Characteristics of at Risk Students

Pregnant Teens Janet Riley AED/201-Teaching as a Profession December 23, 2012 Mary Ortiz Pregnant Teens In 2010 data was presented by Voices for Virginia’s Children showing a pregnancy rate for school aged children in Virginia Beach to be 106. 7 per 1000 teens (The Annie E. Casey Foundation, 2012). Teenage pregnancy is an issue for many and causes problems for students (University of Phoenix, 2005). The Virginia Beach school district offers programs for pregnant teens to help them become less â€Å"at risk†. Once the teens are in the situation of becoming pregnant, many believe they do not have a choice to continue their education.There are programs such as night classes and centers for pregnant teens available in Virginia Beach for these students. The centers offer free childcare while the parents are in class. This way they do not have to miss school because they have no one to watch the children. The night school has an advanced curriculum to help the students gradua te faster. Both programs are good for the teenage parents because it puts them together with others in the same situation. Not only does this put them in a setting with others that can understand what they are going through, it also puts them in an environment where they won’t feel judged by others.Teenage parents may often drop out due to self-esteem issues or lack of help from others. It is very important to both the parents and children that the teens receive a proper education. That is why the programs mentioned are beneficial. They help the teens get past the problems associated with teen pregnancy. They also offer special classes on parenting to help the teens ease into the role of parents. This way they can better handle the transition into parenthood and manage to stay on track. Another great thing about the programs is that they do not cost anything.Many teen parents do not have a lot of money; and any money they have probably goes to doctors and items for the babies /children. The centers and special schools do not charge for admission or childcare. With this burden lifted, teens may feel they do not have to quit school. Just having the childcare is a big plus. Some teens do not get help from others and could not afford an independent daycare. So having a way to have their children being taken care of in a trusted environment is a big deal. There are programs offered by the state that are beneficial to these students as well.Medical programs and supplemental needs programs are offered. The state makes sure the teens and their children have access to doctors, mental health services, family planning services, and drug abuse services (Council on Virginia's Future, 2012). There are also programs to make sure nutritional needs are met. This is beneficial to students because they can stay healthy and well-nourished enough to remain in school. They also make sure that teens have counseling so they are not overwhelmed by the idea of parenting and finis hing school.The programs offered for pregnant teens by Virginia as a state and the city of Virginia Beach are great programs. This is something I actually have personal experience with. I used the night classes to finish school. The night school gave me a chance to graduate. And since the classes did not take up my whole day, I was still able to care for my son. The school years were only as long as an average semester, so it did not take as long to finish school. This way I was able to start a full time job sooner and did not have to sacrifice my education. There is one problem I have found with teen pregnancy programs.The issue of teen pregnancy is something many would rather not mention. People are afraid of bringing attention to the issue or creating influence. Therefore, the programs are not well known. Many only know of them through having to thoroughly research or by hearing from counselors or even peers after they have had time to give up. If the programs were more widely kn own, the teens would have the advantage to decide to go before completely dropping out. Teen pregnancy does cause a lot of issues when it comes to education. With the help of the schools and centers offered by the city, educational goals can be met.Though it should not be encouraged, the students do not have to be so â€Å"at-risk†. References Council on Virginia's Future. (2012). Teen Pregnancy. Retrieved from http://vaperforms. virginia. gov/indicators/healthfamily/teenpregnancy. php The Annie E. Casey Foundation. (2012). Teen Pregnancy Rate per 1,000 by Age Group (Rate) – 2010. Retrieved from http://datacenter. kidscount. org/data/bystate/Rankings. aspx? state=VA&ind=6393 University of Phoenix. (2005). Introduction to Teaching: Becoming a Professional, Second Edition. Retrieved from University of Phoenix, AED/201- Teaching as a Profession website.

Personal statement for MSA Essay

If to use a single word describing myself, I would say, â€Å"integrity’, which means a mixture of various qualities and views from different cultures and working experiences. My hometown, **, which was a harbor and now the booming coastal metropolis, brought me a grant view of how fast the speed of globalization is. Meanwhile, the dramatic economic growth of the city enlightened me for seeking and digging qualities that would match its future. As a result, I went to the other hemisphere of the world, United States, which was described as the most developed country, to ursue my Bachelor’s degree in business finance. Through the Joyful college life with diligent study in coursework and a verity of academic club taking, on a sunny day, Aug 28th, 2011, I obtained my Bachelor’s degree from Ohio State University with Magna Cum Laude. Moreover, my 3. 86 specialization GPA makes me a competitive individual among my schoolmates. Seeking a Job is not a fun thing, especially for a recent graduate and in the economic downturn, though, I still keep myself with the optimistic attitude and enough confidence in this whole process. Before my first official Job was offered, I gathered a erious of experiences from different positions: work as a part-time tax processor in a credited accounting firm, ***as a par-time bookkeeper in an entertainment company, Prime Social Group; and, even work as a sales associate in the subsidy of Gap, Inc, Old Navvy. These experiences, which supposed not decent enough for an honor graduate, told me how hard life could be, and made me more perseverant. After scatted out hundreds of my resume, and Joined tens something interview, I got my first official Job offer: financial analyst in ***, a healthcare financial consulting firm. My frank peers introduced me with some models and methodologies the company uses for a number of hospitals and nursing homes. Though some of the analysis sounds hard at the first glance, I still believe my personal qualities and skills, for example, I am a profound thinker that is knowledgeable of computer language Access SQL and Excel, could help me to conquer them. I penetrated myself in calculating and analyzing those Key Performance Indexes and valuation models. After I submitted my first report, though it’s not perfect, my supervisor, ***, comment this as,† It’s amazing or a recent graduate with little analysis experiences to create the model and fgure such a lot of crucial points out†. Besides, even the principle of the team,***, who used to be a professor in ***, appreciated my work ethic. Those words did stimulate me for a while. Experiences in ** extended my view of what consulting firms could help for clients. Consulting are not limit in investment finance taking care of stocks and bonds, IPO issuing, etc, more than that, lots of consulting firms are doing analysis on a corporate base, thus, much accounting knowledge involved. I also remember Andrew said to me wou d be essential tor getting a senior level position in financial consulting firm, and, a Master of Accounting would be a plus.

Response Paper Essay Example | Topics and Well Written Essays - 750 words

Response Paper - Essay Example The author’s mastery of English composition is facilitated only when he is able â€Å"to create an English self, and be that self†Ã¢â‚¬â„¢ (Shen, 95). This involves: exchanging the Chinese Marxist philosophy of collective materialism for English idealism and individuality; discarding the circuitous Chinese pattern of approaching a topic in favor of the direct English ‘topic sentence;’ avoiding Chinese pictorial descriptions instead of English verbal descriptions. This concept of adopting an identity in effective writing also forms the crux of Barbara Mellix’s essay, â€Å"From Outside, In.† Mellix’s essay, â€Å"From Outside, In,† explores her evolution as a writer in terms of an African-American who speaks ‘Black English.’ She effectively relates the complexities that arise from speaking what are essentially two different languages: ‘Black English,’ and ‘Standard English.’ While the former is her own language, which â€Å"bubbled in our throats and rolled across our tongues, a balming† (Mellix, 76), the latter is the â€Å"language of others† (Mellix, 81). Standard English is reserved for special occasions and for formal writing. Learning to speak fluent Standard English is relatively easy for Mellix, but her writing continues to remain mechanical. As she struggles to become proficient in the written language, she is constrained by the difficulty of composing in Standard English: â€Å"I couldn’t think and feel genuinely in that language† (Mellix, 80). Her ultimate mastery of English composition comes about only when she learns to overcome her self-consciousness as a speaker of Black English, and convince herself to confidently assume a rightful place in the culture of Standard English. Fan Shen and Barbara Mellix adopt new, but different, identities for effective English writing. Shen and Mellix both adopt new identities to succeed in Engl ish writing. They agree that proficiency in written English requires the writer to reconcile a dichotomy in identity and â€Å"to assume a culture† (Mellix, 84). Shen must change his ‘Chinese identity’ for an ‘English identity,’ while Mellix must learn to ignore her identity as an African-American who speaks a black vernacular. Both of them must learn to be comfortable in the identities they assume for writing English. Shen’s assumption of his ‘English identity’ requires him to assume individuality, and a direct approach to a topic, while Mellix must learn â€Å"to shut out my black English† (81). Shen and Mellix create new identities and balance them with the old. Both of them accept this new identity as an enriching addition to their personalities. Shen welcomes the change which â€Å"has added a new dimension to me and to my view of the world† (101), while Mellix rejoices in the new ability to discover previously unknown aspects of herself. While Shen and Mellix share the experience of assuming new identities as writers, their concepts of identity differ. Shen’s new identity differs from that of Mellix. Shen keeps his Chinese and English identities distinct and separate, but Mellix blends her old and new selves. For Shen, the

Risk Analysis of Global Beauty Cosmetics Center Essay

Risk Analysis of Global Beauty Cosmetics Center - Essay Example 34). Table 1 shows a summary of the key findings of GBCC's strengths, weaknesses, opportunities, threats, and trends (SWOTT). Using the table and the categories (distribution, supply chain, social, and cultural) briefly discussed above, GBCC can better manage its risks by focusing on doing some activities well to develop its own unique competitive advantage. Understand customers. GBCC has to know its clients and what they want. Depending on their clientele (age range, social status, disposable income, etc.), GBCC can be more specific in offering the right types and volumes of products and services at the right price points. It can also decide where to locate its shops in the neighborhood or inside a shopping mall or office building, and select the appropriate staff and operating hours for each location. Train its workers. Like other service companies, people play a very important role for business success. More than just training workers in hairstyling, body care, or wellness strategies, GBCC must get workers with the right chemistry that will provide customers a unique experience, making them keep on coming back and telling their friends about it. Although it is important that customers come out of the center looking and feeling beautiful, it is the relationship that they forge with GBCC workers, who must get to know their most intimate feelings, that creates value, leads to profit margins, and increased revenues from repeat services. Understand suppliers. Costa Rica has a thriving pharmaceutical industry that services the growing cosmetics industry (CRHC, 2006). There are several competitors in the same business that source their products and services from the same suppliers. GBCC should ensure that products meet high standards. Manage operations. Service companies deal with different types of people who come in as customers wanting to feel beautiful and leave either as friends who got what they wanted or enemies who will never return or, worse, speak badly of the

Health Care Law and Ethics Essay Example | Topics and Well Written Essays - 1250 words

Health Care Law and Ethics - Essay Example The hospital has duties that it owes to the patients as well as the general public. These responsibilities are obtained from the regulations as well as principle of law that are developed by the court system. The duties are also governed by the internal rules of the organization. This means that in case a corporate fails to honor its duty as per the law, it also carry the liability of the injured party (Westlaw, 2015).. Corporate negligence is a policy that requires hospitals to be liable in case it does not exercise its duty of care to the patients that involves patient safety as well as their well-being in the hospital (Hall et al. 2003). Therefore, corporate negligence happens in the event a hospital fails to do the duties that it owes to the patients and the general public. In the event, the duty is breached and the patient is injured due to that breach, the organization will be responsible for that mess (Hall et al. 2003). Liability is also extended to the nonemployees who work in the hospitals to offer care to the patients. Duty to care The physician in the health care has a duty to provide care to the patient and failure to perform that duty he can be taken to court for legal measures (Picard, 1996). For example, in U.S a person is not required to assist any injured person without a defined relationship such as doctor-patient. In the event, a doctor is at a market and assists a person suffering from heart attack, he will be liable for any injury that the person might have during the assistance.

Week 10 Assignment Example | Topics and Well Written Essays - 750 words - 1

Week 10 - Assignment Example Although evidence has shown us that human body and human mind interacts, intimately, and affect each other, it is however difficult to understand and explain how these two aspects of human person relates and interacts. (b): Interactionism. The interactionism theory holds that, although body and mind are separate, distinct and independent substances, they however exert causal effects on one another. What this in essence means is that although the human body is extended and the human mind unextended, the two however interact closely, whereby an effect in one of them causes the corresponding event in the other, despite the fact that the two aspects of human person do not touch each other. This theory was propounded by Rene Descartes. (c): Parallelism. Parallelism theory rules out any casual interaction between the mind and the body, but holds that there is a one-on-one correspondence between events of the body and events of the brain. According to this theory, it is not the mind or the body that first experiences a given event and then causes the event on the other aspect of the body; the mind and the body will experience the given event in their own way, although there will be a one-on-one correspondence in the event experienced by the body and the mind. (f): Double aspect theory. This theory views body and mental events and processes as two different aspects of one human person. According to this theory, mind and body are not separate and distinct substances. Mind and body are merely two different attributes of a unitary human person. Question 1: According to Descartes, the main difference between the body and the soul or mind lies in the fact that, while body is material and extended, the mind or the soul is immaterial and unextended. Descartes viewed body and soul as distinct and independent substances. Question 2: In his argument on the existent of physical objects, Rene Descartes had first of all to find the basis

The globalisation of trade Literature review Example | Topics and Well Written Essays - 5000 words

The globalisation of trade - Literature review Example For example, Starbuck was one American company which had coffee shops virtually in every corner of America before the introduction of globalization. Since their operations were saturated in America, they struggled a lot to find enough space in America for expansion. Globalization helped them to expand their operations to overseas countries. In short globalization helped international or cross cultural trade to increase a lot. Globalization of trade brought many opportunities and challenges. Some people argue that international trade helped countries to attract more foreign direct investments so that their economy started grow rapidly. They cite India and China like countries as examples to show how well a country can utilize globalization opportunities. In fact China opposed the â€Å"global economic order, political order and the major global institutions such as the IMF and the World Bank before the reforms started in China† (Overholt, 2005, p.3). However, they quickly reali zed the possibilities of global trade and globalization. It should be noted that these two most heavily populated countries in the world have been struggling for growth before the introduction of globalization. Their huge population size was a curse or barrier in front of their struggle for growth. However, globalization helped these countries to convert this population barrier into a blessing. In other words, these countries are currently the providers of manpower for international market in which manpower shortage is a big problem. â€Å"During 1997–2005, China’s average annual growth rate in real GDP was 8.9%. During the forecast period of 2005–2010, it was assumed that the PRC continued its historical growth trend of 8.9% per year† (Mai et al, 2010, p.5). Moreover, â€Å"the PRC’s exports increase by about 46%and imports by about 45% relative to their respective baseline levels in 2010†(Mai et al, 2010, p.7). According to Albert Keidel ( 2008), China’s economy will surpass that of the United States by 2035 and be twice its size by midcentury (Keidel, 2008). Indian economy also showed similar trends during the last few decades as a result of globalization of trade. The globalization of trade has assured the place of multi-national. It has been suggested that the role of such firms is to generate wealth, create work and raise the standard of living in the countries in which they operate. However, critics of globalization suggest that multi-national companies often exploit physical resources and take advantage of labor in countries where legal requirements may be less stringent than in their own countries. This paper critically discusses this statement providing arguments for and against the globalization of trade, taking India and China as major examples. Overview of economic growth in India and China It is often said that global wealth is currently shifting from the less heavily populated American and European regions to the more heavily populated Asian region because of globalization. The above argument seems to be correct when one would consider the economic statuses of India and China before the introduction of globalization. The standard of living and per capita income of Indians and Chinese people have increased a lot in the past few decades. Moreover, unemployment problems in these countries were come down a lot in the recent past. It should be noted that international

Globalization and the New American Economy Essay

Globalization and the New American Economy - Essay Example Exports and overseas operations are highly beneficial for a company. US firms increase their profitability and net worth by expanding into potential markets globally. This happens either through a fully direct investment or through partnerships and mergers. Through this market expansion, the US firms earn more profits and market share. Increased profitability of the company will boost the investment climate in the market. An increased investment climate will in turn help to boost the economy. This is how the whole cycle works. This scenario can be better explained with the help of companies from various industrial sectors. To begin with, let us take the case of automobile industry which is one of the major contributors to the nation’s economy. Ford Motors, one of the largest US auto manufacturers has recently entered into a joint venture with OAO Sollers of Russia to manufacture and distribute Ford Cars in Russia. â€Å"The partnership with Sollers also will include engine production and stamping and involve establishing research and development activities, Ford said in a statement.† (Higgins & Ebhardt, 2011) This arrangement will help to increase the market presence of Ford which has successfully come out from a crisis recently. This increase of market share will kick start the cycle which has been mentioned earlier in the essay. Now let us see the case in a different angle. Companies also increase the profits through cost reduction. Employee compensation forms one of the major components o f the total cost of production. US companies have been making huge cost savings by using cheap labor from outside the country. Most of the companies outsource its back end operations to countries like India and China where the job is done at half the cost incurred in US. Most US IT firms have their full fledged offices in these countries. Outsourcing helps the US firms to increase profits through cost savings. This has helped the companies to increase the

Analysis of the microeconomic theory of supply and demand Research Paper

Analysis of the microeconomic theory of supply and demand - Research Paper Example An individual quantity demanded is the amount of goods a consumer is willing and able to buy at a particular price while a market quantity demanded is the total amount of goods that all buyers in the market would be willing and able to purchase at a particular price (Robert and Marc). One will realize that demand focuses on the buyer’s choice but not actually the amount that the buyer will purchase and the use of price is stressed in defining the quantity demanded. Market demand is the sum of all the individual demands for a particular good or service. Since market demand is derived from individual demands, it is affected by all the factors that affect each buyer in the market. For that reason, market demand can be said to depend on an individual’s income, taste, expectations as well as prices of related goods. A demand schedule usually shows what happens to the quantity of goods demanded with the variation in their prices with all the other variables affecting the dema nd held constant. Individual demand curves are summed up horizontally to come up with the market demand curve. The law of demand states that the price of a good will rise as the quantity falls, with all factors held constant (ceteris paribus). This becomes so evident when something becomes expensive in the market since people will buy less of it. This observation applies to virtually everything that people buy in the market including magazines, nuts, foodstuff education and the rest. The price and quantity then exhibit a negative relationship in all these goods and services-when quantity rises, the price falls and when quantity fall, price rises. The law of demand was then derived by economists from this negative relationship between price and quantity which was a regular phenomenon in the market. This law only applies when all other factors influencing the buyer’s choice remain unchanged and only price of the good changes. Demand schedule is a table with a list of different quantities of a product demanded at different prices, all the other factors affecting demand decision held constant. For instance, demand schedule will show us that when the price of a bottle of maple syrup is $3.00, the quantity demanded will be 2000 bottles per month and as the price increases to $4.00 per bottle, the quantity demanded will be 1500 bottles per month and the rest are shown in the table below. One will clearly notice that the demand schedule obeys the law of demand: as the price per bottle increases, the quantity demanded will reduce. Demand schedule for Maple Syrup in a given market Price per bottlee) Quantity demanded (per month) $1.00 3,000 2.00 2,500 3.00 2,000 4.00 1,500 5.00 1,000 When these values are plotted in x and a y ax, a curve is formed which is referred to as the demand curve as shown below: Price ($) 5 4 3 1500 2000 Quantity demanded Demand curve therefore, is a curve that shows the relationship between the prices of a good and quantity demanded at s uch prices with all other factors affecting demand held constant. Each point in the demand curve shows the quantity that buyers will buy at a specific price. The demand curve is also observed to follow the law of demand and according to the law of demand, graphically, the demand curve slopes downward. There exist a variety of events in the market that affect the choice of a buyer. Some of these events will cause a movement along the demand curve

Sodium Thiosulphate and Hydrochloric Acid Coursework Essay Example for Free

Sodium Thiosulphate and Hydrochloric Acid Coursework Essay In this experiment I will be seeing how the concentration of Sodium Thiosulphate, Na2S2O3, and Hydrochloric Acid, HCl, affects the rate of the reaction. In this reaction the solution turns milky yellow as sulphate is displaced and forms a solid precipitate. Na2S2O3 (aq) + 2HCl (aq) - 2NaCl (aq) + H2O (l) + SO2 (aq) + S (s) The Rate of a reaction can be represented as: ?concentration and so is the time ? time taken for the reactants to be used up. Therefore I will be investigating if either: Rate ? [Na2S2O3]x or/and Rate ? [HCL]Y where X and Y are the orders of the reaction. To calculate the rate equation and orders of the reaction I am going to use the log function: As Rate ? [Na2S2O3]x and Rate ? [HCL]Y Rate = k1 à ¯Ã‚ ¿Ã‚ ½ [Na2S2O3]x Rate = k2 à ¯Ã‚ ¿Ã‚ ½ [HCl]Y Take logs logRate = logk1 + X log[Na2S2O3] logRate = logk2 + Y log[HCl] eq. of line Y = C + M X Y = C + M X This shows how the power, and order of the reaction, can be found by drawing a graph of logRate against log[concentration] and the gradient of the line will give the order of the reaction. The two equations can then put together to give an overall rate equation: Rate = k à ¯Ã‚ ¿Ã‚ ½ [Na2S2O3]x[HCl]Y Experimentally I will be changing the concentrations of each the reactants independently and then calculating the rate for each concentration. From these rates I will be able to draw a log graph of rate against concentrations and from my calculation I can find the orders for each of the reactants. Variables The independent variable in the experiment is the initial concentrations of Sodium Thiosulphate and Hydrochloric Acid. I will be changing this variable and seeing how it affect the time taken for the reaction to take place and therefore how the concentration affects the rate of the reaction. However as only one variable can be changed I will keep one reactant constant whilst changing the other to get a fair set of results. This will show me the affect of each reactant on the rate independently. The dependent variable is the one that will be monitored in the reaction. The dependent variable is the time taken for the reaction to take place which can be used to calculate the rate of the reaction. The method I will be using is by seeing how long it takes for a black cross underneath the conical flask to disappear which will be the point in all the reactions where the concentration of the sulphur precipitate is equal and so will the rate can be fairly calculated. To reduce errors I will need to use my preliminary results to find a volume that will give a long enough time to measure accurately, but not too long to affect the rate which is calculated by dividing initial concentration by time. These graphs show how if the time taken for the reaction to reach a specific concentration is too long it will not be a true reflection on the actual initial rate of the reaction. The first variable that must be controlled is the temperature of the reactions. This is because temperature will affect the rate of the reaction as a higher temperature will cause an increase in the rate. If the temperature varies between reactions it will have an affect on the results. To try and insure the same temperature is used I will have all reactants at room temperature and carry out all the reactions in one lesson. Another control is the the volume of reactants used and the depth of the solution. If this is changed the amount of precipitate that will need to be observed through will change and therefore the concentration at which the cross disappears will be different. To control this the same volumes will be used and the same conical flask will be used and therefore the depth will be the same. Similarly the cross used will need to be the same as a thicker cross would mean it will disappear at a different concentration of sulphur and the results will not be fair. Finally I w ill not shake or move the conical flask once the reactants have been put together as this again might affect the rate of the reaction. Equipment 1. 200cm3 of Na2S2O3 1. 200cm3 of HCl 2. 10 x 50cm3 beakers 3. 2 x Graduated Pipettes 4. Conical Flask 5. Stopwatch Method 1. Start by making the concentrations, using a graduated pipette measure out the correct volumes of Sodium Thiosulphate and put into 5 small 50cm3 beakers. Then add the corresponding amounts of distilled water and label with the correct concentration. 2. Secondly draw a black cross onto a piece of paper which is no bigger than the base of the conical flask, place the conical flask on top of the flask. 3. Using another graduated pipette, place 25cm3 of 2M hydrochloric acid into the bottom of the conical flask. 4. Whilst standing above the conical flask, looking directly down, simultaneously pour the first concentration of Na2S2O3 into the conical flash and start the stopwatch. 5. Keep observing and when the yellow precipitate causes the cross to completely disappear stop the stopwatch. 6. Record the time taken, wash out the conical flask thoroughly and repeat from step 3 but using the next dilution until all the concentrations have been reacted and recorded. 7. Repeat all results and average times. 8. Secondly replace the Sodium Thiosulphate with the HCl and copy above steps by measuring out correct concentrations and place into 5 more 50cm3 beakers. 9. This time add 25cm3 of Na2S2O3 into the bottom of the conical flask before recording the time taken for the cross to disappear again, for all the concentrations. 10. Repeat all results again for HCl concentrations. Initial Rates can then be calculated. Dilution Tables Na2S2O3 Concentration / moldm-3 Na2S2O3 (1M) / cm3 Distilled Water / cm3 1.0 20 0 0.8 16 4 0.6 12 8 0.4 8 12 0.2 4 16 HCl Concentration / moldm-3 HCl (2M) / cm3 Distilled Water / cm3 2.0 20 0 1.6 16 4 1.2 12 8 0.8 8 12 0.4 4 16 Safety Points As concentrated Hydrochloric acid will be used make sure eye and hand protection is worn. In case of contact, immediately flush skin with plenty of water for at least 15 minutes and with eye contact get medical attention immediately. Sulphur is also present so make sure the room is well ventilated to allow fumes to escape. Take care with glass wear, such as pipettes as they are fragile and may break easily. If broken clear up all glass immediately. Time Taken for Cross to Disappear / s Concentration of Na2S2O3 / moldm-3 1 2 Average Rate / moldm -3 s -1 logRate / log moldm -3 s -1 logconc. / log moldm-3 1.0 9.21 9.46 9.34 0.107 -0.971 0.000 0.8 13.71 14.00 13.86 0.072 -1.142 -0.097 0.6 17.43 17.21 17.32 0.058 -1.237 -0.222 0.4 23.66 22.71 23.19 0.043 -1.367 -0.398 0.2 49.78 50.12 49.95 0.020 -1.699 -0.699 Time Taken for Cross to Disappear / s Concentration of HCl / moldm-3 1 2 Average Rate / moldm -3 s -1 2 7.25 9.47 8.36 0.120 1.6 9.03 9.09 9.06 0.110 1.2 8.88 8.76 8.86 0.113 0.8 9.09 8.42 8.76 0.113 0.4 9.37 8.67 9.02 0.111 Analysis After drawing a graph of logRate against logConcentration and using the calculations in my plan, the gradient of the line gave me a value of 0.957 which taking into account experimental error shows the order of the reaction of Sodium Thiosulphate is 1. Also when carrying out the investigation for how the rate changes with the concentration of HCl there is no noticeable change in rate when the concentration varies. Therefore I didnt draw a graph, as the table shows HCl concentration doesnt affect the rate of the reaction and must be zero order. I can therefore deduce that the rate equation for this reaction is: Rate ? [Na2S2O3]1 and Rate ? [HCL]0 Rate = C x [Na2S2O3] where C is a constant which is proportional to the rate constant. The reason why the actual rate constant, k, can be calculated is because in the experiments the change in concentration cannot be calculated. However this always the same value as it is the concentration at which the cross disappeared and therefore the rate was proportional to 1/time. The intercept of the graph is equal to logC, -1.02, therefore C = 10-1.02 = 0.095s -1. To conclude the results show that the rate of the reaction between Sodium Thiosulphate and Hydrochloric Acid is directly proportional to the concentration of Sodium Thiosulphate. This gives evidence to the mechanism of the reaction. In a most reactions the mechanism is not made up of one step but a series of intermediate stages where molecules form and break down. Each of these steps will have a rate which is due to how many molecules are colliding. For example if 2 molecules must collide to for one product the reaction will be 2nd order. However the overall order for the reaction cannot be calculated using the stoichiometry in the overall equation. This is because the rate is determined by the rate of the slowest step of the mechanism, known as the rate determining step. In this reaction although 2HCl molecules are needed for the reaction to take place; however from the kinetics that I found HCl has no effect on the rate and is zero order. Therefore the slowest step in this reaction is the breakdown of 1 Sodium Thiosulphate molecules as the reaction is 1st order. Evaluation I feel the results I obtained allowed me to draw a graph and come to valid conclusions and be confident about calculating the order and rate equation for this reaction. I didnt have any obvious anomalies from my graph however there are some variations that meant I couldnt calculate a rate of exactly 1. Also from my table of results for changing the concentration of HCl, where all the rates must be the same for difference concentrations, there is a anomaly with the 2.0moldm-3 concentration. A limitation of my procedure was the way in which the rate was calculated using the disappearing cross method. This involves human judgement rather than a qualitative value that can be used to calculated the rate. There will also be an accuracy issue as there is a reaction time in realising the cross has disappeared and stopping the stopwatch. Another limitation of the procedure at the start of the timing and I had to add the chemicals together and start the stopwatch. This again causes an error in the actual time period taken for the cross to disappear. Another error is in the variation of temperature. As well as environmental variations in temperature the reaction was exothermic and heat is produced. When the temperature increases the k constant will increase, this is because the molecules have more kinetic energy and there is a higher probability that they will collide and react. This means its is hard to control this factor which is affecting the rate of the reaction. There are also many accuracy errors caused by percentage error in measuring. There is a time error in the time taken when the cross disappears and the delay in stopping the time. When using the graduated there was an error of 0.05/20 = 0.25% error, human reaction time is about 0.2/9.34 = 2.1%. To reduce this error I would choose another method of measuring the rate. Instead of using the cross method I would use a light intensity machine that could measure the change in colour over a period of time and stop and start timing when it had reach a certain value. This quantitative method of measuring should make the results more accurate. To control the temperature I could use a large water bath which could control the temperature throughout the reaction. Another method that could be used is to measure the products formed. The easiest would be using a gas syringe to measure the amount of SO2 formed. This again would give a more quantitative results and increase the accuracy and reliability .

Role of the Hadith in Shaping Muslim Identity

Role of the Hadith in Shaping Muslim Identity Islam is a religion both of the book and of tradition. Both of these avenues are, to some extent, sacred for the Muslim. In this way it is akin to other major religions of the world. For example, in Catholicism, there is a veneration of both their Sacred Scriptures and their Sacred Tradition (though this veneration is equal in Catholicism). For most Muslim traditions, however, the veneration of the Quran and the Hadith (the traditions) is not equal, though perhaps it could be justly said that for all Muslims the Hadith is venerated second only to the sacred Scriptures of Islam (i.e., the Quran). This is true for all the major branches of Islam: Sunni, Shiite, and Sufi. However, it is not true that the Sunni Muslims have the exact same Hadith as either of the other branches (and vice-versa). The traditions contained within the Hadith are not uniform among the various major branches of Islam. But, owing to this high veneration of the Hadith among all Muslims, the Hadith has been instru mental and important in shaping Muslim identity. The Nature of the Hadith But, what is the Hadith, exactly? According to Norman Geisler and Abdul Saleeb, in their recent work on Muslim and Christian agreements and differences, they give the following definition: Hadith: Literally, a story; an oral tradition later written down of what the prophet supposedly said (sunna), did, or approved ofsomething said or done in his presence, (Answering Islam, 338). This seems to be attested-to by other scholars. The Sunnis themselves get their name from its relation to sunna and their being followers of the sunna, (R.C. Zaehner, Encyclopedia of the Worlds Religions, 170). It is interesting to note that the Hadith, although it has a pragmatic end in that it further clarifies vast aspects of Islamic life, shows a particularly strong devotion to the Prophet Muhammed. Akbar S. Ahmed notes this too when he writes, So great is the respect and affection the Prophet commands that his very sayings, hadith, are the source of wisdom and social practice in the Muslim world, (Islam Today, 18). In many ways, this links Islam with other major religions of the world wherein the sayings and doings of the founder of a religion are often the most revered content of the religion. The Hadith as a Source of Great Reverence for the Prophet The second part of the five-part creed of Islam indicated the orthodox view of Muhammed. That is, he was merely the Prophet of God. He was, to be sure, the greatest prophet who superseded all prior prophets, but he was still a mere man. It used to be common practice even up to the mid-twentieth century for Westerners who were not themselves Muslims to refer to Muslims as Mohammedans. This came to be seen as a very offensive reference, according to Muslims because it tended to draw too strong a parallel to Christians being the followers of Christ, as Mohammedans were the followers of Muhammad. For the Christian, Christ is the God-Man. That is, the early Church long ago defined that the one person of Jesus Christ has two natures: one human and one divine. He is both God and man in one hypostasis (i.e., one person). This is, however, not at all the view held toward Muhammad, who is a mere, though extremely blessed, mortal man. The Metaphysical Distinction Between Gods Word and the Hadith However, one must remain clear that the reverence given to the Scriptures (i.e., the Quran) must be distinguished from that given to the Hadith. The difference lies in a distinction between the very words of God (which is what sacred scriptures would be, according to all theistic religions) and those writings or oral traditions that, while perhaps protected from error, are nevertheless not the very words of God breathed-out, as it were, upon the pages of the scriptures. For Reform Jews, the Talmud (a collection of writings dealing with moral and legal matters) is to be revered in much the same way as the Hadith is for Muslims (R.C. Zaehner, Encyclopedia, 37). Likewise, the Catholic Church has a Magisterium, which produces official writings from its Church councils and, at times, from its popes. These writings of the Magisterium are to be faithfully held by all Catholics everywhere (R.C. Zaehner, 140-1). They are not tantamount to the divine revelation of Scripture and Tradition toget her, but they are given a reverence not unlike the Islamic reverence given to the Hadith. As the Muslim scholar Badru D. Kateregga explains the distinction, The Hadith is not a Holy Book (revelation) as the Quran and the previous Scriptures. However, to the Muslims the importance of Hadith ranks only second to the Holy Quran. The Hadith is complementary to the Quran. It helps to explain and clarify the Holy Quran and to present the Quran in a more practical form. As Muslims, our knowledge of Islam would be incomplete and shaky if we did not study and follow the Hadith. Similarly an outsider cannot understand Islam if he ignores the Hadith. This last statement by Kateregga particularly notes the strong similarity to the other major theistic religions of the world. It could equally be said that with having only the Jewish scriptures and without the Talmud one could not properly understand Reform (and perhaps Conservative) Judaism. So too, having only the Bible, without learning any of the teachings that have come out of the major councils of the Catholic Church, one could hardly arrive at, or understand, Catholicism. Early History of the Hadith: Relation to Shariah Law Early on in Islamic history, there was a desire to have the law of the lands of Muslims be a law based explicitly on the writings of the Quran. However, there were soon found to be many instances wherein the laws contained in the Quran did not forthrightly apply to all relevant instances. So, the various Islamic societies had to extend the sources past the Quran alone. One of the sources to which Shariah Law extended for a source of itself was to the Hadith. It is difficult to describe exactly what comprises the foundation of the Shariah Law. Geisler and Saleeb delineate four bases of it: the Quran, the hadith, ijma (consensus of the community), and qiyas, the application of analogical reasoning to the other three sources for the deduction of new rules, (Answering Islam, 84). What this seems to amount to in practice, according to the entry on Law and Society in the Oxford History of Islam is that it is only when the ijma supports the independent thinking or juridical opinions of a pa rticular instance does this instance obtain the luxury of being a binding force of a ruling (hukm) of Shariah, (110). This is a clear instance of the importance of the Hadith in shaping Muslim identity, as all Muslim societies, to some extent or another, adopt Shariah Law as either a guiding or binding force upon all those within a given Islamic nation. The Early Search for Authentic Hadith Additionally, by the second century after the founding of Islam, there were found in the various Islamic legal schools so much variation between them, as to the Islamic law itself and/or its application, that a search for the authentic Traditions became necessary (Zaehner, Encyclopedia, 171). Soon they were divided into three categories (definitely reliable, questionable, and likely unreliable) and eventually collected into six great collections, which are still in use today. Therefore, a search soon began for all the authentic Traditions of the prophet recorded by his contemporaries, also known as the Companions of the Prophet. These Companions were thought to be eye-witnesses and recorded that which they knew the Prophet Muhammed to have done or said on legal or moral issues not definitively laid out by the Quran. Where such Traditions were found to exist, it was held, the rulings they contained, explicitly or implicitly, were decisive and mandatory for all Muslims. The sunna (prac tice) of the Prophet obviously superseded all other sunnas, and still more any speculative reasoning, (Zaehner, 171). Some (Perhaps) Uncomfortable Applications of the Hadith in the Modern World With the rise of the Taliban regime in modern Afghanistan, there was an attempt at a strict application of various passages of the Quran and the Hadith. There were many indirect applications based loosely upon the Hadith (e.g., no television-watching, the closing of girls schools), but there were also a number of applications based directly on the hudud criminal punishments derived from the Quran and Hadith (e.g., amputation for theft, death for murder, stoning for adultery, Oxford History, 660). Another application of clearly affirmed traditions within the Hadith is that of martyrdom especially within a context of jihad (Esposito, What Everyone Needs to Know about Islam, 133-4). In the Hadith, there are many descriptions of rewards given to those who die for the struggle of Islam. Reforming the Hadith? Upon some of these considerations of the application of the Hadith, some have called for a large-scale reform of the Hadith to suit modern ways and understandings. One of the first of these was Sayyid Ahmad Khan (1817-98). He even questioned the historicity and authenticity of many portions of the Hadith. Some more current legal reformers have called for various subtle distinctions as means of arriving at a middle-ground, which would preserve much ancient understanding of Islam, but would also simultaneously make certain applications of the Hadith (and even the Quran) as necessarily time-bound and culture-derived. For example, some who have been called revivalists and neomodernists have made a distinction between what might be called the eternal portions of the Quran and the Hadith and those that are the result of fallible human understanding of the eternal laws and their subsequent application, known as fiqh (Oxford History, 685). A further distinction along these lines could be bro ken down according to ones vertical responsibilities (i.e., with respect to God) being unchanging, yet ones horizontal responsibilities (i.e., socially with respect to ones fellow man) being open to change and further refinement. There are even those who call for more extreme reforms in the Muslim faith. A recent example would be found in the journalist Irshad Manji in her recent book The Trouble with Islam: A Muslims Call for Reform in Her Faith. In the book, Manji seems to advocate that it is possible for portions of the Quran and Hadith to even be in error, particularly those portions that are often used to advocate violence against non-Muslims (or non-perfect Muslims). Concluding Thoughts Of course, this type of recent line of thinking along reforms (however large or small) has led some traditionalist Muslims into an even more entrenched position in their, what we might call, fundamentalism their strict adherence to all things ancient in Islam, even the application of the Quran and Hadith in Shariah law (a la the Taliban). However, such a reaction from traditionalist is not at all unexpected by anyone, least of all the reformers themselves. However it might end up being resolved and the conflict towards reform, which seems to some extent inevitable, are brought to a close, it is likely that the role of the Hadith in this and future generations will be a moderated one. Of course, just what exactly will moderate it remains to be seen. Will it be reason alone that triumphs? Will it be a rush toward even more modernity in Islam? The world eagerly waits to see.

GM Sees Tepid Sales of New Models :: essays research papers

General Motors Corp., already bracing for a tough 2005 because of flagging truck sales, is now showing signs of trouble selling two of the new cars it had been expecting to pick up the slack this year. The company in the last week or so has increased incentives on the Pontiac G6 and the Buick LaCrosse as a result of sluggish sales, and has prepared to scale back production at the factory that assembles the G6. GM recently told workers at its plant in Orion, Mich., that it is reducing the number of cars it wants produced each hour and delaying the start of a second shift of production until after the company's annual plant shutdown in July. The company had planned to start the second shift in the spring. Paul Ballew, GM's executive director of market and industry analysis, said production is ramping up slowly at the plant because not all versions of the G6 are in the market yet, such as a model with a four-cylinder engine. "We don't get the coupes until the summer, and we don't get the convertible until after that," he said. "We've been delayed in bringing some of the the new versions of the G6 out." Mr. Ballew said G6 sales are "pretty good" but acknowledged they are "not off the charts." GM expects to sell about 6,000 G6s this month, up from about 4,000 last month, he said. The slow start of the G6 and LaCrosse sales comes at a difficult point for GM, the world's largest car maker. In 2004, GM lost market share and was forced to cut production as Japanese rivals such as Toyota Motor Corp. and Nissan Motor Co. posted substantially higher sales of mainstream cars. At the same time, luxury-car makers such as BMW AG are expanding further into midprice segments that GM once dominated. In January, GM said 2005 earnings would fall by about a third to between $4 and $5 a share, as a result of a $1 billion increase in health-care costs, a substantial loss in Europe and lower profit at its financing arm. It is also suffering from an aging line of pickup trucks and big sports-utility vehicles, such as the Chevy Suburban and GMC Yukon, that normally generate substantial profit. These sales are falling as GM prepares to launch new versions in 2006. The LaCrosse and especially the G6 were supposed to help smooth the ride in the meantime.

Impacts of Urban Tourism Essay -- Economics Society Tourism

During the past few decades, traveling has greatly increased. Purposes of travel vary, some travel for business, some for leisure, some for the experience of different cultures, some for specific interests, or just for the pursuit of entertainment. More than half of the globe's population now lives in urban areas, these places are now the world's stage for many civilizations. They are centers of arts, entertainment and food, gateways to traditional customs and modern society, focal points for commerce, industry and finance, culture and people, icons and architecture, uniqueness and unity, and of course they give tourists a chance to experience diversity and creativity. However, to know what the city's strategies to attract the attention of tourist, there are cretin elements of urban tourism need to identify that lead to attract visitors to a city. Tourism is often associated with traveling to places away from home. Tourism has a big impact on the economic growth of some countries, which define the shape of their cities by producing different sectors like historic districts, convention centers, museums, malls, hotels, restaurants, and the list can be endless. Furthermore, tourism elements have been developed by cities for a variety of reasons including: situating themselves in the world by drawing a positive image and attracting visitors and for their money. As a result, by defining the primary and secondary elements in the tourist bubble, it could determine what effect urban tourism has on cities. Therefore, primary elements include: cultural facilities (museums and art galleries, theaters, cinemas, concert halls and convention centers), sport facilities, amusement facilities (night clubs, casinos and festivals), p... ...Marketing cities for Tourism†, page 54 Houston, and Sydney opera house all these icons play a big role in marketing their cities to attract tourists to visit. Overall, travel can change the spiritual as well as the physical existence of both visitors and host, therefore urban tourism refers to the consumption of city spectacles and cultural amenities by visitors. Also, it is important to point out that the tourist elements developed by most cities are portraying a product â€Å"the city† to promote it for consumers â€Å"visitors† in order of stimulating the urban economy. Works Cited 1. Bosley , Holly Elizabeth, Ph.D. Spatial conceptualization of the urban tourist bubble 2. Dennis R. Judd â€Å"Constructing the Tourist Bubble†, The tourist city. 3. Holcomb, Briavel â€Å"Marketing cities for Tourism†, The tourist city. 4. http://www.scholars-on-bilbao.info/

Declaration Of Independence :: essays research papers fc

The Accomplishments of Harriet Tubman   Ã‚  Ã‚  Ã‚  Ã‚  Harriet Tubman was a black woman born into slavery. Harriet was an abolitionist and strongly believed that all slaves should be free. Harriet learned that her master had died and that she would be sold if she did not run away. At the age of twenty-five, Harriet left her plantation and was on the run to a free state (Harriet par 1).   Ã‚  Ã‚  Ã‚  Ã‚  Harriet made her way ninety miles from Maryland to Philadelphia. There she began to work and make a living for herself. She decided that she was going to free other slaves so she began to make her journey back to the Southern states twice a year to free as many slaves as she could (Bentley 47-49).   Ã‚  Ã‚  Ã‚  Ã‚  The Underground Railroad was how Harriet freed hundreds of slaves, including her aging parents. The Underground Railroad was a route that Harriet took to free the slaves. She would have covered wagons with fixed bottoms, which were filled with slaves. She would take them to various homes of other abolitionists for food and shelter throughout the night. Once day broke Harriet would continue her journey towards the free states (Smith par 1-2).   Ã‚  Ã‚  Ã‚  Ã‚  When the government enacted the Fugitive Slave Law Harriet could not bring the slaves to Philadelphia anymore. They were no longer safe in any of the states and had to be brought to Canada for their freedom. This meant that Harriet had to extend the route of the Underground Railroad (Petry 132-133).   Ã‚  Ã‚  Ã‚  Ã‚  Harriet was nicknamed Moses by her people. They believed that she was sent from God to free them. Throughout all her trips back and forth through the Underground Railroad, the reward for the capture of Harriet was up to $40,000. This made it even more difficult for Harriet to make it safely through the woods and trails, though she was never captured (Smith par 5-6).   Ã‚  Ã‚  Ã‚  Ã‚  During the Civil War, Harriet Tubman became very prominent. She became a nurse, a scout, and a spy for the Union forces. As a nurse, Harriet found a root that helped cure the dysentery. Once again the soldiers began to call her Moses because she had saved many of their lives (Petry 220-224). While being involved in the Civil War, Harriet freed another seven hundred slaves. Harriet was said to be a well respected throughout the war. She received official commendations from many Union Army officials. Even though Harriet contributed a lot of time and hard work in the war efforts, she never received veterans’ benefits for any of of her painstaking work (Harriet par 3).

Leadership Reflection Essay

1. Background Floods of memories flashed through my mind as I recall the problems I faced when I stepped up to lead the team during the second meeting. Problem 1 The objective of the meeting was to come up with the programme outline, so that we can draft the proposal and show our execution plans to our beneficiary. As the leader, I facilitated the discussion to allow my team mates to partake and contribute ideas, but most of them appeared reserved. Despite my utmost effort to encourage them to express their views, I found myself doing the talking most of the time. When I asked for their opinions on my suggestions, the common answers elicited from them were ‘All right’ or ‘Sounds good’. Upon dividing the programme into different sub-events (such as games station, ice-breakers, teaching of jingle, etc), I allocated a portion to each member, so that each of us can research on our individual activity and provide more in-depth details for the proposal. Besides that, I offered to collate everyone’s work and come up with the framework of the proposal. The stipulated deadline was the subsequent week (the third meeting). During the week, I sent out some emails that constituted some of my humble opinions and suggestions on the different sub-events in the light of cultivating a team environment whereby ideas are expressed and exchanged freely. However, most of my team mates did not reciprocate, notwithstanding my reminder to request them to read the emails. Problem 2 Furthermore, as I was collating everyone’s work, I realized that some of them submitted work that was slipshod in my perspective. Some work exhibited direct copying attempt from the internet without any paraphrasing or analysis, while others lacked structure, thoroughness and forethoughts. For instance, John prepared the ‘logistics’ document, but he merely listed the logistics in scatter of words with the absence of a table or structure and excluded many essential details like quantity and deadlines to purchase them. With all the aforementioned occurrences I faced, I bottled all my feelings and took everything in my stride. After assembling everyone’s work, I edited the proposal myself by injecting my ideas, rephrasing the words and researching on my other team mates’ parts. 2. Self-reflection I found myself thrown into a pool of mixed emotions – disappointment, anger, confusion and discontentment. To describe all these emotions in one word, it would be ‘disheartened’. Disappointment I believed that creativity is an imperative quality that is necessary in the making of an effective team, and to foster creativity, we should be straightforward with our ideas so that we can combine and refine them to create the best outcome. Thus, when I was the leader, I placed a significant proportion of emphasis on establishing a climate of discussions and interactions. I also hold the conviction that if I have any interesting insights or plausible ideas, even if the work is designated to my other team mate, I should still share with the rest instead of keeping them to myself. This is my understanding on the essence of ‘team work’. All the sub-parts tasked to the individual team member will ultimately be organised together and the final product will be submitted as a team effort. Hence, I was very disappointed by the low frequency of team mates voicing out their ideas to support one another. The lack of response painted an impression that everyone was focusing solely on their parts independently instead of considering the overall picture. Anger Secondly, I was furious when some of my team mates submitted work without meeting the basic requirements. In my point of view, it is the responsibility of every member that whenever tasks are allocated to them, they should demonstrate some professionalism in their work by performing extensive research or analysis to achieve its basic objectives. When a member performs the task poorly, it impedes the team’s efficacy, especially if it inconveniences another member to stand in and complete the remaining work. In the midst of experiencing such array of emotions, I kept my cool and tried my best not to show it, because my nature is not prone to expressing feelings. To be frank, I was also afraid of igniting unnecessary conflicts or shaking the team spirit. Hence, I did not raise these issues with my team mates. Confusion and Discontentment Coupled with exhaustion and stress, I became increasingly baffled and displeased with myself. As a leader, I felt that I am not doing enough to understand and solve the problem. If I tolerated everything, pretended that the team was progressing smoothly and not ameliorate the obstacles, how can I call myself a responsible leader? Being responsible does not only entail the fulfillment of obligations. There are two parts to this empowering word. The first half is ‘respons’ which means ‘response’. The second half, ‘ibility’, is a variant of the word â€Å"ability†. Therefore, ‘responsibility’ broken down to its roots literally means respond with ability. It means accepting the situation for what it is and choosing to respond rather than react to it. To me, the members in a team are paralleled to different instruments in a symphony. Each instrument produces a different sound and plays a different melody line. A symphony always sets out to provide a flawless work of art, displaying the harmony achieved by its many intricate melodies from different instruments. For my team to be that ‘symphony’ I envisioned, I told myself that I need to be responsible by responding to the situation. ‘How can I inspire them to join in the bandwagon towards achieving a cohesive and efficient team?’ With this question, I was determined to find the root of the problems and remedy them. 3. Application of leadership concepts Identifying the problems Through the leadership concepts learnt during lesson, I identified that the main problem of my team was called ‘groupthink’. Most of the team members were reluctant to express their opinions to question the viewpoint made by others. Dissenting views were often suppressed or absent in favour of consensus. Understanding the causes was next in line after identifying the problem. I realized that there were 2 main reasons that led to the ‘groupthink’ problem in my team. Causes of the problems Firstly, according to the Big 5 model personality test that we did in class, the trait of ‘agreeableness’ appeared predominantly under the top 2 traits that my team mates possess, including myself. Perhaps we concentrate so much on our relations and that deterred most of us from expressing opposing views, leading to us accommodating to each other’s decisions and conform to unanimity instead of objectivity. This stifles creativity as a team. Secondly, from the Ten characteristics of Effective Teams, I reckoned that my team lacked the ‘vision’. Aligning to a team vision means all members having a clear comprehension of achieving the shared goals through individual commitment and common standards. The existence of ‘groupthink’ could possibly be due to some members’ lack of regard for the importance of the project, giving less attention to the contribution of ideas or smaller priority in achieving quality work. The lack of understanding on the team’s common expectations also gave rise to differences in perspectives on the standards of work values and attitude. The last problem lies in me. From the Leadership Grid of ‘Concern for Production’ against ‘Concern for People’ covered under the Contingency Theories In Leadership, I rated myself as a low structure high consideration country club leader. It explains the suppression of my emotions to maintain an easy-going image and my lack of courage to pin-point the issues I faced as a leader. I needed to work on building my ‘authority- compliance’ aspect and not let my concern for people override my concern for productivity. Solving the problem After recognizing the causes of the problem, I picked up my courage. With sensitivity and tact, I told my team the predicament I faced as the leader, and how we could address the problems by applying the leadership concepts we have learnt. To build an open communication, I infused more humour in discussions and constantly make positive affirmations to other members, allowing meetings to be conducted in a friendlier and less-solemn setting. I also attempted to elaborate on a participant’s contribution with examples and suggest new angles to view problems. These helped to prompt them to speak up more frequently. Next, every team member took turns to articulate the objectives we wished to achieve individually and as a team. After understanding each other’s’ needs and establishing a common vision which everyone could connect with, we took some time to come up with a set of Standard Operating Procedures (SOP) in the Team Charter, whereby we determined the criterion on acceptable standards and behaviour. At this time, I took the opportunity to let my team understand my stance regarding individual commitment and quality of work. I was pleased to see all of them acknowledge where I was coming from and promised to strive for better performance. Furthermore, I initiated a fortnight peer evaluation (see appendix 3.1) to recognize the terrific efforts from my team mates, and learn to work on our weaknesses. This will also help the team to keep our efficiency balance in check. After all the efforts into effecting changes in my team, I am delighted to see everyone making consistent progress. The ‘groupthink’ problem is resolved and views are exchanged more openly and regularly. With the strengthening of team’s camaraderie and competency, conflicts are minimized and communication is much more open than before. As for myself, I feel that I became more vocal and candid with my views too. Whenever I foresee or identified any problem, I will discuss the solutions with my team mates instead of avoiding them. In conclusion, there is definitely room for improvement for myself and the team. However, I am gratified that I have discovered more about myself and be part of the experience grown from a group of once-seemed ‘independent individuals’ to a unified team of comrades.

South African Military Health Services Health And Social Care Essay

As combatants, we were used to an enemy that we could see, but HIV is an unseeable enemyaˆÂ ¦ It became an issue of national security for a little state like Eritrea. Dr Haile Mehstun, the Secretary for Health in the probationary authorities of the freshly independent Eritrea during 1991-93INTRODUCTION/OVERVIEWIt ‘s been 30 old ages since the designation and intervention of this disease we call AIDS and yet it seems that we are no closer to incorporating it than we are to bring arounding it. This has been chiefly due to the fact that the disease itself is alone in footings of how it attacks and spreads throughout the organic structure and besides because of the widespread and sustained socio-economic, political and demographic impacts. It has besides been called a ‘long moving ridge event ‘ whose effects will be felt for coevalss to come. Merely as the distinctive as the epidemic is, so excessively has been the response to it been. This response has been highlighted at assorted intervals by both hectic action on one manus and a entire deficiency of action on the other manus, This was unprecedented international response, as ne'er before had there been a committedness of resources of this magnitude to a wellness cause. As such this response became known as ‘AIDS Exceptionalism ‘ . The word, â€Å" Exceptionalism † , intending to handle or to give something the position of being exceeding had both positive and negative effects. AIDS Exceptionalism began as a Western response to the originally terrorizing and deadly nature of the virus, International organisations such as the Joint United Nations Programme on HIV/AIDS ( UNAIDS ) , Global Fund to Fight AIDS, Tuberculosis and Malaria ( the Global Fund ) and The US President ‘s Emergency Plan for AIDS Relief ( PEPFAR ) , were formed to specifically address HIV/AIDS.This response was mirrored in South Africa every bit good.Since the first instance was discovered in 1982, The SA Department of Health ‘s ( DoH ) reaction to the epidemic was guided by the responses of the Government of the Day. As such by the twelvemonth 2000, 18 old ages after the fact, it had developed the first National Strategy to turn to HIV AIDS. This was followed by a mass motion by DoH together with NGOs, CBOs and foreign givers like PEPFAR and Jackson Foundation, to mobilise already constrained wellness resources to the direction of HIV/AIDS. The South African Military Health Services ( SAMHS ) which offers Military Health Services to all sanctioned clients of the Dept of Defence, besides maps within the guidelines of the Dept of Health every bit good as the assorted statutory organic structures, besides engaged in this ‘drive ‘ to turn to the flagellum of this disease, as it was discovered that this unobserved ‘enemy ‘ had infiltrated our ranks. The same response that was taken and adopted by the DoH was besides utilised within the SAMHS. Therefore the DoD launched the monolithic Masibambisane Awareness Campaign, followed closely by the Nationwide PROJECT PHIDISA which is a clinical research undertaking focused on the direction and intervention of HIV infection in the uniformed members of the SANDF and their dependents.The major function participants in the designation, intervention and direction of the HIV became the Health Care Professionals ( HCPs ) in the Primary Health Care Services and the same was true for the Defence environment.The first point of contact for the bulk of our clients and the topographic point of on-going direction are Primary Health Care clinics. SAMHS adopted the same intervention and direction guidelines as DoH and offered these and other services to our clients. Any alterations to these policies and guidelines unwittingly affect the service bringing within the SAMHS. So foregrounding the National Health attacks and its effects besides reflects the general mode in which PHC services are delivered in the SAMHS. Due to the graduated table and nature of the HIV epidemic, a disease specific response was seen as the most effectual manner of nearing the disease as it enabled capacity edifice of wellness systems in states in demand. It besides allowed at the clip a more manageable manner to place and turn to spreads in the wellness system whilst still being able to present a service. This attack, nevertheless, resulted in parallel systems being set up, and caused breaks in twenty-four hours to twenty-four hours healthcare proviso every bit good as the disregard of other every bit enfeebling and life endangering wellness conditions. This attack farther caused multiple convergences in the wellness service demands for HIV/AIDS and those for other diseases, which people thought did n't necessitate this type of pressing, perpendicular response and intercession. PMTCT programmes can non be isolated from equal antenatal clinic services, household planning, bringing installations, and ambulatory services for chronic diseases of adult females and kids. ( A pregnant adult female comes in at 28 hebdomads, kicking of a relentless cough and dark workout suits. At the PHC sister she is diagnosed on clinical marks and symptoms and history as being TB positive and is given a referral to the TB clinic – which is 2 doors off from where she is right now. Further trials reveal that she is besides HIV positive – so she is given a referral to the ARV/Wellness Clinic which is down the transition. Since she has ne'er had any Antenatal Care she is besides given a referral to the Antenatal Clinic – but she receives merely cough mixture today – because there no assignments available for her today in any of the other clinics. This is because we have adopted a perpendicular disease specific response to pull offing our patients. These service bringing agreements are sometimes described in footings of perpendicular or horizontal attacks. Vertical attacks use planning, staffing, direction, and financing systems that are separate from other services, whereas horizontal attacks work through bing health-system constructions. However the planetary community noticed the frequent co-infections between HIV and TB these were persuasive grounds for seeking complementarities between services for each.BackgroundIn the past few old ages, there has been a recoil against this Exceptionalism with critics claiming that HIV/AIDS receives disproportional sum of international assistance and wellness support, and that this has deductions for other wellness issues. Catching diseases and other wellness conditions were abandoned and/or neglected in favor of what became known as a civil-liberties attack. This public wellness attack helped incorporate the epidemic in certain parts of the universe to changing grades. However in Sub-Saharan Africa the disease still wreaks mayhem with about 1400 new infections per twenty-four hours. When antiretroviral intervention ( ART ) was unveiled at the 1996 International AIDS Conference in Vancouver, Canada, AIDS was transformed into a treatable disease. The coming of intervention shifted Western precedences of response â€Å" The handiness of more advanced antiretroviral therapies has made it possible to handle efficaciously those with HIV infection, thereby increasing the importance of early designation and trailing † . As donor states displacement precedences, and in the context of the economic recession, the urgency around the HIV/AIDS response is one time once more worsening. This displacement in policy and international precedences does non alter the world of an epidemic that, after three decennaries, is still unfolding. Others ‘ commentaries highlighted that many diseases and wellness issues ( such as malaria, cardiovascular disease, diabetes, under-nutrition and respiratory upsets ) resulted in more deceases than those related to AIDS in many parts of the universe, but were having less support. Whether or non this disregard was because of the prioritization of the AIDS response or due to other factors was heatedly contested.THE CURRENT HEALTH PICTUREIn low income states that have been the hardest hit by HIV, the wellness profile of the twelvemonth 2008, harmonizing to the WHO ( 2011 ) is as follows:Low-income statesDeaths in 1000000s% of deceasesLower respiratory infections 1.05 11.3 % Diarrhoeal diseases 0.76 8.2 % HIV/AIDS 0.72 7.8 % Ischaemic bosom disease 0.57 6.1 % Malarias 0.48 5.2 % Stroke and other cerebrovascular disease 0.45 4.9 % Tuberculosis 0.40 4.3 % Prematurity and low birth weight 0.30 3.2 % Birth asphyxia and birth injury 0.27 2.9 % Neonatal infections 0.24 2.6 % Internationally the taking cause of decease harmonizing to the WHO study updated in 2011, the taking cause of decease in 2008 was shockingly non due to AIDS – this could in portion be attributed to the hapless coverage or recording of deceases attributed straight to HIV/AIDS, but it alsol allows the Global Community a opportunity to gain that other serious wellness conditions which exist within our wellness systems, have the capacity to gyrate out of control due to the disregard by the AIDS Exceptionalism response.UniverseDeaths in 1000000s% of deceasesIschaemic bosom disease 7.25 12.8 % Stroke and other cerebrovascular disease 6.15 10.8 % Lower respiratory infections 3.46 6.1 % Chronic clogging pneumonic disease 3.28 5.8 % Diarrhoeal diseases 2.46 4.3 % HIV/AIDS 1.78 3.1 % Trachea, bronchial tube, lung malignant neoplastic diseases 1.39 2.4 % Tuberculosis 1.34 2.4 % Diabetess mellitus 1.26 2.2 % Road traffic accidents 1.21 2.1 % Harmonizing to the World Health Statistics 2012 study, one in three grownups global, has raised blood force per unit area – a status that causes around half of all deceases from shot and bosom disease and one in 10 grownups has diabetes. While the planetary mean prevalence is about 10 % , up to one tierce of populations in some Pacific Island states have this status. Left untreated, diabetes can take to cardiovascular disease, sightlessness and kidney failure. Dr A new wave der Merwe, in 2007, found that bosom disease is the 2nd biggest slayer of South Africans after Aids ( est. 890 people / twenty-four hours decease from Aids ) . Harmonizing to the study 30 South Africans die from bosom onslaughts and 60 from shots alone- every individual twenty-four hours with 70 % of these occur in people younger than 55 old ages of age. She farther stated that high blood force per unit area, high cholesterin and diabetes added well to the load of disease in South Africa. Heart disease is non the male merely job it was thought to be old ages ago. One out of four ( 25 % ) SA adult females younger than 60 is affected. Heart disease is the cause of decease in 20 % of all deceases in adult females – much in the same manner that adult females bear the load for HIV/AIDS more than work forces. More than half the deceases due to chronic disease, including bosom disease, occur before the age of 65 old ages. These are premature deceases that affect the work force in the state and have a major impact on the economic system of the state. Premature deceases due to bosom and blood vas diseases in people of working age ( 35 – 64 old ages ) are expected to increase by 41 % between 2007 – 2030. The negative economic impact of this will be tremendous. And yet the bulk of our focal point remains on pull offing HIV/AIDS entirely. The spread between resources required to implement HIV/AIDS programmes and those available has continued to turn over the past three old ages, this is particularly true with respects to the deficit of trained and skilled wellness attention workers particularly physicians and nurses. This has had a farther impact on the direction of other chronic conditions in that the already short supply of physicians and nurses are being channeled to HIV/AIDS Centres with the enticement of higher wages and increased inducements, go forthing fewer staff to pull off the turning figure of other patients with chronic conditions. With the SAMHS as with the DoH clinics and wellness Centres one merely has to take a glimpse around to happen an copiousness of information, postings, booklets etc on HIV/AIDS, and really few if any on other Health Conditions. Expertness is directed and allocated to the ‘Wellness Clinics ‘ and to the ‘proper ‘ direction of HIV positive patients. The ‘other ‘ can do make with what ‘s left. As Sachs notes in a commentary in The Lancet, â€Å" We are non overspending on AIDS but under-spending on the restaˆÂ ¦The pick is non between AIDS, wellness systems, and other Millennium Development Goals. We can and must back up them all. 2. Understanding HEALTH SYSTEMS The term ‘health system ‘ is a shorthand manner of mentioning to all the administrations, establishments and resources that are chiefly concerned with bettering wellness in a peculiar state. They guarantee the proviso of preventative, rehabilitative, healing, and other public wellness services, every bit good as the coevals of the fiscal, physical, and human resources needed for service proviso. Most significantly, wellness systems besides encompass the direction and administration agreements that help guarantee efficiency and equity in proviso of service, reactivity to patient demands, and answerability to communities and the broader society. Why are wellness systems of import? The recent planetary focal point on control of diseases such as HIV/AIDS, TB and Malaria has concentrated attending on intercessions that need to be scaled up, such as antiretroviral therapy, TB and malaria intervention, or intermittent intervention of pregnant adult females for malaria. However, the great bulk of intercessions depend in some manner on a basic substructure of services, which in bend depends on the being of a higher degree substructure that provides resources and supervising. Since the Declaration of Alma-Ata, attending to wellness systems has waxed and waned. Most late, in the planetary wellness community at that place has been a displacement back towards advancing wellness systems, or horizontal, intercessions. Horizontal intercessions are defined as those that strengthen the primary attention system, better wellness systems service and bringing, and address general non-disease specific jobs such as wellness worker deficits and inadequate skilled birth attenders. However, there are matter-of-fact troubles with recognizing the rhetoric and funding horizontal intercessions. The Global Fund via the Global Health Initiatives aims to beef up wellness systems to cut down the spread and impact of HIV, TB, and malaria and will assist many states fulfill their human rights duties, in peculiar the â€Å" right of everyone to the enjoyment of the highest come-at-able criterion of physical and mental wellness. † Under international jurisprudence, provinces are obliged to take stairss â€Å" to the upper limit of [ their ] available resources, † , to increasingly recognize the right to the highest come-at-able criterion of wellness. The Alma Ata declaration ( 1978 ) promoted a comprehensive attack to bettering wellness with a strong accent on constructing wellness systems â€Å" from the underside up † through primary wellness attention. However this vision was challenged by those who argued that to accomplish a mensurable consequence it was necessary to concentrate on a limited figure of cost-efficient intercessions through selective primary wellness attention. The accent on presenting cost-efficient intercessions resulted in an increasing array of selective programmes, frequently being promoted at the same time. Service bringing agreements are sometimes described in footings of perpendicular or horizontal attacks. Vertical attacks use planning, staffing, direction, and financing systems that are separate from other services, whereas horizontal attacks work through bing health-system constructions.VERTICAL VS SYSTEMS APPROACH.However, there are many studies from experience that jobs may originate when several perpendicular, parallel subsystems are created within the broader health-care system. Parallel attacks are likely to ensue in: aˆ? Duplicates: running parallel systems for presenting drugs to wellness installations will increase conveyance costs, and increase the figure of signifiers that wellness workers need to finish to procure their drug supply. aˆ? Distortions: making a separate cell of better paid wellness workers for the specii ¬?c undertakings of a programme may consume staff from other cardinal maps and/or demotivate staff who do non benei ¬?t from higher wage or better conditions. aˆ? Breaks: programmes frequently train wellness workers by taking them off from their occupations for several yearss or hebdomads, go forthing their stations vacant. This preparation tends to be coordinated across programmes, and may ensue in the same worker having several preparation classs in a twelvemonth, with a significant loss of services being delivered. aˆ? Distractions: likewise, the specii ¬?c and uncoordinated coverage demands of givers can take to several signifiers being i ¬?lled by a exclusive wellness worker for the same job, deflecting them from more productive utilizations of their clip. ( United Nations: Declaration of Commitment on HIV/AIDS No. 55, nem con adopted by the United Nations General Assembly Special Session on HIV/AIDS2001. ) In amount, in a barbarous circle, weak wellness systems can restrict the effectivity of enterprises taken ND topographic point indefensible emphasis on already weak systems. This quandary drives a cuneus between wellness systems beef uping attempts and the work of the Global Health Initiatives and limits the capacity of both to accomplish their full potency The Community Systems Strengthening ( CSS ) Framework is a Global Fund enterprise which was finalized in May 2010. A bill of exchange CSS Framework was tabled at a workshop held 24-25 March 2011 in Johannesburg, South Africa.South AFRICAN RESPONSEThe HIV & A ; AIDS and STI Strategic Plan for South Africa 2012-2016 flows from the National Strategic Plan of 2007-2011 every bit good as the Operational Plan for Comprehensive HIV and AIDS Care, Management, and Treatment. It represents the state ‘s multisectoral response to the challenge with HIV infection and the wide-ranging impacts of AIDS. The NSP 2012-2016 was developed through an intensive and inclusive procedure of drafting, aggregation and bite of inputs from a broad scope of stakeholders ; through electronic mails, workshops, and meetings. SANAC had chance to interrogate the bill of exchanges on three occasions. The national multisectoral response to HIV and AIDS is managed by different constructions at all degrees. States, local governments, the private sector and a scope of CBOs are the chief implementing bureaus. Each authorities section has a focal individual and squad responsible for planning, budgeting, execution and monitoring HIV and AIDS intercessions. In this program, communities are targeted to take more duty and to play a more meaningful function. The NSP is based upon a set of cardinal Guiding Principles: ‘Supportive Leadership ‘ ‘Effective Communication ‘ ‘Effective Partnerships ‘ ‘Promoting societal alteration and coherence ‘ ‘Sustainable programmes and funding ‘ The intercessions that are needed to make the NSP ‘s ends are structured under four key precedence countries: Prevention ; Treatment, attention and support ; Human and legal rights ; and Monitoring, research and surveillance. Key Priority Area 1: Prevention Reduce by 50 % the rate of new HIV infections by 2011. The purpose is to guarantee that the big bulk of South Africans who are HIV negative remain HIV negative Key Priority Area 2: Treatment, Care, and Support Reduce HIV and AIDS morbidity and mortality every bit good as its socioeconomic impacts by supplying appropriate bundles of intervention, attention and support to 80 % of HIV positive people and their households by 2011. Mitigate the impacts of HIV and AIDS and make an enabling societal environment for attention, intervention and support Strengthen the execution of OVC policy and programmes Expand and implement CHBC as portion of EPWP Strengthen the execution of policies and services for older people affected by HIV and AIDS Mainstream the proviso of appropriate attention and support services to HIV positive people with disablements and their households Key Priority Area 3: Research, Monitoring, and Surveillance The NSP 2207-2011 recognises monitoring and rating ( M & A ; E ) as an of import policy and direction tool. Key Priority Area 4: Human and Legal Rights Stigma and favoritism continue to show challenges in the direction of HIV and AIDS. This precedence country seeks to mainstream these in order to guarantee witting execution programmes to turn to them.RESPONSE WITHIN THE SAMHSUNAIDS ( 2003 ) reported that uniformed services, including peacekeepers, often rank among the population groups most affected by sexually transmitted infections ( STIs ) , including HIV. Military forces are two to-five times more likely to contract STIs than the civilian population and, during struggle, this factor can increase significantly. A military analyst with South Africa ‘s Institute of Strategic Studies has warned that, unless the spread of AIDS among ground forcess from high-prevalent states is stopped shortly, it is possible that many of these states will be unable to take part in future peacekeeping operations. This would stand for a serious blow since soldiers from states, with, or nearing, high-HIV prevalence rates ( above 5 % ) make up 37 % of all UN peacekeepers. UNAIDSSTRATEGIC OBJECTIVES OF THE SA MILITARY HEALTH SERVICE – Contribution TO GOVERNMENT PRIORITIES 2011-2014Government Priority Outcome 2. The SAMHS nucleus concern is directed to lend to the Government Priority Outcome 2, A Long and Healthy Life for all South Africans. The SAMHS is an active participant in the National Human Development Cluster and the Programme of Action of the bunch is straight linked to the following cardinal end products as identified and formulated by the bunch: aˆ? Increased life anticipation at birth. aˆ? Reduced kid mortality. aˆ? Decreased maternal mortality ratio. aˆ? Pull offing HIV prevalence. aˆ? Reduced HIV incidence. aˆ? Expanded Prevention of Maternal to Child Transmission programme. aˆ? Improved TB instance Findings. aˆ? Improved TB results. aˆ? Improved entree to antiretroviral intervention for HIV-TB co-infected patients. Decreased prevalence of MDR-TB. aˆ? Revitalisation of primary wellness attention. aˆ? Improved physical substructure for wellness attention bringing. aˆ? Improved patient attention and satisfaction. aˆ? Accreditation of wellness installations for quality. Enhanced operational direction of wellness installations and improved entree to human resources support. aˆ? Improved wellness attention funding and wellness information systems, improved wellness services for the young person and expanded entree to place based attention and community wellness workers. The undermentioned five cardinal end products that constitute the footing of the Health Sector ‘s Negotiated Service Delivery Agreement ( NSDA ) for 2010-2014 are required from the SAMHS: aˆ? Health Promotion And Prevention Directed To Healthy Life Styles. aˆ? Increasing life anticipation. aˆ? Reducing maternal and child mortality rates. aˆ? Combating HIV and AIDS and diminishing the load of diseases from TB and aˆ? Strengthening wellness system effectivity. The SAMHS has 6 major formations that deal with the operation of the SAMHS as a whole. Of specific mention to this treatment is the Area Military Health Formation, and the Tertiary Military Health Formation that trades specifically with the comprehensive direction of DoD patients. The Area Formation is the Formation through which Primary Health Care is delivered to all SANDF members and their dependents through assorted Military Medical Clinics, Polyclinics and Base Hospitals. Within the Department of Defence ( DoD ) the South African Military Health Services, the Surgeon General manages the HIV Programme since 1991 through a multi-disciplinary attack. The construction of the SA Military Health Service makes proviso for assorted degrees of direction, and the HIV Management Structure mirrors these degrees. The first degree of the HIV Management Structure allows for audience to the Surgeon General and the remainder of the DOD, policy preparation, monitoring and coordination of the HIV ProgrammeThe 2nd degree of the HIV Management Structure allows for execution of the HIV programme throughout the DOD. â€Å" Regional † HIV/AIDS Committees. â€Å" Nodal Points † or regional HIV programme directors appointed in the states, military infirmaries, the Institute of Military Medicine, Aerospace Medicine and the Institute of Maritime Medicine. HIV Workplace Programme Managers, appointed in every unit/workplace in the DOD. HIV Master trainers and other forces involved in the HIV Training Programme of the DOD. The HIV/AIDS Coordinating Committee is responsible for guaranting execution and coordination of the HIV programme and supervising the executing of the HIV programme. As such the commission is end product driven with respect to the direction of the entire HIV Programme. The HIV Programme Manager acts as president of the commission. This Committee every bit good as the SG are guided by the National Strategic Plan and the Treatment Guidelines as developed by the DoH. As is seeable there is n't a Directorate for Diabetes or Cardiac Care or Director Hypertension and Stroke Management. So within the SAMHS as good energies and attempts have been mobilized in an exceeding attempt to turn to HIV/AIDS, as was demonstrated by the monolithic PHIDISA Project.ChallengeThe systemic challenge of human resources peculiarly in the wellness sector, attenuates the expected benefits of these committednesss. The proviso of wellness services is labour intensive and a scope of both clinical and direction accomplishments are required to present quality wellness services in an low-cost and just mode. There is presently an instability in the distribution of wellness professionals between the populace and the private wellness attention sectors, with the bulk of physicians, druggists, and tooth doctors in peculiar placed in the private sector. In add-on, the migration of wellness professionals to developed states has contributed to the job of recruiting and retaining wellness professionals in the public wellness sector. The most destitute countries such as informal colonies and rural countries are disproportionately affected by deficits in human resources..WAY FORWARDControling the harrying effects of HIV/AIDS should non happen at the cost of pull offing other non-communicable chronic conditions that can be merely as lay waste toing. In order to guarantee that the badness of the HIV pandemic is met with the response that it deserves and to supply a comprehensive medical service the SAMHS has to accommodate to the undermentioned guidelines:Adopting theoretical accounts of attention with per se high scalability. The huge bulk of African states use the western referral theoretical account of attention with big Numberss of specialised wellness workers, mostly indefensible for pull offing HIV and AIDS and timeserving infections.Rigid staff definitions hinder occupation sharing and cross-training. In add-on, HIV and AIDS intervention runs the hazard of going a perpendicular programme, focused on a limited set of proficient intercessions offered without mention to people ‘s societal environment and insufficiently integrated with other wellness attention proviso. The world is that people populating with HIV and AIDS live and work in communities non in wellness installations. The challenge is therefore to keep big Numberss of people populating with HIV and AIDS in their communities and prolong them on long-run therapy with high conformity and attachment. Urgently needed are large-scale incorporate public wellness theoretical accounts for turn toing antiretroviral therapy and other signifiers of HIV and AIDS attention and intervention at the primary attention and community degrees. 2. Redefining professional functions Developing and polishing public wellness theoretical accounts for HIV/AIDS intervention and attention will affect extended appraisals, stakeholder treatments and pilot trials. Among the likely issues: redefining and devolving functions and strategies of service and reexamining professional licensure and accreditation demands for wellness staff at all degrees. Pilot undertakings show that some undertakings related to antiretroviral therapy, such as everyday follow ups and reding, can be carried out by lay community workers, trained and supported by referral systems. Technology offers many exciting possibilities for leveraging rare accomplishments and expertness over big Numberss of midlevel and alternate wellness suppliers, possibilities to be investigated. Mobile wellness services need to be refined, adapted and used to widen antiretroviral therapy into widely dispersed communities. Any attack ( or set of attacks ) will profit from leading, sound feasibleness surveies and policy or regulative counsel. 3. Increasing skilled human resources for wellness. Most national or local wellness services are inadequately staffed to supply HIV/AIDS intervention and attention and serve people with other demands. The Joint Learning Initiative on human resources for wellness estimated that Africa needs one million extra wellness professionals in order to run into the WHO ‘s minimal staffing for wellness attention proviso ( Joint Learning Initiative 2004 ) . Health Care Providers themselves are acquiring sick at high rates, adding to losingss of forces who move to the private sector or other states. Health reforms adopted in many states in the 1990s demand to be reviewed in the visible radiation of current and future staff demands, including footings of service. Organizations stand foring wellness workers and authoritiess need to maintain forces in topographic point and better their motive, working environments and inducements. Plan implementers must besides undertake the reluctance of many wellness workers to work in rural locations. 4 Training wellness attention professionals. Training for wellness suppliers to present antiretroviral therapy and relevant supportive, logistical and monitoring services remains limited. A Kenyan survey shows that merely 30 % of physicians ordering antiretroviral drugs had received preparation in administrating and supervising antiretroviral therapy ( Livesley and Morris 2004 ) . There is a clear demand to develop rapid developing methods in order to spread out services across all cells involved in antiretroviral therapy. 5 Meeting the costs of intervention and attention. For scaling-up to be successful, the monetary value of antiretroviral therapy and other indispensable drugs for the direction of chronic conditions and related intercessions needs to come down to a degree that African authoritiess can budget for sustainably. Budgeting for antiretroviral therapy requires a vision and committedness to prolong support for at least five decennaries and possibly longer. Once started, antiretroviral therapy and medicine for lasting chronic conditions like diabetes and high blood pressure, must be provided for the patient ‘s life-time. The sustainability of support for HIV/AIDS enterprises raises legion political and ethical issues that can be resolved merely with committed leading. 6 Developing a patient attention substructure. Health forces need substructure to back up their proficient and interpersonal accomplishments. Functioning research lab and proving installations must be available if antiretroviral therapy programmes are to win. 7 Increasing patient followup to increase attachment. Patients must take their chronic medicine which includes antiretroviral drugs on a regular basis. If random breaks occur specifically with ARVs, the virus is likely to mutate into drug-resistant strains. The deficiency of attachment to intervention is non a new job. For illustration, the outgrowth of multidrug-resistant TB is related to the deficiency of attachment to intervention and inappropriate drugs. Many womb-to-tomb diseases like IHV are complex and time-demanding and T is complicates adherence. Close patient followup additions attachment, but this is a challenge in resource-constrained African scenes. 8.Sustaining drug supplies: . A discontinuance in drug supply increases the hazard of failed intervention, detrimental non merely to the patient but besides easing drug-resistant strains. Periodic drug deficits are non uncommon in Africa At the national degree the challenge is to construct strong drug procurance and distribution systems, avoiding supply breaks and leaks and guaranting drug quality. At the undertaking degree, logistics are important, guaranting safe drug storage and distribution. 9. There is besides an increasing demand for a strategic, co-ordinated attack to the epidemic and for the integrating of HIV/AIDS into the primary wellness attention system. 10. Recommendations for South Africa by the Global Health Initiatives Fund, which can be implemented in the SAMHS include: â€Å" Ensure cosmopolitan entree to basic wellness attention, giving absolute precedence to the poorest and most vulnerable groups in the population ( kids and adult females ) -with specific mention it includes the married womans and kids of soldiers who live in rural otherwise unaccessible countries. Reinforce whole wellness systems, alternatively of establishing schemes on perpendicular plans ; Strengthen substructures, organisation and control of plans, purchase and distribution of indispensable medical specialties ( including antiretroviral drugs for the intervention of AIDS ) ; And, above all, invest in human resources within the public wellness sector through preparation, motive, appropriate and merely wage of wellness forces that will assist barricade the drain of staff to the private sector and abroad. † Decision The vision which fuelled our battle for freedom ; the deployment of energies and resources ; the integrity and committedness to common ends – all these are needed if we are to convey AIDS under control. ( Mandela, Davos 1997 ) Right now nevertheless, since the handiness of ARVs, we have turned the tide on HIV/AIDS being the decease sentence that it began as, but we turned our dorsums on the other menaces that are harrying the wellness of our soldiersaˆÂ ¦