Maurya Empire First Dynasty to Rule Most of India

The Mauryan Empire (324–185 BCE), based in the Gangetic plains of India and with its capital city at Pataliputra (modern Patna), was one of many small political dynasties of the early historic period whose development included the original growth of urban centers, coinage, writing, and eventually, Buddhism. Under the leadership of Ashoka, the Mauryan Dynasty expanded to include most of the Indian subcontinent, the first empire to do so. Described in some texts as a model of efficient economic management, Mauryas wealth was established in land and sea trade with China and Sumatra to the east, Ceylon to the south, and Persia and the Mediterranean to the west. International trade networks in goods such as silks, textiles, brocades, rugs, perfumes, precious stones, ivory, and gold were exchanged within India on roads tied into the Silk Road, and also through a thriving merchant navy. King List/Chronology There are several sources of information about the Mauryan dynasty, both in India and in the Greek and Roman records of their Mediterranean trading partners. These records agree on the names and reigns of five leaders between 324 and 185 BCE. Chandragupta Maurya 324–300 BCEBindusara 300–272 BCEAsoka 272–233 BCEDasaratha 232–224Brihadratha (assassinated in 185 BCE) Founding The origins of the Mauryan dynasty are somewhat mysterious, leading scholars to suggest that the dynastic founder was likely of a non-royal background. Chandragupta Maurya established the dynasty in the last quarter of the 4th century BCE (circa 324–321 BCE) after Alexander the Great had left Punjab and the northwestern parts of the continent (circa 325 BCE). Alexander himself was only in India between 327–325 BCE, after which he returned to Babylon, leaving several governors in his place. Chandragupta ousted the leader of the small Nanda Dynasty polity ruling the Ganges Valley at the time, whose leader Dhana Nanda was known as Agrammes/Xandrems in Greek classical texts. Then, by 316 BCE, he also had removed most of the Greek governors, expanding the Mauryan realm to the northwest frontier of the continent. Alexanders General Seleucus In 301 BCE, Chandragupta battled Seleucus, Alexanders successor and the Greek governor who controlled the eastern sector of Alexanders territories. A treaty was signed to resolve the dispute, and the Mauryans received Arachosia (Kandahar, Afghanistan), Paraopanisade (Kabul), and Gedrosia (Baluchistan). Seleucus received 500 war elephants in exchange. In 300 BCE, Chandraguptas son Bindusara inherited the kingdom. He is mentioned in Greek accounts as Allitrokhates/Amitrokhates, which likely refers to his epithet amitraghata or slayer of foes. Although Bindusara did not add to the empires real estate, he did maintain friendly and solid trade relationships with the west. Asoka, Beloved of the Gods The most famous and successful of the Mauryan emperors was Bindusaras son Asoka, also spelled Ashoka, and known as Devanampiya Piyadasi (the beloved of the gods and of beautiful looks). He inherited the Mauryan kingdom in 272 BCE. Asoka was considered a brilliant commander who crushed several small revolts and began an expansion project. In a series of terrible battles, he expanded the empire to include most of the Indian subcontinent, although how much control he maintained after the conquering is debated in scholarly circles. In 261 BCE, Asoka conquered Kalinga (present day Odisha), in an act of terrible violence. In an inscription known as the 13th Major Rock Edict (see full translation), Asoka had carved: Beloved-of-the-Gods, King Piyadasi, conquered the Kalingas eight years after his coronation. One hundred and fifty thousand were deported, one hundred thousand were killed and many more died (from other causes). After the Kalingas had been conquered, Beloved-of-the-Gods came to feel a strong inclination towards the Dhamma, a love for the Dhamma and for instruction in Dhamma. Now Beloved-of-the-Gods feels deep remorse for having conquered the Kalingas.   At its height under Asoka, the Mauryan empire included land from Afghanistan in the north to Karnataka in the south, from Kathiawad in the west to northern Bangladesh in the east. Inscriptions Much of what we know of the Mauryans comes from Mediterranean sources: although the Indian sources never mention Alexander the Great, the Greeks and Romans certainly knew of Asoka and wrote of the Mauryan empire. The Romans such as Pliny and Tiberius were particularly unhappy with the huge drain on resources required to pay for Roman imports from and through India. In addition, Asoka left written records, in the form of inscriptions on native bedrock or on movable pillars. They are the earliest inscriptions in South Asia. These inscriptions are found in more than 30 places. Most of them were written in a type of Magadhi, which may have been Ashokas official court language. Others were written in Greek, Aramaic, Kharosthi, and a version of Sanskrit, depending on their location. They include Major Rock Edicts at sites located on the bordering regions of his realm, Pillar Edicts in the Indo-Gangetic valley, and Minor Rock Edicts distributed all over the realm. The subjects of the inscriptions were not region-specific but instead consist of repetitive copies of texts attributed to Asoka. In the eastern Ganges, especially near the India-Nepal border that was the heartland of the Mauryan Empire, and the reported birthplace of the Buddha, highly polished monolithic sandstone cylinders are carved with Asokas scripts. These are relatively rare—only a dozen are known to survive—but some are more than 13 meters (43 feet) tall. Unlike most Persian inscriptions, Asokas are not focused on the aggrandizement of the leader, but rather convey royal activities in support of the then-nascent religion of Buddhism, the religion that Asoka embraced after the disasters at Kalinga. Buddhism and the Mauryan Empire Prior to Asokas conversion, he, like his father and grandfather, was a follower of the Upanishads and philosophical Hinduism, but after experiencing the horrors of Kalinga, Asoka began to support the then fairly esoteric ritual religion of Buddhism, adhering to his own personal dhamma (dharma). Although Asoka himself called it a conversion, some scholars argue that Buddhism at this time was a reform movement within the Hindu religion. Asokas idea of Buddhism included absolute allegiance to the king as well as a cessation of violence and hunting. Asokas subjects were to minimize sin, do meritorious deeds, be kind, liberal, truthful, pure, and grateful. They were to avoid fierceness, cruelty, anger, jealousy, and pride. Do seemly behavior to your parents and teachers, he cajoled from his inscriptions, and be kind to your slaves and servants. Avoid sectarian differences and promote the essence of all religious ideas. (as paraphrased in Chakravarti) In addition to the inscriptions, Asoka convened the Third Buddhist Council  and sponsored the construction of some 84,000 brick and stone stupas honoring the Buddha. He built the Mauryan Maya Devi Temple on the foundations of an earlier Buddhist temple and sent his son and daughter to Sri Lanka to spread the doctrine of dhamma. But Was it a State? Scholars are strongly divided as to how much control Asoka had over the regions he conquered. Often the limits of the Mauryan empire are determined by the locations of his inscriptions. Known political centers of the Mauryan Empire include the capital city of Pataliputra (Patna in Bihar state), and four other regional centers at Tosali (Dhauli, Odisha), Takshasila (Taxila, in Pakistan), Ujjayini (Ujjain, in Madhya Pradesh) and Suvanergiri (Andhra Pradesh). Each of these was ruled by princes of the royal blood. Other regions were said to be maintained by other, non-royal people, including Manemadesa in Madhya Pradesh, and Kathiawad in western India. But Asoka also wrote of known but unconquered regions in south India (Cholas, Pandyas, Satyputras, Keralaputras) and Sri Lanka (Tambapamni). The most telling evidence for some scholars is the rapid disintegration of the empire after Ashokas death. Collapse of the Mauryan Dynasty After 40 years in power, Ashoka died in the invasion by Bactrian Greeks at the end of the 3rd c BCE. Most of the empire disintegrated at that time. His son Dasaratha ruled next, but only briefly, and according to the Sanskrit Puranic texts, there were a number of short-term leaders. The last Maurya ruler, Brihadratha, was killed by his commander-in-chief, who founded a new dynasty, less than 50 years after Ashokas death. Primary Historical Sources Megasthenes, who as the Seleucid envoy to Patna wrote a description of Maurya, the original of which is lost but several pieces are excerpted by the Greeks historians Diodorus Siculus, Strabo, and ArrianThe Arthasastra of Kautilya, which is a compilation treatise on Indian statecraft. One of the authors was Chanakya, or Kautilya, who served as chief minister in Chandraguptas courtAsokas inscriptions on rock surfaces and pillars Fast Facts Name:  Mauryan Empire Dates: 324–185 BCE Location: Gangetic plains of India.  At its largest, the empire stretched from  Afghanistan in the north to Karnataka in the south, and from Kathiawad in the west to northern Bangladesh in the east. Capital: Pataliputra (modern Patna) Estimated population: 181 million   Key locations:  Tosali (Dhauli, Odisha), Takshasila (Taxila, in Pakistan), Ujjayini (Ujjain, in Madhya Pradesh) and Suvanergiri (Andhra Pradesh) Notable leaders: Established by Chandragupta Maurya,  Asoka  (Ashoka, Devanampiya Piyadasi) Economy: Land and sea trade based Legacy: First dynasty to rule over most of India. Helped popularize and expand Buddhism as a major world religion. Sources Chakravarti, Ranabir. Mauryan Empire. The Encyclopedia of Empire. John Wiley Sons, Ltd, 2016. Print.Coningham, Robin A.E., et al. The Earliest Buddhist Shrine: Excavating the Birthplace of the Buddha, Lumbini (Nepal). Antiquity 87.338 (2013): 1104–23. Print.Dehejia, Rajeev H., and Vivek H. Dehejia. Religion and Economic Activity in India: An Historical Perspective. The American Journal of Economics and Sociology 52.2 (1993): 145–53. Print.Dhammika, Shravasti. The Edicts of King Asoka: An English Rendering. The Wheel Publication 386/387. Kandy, Sri Lanka: Buddhist Publication Society, 1993. Web accessed 3/6/2018.King, Robert D. The Poisonous Potency of Script: Hindi and Urdu. International Journal of the Sociology of Language 2001.150 (2001): 43. Print.Magee, Peter. Revisiting Indian Rouletted Ware and the Impact of Indian Ocean Trade in Early Historic South Asia. Antiquity 84.326 (2010): 1043-54. Print.McKenzie-Clark, Jaye. Distinguishing between Rouletting and Chatter ing on Ancient Mediterranean Pottery. American Journal of Archaeology 119.1 (2015): 137–43. Print.Smith, Monica L. Networks, Territories, and the Cartography of Ancient States. Annals of the Association of American Geographers 95.4 (2005): 832–49. Print.Smith, Monica L., et al. Finding History: The Locational Geography of Ashokan Inscriptions in the Indian Subcontinent. Antiquity 90.350 (2016): 376–92. Print.

The Impact of Computer Games in the UK Essay - 1561 Words

High technology has conquered our world and it cannot not to have any impact on people who use it. Children are those who may suffer most because they are â€Å"screen addicted† from a very early age. According to Thomas (2011) an average modern child spends four hours thirty minutes in front of the TV or computer each day which includes one hour fifty minutes online and two hours forty minutes watching television. However, Trybus (2014) claims that gaming technology may help significantly in the education area. This essay concentrates on such part of modern technology as computer games. It will focus on the most popular games analysis at the beginning, then look at their effects and finally cover useful application of computer games.†¦show more content†¦As a consequence, the child becomes inattentive with a small period of concentration. 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Major Methods of Supervision in an Organization Free Sample

Question: Write an Essay on an Investigation of Criteria that affect the day-to-day Management of a Business in Ireland today. Answer: Introduction Supervision is an important aspect in the management process. Supervisory management is the process of overseeing and managing employees in the organizations[1]. It can be seen that businesses all over the world is adopting the strategy of supervisory management in order to make the employees efficient and to provide effective training to the novice employees. Supervisory is one of the crucial responsibilities of the organizational managers as it increases the efficiency and productivity of the business organizations[2]. There is no exception of this fact for Ireland. It has been seen that most of the companies in Ireland has adopted the strategy of supervisory management. Some major responsibilities of the supervisory management of Ireland are to ensure effective staff recruitment, staff training program, evaluation of the staffs and others[3]. Industry Guidelines and Recommended Practices Purpose and Method of Supervision Several purposes are there for which there should be supervisors in a business organization. Some of the purposes of supervision in an organization are discussed under: Mediator or Linking Pin: Supervisors are needed in an organization in order to communicate the plan, policies, decisions and strategies of the management with the subordinates of the organization[4]. Guide: There needs to be superiors in an organization for the purpose of guidance. Superior shows the right ways to the subordinates when they in doubt and in need helps. Issue of Instructions: One of the major purposes of supervision is the issue of instruction. It is the responsibility of the supervisors to make it sure that all the instructions are properly communicated to all the employees of the organization[5]. Control: Control is another important purpose of supervision. The supervisors of the organizations need to establish a control between the actual and expected outcome of the business. Apart from these, there are many purpose of supervision like the optimum utilization of the resources, to implement discipline in the workforce, to improve the communication process of the organizations, to take feedback and many others. Several methods of supervision can be seen in different business organizations. However, there are some major methods of supervision that most of the supervisors follows. They are discussed below: Individual Supervision: Individual supervision is one of the most widely used processes of supervision. In this process, the employees or supervisees use to describe their clinical activities to the supervisors. This method most suitable for most of the employees as employees does not want to disclose their personal problems in front of everyone[6]. Triadic Supervision: This is a new method of supervision where two supervisees pair with one supervisor for the purpose of supervision[7]. Group Supervision: This is another important and popular method of supervision where the one supervisor supervise a group of employees or supervisees. Group supervision is important to develop the group dynamics of an organization[8]. Peer Supervision: Peer supervision is the process of working together to get mutual benefits. In this process, the peer employees supervise each others activities[9]. Staff Code of Conduct The Code of Conduct for the Staffs in Ireland is discussed below: General Conduct and Behavior: As per this code of conduct, the employees of an organization need to maintain honesty, integrity and impartiality towards their job responsibilities. Conflict of Personal and Public Interest: As per this code, the employees must maintain a balance between personal and public conflict[10]. Planning: As per this act, the planning process employee must be transparent Gifts: According to this code, the employee cannot seek any kind of gift from the customers. Hospitality: As per this code, the employees of an organization must not be influenced by any hospitality of the customers. Satisfactory Working Relationship: As per this code, the employees of an organization must maintain a satisfactory working relationship with the consumer[11]. Criminal Conviction: As per this code, an employee that is convicted with any kind of crime must inform this fact to his/her personal officer. These are the major code of conducts of staffs in Ireland. In-House Staffs The advantages and disadvantages of in-house staffs are discussed below: Advantages In-house staffs reduce the training cost of the employees as the training process is conducted in the premise of the organization. In-house staffs can manage both the work and training; and this process reduces the disturbance in the organization. In case of in-house staffs, current work examples can be used for training. In-house staffs help to generate new ideas in the organization. In-house staffs promote the process of team building in the organizations. Disadvantages Training program for in-house staffs can increase the extra administrative costs of the organization. Training session for the employees sometimes hampers their work. Lack of dedication is a major disadvantage for the in-house staffs. In the process of in-house staffs, the employees feel extra pressure. In-house employees often face problem in time management in the organizations. Contract Staffs The advantages and disadvantages of contract staffs is discussed below: Advantages Contract staffs can become permanent by delivering good performance. Contract staff has to do multitask in the organization that increases their knowledge and skills. Contact employees get higher amount of salary in the organizations[12]. Contract employees can enjoy tax benefits on their earnings. The scope for personal satisfaction is high for the contract employees[13]. Disadvantages Contract staffs cannot enjoy all the benefiters in the organization. Contract staffs have to face immense job pressure. There is not any job security in contact staffing. Contract employees are not invited in the inner circle of the organizations[14]. There is not any opportunity for extra pay for contract staffs. Membership of Representative Bodies The advantages and disadvantages of membership of representative bodies are discussed below: Advantages Representative bodies promote the views of various parties in the organizations. Representative bodies help to promote common interest of the employees of the organization. Disadvantages It can be seen that sometimes the Representative bodies become influenced and do not promote the employees. This is a major interest. Steps Required to Recruit Staffs It can be seen that the companies in Ireland use some particular methods for the purpose of sourcing and screening candidates. For souring, both internal and external sources are used. In the process of internal sourcing, employees within the organization are selected for the vacant post. It reduces the cost of the company and it is a dependable source. On the other hand, there are many sources in external recruitment. They are websites, news papers, recruitment agencies, employment job fairs, advertisements and others[15]. Screening is the process of interviewing fewer candidates from a huge number of candidates. It can be seen that in Ireland, two processes are used for screening of the candidates. The first process is to use the job description and employee satisfaction to compare against the CV. The second process is to arrange short telephonic interview rounds to measure the candidates sustainability. These processes are largely beneficial for the companies as these screening processes help the companies to find the most appropriate employees for the organization. Thus reduces save both the time and cost of the companies[16]. Staff Training Processes It can be seen that there are some specific training processes that the business organizations of Ireland use to follow. Various training and development programs are organized for the new employees of the organization. As per the industry standard of Ireland, the companies use two types of training programs. They are on the job training and off the job training. These training programs are used on a regular basis in order to make the employees efficient towards their jobs. At the time of the training programs, it needs to be made sure that that appropriate aids and supporting materials are there for the training programs like proper training rooms, trainers, computers and many others. One of the major aspects of training and development programs in Ireland is to assess the suitability of the individuals at the time of training. In Ireland, training is not enough for the employees. The supervisors of the organization interact with the trainees to know the effectiveness of the trainin g and development program. These interactions help the organizations to identify the loopholes in the training and development programs and to provide the scope for improvement. Staff Evaluation Staff evaluation is considered as an important aspect in Ireland. Employee evaluation is done based on three periods; they are evaluation at the end of the first day or week; at the end of the first month and at the end of the probation period. The main objective of this evaluation process is to judge the effectiveness of the new employees in the organization. Apart from this, another objective of the evaluation process is to measure the effectiveness of recruitment process. In the process of staff evaluation, taking feedback on the performance of the employees is a crucial aspect. Most of the companies in Ireland use to take feedbacks on the evaluation of the employees. Feedbacks from different parties are taken on the performance of the employees. Based on the feedbacks, the employee performances are measured[17]. The evaluation process provides the scope for personal developments of the employees. From different types of feedbacks, the employees can recognize their strong and weak areas. After the identification of weak areas, the can work on them to make them into their strong areas[18]. Conclusion According to the above study, it can be said that supervisors play an integral part in the development of the organization along with the development of the employees. The main purpose of the supervisors is to take care of well being of the employees. It can be seen that there are four major methods of supervision in an organization. As per the above study, the Ireland has a well-developed process of staff sourcing and screening. The two major sources of staffs ate are the internal source and external source. The training and developed programs of Ireland help the new employees to become more efficient. Lastly, staff evaluation is very important for the overall betterment of the employees and the organization. Bibliographies "Local Government Act, 2001, Section 169".Irishstatutebook.ie, 2017. Online. Internet. 4 Apr. 2017. . Available: https://www.irishstatutebook.ie/eli/2001/act/37/section/169/enacted/en/html. "Recruitment and Selection".failteireland.ie, 2017. Online. Internet. 4 Apr. 2017. . Available: https://www.failteireland.ie/FailteIreland/media/WebsiteStructure/Documents/2_Develop_Your_Business/1_StartGrow_Your_Business/Recruitment-and-Selection.pdf. Allman, Keith, and Ximena Escobar De Nogales. "Sourcing and Screening."Impact Investment: A Practical Guide to Investment Process and Social Impact Analysis+ Website: 11-59. Boniface, Gail, et al. "Exploring the nature of peer and academic supervision on a role-emerging placement."British Journal of Occupational Therapy75.4 (2012): 196-201. Borders, L. DiAnne, et al. "Individual and triadic and group: Supervisee and supervisor perceptions of each modality."Counselor Education and Supervision51.4 (2012): 281-295. Brooks, Charles T., David A. Patterson, and Patrick M. McKiernan. "Group supervision attitudes: Supervisory practices fostering resistance to adoption of evidence-based practices."Qualitative report (Online)17.1 (2012): 191. Freedland, Mark, et al., eds.The contract of employment. Oxford University Press, 2016. Hair, Heather J. "The purpose and duration of supervision, and the training and discipline of supervisors: What social workers say they need to provide effective services."British Journal of Social Work(2012): bcs071. Hawkins, Peter, et al.Supervision in the helping professions. McGraw-Hill Education (UK), 2012. Kadushin, Alfred, and Daniel Harkness.Supervision in social work. Columbia University Press, 2014. Madaus, George F., Michael Scriven, and Daniel L. Stufflebeam, eds.Evaluation models: Viewpoints on educational and human services evaluation. Vol. 6. Springer Science Business Media, 2012. Parikh, Sejal B., Christopher Janson, and Tiffany Singleton. "Video journaling as a method of reflective practice."Counselor Education and Supervision51.1 (2012): 33-49. Posavac, Emil.Program evaluation: Methods and case studies. Routledge, 2015. Sechilariu, Manuela, Bao Chao Wang, and Fabrice Locment. "Supervision control for optimal energy cost management in DC microgrid: Design and simulation."International Journal of Electrical Power Energy Systems58 (2014): 140-149. Subhan, Arif. "Clinical Engineering Staffing."Journal of Clinical Engineering38.2 (2013): 47-48. Teague, Paul, and William K. Roche. "Line managers and the management of workplace conflict: evidence from Ireland."Human Resource Management Journal22.3 (2012): 235-251 Sechilariu, Manuela, Bao Chao Wang, and Fabrice Locment. "Supervision control for optimal energy cost management in DC microgrid: Design and simulation."International Journal of Electrical Power Energy Systems58 (2014): 140-149. Hawkins, Peter, et al.Supervision in the helping professions. McGraw-Hill Education (UK), 2012. Teague, Paul, and William K. Roche. "Line managers and the management of workplace conflict: evidence from Ireland."Human Resource Management Journal22.3 (2012): 235-251. air, Heather J. "The purpose and duration of supervision, and the training and discipline of supervisors: What social workers say they need to provide effective services."British Journal of Social Work(2012): bcs071. Kadushin, Alfred, and Daniel Harkness.Supervision in social work. Columbia University Press, 2014. Parikh, Sejal B., Christopher Janson, and Tiffany Singleton. "Video journaling as a method of reflective practice."Counselor Education and Supervision51.1 (2012): 33-49. Borders, L. DiAnne, et al. "Individual and triadic and group: Supervisee and supervisor perceptions of each modality."Counselor Education and Supervision51.4 (2012): 281-295. Brooks, Charles T., David A. Patterson, and Patrick M. McKiernan. "Group supervision attitudes: Supervisory practices fostering resistance to adoption of evidence-based practices."Qualitative report (Online)17.1 (2012): 191. Boniface, Gail, et al. "Exploring the nature of peer and academic supervision on a role-emerging placement."British Journal of Occupational Therapy75.4 (2012): 196-201. "Local Government Act, 2001, Section 169".Irishstatutebook.ie, 2017. Online. Internet. 4 Apr. 2017. . Available: https://www.irishstatutebook.ie/eli/2001/act/37/section/169/enacted/en/html. [11] "Local Government Act, 2001, Section 169".Irishstatutebook.ie, 2017. Online. Internet. 4 Apr. 2017. . Available: https://www.irishstatutebook.ie/eli/2001/act/37/section/169/enacted/en/html. Freedland, Mark, et al., eds.The contract of employment. Oxford University Press, 2016. Freedland, Mark, et al., eds.The contract of employment. Oxford University Press, 2016. Subhan, Arif. "Clinical Engineering Staffing."Journal of Clinical Engineering38.2 (2013): 47-48. "Recruitment and Selection".failteireland.ie, 2017. Online. Internet. 4 Apr. 2017. . Available: https://www.failteireland.ie/FailteIreland/media/WebsiteStructure/Documents/2_Develop_Your_Business/1_StartGrow_Your_Business/Recruitment-and-Selection.pdf. Allman, Keith, and Ximena Escobar De Nogales. "Sourcing and Screening."Impact Investment: A Practical Guide to Investment Process and Social Impact Analysis+ Website: 11-59. Madaus, George F., Michael Scriven, and Daniel L. Stufflebeam, eds.Evaluation models: Viewpoints on educational and human services evaluation. Vol. 6. Springer Science Business Media, 2012. Posavac, Emil.Program evaluation: Methods and case studies. Routledge, 2015.

Hip-Hop and Hyper-Commercialism free essay sample

Hip-Hop and Hyper-commercialism Simple beat, simple rhyme scheme, strong message. Vans dont cost Gs, real inning wear these CLC Vans, says a member of The Pack in the music video aptly titled Vans. You may be asking yourself, So, whats the big deal? The big, highly lucrative deal is the marriage between big name corporations and their partnership with hip-hop. Its nothing new: Run-DAM had My ideas, EL Cool J wore Kananga hats, and even Jay-Z incorporated drinking Cristal into his lyrics for a long period of time.With that being said, the new hip-hop generation of today faces many adversities from years and ears of subliminal marketing within their own sub-culture. The effects of hyper- commercialism are evident in American culture In general, but especially noticeable within popular rap music and urban associated culture. As an avid listener and creator of hip hop music, I have noticed a growing trend in the bay area: rap about what brands you wear. Whether it be Nikkei, Vans, Babe, or Decries, the message seems clear: you are what you wear.Even the term blind, blind is so deeply associated with hip-hop that you cant say it without an image off big, gaudy necklace popping into your head. And Immediately after that, you think, thats something a rapper would wear. Its no secret why. The hip-hop culture has been portraying a certain image since its birth in the late sasss and has been exploited by big name companies since then. The music industry Invests In what sells; companies and corporations sponsor artists who sell and are marketable to a wide, general audience. In the PBS documentary, Merchants of Cool, Naomi Klein states, Quite simply, every company with a powerful brand is attempting to develop a relationship with consumers that resonates so completely with their sense of self hat they will aspire, or at least consent, to be serfs under these feudal borderlands. With this being said, the question of why the hip-hop image is so much different than that of rock music has always bothered me. Take the band Coldly for example.The first adjectives that come to mind when thinking of the band are soft, emotional, and uplifting. And even though the band does not have that rebel edge, they managed to win Grammys and sell millions of records without having brand names within their lyrics. Now examine a hip-hop artist equivalent with huge success In America, 50 Cent. His breakthrough album is entitled Get Rich or Die Trying, appropriate for the philosophy behind the Image of mainstream hip-hop. After listening to the first minute of the first single In Ad Club, its a given that Backward and Mercedes Benz Increased their sales for that year _ He follows that formula of selling your own culture plus helping a company sell a product equals big checks and big success. Not only did he sell over ten million records with his Get Rich or Die Trying album, but he let the big name companies know 0 he means business. And this Is precisely the problem. Not only do I see advertisements everywhere else In American culture, but now have to sit and listen to catch phrase commercials within the music I know and love.This affect has made me question everything about myself. Eve been obsessed with the genre music since Talcs release of crazy sexy Cool, and since then Ive become what many call a Hip-Hop Head. At the time, I was was one of those groups that wasnt caught up in the over excessive marketing campaign that targeted young music listeners like myself. So my foundation for quality, meaningful hip-hop music was always there. But as I grew into my teenage years, I found myself often imitating to the rappers I listened to on a subconscious level.I started wearing brand name clothing that was acceptable and even though I was too young to know anything about alcohol, I thought Hennessey and Backward were the two alcohols that I have to try first. The financial markets have certainly spoken. They have richly rewarded some media-company mergers and made stockholders-including Journalists-happy folks, says Tom Goldstein in his article Big Media: Who Owns the News?. This same idea can be applied to the rap artists who et paid by the sponsors that endorse them.These artists are making millions off these companies who are mainly there to use the artists image as a way to connect their product with his or her fan base. The sad thing is, when an artist talks about Clocks or Smith and Wesson like he is endorsing the product, confused kids buy into it. When I got a little bit older, a littler bit smarter, and a little bit wiser, I started to question myself and my identity, as well as Hip-Hop and the identity portrayed within the mainstream media. It seemed as though everything had to have a hardcore exterior.To be understanding, sensitive, or romantic seemed to be weak, while credibility was earned by talking about guns, drugs, pimping women, and dirty money. In an article regarding two underground DVDs called Straight Auto Hunters Point and Hood 2 Hood, Darrel Keats put this idea best, The storytellers are driven by the same motivation 0 proving that their block is the hardest, and that they are the hardest on the block. This is precisely what is portrayed in most mainstream rap a market flood of bragging and boasting about doing illegal or despicable activities.Yet, I see todays youth confused. You are not respected if you are not outfitted in the latest gear, or up to date with the latest brand. And because of this, up in coming rappers and music makers tailor their own music to fit this philosophy without even being paid by the brands that they promote. Case in point, an underground, unsigned rapper named Young Byrd Man can be found holding a Nikkei shoe on a picture of his Namespace, not knowing that kids who follow him will go and buy those shoes because of the image he portrays. And Nikkei does not sponsor him, or pay him.Sounds like a great business deal, doesnt it? Now you may think that all this commercialism is wrong, but its not. In fact, its only logical 0 sell what you have to get what you want. Everybody does it, especially within the capitalistic society we live in. The problem is artists losing their substance too marketing scheme. New groups like The Pack are prime examples of this flash in the pan trend, and this is why they dont stick around or have a strong following. Based on their first single, their audience knows them as the four Vans spokesman.Are they musical artists, or shoe lessen? They have no perceived foundation for anything more, and thats why I flip to the next channel of the metaphorical Hip-Hop television. So what has made artists like Jay-Z so successful? Being able to find a balance between providing those catch phrase commercials and also giving the listener something real to hold on to. Its simple 0 when the commercials come on during a football game, my dad changes the channel to golf until the football game comes back on. Hes not interested in watching football for what it is, not what its sponsored by. By switching the channel ruing advertisements, hes saying, Im tired of trying to be sold, get back to the point. Hip-Hop has become the same way to me. This is why I choose to stray away from the hyper-commercialism lyrics that I hear too often. Artists like Jay-Z provide enough substance in comparison to advertisements to keep the listeners there. In an article entitled The New Hustle, the author sums it up very well, Its hard to hate on the get-rich part of this game. That rappers are becoming more astute businessmen, branching out into multiple industries, is a good thing.And this is true, its hard to denounce smart business practices or the determination it takes to be an entrepreneur. After all, who could not respect someone who has gone from rags to riches or grew from a crack in the concrete, as Tuba put it. But at the same time, rappers who have become wealthy and have escaped their troubled backgrounds seem to show no second thoughts about what they put into their rap lyrics, endorsement deals or not. And it seems as thought businesses and marketers hold these artists with little to no accountability about how they act or what they say.From a transcript from Bill Realitys show on the Fox News Network when he had a segment on Ludicrous endorsement by Pepsi, he states, Im calling for all responsible Americans to fight back and punish Pepsi for using a man who degrades women, who encourages substance abuse, and does all the things that hurt particularly the poor in our society. Now I dont necessarily agree with all that the man says and does, but he does have a point 0 people listen to these irresponsible artists and business endorsements give them power. Rappe r Gift of Gab of the duo known as Fallacious put it best his song ShallowDays, Music does reflect life, and kids look up to what youre portraying and mimic what you act like. Sometimes my stomach gets this odd feeling when I see rappers inferring that their violent and degrading lyrics are Just creative expressions and have no real repercussions. Sometimes I argue with my current girlfriend about this. In the Bay area, we have something made popular by recent rapper Mac Deer. Its called Thigh, a slang term for ecstasy. Too many times, I come across people who argue that Mac Dress influence over the recent popularity of ecstasy in Hip-Hop ultra is not wrong.Yet, thigh has been a big problem all over northern California, and has never been popular with Hip-Hop heads since Mac Dress on set. Still, hardly anyone wants to point the finger, and I hate doing it myself, but at the same time, artists do have control over what they say and put into the mix of things. Responsibility is a value that seems to be lacking not only in Hollywood, but also Hip- Hop. All in all, the music has major influence on its listeners and the companies know this. Will the current generation realize that they are being sold products and ideas y people within their own culture, or will the trend continue?

Why People Should Donate Time/Money/Energy to a Particular Organization, Charity, or Cause

Introduction In our day to day lives, people are very busy in their careers or jobs and they tend to concentrate too much on them and a bit of personal lives. This is usually at the expense of giving back to the society through various means that are aimed at making the lives of the less fortunate in the society better.Advertising We will write a custom essay sample on Why People Should Donate Time/Money/Energy to a Particular Organization, Charity, or Cause specifically for you for only $16.05 $11/page Learn More Corporate social responsibility is a very critical aspect that should be emphasized among individuals, groups and organizations so that the lives of the less privileged or those suffering from a particular problem in our communities could be uplifted. There are various reasons why people should volunteer or donate their energy, time, money and other resources to charities, non-profitable organizations and other causes. This piece of work looks into these reasons with much emphasis being given to why people should invest their energy and resources on Alzheimer’s Association. Reasons why people should donate time, money and energy to Alzheimer’s Association Alzheimer’s Association is a cause whose main aim is to eradicate Alzheimer disease through combined efforts that aim at providing effective care and support to all those suffering from the disease as well as reducing the risk of dementia by enhancing brain health. This is achieved through advanced research. Its vision is to have a world that is free from Alzheimer’s disease. â€Å"The Alzheimer’s Association is the leading, global voluntary health organization in Alzheimer’s care and support, and the largest private, nonprofit funder of Alzheimer’s research† (Anonymous Para 2). Like any other charitable non-profit making organization, Alzheimer’s Association is a cause that really needs support from well wis hers to keep it going, in its efforts to help individuals who suffer from Alzheimer disease. Disease is a problem that affects everyone in the society and people should therefore take part in helping out those suffering from Alzheimer disease as a way of appreciating the gift of good health. There are various reasons why people should contribute effortlessly towards the achievement of Alzheimer’s Association’s goals and mission some of them being for individual satisfaction, the victims’ well being while others are for the good of the society at large. One reason is the fact that there is power in giving.Advertising Looking for essay on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More Giving is usually associated with the rich and wealthy but that should not be the case since it is an act that comes from the heart and not the pockets, without any expectations of getting something in return. Time alone is e nough for instance sharing with and encouraging the patients suffering from Alzheimer disease and people should therefore donate towards Alzheimer’s Association. This helps people to enjoy the process of helping as they see their efforts making positive impacts like bringing happiness to a person who is hopeless due to some problems for instance pain and suffering like in the case of Alzheimer illness. Donating to a cause helps build purpose in life and also improves ones sense of well-being through allowing for inner satisfaction. It also strengthens a person’s spiritual life and offer contentment and inner peace. This is achieved through knowing that one sacrificed something no matter how little, to help people in need (LaMeaux par 4). People would be motivated to donate towards Alzheimer’s Association due to the fact that it carries out very essential activities aimed at helping the sick and in taking part in its activities through donation, people will have the inner satisfaction brought about by seeing positive change/impact they make on less fortunate individuals. Donating to various causes also help an individual to be well versed with what happens around people who are less fortunate especially on matters of social injustice. This is so because as people think of engaging in charitable work, they tend to gather more information about the particular group for instance through research. The will for instance know all aspects that surround Alzheimer’s Association more especially the patients. â€Å"This keep people informed of the social injustice acts carried out upon people and hence be in a better position to make positive moves by effectively challenging those responsible to take positive changes to situations in an effort to save lives and make life worth living for the affected† (LaMeaux Para 5). Another good reason why people should support Alzheimer’s Association is because the act of volunteering is linke d with various physical as well as social benefits. After people engage in charitable activities, they tend to have the urge to be more involved including devoting most of their time and skills, for instance in helping the people affected by the Alzheimer disease. This is deemed to help in enhancing ones social networks while at the same time gaining social, physical as well as spiritual benefits. Tax benefit is another reason as to why people should donate to charities and non-profit making organizations such as Alzheimer’s Association. Although this should not be the driving force towards ones decision to donate, it is encouraging. This aspect of tax eviction allow people to pay less for all the monetary and non-monetary contributions and hence they end up providing more and hence helping those involved in a great manner unlike when tax could be imposed (GAO 4).Advertising We will write a custom essay sample on Why People Should Donate Time/Money/Energy to a Particular Organization, Charity, or Cause specifically for you for only $16.05 $11/page Learn More Conclusion From the above discussion, it is evident that it is worth donating ones time, money or even energy to a given cause for instance the Alzheimer’s association. People should take part in what is going on around them and support as much as they can. This is because these causes, organizations and charities have got positive moves and they aim at uplifting people’s lives in one way or the other, an effort that would not be possible without them. There are also many benefits that are associated with volunteering and donations as stated above and people should therefore participate fully. Saving lives or even making lives of people suffering from Alzheimer’s disease worth living is a good act that should be encouraged among all individuals in the society to help eliminate the ordeal. Works Cited Anonymous. â€Å"The Alzheimer’s Associat ion†. https://www.alz.org/ GAO. Vehicle Donations Benefits To Charities And Donors, But Limited Program Oversight. New York; DIANE Publishing, 2003. Print. LaMeaux E.C. â€Å"5 Reasons to Donate to Charity†. GAIAMlife Web. This essay on Why People Should Donate Time/Money/Energy to a Particular Organization, Charity, or Cause was written and submitted by user Quinn Oneill to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Mr Subliminal essays

Mr Subliminal essays Two types of subliminal advertising, or at least as close to it as exists today, are stealth advertising and hidden corporate providence. Stealth advertising occurs when a company pays to have their product in a movie or TV show, and the product is then shown on camera. An example of this would be BMWs agreement with the producers of James Bond movies. The agreement is that James Bond will a BMW in each movie and that the car will be shown to be a BMW. For example, in Tomorrow Never Dies, James Bond drives a BMW 750iL and when Q gives James the car, he specifically states that the car is a new BMW 750iL. Hidden corporate providence occurs when a big corporation makes a product and tries to make the product appear to be manufactured by a small company. An example of this would be Doc Otis hard lemonade, made by the Anheiser Busch Corporation. The label depicts an old man, who it is assumed is Doc Otis, the man who makes this lemonade. This attracts customers who want to help the littl e guy. Another form of subliminal advertising is embedded messages. This is when an ad suggests some message but does not directly come out and say that message. A good example of this would be cigarette ads that depict beautiful people having a good time, while smoking. The embedded message is that smoking will make you cool and beautiful, but the ad does not directly say that. These are several types of subliminal ...

Scariest food additives Essay Example | Topics and Well Written Essays - 500 words

Scariest food additives - Essay Example Mostly hydrogenated oil is an essential source of trans fat. Makers like it because it lessens expenses, expands timeframe of realistic usability and settles flavor; however a loss for customers. Trans fats are twice as troublesome for the body to break down as soaked fats, and due to their support of terrible (LDL) cholesterol and have been indicated to lessening great (HDL) cholesterol. They are dynamic executors of coronary illness, diabetes, healthful insufficiencies and cell weakening. Note: Products that hold incompletely hydrogenated oils however have short of what 0.5g of transfat for every serving can convey a "trans-fat free" name. Likewise remember that "completely hydrogenated oil" does not hold Trans fats. Result: Avoid sustenance holding Trans fats, including margarine, vegetable shortening, saltines, and treats, heated products, mixed greens dressings, breads and chips (Ornelas, 2007). Aspartame: Used in breakfast grains, soda pops drink blends, gelatin sweets, solidified pastries, yogurt, mulling over gum, diet nourishment, and as a tabletop sweetener under the brand names Equal and NutraSweet. Studies have proposed that it cause disease — particularly with deep rooted utilization or neurological issues. Aspartame additionally brings down the acidity of pee and may make the urinary tract more powerless to contaminate. High fructose corn syrup like table sugar (sucrose) is less expensive option and is a profoundly handled manifestation of glucose that has changed over into fructose. Fructose is a type of sugar usually found in apples and oranges. The argument against HFCS ranges from claims that it restrains leptin the hormone in charge of telling ones cerebrum is fully harmed, and tissues can hold poisonous levels of mercury. The contentions against HFCS are uncertain, yet one thing is sure: an excessive amount of sugar will hurt substantial methodologies in incalculable ways, including expanding danger for diabetes, heftiness

Global Recession Effects on Emerging Economies Essay

Global Recession Effects on Emerging Economies - Essay Example This report stresses that global recession results to fluctuations in currency thus, affecting businesses that are mainly in the local economy. Local economies cater to the demands of the local market. They are dependent on the changes within their market. Local market demands are dependent on household and end-users budget and expenditures. When currency fluctuates, prices change affecting the production costs of companies and affecting the income and profit of end-users. This causes the market to have less demand due to buying power. This paper makes a conclusion that local economies thrive on the local market. If their market cannot afford the products the local companies produce then this will significantly affect the supply and demand, and the production and investment of the companies. With this, companies tend to resort to cost-cutting, trying to keep up with the fluctuations in currency and the lower demands of their market. In the end, if they cannot adapt and keep up to these changes, the local company will fail and eventually become bankrupt. Liberalization of the Chinese Market was remarkable for many reasons. It opened a new market for the Multinationals whose fortunes began sagging as demand in Europe had begun reaching saturation point. It offered a new manufacturing base for various industries. It opened new avenues of investments and finally it ushered in an era of relative peace as the threat of war and confrontation receded with the beginning of peace through trade partnerships. Trade that was ea rlier the reason of war had now became the agency of peace.

3.Meads Coming of Age in Samoa is often read as an attempt to Essay

3.Meads Coming of Age in Samoa is often read as an attempt to popularize anthropology, but to what extent did it also extend and develop it - Essay Example It is evident that Mead’s success in anthropology research depended on a firm foundation laid by Boaz on the discipline. She managed to extend Boaz’s ambition of making anthropology universal by sharing information she gained through books and doing extensive research on Boas pioneered disciplines such as cultural anthropology, nature versus nurture issues, emotional turbulence and biological development and adolescent issues. Boas maintained a viewpoint that human nature and the actions people portray emanate from civilization constraints. To ascertain his theory, Boas instructed Mead to establish if the poignant stress and turmoil that American adolescents in Samoa undergo had cultural or biological influence. Mead researched on Boas hypothesis by working as an ethnographer in American Samoa (Margaret, n.d., p. 54). In response, Mead launched an investigation in the Island of Samoa living among the society members and fulfilling all their cultural requirements as she compiled results on adolescents’ girls’ behaviors within Samoa. Mead recorded an analysis of her results in book â€Å"Coming of Age in Samoa†, published in 1928. In her study results, Mead established that youth concerns were neither constraining nor stressful among Samoan teenagers and adults. She carried out the research to from twenty-five teenage women in three villages of Samoa. Her comments indicated that the perceived time and stress, which adolescents’ experience, are because of cultural restraints. Mead’s comments supported the view that young people from different social and cultural arrangements within Samoa were free from caused stress characters that are characteristic of adolescence stage of development. Stress-free adolescence was because of total casualness or lack of concern towards youth issues. Adolescence stress was limited to and experienced by royal families such as chief’s wives and daughters. On the contrary, ordinary girls from

Nurse-led Respiratory Syncytial Virus Immunisation

Nurse-led Respiratory Syncytial Virus Immunisation Respiratory syncyital virus in pre-term babies. Setting up a nurse led clinic to give Synagis (immunisation) with implications for nursing practice. From the neonatal nurses view point. Introduction The respiratory syncytial virus is identified as a labile paramyxovirus which produces a histologically characteristic effect of causing fusion of human cells in tissue culture – hence the term â€Å"syncytial†. It is commonly sub-classified into types A and B. The B strain is generally asymptomatic in the majority of the population whereas the A subtype tends to produce the more severe illnesses which tend to predominate in the majority of clinically significant outbreaks (Bar-on ME et al 1996). It has an incubation period of 4-6 days and the infection typically lasts from 7-14 days, but does occasionally last up to three weeks. If it becomes necessary to hospitalise a child with respiratory syncytial virus infection, the admission period is typically 5-7 days.(Hentschel J et al 2005) Contagion in the form of virus shedding is its highest levels during days 2-4 of the illness but the active viral particles will continue to be shed for up to 14 days after the clinical onset of symptoms. The respiratory syncytial virus is known to affect both upper and lower respiratory tracts although the most clinically significant manifestations arise in lower respiratory tract infections, bronchiolitis and pneumonia being perhaps the most significant. Bronchiolitis is a particularly severe illness in the pre-term infant by virtue of the fact that it causes very significant small airways obstruction. (Sigurs N et al 1995) The respiratory syncytial virus is currently the commonest identified cause of lower respiratory tract infections in children under the age of three world-wide. Serological studies have identified that, at least in the UK, that virtually all children will have had at least one episode of infection by the age of three. In the infant and neonate age groups, it is currently the numerically largest cause of both pneumonia and bronchiolitis (Krilov L R et al 1997), and is also thought to play a role (as yet not fully understood), in the aetiology of both asthma and chronic obstructive airways disease.(Pullan C R et al 1998) For those patients who have concurrent immunodeficiency states it is a very significant cause of both morbidity and mortality (Long C E et al 1995) Clinical presentation In our considerations here we shall confine our discussion to those clinical manifestations common in the neonatal group and accept that the comments made do not necessarily apply to those older children and adults who may also contract the virus. The respiratory syncytial virus is currently the commonest cause of pneumonia in young children with the greatest preponderance in the under three age range. (Jeng M-J et al 1997) The initial phases of an infection are generally characterised by symptoms of a transient upper respiratory tract infection such as runny nose, watery eyes and mild pyrexia. This typically progresses to produce symptoms of cough, wheeze (although this may be absent in the neonate), high pyrexia, dyspnoea, central cyanosis – characterised by a bluish tinge to the skin, lips and fingernails, increased respiratory rate and occasionally visible utilisation of the accessory muscles of respiration and sub-costal retraction, all of which indicate lower respiratory tract involvement. (Brunell P A 1997). In severe cases it can progress to the point of respiratory failure. In the context of our discussion here, these developments can be extremely dangerous in the pre-term infant who has significantly smaller airways than older children or adults, and also less in the way of respiratory reserve, so that any embarrassment of the respiratory function is of proportionally greater clinical significance. (Graham S M et al 2002) Particular risk factors for a severe bout of the disease are: Prematurity Young age (especially those less than six weeks old) Pre-existing heart conditions (congenital malformations) Pre-existing lung conditions (bronchopulmonary dysplasia and cystic fibrosis ) Immune system malfunction Low socio-economic status and especially those who live in Overcrowded housing conditions Passive exposure to cigarette smoke Day care or childcare attendance Presence of older children in the same household Lack of innate immunity from failure to breast feed. (after Thompson et al. 2003) Mode of infection After each bout of infection the body develops a degree of immunity to the virus. This is less of a factor in the neonate, whose immune system has not developed to the same degree as in the older child. In the pre-term infant , the immune response is (in practical terms) almost non-existent. In any event the immunity is never complete as the virus is capable of subtle mutations of its protein coat which allows it to partially evade the immune system. Re-infections are common but they do tend to be less severe than the original attack. (Panicar J, et al 2004) The mode of spread is through droplet spread and from direct contact with infected nasal or oral fluids. It can enter the body most easily through the epithelial surfaces of the eyes and nose. Epidimiology The respiratory syncytial virus produces characteristic patterns of infection which are epidemics of up to five months duration. They typically occur in the winter months and records show (since 1990) that they typically begin in the time span between October to mid-December with a marked peak in January and February. In the UK, the respiratory syncytial virus is responsible for about 125,000 episodes of hospitalisation (Leader S et al 2002).and about 2,500 deaths (NCHS 2002). These factors are of particular importance in our considerations when we are considering the timing of any protection programme. These figures translate into the fact that 20% of all hospital admissions for lower respiratory tract infections are due to respiratory syncytial virus infections, and if looked at as an annual incidence rate, admission for respiratory syncytial virus infection is currently 28.3 per 1,000 infants and 1.3 per 1,000 for children under the age of 4 years. (Muller-Pebody B et al 2002) The highest rate of clinically significant infection occurs at ages between 2 and 6 months with a significant peak in the 2-3 month age range. Respiratory syncytial virus is typically brought into the home by an older (school age) child who then passes it onto the younger child in the family. In child care and crà ¨che facilities it is quite common to observe 100% infection rates in both children and staff. On a practical note, respiratory syncytial virus infection has also been seen to spread throughout a hospital environment infecting patients and staff alike. (Shay, D K et al 2001), We shall specifically consider the implications of vaccination later in this essay, but there are other issues of prevention that require examination. We have already discussed the mode of common infection through the respiratory and ocular epithelial surfaces. It follows that there are certain measures which, while not eradicating the possibility of spread, will certainly help to reduce it. In the home environment, it is sensible to frequently wash hands after coming into contact with nasal or oral secretions and before handling a young child. Frequent handwashing will reduce the risk of contamination by direct spread. School age children should be kept as separate as practically possible from a neonate if they have symptoms of a â€Å"cold†. Sneezing into a handkerchief will also help to reduce the possibility of droplet transmission. In its droplet form, the virus will live on household surfaces for many hours and is therefore still capable of transmission. In terms of the work of the neonatal community nurse, such patient education should be seen both as part of an empowerment and education programme every bit as much as a prophylactic measure for the neonate. (Hogston, R et al 2002). In the more controlled environment of a hospital, it is possible to institute barrier measures if there is significant risk such as the immuno-compromised patient or the child at risk with congenital heart disease. Frequent pre-touching hand washing is essential to help prevent cross transmission (Ng D K et al 2000). Specific preventative treatments Palivizumab ( or Synagis – Trade name) is a medication that is commonly given to infants at highest risk of complications of respiratory syncytial virus infection, for example those who were born prematurely or those with chronic heart and lung disease. It is given by monthly injection through the at-risk winter months and provides significant levels of protection. This protection however, is comparatively short lived and has to be repeated on a yearly basis until the child is judged to be no longer at high risk of significant sequelae of infection. (PPTI 2005). It is also extremely expensive. (see on). Palivizumab is the first of what may become a series, of monoclonal antibodies, which have been developed to specifically target and combat one specific infection. Its current indications include prevention of serious lower respiratory tract disease caused specifically by the respiratory syncytial virus. There are currently a number of papers that have studied its safety and efficacy in a number of situations such as bronchopulmonary dysplasia (BPD), infants with a history of premature birth (≠¤35 weeks gestational age), and children with hemodynamically significant CHD. (Meissner H C et al 1999), Technically it is a humanised monoclonal antibody of IgG1k type which is produced by recombinant DNA methods. It targets an A antigenic site of the F-protein covering of the virus. It is primarily derived from human antibody sequences and has two light and two heavy chains with a molecular weight of about 148,000 Daltons. The viability of nurse-led respiratory syncytial virus immunisation programme. >From the literature and the evidence that we have presented so far we can point to the fact that the respiratory syncytial virus is a significant risk to neonates, especially those who have significant risk factors for the development of lower respiratory tract complications. (Berwick D 2005) Although we specifically have not considered treatment in this essay, we should note that, in the context of a discussion on the role of prophylaxis, that the treatments available for neonate infection with respiratory syncytial virus are severely limited. In the words of Jon Friedland, an eminent professor of infectious diseases in London: Treating respiratory syncytial virus bronchiolitis remains a good example of therapeutic nihilism — nothing works except oxygen. Adrenaline, bronchodilators, steroids, and ribavirin all confer no real benefit. (quoted in Handforth J et al 2004) If we accept that this is the case and we also accept the significant morbidity and mortality rates quoted earlier in this essay, then it clearly makes sense to consider the role of prophylaxis in respiratory syncytial virus infections. It clearly therefore also makes sense to consider what active measures can be taken in order to try to reduce the possibility of infection or prevent the damaging and serious sequelae of infection. Sadly, this is far from straightforward. One could reasonably hope that a immunologically based vaccine would have been developed to help with this problem. Despite the fact that the first formalin inactivated respiratory syncytial virus vaccine was developed over forty years ago, progress in this field appears to have been painfully slow. Recently published literature on the subject of the effect of vaccines against respiratory syncytial virus found that there was no significant benefit conferred in terms of preventing either the infection or the complications. (Simoes E A et al 2001). We should note that this was not a small study but a meta-analysis of five major studies on the subject and therefore has considerable weight if we are considering an evidence base for our findings. (Green J et al 1998). If we accept the premise that a successful respiratory syncytial virus vaccine should be able to prevent severe lower respiratory tract disease and the morbidity consequent upon it, and should also ideally protect against both A and B strains of the virus, we would also have to postulate that it would have to be given directly after birth in order to prevent immediate primary infection form the environment. In general terms, this presents the nub of the problem as neonates have very poorly developed immune response mechanisms and the bulk of their immunity is passively derived form the trans-placental maternal antibody production and the immunoglobulins present in the maternal milk. (Kim H W et al 1969). Active immunisation in very early life proves to be fruitless, as the immature neonatal immune system cannot generally produce either an adequate T-cell response or effective antibody levels. It is also the case that the maternal antibodies themselves, also interfere with the infant’s ability to mount an antibody response of its own. (Clements M L et al 1996) In order to combat these problems there are a number of immunological strategies currently under investigation. One strategy is to vaccinate the mother during the third trimester in order to try to boost the naturally occurring antibodies and thereby increase the natural passive immunity. This is unlikely to give significant immunity beyond the first six weeks of birth unless the child is breast fed, in which case the immunity would last for longer (see below). It would however, have the advantage of protecting the most vulnerable individuals at a critical time. Initial trials of this method using a purified F protein subunit vaccine was found to be safe in a trial of 35 third trimester vaccinations. (Munoz FM et al 2003). The trial showed a disappointing, but detectable, response and the infants had increased IgG against respiratory syncytial virus up until 9 months of age. Clearly this strategy would be ineffective against children born with a significant degree of prematurity and who therefore, are at greatest risk A second approach was tried with live attenuated genetically modified vaccine. This approach was found to work in adults and older children but could not be sufficiently attenuated to produce a safe and sufficient response in neonates. (Piedra P A 2003). The third approach was to try live recombinant viral vectors which expressed respiratory syncytial virus proteins. Thus far, the results have been disappointing both in terms of immunogenicity and there are also safety concerns with iatrogenic oncogene activation. (Haller A A et al 2003) In terms of our potential nurse run clinic, all of these options have very significant drawbacks and none are therefore likely to represent a realistic immunisation option. Clarke (S J et al 2000) suggest that although huge strides have been taken with a number of vaccine products – especially the live attenuated vaccines, it will probably be a minimum of another decade before routine effective vaccination becomes widely available. It is perhaps because of this failure to present a solution of a vaccine that has caused researchers to examine other avenues of investigation for workable prophylactics. A line of investigation into passive immunity with IV hyperimmune globulins against respiratory syncytial virus has shown positive results in initial trials against preventing severe forms of respiratory complications in high risk children (Groothuis J R et al 1999). This particular formulation can only be given intravenously and therefore is of limited use outside of a hospital environment. It is clearly of no use in a community setting. The other line of passive immunity has developed into the intramuscular form of IgG humanised monoclonal antibody described above (palivizumab). Clinical trials already published have already shown that monthly injections of palivizumab in high risk infants have been able to reduce the hospital admissions for respiratory syncytial virus-related disease by more than 50% (IRSVSG 1998). This was a well designed double-blind placebo controlled randomised study and, in addition to apparently demonstrating its efficacy, it also showed an impressive safety record. This particular formulation appears to have a very good side-effect profile and clinical experience appears to confirm the initial trial results. Given the fact that respiratory syncytial virus places a heavy financial and economic burden on the NHS, a 50 % reduction in these levels is quite substantial. Cost-effectiveness is clearly a major question in any consideration of a national vaccination programme and studies elsewhere in Europe, (Roeckl-Wiedmann I et al 2003) have called into question the costings and have therefore also called into question the need for further evaluation. These considerations are given further credence if we consider the fact that if we take as a marker the number of hospital laboratory reports of respiratory syncytial virus, there appears to be a marked downward trend in the UK between 1990 and 2003. (Fleming D M et al 2003). It may be that there are other active factors here such as changes in clinical or laboratory practice, but it would appear to reflect a definite downward trend. This comment is actually given further credence when one considers the epidemiological data from the primary health care sources which also show a fall in acute respiratory infections over the same period. (Neuzil K M et al 2000) Passive immunisation is currently considered to be the best option in terms of providing immunity in the community although many authorities consider that it is currently only an option for the high risk infant. In the terms of our consideration here for a nurse run immunisation clinic, we should consider a set of guidelines, (that were actually produced in the USA), which could be adopted as they are based on the current best evidence available. (AAP 2003) The guidelines suggest that passive immunisation (palivizumab ) should be currently considered for premature infants born at less than 32-35 weeks gestation or for infants younger than 2 years with chronic lung disease. Although this is clearly a rational view, we have to note that it is based upon American statistics and American costings and is applicable primarily to American culture. It does not imply that the recommendations are necessarily transferable to the UK situation. The NHS has been more cautious. The current NHS guidelines were considered and formulated by the joint committee on vaccination and immunisation of the Department of Health. (JCVI 2002). Their report notes that: Palivizumab seems safe, well tolerated, and effective in reducing admissions to hospital, but it remains very expensive, at a cost of around  £2500 for five doses over the season for respiratory syncytial virus. In the UK, the statistics seem to suggest that readmission rates associated with respiratory syncytial virus infection-related bronchioliitis show that palivizumab is only cost effective if it is used in infants born prematurely with chronic lung disease and receiving oxygen at home (which is actually a very expensive undertaking in any event). (Feltes T F et al 2003). If this opinion is taken in conjunction with the suspicion that the rates of respiratory syncytial virus infection are actually falling, this will actually weight the cost-effectiveness argument further against the use of palivizumab. It is noted that a more recent study of palivizumab in infants who have congenital heart disease has been completed, but the information collected is insufficient in terms of readmission rates, morbidity and cost-benefit analysis, to allow a confident recommendation for use in this population. (Feltes T F et al 2003) The neonatal nurse’s viewpoint. In this essay we have considered much of the current literature on the subject of community immunisation for respiratory syncytial virus. There is little doubt that the virus represents a significant threat to a small proportion of neonates and a minor threat to the rest. (Crowe JE Jr 1995). It is also clear from the evidence that the prospect of active immunisation of the at risk groups has been aggressively pursued over a time scale of about four decades with very little in the way of positive practical results. In essence, this means that the only realistic prospect of giving the at-risk neonate a degree of protection against the respiratory syncytial virus, is by means of increasing the levels of passive immunity. We have considered the role of the only viable therapeutic agent in this area (palivizumab), and have come to the conclusion that the evidence base for its use is sound if it is given on a monthly basis through the winter months when the at risk populations are at greatest risk of significant morbidity, and indeed mortality. Against this statement we have to weight the cost-effectiveness of what is a very expensive agent. (Handforth J et al 2000). The neonatal community nurse therefore finds herself ideally placed to act as the gatekeeper in this role. By virtue of her position of having direct contact with each of the neonates in her community, she is probably the most optimally places member of the primary healthcare team to assess and oversee the administration of palivizumab to those at greatest risk. (Scally G et al 1998) The mechanics of the enterprise will inevitably vary from practice to practice, but the elements of any recall system will be an up to date age/sex register, a forward planning facility and good communications with the antenatal services so that prospective candidates can be assessed at the earliest opportunity. The multidisciplinary nature of the modern primary healthcare team is ideal for communication of this nature and the neonatal nurse should be able to optimally utilise the recall facilities of the practice in order to ensure maximal compliance once the decision to treat has been made. (Yura H et al 1998) On the positive side there is the fact that Nurse led clinics, in general terms, have been proven to work both effectively and efficiently in many other areas. On the negative side we have the practical situation that the current recommendations from the Joint Committee on Vaccination and Immunisation that the current evidence base supports the view that palivizumab should only be offered to babies in the Group I classification, which currently includes babies under the age of two years with severe chronic lung disease, on home oxygen during the RSV season. This represents about 500 babies a year nationally. Common sense would indicate that there is absolutely no practical rationale for setting up any form of clinic in primary care for this number of babies on a national basis. Even if this recommendation was extended to include those babies in Group II (those with chronic lung disease but not on home oxygen), this would only add another 1000 to the national total and again, clearly there would be absolutely no rationale for setting up a local clinic base for this type of work load. (Netten A et al. 2000) The Committee’s reasoning for offering palivizumab to the Group I babies was on the evidence that it would be likely to reduce hospitalisation by a factor of 40% and thereby be cost effective. The Committee also suggested that these guidelines should be reviewed if a more effective and cheaper vaccine became available. If we consider, for the sake of argument, that such a vaccine has become available and that it is both practical and National policy to set up such vaccination clinics, we can consider the leads given by papers that report experiences in other areas of childhood vaccination. Nesbitt (A et al. 1997) give a very informative overview of the practical difficulties involved in setting up a Hepatitis B vaccination clinic. They point to the problems of trying to reach the most vulnerable and potentially isolated individuals in the community and highlight the need for specific nurse initiated home visits to the persistent absentees to the clinic. (Nesbitt A et al. 1995) They also highlight the difficulties in trying to get a level of immunity in a population that is constantly turning over. It requires a very high degree of vigilance on the part of the nurse running the clinic to ensure that all new arrivals are incorporated into the recall system with complete efficiency and without delay. On a slightly tangential subject, the whole issue of the nurse-led clinic was reviewed and assessed for overall effectiveness and cost effectiveness by Raftery (J et al. 2005). This paper demonstrated, beyond doubt that nurse led clinics could be both effective and very cost effective. This particular paper looked at the role of the clinic in the prevention of heart disease in the adult population, which is clearly not directly applicable to our considerations here, but the important relevant considerations are that the autonomous nurse led clinic can work very effectively with auditable results that can demonstrate both positive health benefits and an efficient and cost-effective use of a nurse’s time. (Polsky D et al. 1997) One of the interesting points raised in this paper which was also directly transferable to a nurse led immunisation clinic was that the increased costs noted also included an element for increased prescribing for intercurrent morbidity that was discovered at the time of the assessment. This is a factor that is likely to be translated into increased costings for the vaccination clinic, as many mothers are likely to save up questions and minor degrees of pathology if they know that they are having an appointment with the practice nurse. (Lancaster T 2003). This may well be translated into increased prescribing costs. Taking a holistic view however, one would hope that these costs would not be incurred without good reason and therefore one could conclude that it would be for the greater good of the patient in the long run and therefore presumably justified. (Benger J R et al. 2005) Considering all of these issues one can see that the viability of the nurse led clinic, certainly in the areas of RSV vaccination, is totally dependant on the development of an effective and cheaper vaccine. At this point in time, the recommendations do not support the logistics of a nurse led clinic for palivizumab although it is clear that the neonatal nurse should be the prime source of the palivizumab vaccination, the numbers involved support the specific identification and targeting of the Group I babies. References AAP 2003 American Academy of Pediatrics. Respiratory syncytial virus. In: Pickering LK, ed. Red Book: 2003 Report of the committee on infectious diseases. 26th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2003: 523-8. Bar-on ME, Zanga JR. 1996 Bronchiolitis. Prim Care. 1996;23:805-819. Benger J R, Hoskins R 2005 Nurse led care: Nurses are autonomous professionals delivering expert care BMJ 2005 330: 1084. Berwick D 2005 Broadening the view of evidence-based medicine Qual. Saf. Health Care, Oct 2005; 14: 315 316. Brunell PA. 1997 The respiratory season is upon us. Infectious Diseases in Children. Thorofare, NJ: Slack Inc; 1997;10(1):5. Clark SJ, Beresford MW, Subhedar NV, Shaw NJ. 2000 Respiratory syncytial virus infection in high risk infants and the potential impact of prophylaxis in a United Kingdom cohort. Arch Dis Child 2000;83: 313-6 Clements ML, Makhene MK, Karron RA, Murphy BR, Steinhoff MC, Subbarao K, et al. 1996 Effective immunisation with live attenuated influenza A virus can be achieved in early infancy. J Infect Dis 1996;173: 44-51. Crowe JE Jr. 1995 Current approaches to the development of vaccines against disease caused by respiratory syncytial virus (RSV) and parainfluenza virus (PIV): a meeting report of the WHO Programme for Vaccine Development. Vaccine 1995;13: 415-21. Feltes TF, Cabalka AK, Meissner HC, Piazza FM, Carlin DA, Top FH, et al for the Cardiac Synagis Study Group.2003 Palivizumab reduces hospitalisation due to respiratory syncytial virus in young children with haemodynamically significant congenital heart disease. J Pediatrics 2003;143: 532-40 Fleming DM, Ross AM, Cross KW, Kendall H. 2003 The reducing influence of respiratory tract infection and its relation to antibiotic prescribing. Br J Gen Pract 2003;53: 778-83. Graham SM, Gibb DM. 002 HIV disease and respiratory infection in children. Br Med Bull 2002;61: 133-50 Green J, Britten N. 1998 Qualitative research and evidence based medicine. BMJ 1998; 316: 1230-1233 Groothuis JR, Simoes EAE, Levin MJ, Hall CB, Long CE, Rodriguez WJ. 1999 Prophylactic administration of respiratory syncytial virus immune globulin to high-risk infants and young children. N Engl J Med 1999;329: 1524-30 Haller AA, Mitiku M, Macphail M. 2003 Bovine parainfluenza virus type 3 (PIV3) expressing the respiratory syncytial virus (RSV) attachment and fusion proteins protects hamsters from challenge with human PIV3 and RSV. J Gen Virol 2003;84(Pt 8): 2153-62 Handforth J, Friedland JS, Sharland M. 2000 Basic epidemiology and immunopathology of RSV in children. Paediatr Respir Rev 2000;1: 210-4 Handforth J, Mike Sharland, and Jon S Friedland 2004 Prevention of respiratory syncytial virus infection in infants BMJ, May 2004; 328: 1026 – 1027 Hentschel J Berger T M Tschopp A et al 2005 Population-based study of bronchopulmonary dysplasia in very low birth weight infants in Switzerland. Eur J Pediatr 2005 May;164(5):292-7. Hogston, R. Simpson, P. M. (2002) Foundations in nursing practice 2nd Edition, London: Palgrave Macmillian. 2002 IRSVSG 1998 The Impact-RSV Study Group. Palivizumab, a humanized respiratory syncytial virus monoclonal antibody, reduces hospitalization from respiratory syncytial virus infection in high-risk infants. Pediatrics 1998;102: 531-7 Jeng M-J, Lemen RJ. 1997 Respiratory syncytial virus bronciolitis. Am Fam Physician. 1997;55:1139-1146. JCVI 2002 Joint Committee on Vaccination and Immunisation. Minutes of the meeting held on 1 November 2002. www.doh.gov.uk/jcvimins01nov02.htm (accessed 31.3.06) Kim HW, Canchola JG, Brandt CD, Pyles G, Chanock RM, Jensen K, et al. 1969 Respiratory syncytial virus disease in infants despite prior administration of antigenic inactivated vaccine. Am J Epidemiol 1969;89: 422-34 Krilov LR, Mandel FS, Barone SR, Fagin JC and The Bronchiolitis Study Group. 1997 Follow-up of the children with respiratory syncytial virus bronchiolitis in 1986 and 1987: potential effect of ribavirin on long term pulmonary function. Pediatr Infect Dis J. 1997;16:273-6. Lancaster T. 2003 The benefits of nurse led secondary prevention clinics continued after 4 years. Evid Based Med 2003;8: 158 Leader S. Kohlhase K. 2002 Respiratory syncytial virus-coded pediatric h

A Shot that Ricocheted through History Essay -- essays research papers

â€Å" A Shot That Ricocheted Through History†   Ã‚  Ã‚  Ã‚  Ã‚  Medgar Evers was a man who was not afraid to stand up for what he believed in. He believed that one-day blacks and whites would be able to associate with each other without racial interference. He would later die for what he believed and leave an example for all who was following in his path. The man believed to have shot him was tried three times and finally convicted in the third trial nearly thirty years after his death. Evers was seen as a martyr for all black to look up to.   Ã‚  Ã‚  Ã‚  Ã‚  As civil rights began to gain attention of the United States, blacks decided they needed to change their approach from court cases to a more nonviolent approach. On August 28, 1963, the movement reached its strongest points. They made a march at Washington D. C., and wanted to federal civil rights legislation to give them equal rights. This is where Martin Luther King gave his famous â€Å"I Have A Dream† speech. King believed that most whites were basically decent and when faced by love would allow injustice and brutality to continue. (Jordan) The nonviolent approach would prove to be a better approach for them in later times.   Ã‚  Ã‚  Ã‚  Ã‚  When blacks began charging their approach, they began preferring sit-ins. This all started at a public lunch counter at F. W. Woolsworth’s in Greensboro, North Carolina and began to spread to all public land counties across the south. As sit-ins became more common, they moved to other public places such as parks, movie theatres, swimming pools, libraries, lobbies, and many other segregated facilities. After several months of sit-ins, they began to become desegregated. Blacks also began a strong movement to get public schools desegregated as well. They finally succeeded with Ole Miss, when they accepted James Meredith into the school. President Kennedy also tried to help blacks by approaching the problem with caution. He did this by encouraging company with government contracts to hire black Americans.   Ã‚  Ã‚  Ã‚  Ã‚  On July 2, 1925 in Decatur, Ms, a black man by the name of Medgar Wiley Evers was born. Until he joined the Army in 1943, he attended school in Decatur. He served Normandy and to Alcorn to pursue his college education in which he majored in business administration. While there, he participated in many school... ...egacy of Evers is everywhere present today. This peaceful man, who had constantly urged that violence is not the way ,but paid for his beliefs with his life, was a prominent voice of struggle for civil rights in Mississippi.† Many people, including his wife paid tribute to him into years past. His wife wrote a book called For Us, The Living, but the best is said to be, Mississippi, Black History Makers. Ten years after his death it was recorded that there had been one hundred and forty five black officials elected to office in Mississippi, and that there was a black student in each of the states private schools. In 1970, the Department of Health, Education, and welfare said that twenty-six percent of black people in the Mississippi public schools system with at least fifty percent white enrollment. In 1913, there were only twenty eight thousand blacks registered voters, and by 1971 there were two hundred and fifty thousand. Even in 1982, there were five hundred thousand. (J DP) Though the hard work and struggle of one man was ended with death, the changed be brought about are still evident today. This has only made Mississippi a better and more peaceful place to live for all races. A Shot that Ricocheted through History Essay -- essays research papers â€Å" A Shot That Ricocheted Through History†   Ã‚  Ã‚  Ã‚  Ã‚  Medgar Evers was a man who was not afraid to stand up for what he believed in. He believed that one-day blacks and whites would be able to associate with each other without racial interference. He would later die for what he believed and leave an example for all who was following in his path. The man believed to have shot him was tried three times and finally convicted in the third trial nearly thirty years after his death. Evers was seen as a martyr for all black to look up to.   Ã‚  Ã‚  Ã‚  Ã‚  As civil rights began to gain attention of the United States, blacks decided they needed to change their approach from court cases to a more nonviolent approach. On August 28, 1963, the movement reached its strongest points. They made a march at Washington D. C., and wanted to federal civil rights legislation to give them equal rights. This is where Martin Luther King gave his famous â€Å"I Have A Dream† speech. King believed that most whites were basically decent and when faced by love would allow injustice and brutality to continue. (Jordan) The nonviolent approach would prove to be a better approach for them in later times.   Ã‚  Ã‚  Ã‚  Ã‚  When blacks began charging their approach, they began preferring sit-ins. This all started at a public lunch counter at F. W. Woolsworth’s in Greensboro, North Carolina and began to spread to all public land counties across the south. As sit-ins became more common, they moved to other public places such as parks, movie theatres, swimming pools, libraries, lobbies, and many other segregated facilities. After several months of sit-ins, they began to become desegregated. Blacks also began a strong movement to get public schools desegregated as well. They finally succeeded with Ole Miss, when they accepted James Meredith into the school. President Kennedy also tried to help blacks by approaching the problem with caution. He did this by encouraging company with government contracts to hire black Americans.   Ã‚  Ã‚  Ã‚  Ã‚  On July 2, 1925 in Decatur, Ms, a black man by the name of Medgar Wiley Evers was born. Until he joined the Army in 1943, he attended school in Decatur. He served Normandy and to Alcorn to pursue his college education in which he majored in business administration. While there, he participated in many school... ...egacy of Evers is everywhere present today. This peaceful man, who had constantly urged that violence is not the way ,but paid for his beliefs with his life, was a prominent voice of struggle for civil rights in Mississippi.† Many people, including his wife paid tribute to him into years past. His wife wrote a book called For Us, The Living, but the best is said to be, Mississippi, Black History Makers. Ten years after his death it was recorded that there had been one hundred and forty five black officials elected to office in Mississippi, and that there was a black student in each of the states private schools. In 1970, the Department of Health, Education, and welfare said that twenty-six percent of black people in the Mississippi public schools system with at least fifty percent white enrollment. In 1913, there were only twenty eight thousand blacks registered voters, and by 1971 there were two hundred and fifty thousand. Even in 1982, there were five hundred thousand. (J DP) Though the hard work and struggle of one man was ended with death, the changed be brought about are still evident today. This has only made Mississippi a better and more peaceful place to live for all races.