How Many Essay Revisions are Enough

Revision before exams is a necessity for most candidates who are planning to take an exam so as not to be disappointed of the exam result. Therefore so as to be able to succeed a candidate does need to put in some effort in his or her revision. So the number of revisions that you need should not be as a number. It all depends on the level of your understanding on the particular topic or field you are about to cover. To be enabling to succeed in exams candidates should start their revision at the beginning of the year with will enable the candidate not to just memorize the information but also really understand what he is reading during the exam period. From each class a student attends he should have all the necessary notes and be able to summarize it after the classes so as during the time of exams the quantity of information won’t overwhelm the individual. During the exam period candidates should create flash cards to test themselves as that will make them feel confident before the exam. This ensures the students have enough courage and enables them to fight the exam fever or tension. However as other do not feel comfortable starting the process at the beginning of the years they should set enough time aside for their revision be it 2-3 months before the exams. This will stop cramming before exams in which the candidate at the end of exams will forget the information. In other instances if the candidate puts in enough effort in his work this will enable the individuals to have an easy time during the time before the exams as all he has to do is just go over his notes. It feels good when answering your tests and it feels something like a de javu. That makes it more of an answering and marking scheme for the student. Moreover revising for exam is not about how many times one is to revise but how he does his revision, other candidate does agree that instead of going hours on end revising the best method is to have short breaks within session of 2 hour. That will provide balance between working and relaxing by going for a walk or just watching some television or listening to some music. Other candidates when they revise they do not want any sort of disturbance therefore they prefer to be the only person in the room since that does seem to work for them. All in all the best method of revision identified is to start the revision some months before the exams this will provide the right amount of time to start the revision slowly. After some sort of mock the candidate can therefore intensify his revision by making shorter notes, going through the revision guides and making of posters. To have a feel of the exam the candidate can test himself by doing some past papers over and over gains so as to be able to identify the repeated sort of questions in the exam. In a given day the candidate can have different session for different topics with each topic taking 2 hours and having 5 sessions per day. This will assist in managing the subjects and will help in identify the weak areas that need more effort and time. Lastly each exam is not the same consequently a CAT doesn’t need the same amount of time as the final exams in such instances more priority should be given to exams which way more in terms of final results.

Popular Sovereignty or Cosmopolitan Democracy Free Essay Example, 4500 words

The Persians invaded Greece and captured their territories, but were unable to maintain their position for long. The freedom fighters raised revolts against the tyranny and they had to quit their land ultimately. Moreover, the Persians used to destroy the economic stability of the Athenians and captured their finances resulting in significant losses of the economy. Tumin also supports the existence of social classes in primitive ages. According to historical and archaeological records, he states, stratification was present even in the small wandering bands that characterized the society in the earliest days of man. In such primitive conditions, according to him, both age and sex in combination with physical strength must have been important criteria of stratification. (1978: p 16). It is a fact beyond doubt that man is rebelled by nature and cannot abide by the statute of laws and the set of norms for long. Thus, there is always a need for implementation of policies by force in a po litical set up. The force may be the political, militarily or republic. If one wants , Machiavelli opines, to preserve a city that is accustomed to being independent and having free institutions, it is more easily held by using its citizens to govern it than in any other way. (Quoted in Porter, 1997: p 226) Machiavelli declares the use of force an essential element to maintain order in society. We will write a custom essay sample on Popular Sovereignty or Cosmopolitan Democracy or any topic specifically for you Only $17.96 $11.86/pageorder now He suggests to the new ruler three ways of holding a sovereign state, which includes destroying of the existing institutions, living in the same area of rule, and let the population continue to live according to their prevailing rules of law. He considers the first one as the most favorable one in order to run a powerful system of government and maintain peace and harmony within the republic as well as citizenship. The renowned German philosopher Karl Marx maintains some different view in this regards. He considers conflict as the solution of political and social turmoil and predicts the evidence of a revolution in case of the anarchical situation in a society, where unequal distribution of wealth and resources create a socio-political turmoil.

Faustus, By Dr. Faustus - 2669 Words

At the play’s outset, Dr. Faustus is in his study contemplating what academic discipline is the most fulfilling. He reviews a number of disciplines in his mind, such as logic and medicine (which he believes he is already adequately distinguished in), and law and theology (which he believes to have inherent inadequacies). Dr. Faustus’s route from religion to magic seems to be forcedly cobbled together in order to elicit a certain emotion towards sophists as a whole, and Marlowe laboriously thrusts Dr. Faustus into becoming an embodiment of the term â€Å"thinker† in its Momentarily pejorative context. Faustus is represented on the surface as a free-thinker who perhaps thought too much and too freely in his time, and though Faustus’s story was often hailed as a perfect depiction of free-thought in excess, Marlowe seems to be more interested in Faustus’s eventual inversion of his epoch’s notion that religion is the necessary vehicle to morality and decency. Faustus is depicted at the play’s beginning as an individual bent on self-gratification. His diverse interests and talents, if we are to take his proclamations of expertise as true, imply that he is not only a very adept individual, but also a rather insatiable one. This will of course be the downfall of Faustus, however the foreboding nature of even this first scene carries implications regarding the text’s treatment of free-thinking, existential experimentation, and non-conformant exploration. Dr. Faustus ventures to theShow MoreRelated Christopher Marlowes Dr. Faustus - The Folly of Dr. Faustus623 Words   |  3 PagesChristopher Marlowes Dr. Faustus - The Folly of Dr. Faustus Christopher Marlowes tragedy of Dr. Faustus envelops a realm of theological issues around one mans quest for knowledge. Feeling a university education to be inadequate for his purposes, Faustus makes the ultimate sacrifice possible to quench his thirst for otherworldly wisdom. Yet even though he gains amazing powers and a broad reputation as a man in the know, his quest is incomplete. He actually learns very little. The natureRead More Dr. Faustus Essay: The Tragic Downfall of Dr. Faustus1048 Words   |  5 Pages The Tragic Downfall of Dr. Faustusnbsp;nbsp;nbsp;nbsp;nbsp; nbsp; Christopher Marlowes play, its genre an English tragedy of the sixteenth century, presents the tragic conflict of the Faust theme in the tradition of medieval morality plays. The concepts of good and evil in these plays and their psychological implications reflect a historical background in which the church dominates the ethical and moral concepts of their time. Faustus defies societys norms and embraces the devil withRead MoreDr Faustus as a Tragedy855 Words   |  4 PagesQ.1. Discuss Dr Faustus as a tragedy. Tragedy – Definition Aristotle defines a tragedy as a ‘representation of an action which is important, complete and limited in length. It is enacted not recited and by arousing pity and fear, it gives an outlet to emotions of this type.’ However, for the Elizabethans, more specifically for Marlowe and Shakespeare, tragedy is not a restrictive view of human excellence or weakness as the Greeks are often inclined to present but an affirmative view of humanRead MoreDr. Faustus Essay637 Words   |  3 PagesBy: Mark Daugherty In Dr. Faustus, Christopher Marlowe uses the resolution of the conflict between Dr. Faustus and the beliefs of his time to explore the idea of mans place in the universe. In Faustus time, it was believed that man had a place in the universe, and man must stay within his boundaries. It can be shown that Dr. Faustus stepped out of his place, failed in his attempt repent his actions, and ultimately caused his own end. The conflict between Dr. Faustus and the belief system ofRead More Dr. Faustus Essay626 Words   |  3 Pages Dr. Faustus nbsp;nbsp;nbsp;nbsp;nbsp;Dr. Faustus, written by Christopher, is the story of a man that represents the common human dissatisfaction with being human. He sells his soul to the devil for what he believes to be limitless power, with full logical knowledge as to the consequences of such a transaction. He knows the stakes of his gamble with the devil. His extensive education and his cultural environment had certainly alerted him as to the dangers associated with Lucifer. Although awareRead More Dr. Faustus Essay816 Words   |  4 PagesDr. Faustus In Christopher Marlowe’s play, Doctor Faustus, the idea of repentance is a reoccurring theme with the title character. Faustus is often urged by others to repent his decision to sell his soul to the devil, but in the end he suffers eternal damnation. Faustus was resigned to this fate because he lacked the belief in his soul of God. He was once a moral and devout man, but greed led him to sin. Although Faustus has signed a contract with the devil in blood, it is obvious that itRead MoreDr. Faustus as an Allegory897 Words   |  4 PagesApril 9th 2013 Allegorical Findings in Dr. Faustus by Christopher Marlowe The Tragical History of the Life and Death of Doctor Faustus, or in simpler terms Dr. Faustus, by Christopher Marlowe is said to be based on the German legend of Faust, in which a man sells his soul to the devil for hierarchy and knowledge. No Elizabethan play outside the Shakespeare canon has raised more controversy than Marlowe’s tale of Dr. Faustus. Although there is no agreement concerning the nature of the text andRead MoreDr Faustus Analysis1362 Words   |  6 Pagesunrestricted pursuit of knowledge and worldly pleasure? This was the condition of English society during the Renaissance. Christopher Marlowe recognized the dangers posed by such views. He warns his contemporaries in his play, The Tragical History of Doctor Faustus. The main character focuses solely on worldly rewards and pleasures. He also pursues knowledge with the intent of achieving God-like status. This limited perspective and unchecked pursuit of knowledge produces a skewed view of religion and redempt ionRead More Christopher Marlowes Dr. Faustus - Is Dr. Faustus Crazy or Sane?913 Words   |  4 PagesChristopher Marlowes Dr. Faustus - Is Dr. Faustus Crazy or Sane?  Ã‚  Ã‚  Ã‚   Christopher Marlowes play, Dr. Faustus, is the story of the struggle of one man who is battling with himself over what he values most in life, and to what extent he will go to obtain what he desires. The battles over the control of ones ego and what a person values in their life are the two underlying struggles in this work. Faustus is a very educated and high member of society, but he was born in a lower class and hasRead MorePride of Satan and Dr Faustus1568 Words   |  7 PagesPride of Paradise Lost’s Satan and Dr Faustus â€Å"Pride and worse ambition threw me down(4.40) says Satan in John Milton’s Paradise Lost. This short and simple confession hides several deep meanings and significant messages to humankind. That is because it is not only Satan who stumbles by the sin of pride. Satan is the tempter and foe of mankind, and he imposes his own ill traits on mankind while trying to draw him to the depths of hell. That is, like Satan human may think highly of himself though

Rhetorical Analysis of the Grapes of Wrath - 1767 Words

September 7th, 2012 Rhetorical Analysis of The Grapes of Wrath The dust bowl was a tragic time in America for so many families and John Steinbeck does a great job at getting up-close and personal with one family to show these tragedies. In the novel, â€Å"The Grapes of Wrath†, John Steinbeck employed a variety of rhetorical devices, such as asyndeton, personification and simile, in order to persuade his readers to enact positive change from the turmoil of the Great Depression. Throughout the novel, Steinbeck tells the fictional narrative of Tom Joad and his family, while exploring social issues and the hardships of families who had to endure the Dust Bowl and the Great Depression. Steinbeck’s purpose was to challenge readers to look at†¦show more content†¦Ã¢â‚¬Å"And over the grass at the roadside a land turtle crawled, turning aside for nothing, dragging his high-domed shell over the grass. His hard legs and yellow-nailed feet threshed slowly through the grass, not really walking, but boosting and dragging his shell a long†¦For a moment he stopped, his head held high†¦At last he started to climbed the embankment†¦As the embankment grew steeper and steeper, the more frantic were the efforts of the land turtle†¦The head upraised and peered over the wall to the broad smooth plain of cement†¦The car swung to the right†¦The turtle had jerked into its shell, but now it hurried on, for the highway was burning hot. And now a light truck approached†¦His front wheel struck the edge of the shell, flipped the turtle†¦and rolled it off the highway†¦.little by little the shell pulled over and flopped upright†¦.And the turtle crawled on down the embankment.† (Steinbeck, 15-16) This is compared to the flight of the migrant workers down Highway 66. â€Å"Highway 66 is the main migrant road. 66-the long concrete path across the country, weaving gently up and down on the map, from Mississippi to Bakersfield†¦66 is the path of people in flight,. ..66 i s the mother road, the road of flight†¦All day they rolled slowly along the road, and at night they stopped near water. In the day ancient leaky radiators sent up columns of steam, lose connecting rods hammered andShow MoreRelatedEssay on Rhetorical Analysis- the Grapes of Wrath967 Words   |  4 PagesRhetorical Analysis- The Grapes of Wrath â€Å"You don’ know what you’re a-doin’,† were Casy’s last words before he died as a martyr. Casy died for his cause, his belief that the elite were not truly aware of how their greed was causing the suffering of the weak and that the weak could only surpass their sorrows if they worked together. Steinbeck uses chapter 25 of Grapes of Wrath to portray this very message. Steinbeck uses an array of rhetorical devices such as symbolism and the use of a instructiveRead MoreThe Grapes Of Wrath By John Steinbeck1093 Words   |  5 Pages In John Steinbeck s The Grapes of Wrath, Tom Joad and his family are forced from their home during the 1930’s Oklahoma Dust Bowl and set out for California along with thousands of others in search of jobs, land, and hope for a brighter future. The Grapes of Wrath is Steinbeck’s way to expound about the injustice and hardship of real migrants during the Depression-era. He utilizes accurate factual inf ormation, somber imagery, and creates pathos, allowing readers connections to the Joad’s plightRead MoreThe Grapes Of Wrath By John Steinbeck1075 Words   |  5 PagesKirsten Lloyd Mr. Eldridge AP Junior English 21 August 2014 Grapes of Wrath â€Å"Sometimes even to live is an act of courage.† (Seneca), In the 1939 novel, The Grapes of Wrath by John Steinbeck, the reader accompanies the Joad family as they struggle to escape the crippling Dust Bowl of the mid- 1930’s. In hopes of establishing a new life for themselves after being forced off their land the family embark on a journey from Oklahoma to California in search of fruitful crops and steady work alongRead MoreThe Grapes Of Wrath By John Steinbeck1174 Words   |  5 PagesCody Kunzman 10/26/2014 The Grapes of Wrath Paper â€Å"The Grapes of Wrath† written by John Steinbeck is a classic America novel to say the least. Not only did he create such an inspiring and detailed story line but it was followed up by an Oscar nominated film directed by John Ford. The similarities and differences within the book and the film are very controversial and being able to break down what all happened in each will help a rhetorical analysis to take place in this paper. Rhetorically speakingRead MoreGrapes of Wrath Movie vs. Book Essay2036 Words   |  9 Pagesdetail and narration within the text that isn’t able to be included in movie dialogue. This is displayed in an obvious manner when looking at the John Ford’s movie made for the classic book The Grapes of Wrath, written by John Steinbeck. Although both texts follow a similar story line, a stronger rhetorical message is delivered to the audience in the book compared to the movie. Both the book and the movie portray parallel themes, however, spe cific illustrations in the book both strengthen and sensitizeRead MoreSpeech On My Head Fall Into My Hands2037 Words   |  9 Pages so it wasn’t a lunch in the gut when Mr. Frieble assigned the five page research essay. Although our class bonded over groaning about the CRJs, they were pretty manageable after the first few rough ones. Better yet, they did help build my rhetorical analysis skills. Every assignment I recall for the class had a purpose, and while the assignments were arguable harder than necessary, they made for good character building. The two weeks of four CRJs turned boys into men through the topics of tortureRead Moretheme of alienation n no where man by kamala markandeya23279 Words   |  94 PagesSophocles as a man â€Å"who saw life steadily and saw it whole.† The ancient biographer, Phyrnicus, says that Sophocles’ life was happy and that he retained all his faculties to the very end. Sophocles is reported to have died either by choking on raw grapes or by running out of breath while reciting lines from Antigone, his favorite play. The Works of Sophocles Sophocles’ plays were not like those of either Aeschylus or Euripides. His tragedies did not deal with abstract problems of guilt and punishmentRead MoreThomas Hardy Poems16083 Words   |  65 Pagesit joy lies slain, And why unblooms the best hope ever sown? --Crass Casualty obstructs the sun and rain, And dicing Time for gladness casts a moan.... These purblind Doomsters had as readily strown Blisses about my pilgrimage as pain. HAP ANALYSIS Firstly the word hap means that which happens by chance. The poem is a sonnet, although it is presented as three stanzas in that the traditional octave is split into two stanzas each of four lines and the sestet is a stanza on its own. TheRead MoreFigurative Language and the Canterbury Tales13472 Words   |  54 Pagespoets such as John Donne wanted to write poems that were not in the style of sentimental Elizabethan love poetry. These poems are known for their use of conceits - unusual analogies such as linking love and a compass. †¢ tendency to psychological analysis of emotion of love and religion †¢ form is frequently an argument †¢ images were â€Å"unpoetical† - drawn from commonplace life or intellectual study 48. meter: rhythmical pattern of a poem 49. metonymy: figure of speech that substitutes somethingRead MoreLogical Reasoning189930 Words   |  760 PagesReasons ................................................................................................ 236 Deceiving with Loaded Language ................................................................................................... 238 Using Rhetorical Devices .................................................................................................................. 240 Review of Major Points .............................................................................................

Why Tuberculosis is a Public Health issue Free Essays

This essay will undertake chiefly about the wellness topic that was assigned to the writer s group which is Tuberculosis, this so accounts for the mortality of several million people each twelvemonth chiefly, in the 3rd universe states. Health appraisal and background Introduction M. TB has been a plague for the human race for centuries. We will write a custom essay sample on Why Tuberculosis is a Public Health issue or any similar topic only for you Order Now There is grounds to propose that it has perchance been endemic since at least 10, 000 BC. ( Suarez et al. , 2001 ) . At the present twenty-four hours, it is a disease which is increasing on a planetary graduated table ( WHO 2006 ) . Prevalence The WHO has been cardinal in the coordination of a figure of strategies which are targeted at guaranting that quality-assured TB programmes are rolled out in countries which are perceived to be at greatest demand ( WHO 2006 ) . These enterprises have resulted in a state of affairs globally, where 53 % of all people who are diagnosed with extremely morbific TB received intervention in conformity with the internationally recommended TB control scheme in 2004. This compares with 10 % in 1995 as an exemplifying illustration. The WHO reports that 84 % of this group were treated successfully ( WHO 2006 ) . The push of this determination is that, despite the fact that the incidence of TB in the United Kingdom is relatively low, easiness of modern travel allows exposure of the United Kingdom population to some populations where the incidence is well higher ( Scriven A ; Garman, 2005 ) . The bulk of long term migrators, and many visitants travel from the states where there is a high incidence of active TB ( gt ; 40 per 100,000 ) and enter states where the incidence is relatively low ( lt ; 25 per 100,000 ) ( Joint Tuberculosis Committee of the British Thoracic Society, 2005 ) . To set this in position, the incidence of active TB in the native UK population is in the part of 4.4 per 100,000, and this contrasts with 121 210 per 100,000 in certain nonnative populations. The increased hazard of infectivity of foreign born subjects has been demonstrated to go on for up to 20 old ages after migration ( Baudette A ; Ellis, 2004 ) . It clearly follows that, in low incidence states such as the UK, the nonnative population are responsible for the bulk of new instances of active TB. Studies put the existent incidence between 35 – 70 % of all new instances. ( Euro TB 2007 ) . Current showing and control steps In Western Europe, and North America, presently more than half of all new active TB instances diagnosed occur among nonnative recent migrators. ( Borgdorff, Nagelkerke, new wave Soolingen, de Haas, Veen A ; van Embden 2008 ) Despite the high proportion of active instances now being found in usually low-incidence states which are attributable to nonnative occupants, the impact on the public wellness is comparatively low. A figure of recent surveies ( viz. ITA 2005 ) have demonstrated that the current thorax radiogram testing programmes in topographic point in the UK have small impact and are non cost-efficient. Screening of immigrants with sputum civilization has been demonstrated to better cost-effectiveness marginally. The intervention of latent infection which can be detected through testing with either tuberculin tegument proving or chest radiogram may necessitate the infliction of coercive steps for the mark populations to maximize impact and cost-effectiveness. ( Dahle, Sandven , Heldal A ; Caugant 2003 ) Some governments ( viz. Vernon 2010 ) nevertheless, suggest that, in contrast, contact tracing, peculiarly within cultural communities, appears to be more cost-effective and less intrusive. Taken in overview, in low-incidence states such as the United Kingdom, showing of immigrants at the point of entry appears to hold small overall impact and does non look to be a really cost-efficient TB control scheme. More effectual options have been suggested and these include contact following which is delivered through the primary attention substructure and, on a planetary graduated table, increased investing in planetary TB control ( Davies A ; Macdowall 2006 ) . Rationale and mark group There are a immense figure of possible wellness promotion-related activities in this context. It is clearly beyond the range of a short reappraisal to see more than one facet in any grade of item. This reappraisal will therefore curtail its consideration to wellness publicity mechanisms which can be used to observe, hint and dainty immigrants to the United Kingdom from high TB incidence states. Evaluation of such steps can be from a figure of positions, in the current economic clime of the NHS, which is basically a rationed service, an appropriate appraising tool would be cost-effectiveness. ( Pender, Murdaugh A ; Parsons 2002 ) . Clearly there are other positions, including acceptableness to the immigrant population ( which may be reflected in issues of conformity ) or the existent impact of a relatively little figure of instances of active TB in the community which could be dealt with by trust on the natural herd unsusceptibility of the population and contact tracing as suggested by Ewles ( Ewles 2005 ) The importance of such wellness publicity activities can be gauged from the fact that the bulk of new instances of TB amongst the immigrant population are attributed to a reactivation of a antecedently latent infection. This is most likely to happen within the 2 – 5 year following migration. ( 10 Asbroek, Borgdorff, Nagelkerke, et al. , 2006 ) . Molecular epidemiological surveies have besides shown that a little proportion of new instances can be acquired after migration, with the Chin survey proposing that this would be in the part of 20 – 30 % ( Chin, De Riemer A ; Small 2006 ) . In the UK it has been demonstrated that the kids of nonnative occupants have higher degrees of active TB than the general population and this incidence is increased if regular visits are made to their state of beginning. ( Ormerod, Green A ; Gray 2001 ) Policies: In the UK, specific consideration of the in-migration policy shows that the demand for testing is non cosmopolitan. Immigrants who are meaning to remain longer than 6 months either have to be screened for TB ( and some other complaints ) before come ining the UK or to be screened on reaching. Those who do non be after to remain more than 6 months or are merely tourers are non capable to showing, even those who are coming from a high hazard states. It is considered that it is impractical to test all in these classs and the primary wellness attention installations are expected to pick up sporadic instances opportunistically as they present in the population. If this is contrasted with the wellness publicity policy in the Philippines, one can observe that the scheme in the Phillipines has changed well in the last decennary. It has been noted that the incidence of drug-resistant TB is at its greatest in those with HIV, the urban hapless and the prison populations. The decrease in prevalence is greatest in these groups and the Government has reported that it has achieved a 34 % decrease in notified instances in the last decennary. The National Stop TB Partnership was introduced in 1994 and increasingly expanded. It combined with the National Interagency Coordination Strategy for TB in 2003. In bend, this was superseded with the National Strategic Plan in 2006 which has aimed to cut down the incidence of TB. It would look that the steps to test for TB in immigrants to the Philippines are limited with no demand for short term travelers to be screened. Consideration of the broad image of TB control in the Philippines suggests that the state has been fighting with the issue for many old ages. This has been hampered by considerable economic demands on authorities installations from other need-areas against an increasing incidence of HIV/AIDS, which is a major predisposing factor for the development of TB in this peculiar hazard group. Funding for TB control comes non merely from Philippine national resources but besides from international resources such as the Global Fund On a planetary graduated table the steps reported, and mostly instigated by the WHO, showed that the incidence of planetary TB peaked in 2004 and that the end of cut downing the 1990 mortality rate by half by 2015 appears to be on path, chiefly through the coordination of the DOTS programme. In specific consideration of footings of Health Promotion activity, testing for a peculiar disease is by and large considered justified if, in the frequently quoted analysis of Sackett et al. , the disease is comparatively common and treatable. The ideal screening trial should be cheap, easy to administrate, do no uncomfortableness to the patient, and offer both high sensitiveness and specificity. ( Sackett, Haynes A ; Tugwell 1985 Pg 21 ) . Why Tuberculosis is a Public Health issue: Tuberculosis is said to be a high hazard catching type of disease that could endanger the wellness of the public one time this has non been traced, treated, and isolated. This, holding said can be fatal but most decidedly curable. It can be transmitted through a simple sneezing or cough by person who has been infected by this disease, the bacteriums can so be spread through the air and anyone nearby who can inhale it can acquire infected. The bacteriums normally dwell in the lungs, where it normally grows. It might remain and the organic structure s natural defence might discontinue the bacteriums from turning and become hibernating but one time the organic structure s immune system is at below par, this is where the danger sinks in ( WHO, 2007 ) . The manner of transmittal is undeniably effortless and giving therefore should be considered a menace to every person most particularly to the vulnerable groups ( the elderly, the babies, the pregnant adult females and those whose immune s ystem is depressed ) . Bradshaw s demands If one considers the wellness publicity issues from a theoretical point of view, one can observe that Bradshaw attempted to specify demands. Taking a social position Bradshaw categorised demands as normative ( distinguished by professionals, such as inoculation ) , felt ( wants, wants and desires ) , expressed ( vocalised demands or how people use services ) and comparative demands, which indicates that needs originating in one location may be similar for people with similar socio-demographic features populating in another location ( Bradshaw 1972 Pg 22 ) . This probe will be normative in this context as it will chiefly see the issue from the population needs as defined by health care professionals. ( Downie, Tannahill A ; Tannahill 2002 ) . Need for testing Further accent for the demand for good wellness publicity activities comes from consideration of the economic effects of TB infection. In the USA ( where it is easier to quantify health-related disbursement ) the entire one-year outgo on TB was in surplus of $ 700 million even a few old ages ago. It is believed that a similar figure ( proportionate to the population ) is incurred in the UK. ( Brown, Miller A ; Taylor 2005 ) Methodology The methodological analysis for this reappraisal has been to analyze and critically analyze the peer-reviewed literature on the topic and to deduce decisions from the grounds base thereby established Analysis of the activity Screening processs Screening programmes in the UK historically ( after WWII ) consisted of compulsory CXRs for all new immigrants. As the incidence of TB in the general population diminished, the cosmopolitan CXR was finally abandoned. It was besides the instance that it was discovered that the impact on the public wellness, in footings of a decrease of sputum-positive instances, overall morbidity or mortality, was negligible. ( Toman 1999 ) . The current policy in the UK is for immigrants to undergo CXR on reaching and so are later referred to the wellness authorization where they will later shack. Value of CXR The trouble here is that merely a really little proportion of immigrants who are screened with CXR are found to hold antecedently undiagnosed active pneumonic TB. Even from the high-incidence states it is lt ; 1 % ( Blum, Polish, Tapy, Catlin A ; Cohn 2003 ) . Paradoxically, it has been shown that the prevalence of instances of latent infection which are associated with CXR abnormalcies ( that is inactive TB and/or apical fibronodular disease ) is instead higher with Comstock et al. seting it at 3 – 5 % ( Comstock, Edwards A ; , Livesay 2004 ) . From the public wellness point of view, one has to see that it is rather possible to hold latent TB infection with no CXR abnormalcies at all and between 35 – 42 % of instances fall into this class. ( Nolan A ; Elarth 2005 ) Combination testing A more common and rational attack utilises a CXR to observe active tubercular disease and the tuberculin skin trial ( TST ) to observe any grade of latent infection. This method nevertheless, has non significantly reduced the incidence of TB in the community and hence one has top consider other methods of sensing such as phlegm civilizations, acid-fast staining and nucleic elaboration trials which are presently available. A figure of sero-assays and trials of cell-mediated unsusceptibility are being developed but should be considered under development at the present clip in this context. ( Wright, Walley, Philip, Petros A ; Ford 2010 ) If one considers the wellness publicity deductions of showing of immigrants so one has to see the comparative virtues of each of these activities. It is normal pattern in the literature to compare each process to the gilded criterion of a positive phlegm civilization. As has already been outlined, the CXR has a low positive predictive value and this is found to be even lower in instances of HIV/AIDS infection. Schoch et Al. hold pointed out that the huge bulk of positive CXRs are really false positive consequences. ( Schoch, Rieder, Tueller, Altpeter, Zellweger, Rieder, Krause A ; Turnheer 2007 ) Although sputum civilization is frequently referred to as the gilded criterion for diagnostic truth, one should observe that a individual civilization is no more sensitive than a CXR. It appears to be by and large accepted that a microbiological civilization of three to six phlegm samples is needed to be extremely sensitive for active pneumonic TB. The specificity of a TB civilization is really high and there are really few false positives and these by and large occur as a consequence of cross-contamination during research lab handling. ( Bothamley, Ditiu, Migliori A ; Lange 2008 ) Some Centres presently use acid-fast staining as a mechanism to increase the effectual choice up rate. This proves to be more specific but less sensitive than a CXR. ( Bothamley, et Al. 2008 Smart analysis If one considers this wellness publicity attack from the position of a SMART analysis. It is surely specific as it is designed to aim TB instances from abroad. It is manageable to a grade as, within the targeted population, it is manageable by the presently bing health care mechanisms, either by direct showing of some of those persons perceived to be at hazard, or reach following if the initial showing is neither done or has a false negative result.. It is provably accomplishable as it is already in topographic point, there is a bigger inquiry as to whether cosmopolitan showing of all reachings in the UK is accomplishable and the current policy is dictated on the premise that it is non. ( Lalvani A ; Pareek 2010 ) Relevance to the general Public Health is clear, as steps to curtail the spread of TB through the general population, peculiarly the drug immune strains, are clearly relevant. Time relation is more hard to measure as the policy is different for different immigrant groups. Those going on a short term clip graduated table ( less than six months ) are merely non screened. Some immigrants ( non all ) geting with the purpose of remaining longer than six months are screened. It would look that, in footings of clip consideration, some are screened prior to arrival and others after reaching in the UK so there is non a clearly defined reply to this inquiry. If considered from a strengths and failing point of view. The strengths are that the policy tends to aim long term immigrants, peculiarly from high hazard countries, which are the population group that are most likely to present a hazard to the general population. Clearly, holding identified those with active or latent TB, the mechanisms are available and active within the UK to adequately handle those who are identified and besides to reach hint and dainty any instances which may hold arisen through community contact with an identified septic person. The failings are that the current United kingdom policy allows in short term visitants, who may good be infected, unscreened, and relies on mechanisms of contact tracing and timeserving clinical intercession for new instances which arise periodically in the population. The short term ends for this current scheme appears to be to place those persons, chiefly from high hazard communities, who wish to shack long term in the UK and to either garbage admittance or to guarantee that they are on appropriate intervention prior to admittance to the UK. The longer term ends appear to be to cut down the exposure of the general UK population to instances of active and perchance drug-resistant TB from the immigrant population. This attack seems to be appropriate for the wellness publicity job which confronts the UK. It clearly is non perfect, as there is the possible for instances of TB to come into the state without any grade of medical showing, if they intend to be in the UK for less than six months. Although the official line is that TB requires prolonged contact in order to be a wellness hazard to another person, this is non purely true as there is no reputable grounds base to propose that contact has to be a lower limit of six months for transportation of TB between persons. ( Mack, Migliori, Sester, Reider, Ehklers A ; Goletti et Al. 2009 ) Evaluation Cost effectivity When Dasgupta et Al. studied the comparative cost-effectiveness of these assorted mechanisms for sensing of TB they found that the costs of testing utilizing a sputum civilization method were really higher per capita, the cost per instance of active TB found would be lower when compared to CXR. This is besides reflected in the other methods which, although their costs may really be lower in footings of showing costs, because of their decreased specificity, the overall costs would be much higher. From a Health Promotion point of view nevertheless, this is non the whole narrative as the cost of testing is non overriding. This is because testing carried out with a trial with greater specificity, such as sputum civilization, would necessarily ensue in fewer false-positive trials. In bend, this would ensue in lower costs for the clinical probe of persons who had false-positive trials. The importance of this remark is that the 2nd phase of a medical probe is more expensive than all screening trials. ( Dasgupta A ; Menzies 2005 ) Latent disease sensing Although the obvious impact of wellness publicity would be directed at the sensing and appropriate intervention of active TB. If one is sing the immigrant population of the UK, so latent signifiers of the disease processes are merely every bit of import to observe. As has already been discussed, phlegm trials are of no value and CXRs are of merely minimum value in this status. The TST is a trial which depends on the development of cell-mediated immune responses which merely occurs at some clip after exposure to the TB being. It is carried out by injection and is demonstrated to be positive with the development of skin sclerosis within 48 – 72 hours. Although this trial is considered to be the most effectual for the sensing of latent infection, in the presence of active infection between 10 47 % of patients will hold a falsely negative trial. ( Erkens, Slump, Kamphorst, Keizer, new wave Gerven, Bwire, Berkel A ; Borgdorff 2008 ) Health publicity benefits Health publicity considerations suggest that, in the USA at least, the TST trial is given to all immigrants who have come from a state of high TB incidence. The presence of latent infection amongst immigrants to the UK is presently about 30 75 % depending on state of beginning. A positive trial is normally followed up with a class of INH which will cut down the hazard of farther spread through the population. It should be noted that false positive consequences can happen with a past history of BCG inoculation every bit good as exposure to non-tuberculous mycobacterium, both contingencies being common among appliers from developing states. In a unusually elaborate survey, once more carried out in the USA ( chiefly for grounds of finding costs ) Saraiya et Al. calculated the cost-effectiveness of a Health Promotion enterprise which offered TNT testing to all new immigrants to the state. The inside informations of the survey are highly complex but, in kernel, the writers found that, in the twelvemonth 2002, without TST showing, 13,933 instances of active TB instances could be predicted, but, if a TNT showing programme together with isoniazid intervention was instituted, so 4,342 instances would be expected. The computations suggested that the net cost to the state without TST testing would be estimated at $ 338 million, and this compares to the cost with TST testing in the part of $ 258 million. ( Saraiya, Cookson A ; Tribble et Al. 2002 ) . These costings, although taking into history a immense figure of factors, do hold some defects such as there is no accounting of the set up costs of such a Health Promotion programme. The writers translated these figures into a net economy of $ 8,320 per instance of TB prevented. Any wellness publicity strategy has besides to take note of the fact that this is non an ideal universe which can be absolutely mathematically modelled and the Saraiya et Al. survey did non do allowances for factors such as any immigrant refusing to undergo TST proving or failure of those who did prove positive with TST to describe for subsequent medical rating. There is besides the possibility that the immigrants my garbage to get down the therapy if it is deemed to be appropriate. ( Naidoo A ; Wills 2005 ) Conformity Unfortunately such factors are non merely theoretical, they appear to interpret into pattern with surveies such as Cain et Al. showing that jobs such as these were responsible for a really significant decrease in the overall effectivity of the Health Promotion programme, as merely between 11 30 % of immigrants who had a positive TST trial were found to hold successfully completed an appropriate class of antimycobacterial therapy. ( Cain, Haley, Armstrong, Garman, Wells, Iademarco, Castro A ; Laserson 2007 ) . From a clinical point of view there is a farther complication nevertheless, and that appears to be that there is a sub-group of persons with latent TB who have unnatural CXRs and who are at an increased hazard of reactivation. Cain et Al. point out that hence CXR followed by TST showing may be a more effectual Health Promotion scheme and may be more cost effectual if it consequences in the eventual intervention of fewer immigrants who have latent infection, but who are at a greater hazard of reactivation. This protocol was investigated by Shwartzmann et Al. and, utilizing a Markov theoretical account, the writers attempted to work out the costings involved. Although the methodological analysis was non every bit rigorous as that employed by Saraiya et al. , they were able to reason that, in those immigrants who had latent tubercular disease with abnormalcies found on the CXR, a important figure could be targeted and prevented from reactivation. ( Schwartz adult male A ; Menzies 2004 ) . Education and conformity In the context of patient instruction, one can observe that this survey besides found that of the 353 patients who constituted the entry cohort, merely 145 really completed the preventive therapy class. It is non clear from the survey whether this group merely was lost to follow up or the health care professionals merely did non acquire over the message of the importance of taking the medicine, which may look counterintuitive to an immigrant who really has no obvious symptoms. Hazard issues If these wellness publicity steps were translated into the likely scenario of an immigrant coming to the UK from a high TB prevalence state, so Kik et Al. suggest that if the premise is made that the prevalence of latent TB was 50 % of all TB instances, so merely supplying CXR would be probably to forestall 1.2 active instances per 1,000 immigrants screened and the usage of the TST trial would be probably to forestall 2.9 instances per 1,000 immigrants screened. ( Kik, Franken, Mensen, Coblens, Kamphorst, Arend A ; Erkens 2010 ) . The TST government would be more expensive, non least because it would be expected to place a larger figure of low-risk persons every bit good as the group of as false-positive reactors who would all hence be considered campaigners for chemoprophylaxis. Contact following as wellness publicity activity Although this reappraisal has considered the wellness publicity effects of testing at immigrant entry to the UK, there is besides the mechanism of contact following which, a figure of surveies ( viz. Hardy, Varma, Collyns, Moffitt, Mullarkey A ; Watson 2010 ) have concluded, is besides a cost-efficient manner of restricting TB spread. The set up of the primary wellness attention construction in the UK is suited for such steps as community based contact following squads can be geographically positioned. Some of the early surveies ( viz Omerod 1993 ) estimated that 1 % of all immigrant contacts had active TB at the clip of the initial showing process and, at least at the clip of the survey, 10 % of all active TB instances which were later treated were identified entirely through the mechanism of following the contacts of those who were found to be positive. Such a mechanism is besides cost-efficient with Grzybowski et Al. showing that, in an entry cohort of 244 immigrants, 103 contact s were traced and 6 were found to hold active disease. ( Grzybowski, Fishaut, Rowe A ; Brown 2001 ) . The writers besides found that, because of the personal intercession of the health care professionals, there was a high conformity and intervention completion rate amongst this group. The big Underwood et Al. survey, which was completed in the UK, in a badly economically deprived country with chiefly Bangladeshi immigrants, went farther and demonstrated that contact following really proved to be more efficient than testing of new entrants at the point of entry. Using contact following entirely, the writers found 13 instances of active TB from contacts of 322 new immigrants. ( Underwood, White, Baker, Law A ; Moore-Gillon 2003 ) Decisions In decision, it is clear that wellness publicity requires designation of those immigrants who have active or latent TB and who arrive in the UK in appreciable Numberss. It is clear that there is no 1 showing technique which will adequately cover with all contingencies. Assessment and rating of the assorted techniques described demonstrate that each has peculiar strengths and failings. A considered combination of CXR and TST together with appropriate contact following appears to offer the most effectual mechanism for aiming intervention for those in demand and to understate the likeliness of farther disease transmittal. It is clearly problematic whether a showing programme which considers all immigrants ( peculiarly those from high hazard states ) is either executable of economically practical or whether the combination attack outlined above is a matter-of-fact via media which keeps the bulk of the active instances out of the UK with maximal cost effectivity How to cite Why Tuberculosis is a Public Health issue, Essay examples

Senior Citizens Essay Example For Students

Senior Citizens Essay Activity: Chapter 9After spending an afternoon interviewing my elderly neighbours I gained insight into how they perceive the aging process and its impact on the quality if their lives. First, and foremost they viewed aging in a very positive and healthy manner. The believed that a positive attitude assists in accepting physical and psychosocial changes. They enjoyed the fact that they were both physically fit and cognitively alert. They both felt confident that with the advances made in health care that the quality of their lives would continue to empowering. They enjoyed the benefits of being Senior Citizens, discounted travel, free education, and other incentives marketed towards the aged. The expressed a sense of well-being with respect to the numerous housing options geared towards the graying population, such as Retirement Villages, and assisted living. However, the subject of Long Term Care or Nursing Home placement was something that they both regarded with very negative emot ions. There was also a sense of sadness and longing for more contact with their offspring and grandchildren. In countries like China where grandparents are an integral part of the family, the United States has seen a major shift away from the nuclear family. It is my personal belief that America is a nation that suffers from ageism. It is the fear of growing old and the stereotypes that aging brings that causes ageism. Daily we are faced with advertisements that focus on youth, on looking, feeling, and acting young. However, as baby boomers move closer to the age of retirement this age grade, have and will make intelligent, empowering demands on how they are viewed. Age sets are defined as groups uniting individuals born during a specific time. These group associations unite members through material possessions, distinctive dance, and rituals. As a collective, this age set move together through their life span. In the United States where the concept of individuality is important, we do not see the practice of age sets. There are rituals the various age grades participate in such as confirmation or entering Head Start. However, these practices cannot compare to the concept of age sets. Research:Tribal societies grew from foraging band with the introduction of food production. Different subsistence systems, horticulturists, and pastoralists characterize these societies. Horticulturists that depend on agriculture can be found in the rain forest and tropical areas. Pastoralists such as the Nuer, who are involved with animals, are found in areas of Africa and the Middle East. Due to environmental changes the Nuer, spend a portion of the year on the banks of the Nile and during the rainy season, they move to higher ground. Due to food production the tribal society is able to sustain a larger population base than that of the small nomadic foraging band. urdock did a cross cultural study of both groups in 1067 and found that, the population base of the horticulturists can range from 100 to 5000 people compared to the base of 2500 for the pastoralists. The tribal society can also expand when alliances are formed with other neighbouring tribes. As in most modern foraging ba nds, there is some reliance on trade and food production. Both groups also experience slow population growth probably due to the limited resources of both group. Both groups practice infanticide and forms of birth control. This patriarchal society settles within defined boundaries, unlike the foragers who are very mobile always searching for food in order to maintain survival. It is because of these defined boundaries that tribal societies find warfare more prevalent that that of foraging bands. When anthropologist Napoleon Chagnon (Chagnon, 1997), studied the Yanomamo he found that the movement of this South American tribe was due to warfare with other tribes. Chagnon was able to therefore conclude, that in order for a tribe to maintain a locale there must be alliances formed with other neighbouring bands. .ud22c94b773ad9835081e5a30d9ffd623 , .ud22c94b773ad9835081e5a30d9ffd623 .postImageUrl , .ud22c94b773ad9835081e5a30d9ffd623 .centered-text-area { min-height: 80px; position: relative; } .ud22c94b773ad9835081e5a30d9ffd623 , .ud22c94b773ad9835081e5a30d9ffd623:hover , .ud22c94b773ad9835081e5a30d9ffd623:visited , .ud22c94b773ad9835081e5a30d9ffd623:active { border:0!important; } .ud22c94b773ad9835081e5a30d9ffd623 .clearfix:after { content: ""; display: table; clear: both; } .ud22c94b773ad9835081e5a30d9ffd623 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ud22c94b773ad9835081e5a30d9ffd623:active , .ud22c94b773ad9835081e5a30d9ffd623:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ud22c94b773ad9835081e5a30d9ffd623 .centered-text-area { width: 100%; position: relative ; } .ud22c94b773ad9835081e5a30d9ffd623 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ud22c94b773ad9835081e5a30d9ffd623 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ud22c94b773ad9835081e5a30d9ffd623 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ud22c94b773ad9835081e5a30d9ffd623:hover .ctaButton { background-color: #34495E!important; } .ud22c94b773ad9835081e5a30d9ffd623 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ud22c94b773ad9835081e5a30d9ffd623 .ud22c94b773ad9835081e5a30d9ffd623-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ud22c94b773ad9835081e5a30d9ffd623:after { content: ""; display: block; clear: both; } READ: Now about surprises EssayScupin Raymond. (1998)Cultural Anthropology A Global Perspective