 30 Minutes 60 Minutes M/L Stability Index Post-test for Females 2.2  ± 1.07 2.12  ± 1.84 2.13  ±1.98 Post-test for Males 3.02  ± 1.28 2.52  ± 1.55 2.33  ± 1.02 Independent t-value p value -1.898 0.068 Insignificant -0.656 0.518 Insignificant 0.097 0.729 Insignificant Data are expressed as mean  ± SD. P> 0.05= insignificant. * P Figure (5.c): The mean values and S.D of M/L Stability Index post-test for both Females and Males-Static Discussion: The purposes of the study were To determine the immediate and late effect of cryotherapy on the dominant ankle joint on static balance and To determine the difference in static balance changes between both sexes. Our result revealed that the females have significant difference in static balance than male when measured before application of cold gel pack to ankle dominant extremity with p value of overall stability index = 0.033 , p value of A/P stability index=0.043 and not for ML stability index with p value of =0.072. Our result revealed that after using cold gel pack to ankle dominant extremity for 15 minutes has no statistically significant difference on all aspect of static balance in female group. In over stability index there was no statistically significant difference after assessment immediately, after 30 minutes and after 60 minutes with p value =0.66. In over A/P stability index there was no statistically significant difference after assessment immediately, after 30 minutes and after 60 minutes with p value =0.196. and In over M/L stability index there was no statistically significant difference after assessment immediately,

Stalinism and Jews Essay -- essays research papers

Modern World History Joseph Stalin led the Socialist Soviet Union in the â€Å"Revolution from Above,† a movement to centralize the government and transform society without popular participation . Because Stalin’s radical goals were destructive for the populace to attain, his legitimacy was based on the credibility of his ideological authority . In protection of that conviction, Stalin was in constant fear of competitive initiative and philosophy. Stalin subjected society and culture to strict party surveillance and control, issuing pro-socialist, xenophobic propaganda, censoring literature, art, and media, and launching anti-religious campaigns . In addition to his confiscation of religious property and denunciation of belief, Stalin was a contemptuous anti-Semite, using Jewish people as symbols of a corrupt capitalist ethic. However, in 1941, Stalin discontinued his Jewish intolerance and supported the formation of the Jewish Antifascist Committee (JAC) in 1942, contradicting practiced St alinism and amending his previously categorical policy. Even after WWII, Stalin collaborated with the United States and supported the creation of a Jewish State in Palestine. Soviet Jews raised great hope for future friendship and cooperation with the government . Suddenly, in 1948, Stalin changed his position again, dissolving the JAC, arresting prominent Jews, and beginning the â€Å"Black Years† of refreshed repression and anti-Semitism. Although drastic doctrinal oscillations were completely out of character for the inflexible dictator, the changes in Jewish administration were not the only exceptions in his etiology that Stalin made from WWII to his death. The effects of Stalin’s inconstancies were dangerously close to destructive of his legitimacy and authority. What compelled a fanatically unyielding and calculating dictator to alter his policy -- self-preservation, miscalculation, composite guilt, or deteriorating mentality?   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Stalin owed everything to Lenin.† Stalin’s oppressive rule was legitimized by the â€Å"imprimatur of Lenin’s creation and succession.† Marx’s theory became Lenin’s doctrine and Stalin’s creative justification. Lenin’s Bolshevik (â€Å"Majority†) party was formed in 1903 with the objective of a stagiest societal evolution of Europe and Russia in the gradual progression from feudalism, to capitalism, to socialism, and to eventu... ...ed up. Stalin worked with the US to build an Israeli state, â€Å"striving to win support among Western public opinion,† while anti-Semitism grew among the populace from blaming the Jews for the Nazi invasion. The JAC was dissolved in 1948, and many of its members killed by the NKVD in â€Å"deliberately staged accidents.† In victory, â€Å"a product of [the new] fierce Russian nationalism was the re-emergence of an age-old anti Semitism.† The sudden inconsistencies in Stalin’s principles were blatant. Stalin’s rule was based primarily upon the consistency of his theory, and changes in his normally dogmatic method would have been destructive, had it not been for the recent victory over Germany. Stalin’s fluctuations in policy from 1939 until his death in 1953 and the resulting losses in ideological authority were forgotten in the victory celebrations. . By the time the post-war excessive Russian chauvinism had worn off, Stalin’s policy was again stabilized in anti-Semitic xenophobia. Stalin feared contradicting his ideology, but with the onset of World War II, he compromised the dangers to his dictatorship. Stalin’s risky changes in etiology had strong motives in calculated self-preservation.

Computer Security in an Information Age :: essays research papers fc

Computer Security in the Information Age Computers; they are a part of or in millions of homes; they are an intricate part of just about every if not all successful businesses, the government, and the military. Computers have become common place in today’s society and the lives of the people who live in it. They have crossed every national, racial, cultural, educational, and financial barrier, which consequently ushered in the information age. A computer is a programmable electronic device that can store, retrieve and process data, and they come in all shapes, and sizes. They can be used for and in just about anything. As stated before, they are used in just about every aspect of modern society. They are so fundamental to modern society that it would be disastrous to society without them. As stated before, there are many areas in modern society that are run by computers. They play an intricate part of millions of homes in the world. Office workers in business, government and the military may use them to write letters , keep rosters, create budgets, find information, manage projects, communicate with workers, and so on. They are used in education, medicine, music, law enforcement, and unfortunately crime. Because computers have become such a part of the world and how it operates, there is a tremendous responsibility for those who are in control of these computers and the vital information that they carry, to manage and protect them properly. This is management and protection is vital because any loss or damage could be disastrous for the affected entity. For example, a mistake or intentional alteration of a personal credit file could affect ones ability to buy a car or home, or can lead to legal actions against the affected person until the mistake or intentional alteration has been corrected. Therefore, with the advent of computers in the information age, and all of the intentional and unintentional violations against them, comes the need to safeguard them and the information they carry with str ong systems and policies of computer security. Computer security is the process of preventing and detecting unauthorized use of your computer. Prevention measures help to stop unauthorized users or intruders from accessing any part of a computer system. Detection helps one to determine whether or not someone attempted to break into a computer system, if they were successful, and what they may have done.

A Clockwork Orange vs. No Country for Old Men

The movies A Clockwork Orange and No Country for Old Men are both very violent and action movies, but they are quite different in the way they are expressed. Both movies tell disturbing stories about men who killed other people but because of different reasons. This gives us a good reason to compare and contrast these two movies.First, let us look at A Clockwork Orange. This movie is all about Alex de Large, a teenager who is the leader of a gang of criminals. Alex and his friends habitually take in drugs, rob, rape, beat up and kill people, without any remorse or regret. They actually enjoy having pleasure at the expense of others. They have no actual purpose in doing these things, just having their own fun.Alex and his gang do their own thing without a care in the world, not thinking about the authorities or the people around them, not even their own families. Alex himself causes the crack in his friendships with those in his gang when he keeps on making fun of Dim and becomes over bearing over them.Dim and the rest of the gang start making plans on their own, without telling their leader Alex. The story takes a turn when Alex’s friends betray him during a failed robbery, after he hit the woman of the house in the head. They actually hit him on the head and left Alex passed out, to be captured later on by the police.Alex enters a new chapter in his life when the woman he hit eventually died. He was then charged with murder and was sentenced to 14 years in prison, and his friends were not captured because they all turned on him. As Alex was being processed into the prison, his self-pride is being broken down little by little when the prison guards and warden talked down on him and put him in his right place.As 2 years go by, you may think that Alex might be making some progress because of his closeness with the prison chaplain, and his growing interest in the Bible. He also told the chaplain of his desire to be â€Å"changed†. But the scenes where we can see Alex’s real fantasies and daydreams show us that that is really not the case. It seems that he is just interested in doing whatever it would take to gain some favors and get out of prison.Alex finally gets his chance when he hears about a new treatment that would make imprisoned criminals change and would help them stay out of prison. He takes his chances and even presents himself to the Minister so that he would be chosen for the treatment. You might think that Alex might have been having his doubts when he almost didn’t sign the contract, but he did anyway.Things become worse for Alex when he actually goes through the treatment; he cannot do the things he used to want to do! Every time he has the urge for violence or sex, Alex would involuntarily retch and feel nauseous. This is because the Ludovico treatment actually conditioned Alex to react as such. The government and the scientists actually think that the treatment is a success, and they eventually re lease Alex.As soon as Alex goes out of prison, it seems like all of the bad things he did in the past finally caught up to him. All of the pain he caused in the lives of other people all went back to him, making him suffer. His â€Å"redemption† comes in an unexpected way, when he jumps out of a window to escape the pain being inflicted upon him by one of his past victims.The movie’s last scene shows Alex in the hospital, and it seems that he’s back to his old self. It seems that Alex might get away with what he wants to do, after all.

Coffee Culture

Coffee has been around for a very long time. It is no coincidence that such an influential and integral drink has created a cultural realm of its own. According to â€Å"Hot and Bothered: Coffee and Caffeine Humor† by Elise Decamp with Catherine M. Tucker, coffee humor has been depicted to be one of the compliments that has culturally elevated coffee-drinking to a another human aspect – humor. Humor can be interpreted and expressed in more ways than one.There are no set rules of what constitutes humor in any society; therefore, humor comes in many shapes and sizes. So, how is increasing coffee humor relayed to â€Å"caffeine culture? † Each culture and point in time is different, but coffee has always had a strong correlation to a â€Å"caffeine culture† that stemmed from the physiological and mental attributes that coffee, or caffeine, imposes on its consumer. Because of its notorious effects coffee has on its consumers, drinking coffee has been portrayed as an energizing, riveting, and delectable image.The article also makes references to cartoons and sketches about consuming coffee in the mid-1900’s and how it depicted the consumption of coffee and its effects. This is perhaps because during that span, societies were emerging as more work-oriented lives that led to the more practical use of coffee, or caffeine. Coffee humor emerged as a way of interpreting coffee consumption and its effects by portraying the consumers as very alert, alive, and even somber. The articles also notes that research on caffeine consumption not only may make a person more energized and alert, but also relaxed and at ease.This eventually led to the relationship coffee had with its consumers by allowing avid coffee drinkers to demonstrate their affinity and devotion by either wearing it as a shirt, bumper sticker, or on a description via social media. Eventually, coffee humor has contributed to the image many coffee drinkers hold and has been an ess ential method of showing the world the many faces of drinking coffee. Drinking coffee, however, has not always been portrayed as a positive influence.Through coffee humor, modern preoccupations about coffee or other aspects of modern life have been revealed to be a concern for the consumption of coffee. The article explains the use of caffeine as drug, known as dopamine, which is responsible for the effects it has on its consumers. Those effects being alertness sleep depravity, high-energy, and an increase in blood pressure. Caffeine not only causes these effects to take place during its intake, but like many other drugs, it leads to withdrawals that bring forth anxiousness, depression, muscle fatigue, insomnia, and headaches.These withdrawals, however, only last a couple days, unlike stronger drugs with longer lasting withdrawals. Consequently, coffee humor has taken an interpretation of the effects of coffee consumption by portraying what would happen if someone was to go without drinking coffee and their lives would be different. What may seem like an innocent joke at first, could actually be analyzed as a portrayal of a social issue of the potential dangers and misinformed lifestyles many choose to be a part of.

Cases analysis

The company is known for producing high quality and prestigious cars. It holds patents on most of the safety features Weaknesses High costs are incurred in maintaining the company's cars Weak management because of its large organizational size It has a weak supply chain, which affects its product delivery Opportunities There an opportunity on production of hybrid cars and fuel that Is resourceful for the future.People are growing conscious of clean environment, which Is a good opportunity for the company to extend the market for its products on this line There is an opportunity of tapping emerging markets across India and the rest of the roll, contributing to creation off global brand The luxury automobile market is growing as a result of income increase.Threats The price of fuel keep on increasing, which limits the ability of potential customers to buy its products There is high competition from major companies such as Lexus, BMW, and Range Rover, as well as local companies such as DATA Strict government polices wealth the automobile segment not only In India, but also across the world Step 2. Problem Definition Following the relocation of the company's operation sites, it Is faced with the problem n the nature of information technology that could be implemented.Particularly, there is a challenge on implementing the technology that would cater for the current needs based on the existing market conditions, as well as that could lay essential grounds for the company's future growth needs. Besides, following the impact of the recent past global financial crisis which affected the company's market growth projections, It Is not clear whether the proposed relocation should go ahead as planned. Step 3. Identification of Alternatives . The company should implement new information technology in the new operational site, different from the one used in the old site 2.It should use the same old technology in the new operational site 3. It should put on hold the proposed r elocation until the market shows improvements after the financial crisis 4. It should go on with the relocation plans, even though the projected market growth rate has been affected by the financial crisis Step 4. Critical issues Growth rate of the company Managing operational costs The viability of the investments of the company Addressing the needs of the customers Location decisions Step 5.Analysis Option 1 Pros: (I) the operational costs will be reduced in the long-run (it) high production rate (iii) ability to meet the demands of the customers (v) high growth rate (v) better chances of going green Cons: (I) high investment cost Re-training employees on the new technology Option 2 Pros: (I) manageable investment costs Re-training employees is not required. Cons: (I) High operational costs inability to satisfy customer demands (iii) endurance on the company's growth rate.Option 3 Pros: (I) reduced chances of making potential losses (it) matching production with the current demand Cons: (I) inability to satisfy customer demand in the future (ii) delayed investment Option 4: Pros: (I) better chances of matching demand in the future (it) early investment preparation for the expected market growth Cons: (I) Incurring unnecessary investment costs, this could have been carried forward Step 6. Recommendation Based on the above analysis, the company should go on with the proposed relocation f operational site, and implementation of new technology.Despite the high investment costs associated with these options, it is a viable undertaking because it not only addresses the current needs of the company, but also its future needs. Besides, this option opens various opportunities that the company could pursue to differentiate itself from its competitors. For instance, with the proposed new technology, the company stands a better chance of producing green products to suit the changing tastes and preferences of the customers.

No Child Left Behind and English Language Learners

No Child Left Behind ( NCLB ) was intended to be instruction ‘s reply to â€Å" divide but equal. † Between 1979 and 2007, the figure of school age kids who spoke a linguistic communication other than English at place increased from 3.8 to 10.8 million ( NCES, 2009 ) . This represents an addition from 9 per centum to 20 per centum for this clip period. Spanish is the first linguistic communication of about 12 per centum of all pupils in public schools. More than 400 different linguistic communications are spoken by the 5.5 English Language Learners ( ELL ) in the United States. 49 per centum of Hispanic 4th graders were classified as proficient in basic reading compared to 77 per centum proficient white pupils on the same trial. In math, 69 per centum of Hispanic 4th graders were adept compared to 91 per centum for white pupils ( NCES, 2009 ) . Merely 4 per centum of 8th class ELLs and 20 per centum of pupils classified as â€Å" once ELL † scored at the proficient or advanced degrees on the reading part of the 2005 National Assessment for Educational Progress ( NCES, 2009 ) . ELLs have some of the highest drop-out rates. They besides are more disposed to be placed in lesser accomplishment groups. Since NCLB was implemented in 2001, there appears to be an addition in the figure of high school ELLs non having a sheepskin because they failed high-stakes trials even though satisfactorily finishing all other graduation demands. The United States is going more and more diverse both ethnically and linguistically. The per centum of ELLs in schools is on the rise more fleetly than the existent Numberss. While the figure of pupils with restricted ability in English has grown exponentially across the United States, their degree of academic accomplishment has lagged radically behind their linguistic communication bulk equals. ELLs academic public presentation degrees are significantly below those of their equals in about every step of accomplishment. In the 2005 National Assessment of Educational Progress, merely 29 per centum of ELLs scored at or above the basic degree in reading, compared to 75 per centum of non-ELLs ( NCES, 2009 ) . The Good The NCLB Act has drawn a good trade of coveted consciousness to the achievement spread of ELL pupils. Under NCLB, the academic advancement of every kid, including those larning English, will be assessed in reading, math and finally scientific discipline and societal surveies. This will supply parents and instructors with information as to how good the pupils are executing and provinces will be held accountable for consequences ( NCLB, 2001 ) . The jurisprudence has generated some benefits for ELLs by pulling attending to these pupils, and doing their public presentation count. NCLB requires that pupils are to be tracked as a subgroup and instructors and decision makers are more concerned about what is working and what is non working. They besides are more aware of looking for what could work with ELLS. Most provinces now have criterions for kids larning English as a 2nd linguistic communication. Annual appraisals based on those criterions and marks are to guarantee more pupils are come oning and making English linguistic communication proficiency over clip ( NCLB, 2001 ) . NCLB requires that all kids, including ELLs range high criterions in English linguistic communication humanistic disciplines and mathematics. In add-on, Title III of NCLB requires ELLs to make proficiency in English in several countries including reading, composing, hearing, and speech production and that their advancement be assessed yearly ( Abedi, 2004 ) . Schools and territories must assist ELLs, among other subgroups ; do changeless betterment toward this aim as measured by public presentation on province trials, or hazard austere effects. States and territories must guarantee that there are extremely qualified instructors in all schoolrooms, including those with ELLs. NCLB does non order a peculiar method of direction for larning English and other academic topics. Districts and schools have the privilege to take the methods of direction that best meets the demands of pupils, including methods of teaching in another linguistic communication or in English ( NCLB, 2001 ) . The jurisprudence is flawed but it does concentrate on English linguistic communication scholars and makes their achievement count. The Bad Ells are the fastest turning population in our public schools and many of them are really born in the United States, the kids of immigrants ( NCES, 2009 ) . The challenges for ELLs are hard. This population continues to swell quickly in volume, with mostly surging concentrations in a little figure of provinces. Accurate ELL designation remains a challenge. As presently implemented, ELLS are to be assessed under the same conditions in testable topics as adept English talkers. Many provinces and school territories are non tracking high school graduation rates for ELLs ; the fastest turning population of pupils ( Zehr, 2009 ) . NCLB was supposed to rectify this. Merely eleven provinces met their answerability ends for ELLs under NCLB in the 2007-2008 school twelvemonth ( Zehr, 2009 ) . NCLB intended to do teacher quality betterment by holding instructors attain â€Å" extremely qualified † position. But â€Å" extremely qualified † does non intend the instructor of ELLs is extremely qualified to learn ELLs ( Harper & A ; de Jong, 2009 ) . High bets proving is coercing direction to alter from enquiry, lifelong larning to learning to the trial by utilizing a method called â€Å" drill and putting to death † . Teaching to the trial is extinguishing the chance for instructors to learn pupils higher order believing accomplishments ( Ravitch, 2010 ) . This reduces clip that instructors are able to learn creativeness, self guided enquiry, and motivational subjects for all pupils. Ells are being taught trial taking schemes alternatively of content related aims. The usage of trial homework worksheets and â€Å" bore and kill † exercisings does non turn to the demand for direction in academic English. To do equal annual advancement ( AYP ) , each territory and school is required to demo that every subgroup has met the province proficiency end in reading and math. Accurately measuring these pupils in English, which is compulsory by jurisprudence, is really demanding, dearly-won, and clip consuming. The cogency of AYP is in hazard when schools inconsistently label English proficient pupils ( Abedi, 2004 ) . NCLB gives provinces authorization to categorise ELLs. Different provinces and even school territories within a province usage different ELL categorization standards. Besides, the ELL subgroup stableness remains inconsistent when ELL pupils reach proficiency degree and are moved out of this group. This straight affects the truth of AYP coverage ( Adebi, 2004 ) . States with high ELL pupil populations in their school territories face greater challenges when learning ELLs and doing AYP as compared to provinces with sparse ELL pupil populations ( Abedi, 2004 ) . ELLs need clip and readying to larn academic English. Unfortunately, in many ways, NCLB is increasing the accomplishment spread by puting greater demands on instructors to supply trial tonss that will lend to the school doing AYP. Possibly, the most toxic defect in NCLB is its legislative bid that all pupils in every school must be adept in reading and mathematics by 2014, including pupils with particular demands, pupils whose native linguistic communication is non English, pupils who are stateless and missing in social advantage, and pupils who have every social advantage but are non interested in school assignment ( Ravitch, 2010 ) . If they are non, so their schools and instructors will endure the effects. What Can Be Done? Teachers must concentrate on learning reading. Abedi ( 2004 ) states that ELL pupils who are better readers perform better. Reading is the key to all academic topics and without adept reading accomplishments, all pupils, including ELLs will make ill on all trials ( Abedi, 2004 ) . Teachers should be learning and non worrying about ways to do certain that they make the tonss needed in order to maintain instruction. Focus on ELLs public presentation, both for persons and groups to place forms of betterment or deficiency of betterment, ideally utilizing multiple steps ( Adebi, 2004 ) . The ELL subgroups must stay stable over clip. When a pupil ‘s degree of English proficiency has improved to a degree considered proficient, that pupil is moved out and non counted in that subgroup ( Abedi, 2004 ) . Testing must be just for all pupils particularly ELLs. Academic accomplishment trials are constructed for native English talkers. Modifying linguistic communication on trial inquiries to decrease the degree of gratuitous lingual and cultural prejudice could increase public presentation of ELLs ( Abedi, 2004 ) . Lack of academic English accomplishments topographic point ELLs at a greater disadvantage for understanding what is being assessed. Testing should be fair for all pupils. NCLB has placed undue trial public presentation force per unit area on schools with big Numberss of ELL pupils. This is particularly unrealistic when schools may still fight with the same limited school resources as earlier. We must hold a clear vision of what is considered a good instruction ( Ravitch, 2010 ) . Goals should be meaningful and come-at-able and non based on a apparently unapproachable ideal. As a state of immigrants, it is perfectly indispensable that we meet the demands of those pupils larning English as a 2nd linguistic communication. It has long been a challenge within the schoolroom to at the same time learn English alongside the other mandated topics such as mathematics, composing, scientific discipline, and societal surveies. Along with this, best pattern learning modes must be identified and used and instructors must be given appropriate preparation to implement these best patterns. Along with this, support must be provided to adequately implement these learning best patterns. Teachers must hold preparation in order to transport out these aims. Last, lawgivers must look at NCLB and find its achievability. Is the authorization for each pupil to be adept in English linguistic communication humanistic disciplines and mathematics by the twelvemonth 2014 idealistic or realistic?

A Turning Point

Turning Point Singapore is a place full of foreign countries, the fusion of Asian and European culture, scientific growth and opportunities, customs and traditions. When traveling to Singapore for the 2 nd APEC Youth Science Festival, people with diverse backgrounds gathered to meet ideas and insights and gathered artworks filled with cultural colors. After returning to America, I brought stronger cultural awareness, a deeper understanding of the international scientific community, abundant knowledge, and countless lifelong friendships. Perhaps the question you first ask yourself is what is the turning point of history? A dictionary defines a turning point as a point where decisive change occurs. Therefore, the turning point of history is not only important events that occurred long ago. This is a direct (time based) thought, event, or behavior that causes change. This change is social or cultural, and it influences social thinking and behavior. It is political and there is the possi bility of leading to new legislation and new government. It is economical and affects how products are produced, purchased, sold, or how much or how society spends on these items. The turning point may lead to all these changes. Looking back at past events, it is fairly easy to mark various turning points. Individuals may also notice turning points, such as when you meet your best friend, or when you volunteered in India. This symbolic meaning of the turning point was created in the 1640s and there was a more literal meaning less common in about ten years: the point where the opposite direction begins One way to understand how change processes work in the living experience of young carers is to look up turning points (Rutter 1996). Turning point is defined as an important life event or life experience essential for life course. Turning point is an important event of life, they can give front and after structures and can be explained as events of life (Denzin, 1989). The turning poi nt can be understood as plus or minus. They can contain a single episode or cumulative event. They can gradually discover the incident or discover it suddenly. They can be expressed through situational life events such as taking care or through personal subjective experiences such as controlling positive decisions in life. Turning points may also include random events in life (King et al., 2003). What is the difference? Turning point for youth in public care