The Pros and Cons of the No Child Left Behind Act Essay

The Pros and Cons of the No Child Left Behind Act - Essay Example Yet, along with the greater emphasis put on student performance has come nationwide accountability and the unethical measures that school districts have implemented to meet the new federal guidelines. The NCLB Act was designed primarily to aid poor, minority, and immigrant students by implementing testing standards and assuring no child was falling through the cracks and being left behind. To support this effort, the bill appropriated $650 million to be used by the states to instruct English language learners. This was a 50% increase in funding for these efforts over previous years (Crawford). In an era when education funding has suffered from so many cutbacks, the additional funding was a decided benefit for schools, especially with high immigrant populations. However, the new formula used to distribute the money resulted in the least populated states, such as North Dakota and Alaska, receiving a reduction in funding. This has resulted in fewer English Learner programs for Native Americans that are enrolled in public schools in these states (Crawford). The NCLB Act requires that all students be tested at regular intervals to measure their progress in Math and English. School district funding and administrative control are dependent on acceptable results of this testing. This approach is well intentioned and can benefit the student by holding the schools accountable to their purpose, teaching the students. While the results of this testing have been unimpressive for the general student population, it has benefited students in the lower grades that are enrolled in an English Language Learner program (National Center for Educational Statistics). While forcing the schools to produce results, especially among the most challenged students, the Act has also had unintended consequences in this area. Because school funding is based on these results, districts have been anxious to exploit loopholes that may exempt many students from the testing requirements. During the most recent reporting period it was reported that the scores of two mill ion students were omitted due to technicalities. These were the poorest performing students and it can be inferred that they were minority and immigrant students, the ones that NCLB was written to protect. (Bass, Dixon, and Feller). The NCLB has given the education system uniform guidelines and standards that can be used to compare our past performance and gauge the success of our schools. It helps to identify which programs work and which ones fail. The goal of testing all students fairly is a great advantage if implemented correctly. However, when school funding, bonuses, and school control depend on the results of these tests, it becomes known as High Stakes Testing. Teachers are put in a position to "teach the test" at the expense of other equally important material. Measuring student progress may become meaningless under the current guidelines as Armein and Berliner report, "... the harder teachers work to directly prepare students for a high-stakes test, the less likely the test will be valid for the purposes it was intended". It has also been reported that Latino students have been encouraged to drop out of school to avoid taking the test in a school's effort to raise overall test

It is written in the word file that i have upload Essay

It is written in the word file that i have upload - Essay Example It was the notion of many individuals in the world in the early years, that in order to increase the production of honey from bees one just needed to create a conducive environment for many more beehives. In the current days, the process of bee keeping has become very complicated, a process, which entails several, processes (Perman, 2012). For better results of beekeeping, the practitioners should combine both the scientific and the technological and practical skills to their knowledge of beekeeping. Eventually, the word apiculture describes the scientific process of beekeeping as a very comprehensive and technological enterprise. Human beings made their first hives, which varied in sizes and their main intention was to increase the production of honey. After they had trapped enough bees that made enough honey in the hives, such hives collected five gallons of honey. The colonies of bees in the hives were first killed before the harvesting of honey and later removed all the honeycomb s from the hives. This way of collection of honey shows that the people’s main interest was honey and they did not think of the consequences they pose to the colonies of bees (Tietenberg, & Organisation for Economic Co-operation and Development, 2004). This method is unreliable since it endangers the survival of bees. Later on, in the nineteenth century, the beekeepers experimented making the beehives using wood. The beehives were made into wooden boxes and inside the boxes were plated which divided the boxes for easy addition and removal of boxes and in order to control the activities of the bees. This method proved to work because people could do the harvesting of honey without killing the colonies of bees thus promoting the process of beekeeping (Pearce, J, & R, 2011). There are different types of honeybees. They include the European Honey Bees and the African Honey Bees among others. The scientists believe that the African Honey Bees will dominate and especially when the regular honeybees interbreed with the Africanized honey bees, the Africanized honeybees dominate. This shows that there is a likelihood of the Africanized honeybees to dominate and migrate to Arizona and other parts of the world. Therefore, the individuals who want to indulge into beekeeping should permanently change their view on the Africanized honeybee. They should also learn the habits of bees so that they can be able to take precautions and to be able to support their efforts of beekeeping. Bees are very important insects that human beings greatly depend on them. In order for an individual to be able to understand the threat posed by the bees, they should start by understanding the behaviour of the honeybees. These insects are very essential to human beings and thus their destruction will affect several activities of a human being. The honey bees aid in pollination of many crops that human beings farm and consume as food thus it is a very essential agricultural component. In an y case, as long as the bee colony does not negatively affect animals and human beings, the bee colonies should prosper and grow wide (Pearce & Golen, 1984). The European honeybees differ greatly from Africanized honeybees. They may appear to look similar but they have very different behaviours. The Africanized honeybees have a tendency of swarming more frequently as compared to the European

Socio Cultural Factors In Child Development Education Essay

Socio Cultural Factors In Child Development Education Essay Children are the future of every nation and people have always strived for helping them to reach the most of their potential in the life span. Todays children have more complex needs which should be fulfilled for their proper level of development. In this work we will try to overview three well-known theories of child development and analyze the similarities and differences between them, as it is very topical to know already existing theories to evaluate properly modern approaches to child education; and find out the essence of interaction of cognitive, physical and emotional development of children to realize the importance of knowing o their needs. Lev Vygotsky focused on the socio-cultural factors in child development which he considered the most valuable. He stated that most of knowledge which every child gets in the course of his development is provided by a wise and experienced tutor (mostly parent or teacher). The tutor provides the child with both verbal and nonverbal instructions which the child is meant to follow. And natural curiosity of the child helps him to do this. Vygotsky believed that higher mental processes in the individual have their origin in social processes.  [1]  Moreover Vygotsky maintained that that social learning had a tendency of preceding development. Vygotsky was sure that learning was a necessary and universal aspect of the process of developing culturally organized, specifically human psychological function.  [2]   Also Vygotsky developed a system of higher mental functions. These functions are developed from the cultural tool, which are got by children unconsciously, in the process of getting the cultural, historical and other information through the verbal and nonverbal interaction with a tutor. In the process of development children learn how to use these cultural tools. Higher mental functions include: attention, verbal thinking and memory. It is interesting that among all the mental tools Lev Vygotsky considered language as the most specific and important one. On the one hand it is a necessary mean to provide children with verbal instructions, while on the other hand it serves as an effective means for intellectual adaptation of a child. Private speech according to Vygotsys theory helps children to make needed strategies to their activities  [3]  . Thus, language is nothing else, but a boost for thinking and understanding. Jean Piaget Jean Piagets theory of child development is cognitive and is based on the system of stages of cognitive development of a child. Following this system we may recognize such stages as: Sensorimotor stage (0 -2 years). At this stage children investigate the environment around them with the help of their sense. They also start learning how to master the things around them. For example, they get to know that if to throw an object it will fall and make some kind of noise. During this stage children realize that even if the object is not near them it still doesnt stop existing. Preoperational stage (2 7 years). This stage is mainly characterized by childrens inability to see things from the different point of view, but their own one they are very ego-centric. At this stage children learn how to use language to describe objects in the world. Concrete operational stage (7-11). During this stage children can already think logically and predict the sequence of their actions. They also can classify objects into several categories. Formal operational stage (11+ years). At this stage children may think abstractly and can plan their actions through hypothesis. Moreover they are deeply concerned about the future. The key concept of the developmental theory of Jean Piaget is that nature is dominant over nurture.  [4]  Out of his system of stages of cognitive development of children we see that the first stage is sensorimotor one. At this stage the infants movements, physical and intellectual lack precision and his activities and attention are dominated by external stimulation  [5]  Piaget underlines that the initial instincts including the influence of sight, taste, touch, and hearing- of people are the most powerful and it is they which make their personalities on the whole. Jean Piaget believes that children are no less intellectual than adults, but they think differently. From the very moment of birth of each child he has to do a lot of things: to understand how people interact and how the whole world works, therefore we suppose that they are less mentally powerful. Indeed, children have more intricate brain abilities than adults, so if to take this suggestion as a starting point it is possible to overestimate our methods of teaching and educating. Arnold Gesell The maturational theory of Arnold Gesell, which is characterized by biological perspective, is based on the belief that every child has a specific plan or programme within his body as for his development. Gesell was convinced that heredity or nature has a primary influence on the development of a child. Gesell is known for establishing certain norms for children at every stage of their growth and developed the so-called gradients of growth. Among them we may find: motor characteristics, personal hygiene, fears, emotional expression, play, school life, ethics, and philosophic outlook  [6]  . Gesell believed that the development of the child through either education or play should be spontaneous. He suggested that through the course of evolution children inherited some kind of code which prescribed their actions and needs, so if a parent wants to help his child o find his life path the most effective way would be to let the child choose it himself. The key similarity in the developmental theories of Jean Piaget and Arnold Gesell lies in their belief in the dominance of nature over nurture  [7]  . Both theorists also developed original systems of measuring either the stages of child development or the indicators of their growth. Moreover it is needed to point out that all the three theories are promoting effective interaction of tutors and children in the process of their development although according to each of the theories their work is differently directed. Unlike Vygotskys thought that social learning should obviously precede the development Piaget considered that learning was less important thing in the child development the main influence instead he saw in nature. Also it is necessary to mention that Vygotsky paid much more attention to the socio-cultural factors in child development than other theorists  [8]  . Although the theories of Gesell and Piaget are alike in many aspects, the difference is that Piaget underlined the major influence of sensorimotor stage on child development while Gesell believed much in heredity, i.e. Piaget maintained that the child cannot enter the next stage until he fulfills the previous one, while Gesell was sure that child would be whom he ought to be due to the biological scheme within his body. Analyzing the theories of child development makes us ponder over importance of effective interaction of cognitive, physical and emotional interaction in the process of development of children. In the matter of fact unless all these aspects are properly accomplished the child has fewer chances to realize him or her in life as it is needed. Cognitive development refers to memory, concentration, attention and imagination  [9]  . It helps children to do well at school, dream, pretend what they will be in future, model different life situations, understand and use symbols, count and even write compositions. On the whole cognitive development is necessary for a child to solve their problems at every stage of their development. Proper physical development is responsible for childrens coordination, motor abilities and other physical skills. Emotional development helps children to possess such traits as self-regulation, self-sufficiency, self-concept and proper self-esteem  [10]  . If only the previous aspects of development are in proper level child has chances to make a positive and healthy self-image. The main point is that poor physical development may influence badly the level of attention or even memory of a child which would certainly lead to problems at school and thus to under-self-estimation. And vice versa: if a child is poorly developed emotionally he may be passive and ignorant which will lead to poor physical and cognitive development  [11]  . Therefore interaction of physical, emotional and cognitive development is of primary importance both for tutors and children. Evidently knowing the principles of forming of the childs personality is of great importance both for parents, teachers and psychologists. Unless we know the needs of the child or an adolescent at the particularly stage of his development we will hardly be able to help him. Knowing the key milestones of the development at childs age group it is possible to evaluate his or her physical, cognitive and emotional development and find the best way fro every concrete child to improve each aspect. It is far more important nowadays, when children have access to the media, computers and Internet and can themselves find all the answers(as it seems to them) to their questions, so they seldom ask their tutors how to solve their problems instead they make decisions by themselves, often no the most reasonable ones. In such situations it is particularly valuable to be aware of the peculiarities of development of children at this age and what problems most of them usually face. It goes without sayi ng that knowing norms of children and adolescents will help to find adequate advice to promote children to reach their potential in life. All the three theories of child development proved to be reasonable and useful. We found out that Lev Vygotskys theory was based primarily on socio-cultural factors of development. The theorist believed that learning preceded development and that made the main difference between his theory and the theory of Jean Piaget who was sure that the childs potential depended on the development of his senses and instincts first of all. Another prominent theorist Arnold Gesell was sure that nature dominated over nurture too and his key concept was that heredity was absolutely responsible for the development of particular child. Gesell and Piaget even developed their own systems of evaluating of either the stages of child development or the indicators of their growth. Although the theories differ in many aspects, every of them is directed on effective interaction between tutors and children and that is the key value of every of them. It is important to be able to realize the needs of children an d adolescents to help them in reaching their potential. In this process it is necessary to each a well-organized interaction between cognitive, physical and emotional development of children.

Cerebro Vascular Accident Health And Social Care Essay

IntroductionStroke or Cerebro Vascular Accident is the rapid loss of encephalon map ( s ) due to the perturbation in the blood supply. This is caused by ischaemia resulted from the obstruction of blood supply or a bleeding. The obstruction can be due to any thrombosis or arterial intercalation which consequences in deficiency of O and glucose to the encephalon country and it can take to decease of encephalon cells and encephalon harm. This frequently consequences in an inability to travel one or more limbs on one side of the organic structure, inability to understand or explicate address, inability to see one side of the ocular field etc. Stroke is a medical exigency as it causes lasting neurological harm, complications and even decease. ( WHO, 2008 ) Stroke is a life altering event that non merely affects the handicapped individual but besides their household and attention givers. Effective showing, rating and direction schemes for shot are good established in good developed states, but these schemes have non been to the full implemented in India. ( American Health Association, 2009 ) Stroke incidence and prevalence are indispensable for ciphering the load of disease and for be aftering the bar and intervention of shot patients. WHO estimates the figure of stroke events in some selected European states such as, Iceland, Norway, and Switzerland is likely to increase from 1.1A million per twelvemonth in 2000 to more than 1.5A million per twelvemonth in 2025 entirely because of the demographic alterations. ( Truelsen et al. , 2006 ) The prevalence rate of shot is higher among the Asians. In India it is about 250-300/10000 population per twelvemonth. The National Commission on Macro-economic and Health estimated that, in India the figure of shot rate will increases from 1,081,480 in 2000 to 1,667,372 in 2015. In 1998, the overall age adjusted prevalence rate for shot is estimated to lie between 84-262/100,000 population in rural and between 334-424/100,000 populations in urban countries. The Global Burden of Disease Study estimated that the one-year shot incidence of India will increase from 91/100,000 in 2015 to 98/100,000 in 2030. ( Ezzati et al 2004 ) It has been estimated that by 2021 the shot related disablement counts in 61 million, and 52 million of which would be in developing states. Harmonizing to recent surveies, 55 % to 70 % of shot subsisters become to the full independent by 1 twelvemonth and 7 % to 15.7 % remained wholly disabled. Among those who had speech disfunction, complete recovery was reported in 47 % of instances, and there was no betterment in 12 % . Dysarthria was commoner than dysphasia. Post Stroke ictus was observed in about 2 % of instances. ( Banerjee & A ; Das, 2008 ) In 2005, 400 to 800 shots per 100,000 populations in globally. 5.7 million Deaths and 15 million new acute shot instances are reported yearly. Globally, over the past four decennaries, the one-year age- standardised shot incidence rate has decreased by1.1 % in high income states but it has been increased by 5.3 % in low to middle income states. ( Feigin 2009 ) The mortality rate of shot is decreasing or stabilising in developed states. It was estimated in 2000 that, the shot accounted for 0.9-4.5 % of entire medical admittances and 9.2-30 % admittances in neurological wards. 12 % of all shots occur in people less than 40 old ages. Previous shot is the major ground for the shot in those who aged more than 65 old ages. It is estimated that 2 % decreases in overall shot mortality in India will ensue in 6.4 million fewer deceases over 10 twelvemonth period. ( Dalal et al. , 2007 ) There are chiefly two types of shot comprises ischaemic and haemorrhagic shot. Ischemic stroke histories for approximately 75 % of all shots which occurs due to thrombus that blocks or diminishes the blood flow to the portion of the encephalon. A haemorrhagic shot occurs when a blood vas on the encephalon surface ruptures and fills the infinite between the encephalon and skull with blood ( subarachnoid bleeding ) or when faulty arteria in the encephalon explosions and fills the environing tissue with blood ( intellectual bleeding ) . Both consequence in deficiency of blood flow to the encephalon and a buildup of blood that put excessively much of force per unit area on the encephalon. ( Swadron, 2010 ) The clinical effects of shot can be named based on the arteria involved. This includes infarct in the anterior intellectual arteria ( ACA ) , in-between intellectual arteria ( MCA ) , posterior intellectual arteria ( PCA ) and basilar/vertebral arteria. Middle intellectual arteria and basilar arteria are most frequently involved in shot. Entire Anterior Circulation Infarcts ( TACI ) had 100 % incidence of Dysphagia, followed by Partial Anterior Circulation Infarcts ( PACI-36 % ) , Posterior Circulation infarcts ( POCI-33 % ) , and Lacunar infarcts ( LACI-18 % ) . 67 % of bleedings had post-stroke Dysphagia. ( Sundar et al. , 2008 ) Dysphagia ( trouble in get downing ) is resulted if the shots occur in the in-between intellectual arteria or internal carotid arteria or vertebral or basilar arteria. Dysphagia can be seen in 65 % of the patients with shot. If non identified and managed it can take to hapless nutrition, pneumonia and increased disablement. Aspiration is the major job associated with Dysphagia. ( Stroke connexion magazine July/august 2003 ) Approximately 30 % of the patients who had one-sided shot have dysphagic symptoms and a similar per centum have been reported in encephalon hurt patients. It is estimated that between 29 and 50 % of acute shot subsisters are dysphagic. Early bedside appraisal of Dysphagia is indispensable to forestall aspiration hazard in shot patients. ( Smithard et al. , 2003 ) Asiatics were more likely to develop Dysphagia after shot. InA theA strokeA group, the adjusted odds ratio ( OR ) with 95 % assurance interval ( CI ) forA DysphagiaA was significantly higher for Asians than whitesA inA New York ( OR=1.64 ; 95 % CI, 1.50-1.79 ) and California ( OR=1.69 ; 95 % CI, 1.34-2.13 ) . The adjusted OR was somewhat but significantly higher for inkinesss than whitesA inA New York ( OR=1.15 ; 95 % CI, 1.03-1.28 ) . ( Fernandez et al. , 2008 ) The relentless dysphagia can take to malnutrition in the shot patients. The presence of malnutrition in station shot Dysphagia is runing high. The overall odds of being malnourished were higher among topics who were dysphagic compared with topics with integral get downing ( odds ratio: 2.425 ; 95 % assurance interval: 1.264-4.649, A P & lt ; 0.008 ) . ( Foley et al. , 2009 ) The higher incidence of Dysphagia increases the hazard of aspiration. In a prospective survey 60 patients were assessed clinically and underwent a bedside water-swallowing trial and videofluoroscopy within 72 hours of shot. Twenty-five patients ( 42 % ) were seen to draw out in the videofluoroscopy ; of these 20 % did non hold open Dysphagia as detected by a simple water-swallowing trial. Aspiration is most common in the early period following acute shot as a consequence of Dysphagia. ( Kidd et al. , 1993 ) Harmonizing to American Health Association ( 2006 ) , the primary bar of shot is of import because more than 70 % of shots are primary events. This includes behaviour alteration such as decreased smoke, intoxicant and salt ingestion forms, increasing fruits and vegetable ingestion and physical activity. ( Gupta et al, 2008 )Need FOR THE STUDYStroke is one of the prima causes of decease and disablement in the universe. Approximately 20 million people in each twelvemonth will endure from shot and 5 million of these will non be survive. Community surveys from many parts show rough prevalence rates for shot in the scope of 90-222 per 100,000 individuals. The Global Burden of Disease ( GBD ) Study, in 1990, reported 9.4 million deceases in India, of which 619,000 deceases were due to stroke, proposing a mortality rate of 73 per 100,000 individuals. The worldwide incidence has been quoted as 2 per 1000 population per twelvemonth, and about 4 per 1000 population in the people aged 45-84 old ages. The developing states histories for 85 % of planetary deceases from shot. With mention to the functional damages, 20 % of the people will necessitate institutional attention after 3 months and 15 to 30 % being for good disabled. ( Bhat et al. , 2007 ) Analysis of early deceases after shot is of import, as some deceases may be preventable. A survey on 1073 back-to-back shot patients showed 212 deceases within the first 30 yearss, leads to a mortality rate of 20 % . Early mortality after shot exhibits a bimodal distribution. One extremum occurs during the first hebdomad, and a 2nd during the 2nd and 3rd hebdomads. The high proportion of deceases in the first hebdomad is due to transtentorial herniation. After that, deceases are due to comparative stationariness ( pneumonia, pneumonic intercalation and sepsis ) predominate, striking towards the terminal of the 2nd hebdomad. ( Silver et al. , 1984 ) Dysphagia is common after shot. The appraisal of Dysphagia was made by utilizing standardised clinical methods in patients with acute shot. Dysphagia was more frequent in patients with haemorrhagic shot ( 31/63 vs. 110/343 ; P = 0.01 ) . In patients with ischaemic shot, the engagement of the arterial district of the entire in-between intellectual arteria was more often associated with Dysphagia ( 28.2 vs. 2.2 % ; p & lt ; 0.0001 ) . Multivariate analysis disclosed that shot mortality and disablement were independently associated with Dysphagia ( P & lt ; 0.0001 ) . The frequence of Dysphagia was comparatively high. Dysphagia assessed clinically was a important variable foretelling decease and disablement at 90 yearss. ( Paciaroni et al. , 2004 ) In acute ischaemic stroke the Dysphagia occurred within 48 hours after the oncoming of the first symptoms. After exigency infirmary admittance, three patients underwent neurological clinical rating and clinical appraisal of get downing. One of the patients presented functional swallowing, while the other two had mild and moderate oropharyngeal Dysphagia. The findings substantiate the literature informations sing the badness of the neurological status and the manifestation of Dysphagia. ( Favero et al. , 2011 ) Dysphagia and hapless nutritionary position occur often after shot. On clinical scrutiny 52.6 % of survey patients ‘ demonstrated Dysphagia and 26.3 % were identified with hapless nutritionary position. Dysphagia, based on clinical appraisal, was associated with shot badness ( National Institutes of Health Stroke Scale, OR 4.6, 95 % CI 1.6-13.1 ; modified Rankin Scale, OR 12.3, 95 % CI 3.2-47.4 ) and with functional unwritten consumption ( OR 29.2, 95 % CI 8.4-101.8 ) , but non with steps of nutritionary position ( Mini Nutritional Assessment, OR 1.0, 95 % CI 0.4-2.8 ) . Nutritional steps did non correlate with swallowing or shot badness steps. It confirms that dysphagia and hapless nutritionary position are prevalent in patients with acute ischaemic shot. ( Crary et al. , 2006 ) A population based long term follow up survey was conducted to find the Dysphagia nowadays in the first hebdomad of acute shot associated with long term result. Dysphagia was assessed within 1 hebdomad in the shot patients and they were followed up annually at 3 months for 5 old ages. And they found that the presence of Dysphagia during the acute stage of shot associated with hapless result during the undermentioned old ages, particularly at 3 months. The survey related the dysphagia with increased institutionalization rate. ( Smithard et al. , 1997 ) An experimental prospective survey on 87 patients admitted with acute shot in the University infirmary of South Manchester to happen out the relationship between the side of shot and the presence of aspiration on videofluoroscopy. They undertook the patients for encephalon CT scanning and repeated videofluoroscopy. The survey concluded that the go oning aspiration might be related to the side of intellectual lesion. ( O'Neill, 2000 ) A survey conducted to happen out the incidence of Dysphagia in shot patients who were admitted in neuro rehabilitation unit. The survey compared the clinical bedside appraisal and videofluoroscopy to specify any correlativity between Dysphagia and clinical features of the patients. They enrolled both ischaemic and haemorrhagic shot. They concluded that Dysphagia is seen in one tierce of the shot patients who admitted in nuero rehabilitation unit. The class of Dysphagia correlated with the dysarthria, aphasia, low FIM and degree of cognitive operation. They found that the big cortical shots of non dominant side were associated with Dysphagia. ( Caterina 2009 ) A prospective survey in 121 patients utilizing standardised bedside appraisal and videofluoroscopic scrutiny was done to foretell the relationship between Dysphagia with the result and complications after shot. The presence of aspiration, mortality, functional result, length of stay, topographic point of discharge, happening of chest infection, nutritionary position and hydration were the chief result steps. It was found that the unnatural sup on appraisal had a higher hazard of aspiration and hapless nutritionary position. The presence of Dysphagia was associated with an increased hazard of decease, disablement, length of infirmary stay and institutional attention. ( Morris, 2000 ) Assorted get downing techniques have consequence on the nutritionary result of the shot patients. The interventions such as unwritten motor exercising, different get downing techniques, placement, and diet alteration aid to better the nutritionary form depend on the patient status. About 38 shot patients between 53 to 89 old ages of age with subjective ailments of Dysphagia and oral/pharyngeal disfunction were underwent swallowing intervention. The consequence revealed that the betterment in get downing map was associated with betterment in nutritionary parametric quantities. ( Elmstahl et al.,1999 ) Exercise based Dysphagia therapy can better the functional and physiological alterations in get downing public presentation of the grownup with chronic Dysphagia. After 3 hebdomads of intense exercising based Dysphagia therapy swallowing was improved. Physiological alterations after therapy imply an improved neuromuscular operation within the swallow mechanism. ( Carnaby et al. , 2012 ) The progressive linguistic exercising plan helps to better the swallowing map. A prospective cohort interventional survey suggested that the linguistic exercising plan helps to better the swallowing in patients with linguistic failing and get downing disablement. ( Robbins et al. , 2007 ) The clinical poster of the research worker leads to detect the shot patients. Investigator observed that one tierce of the patients who are holding shot developed get downing and feeding troubles which later result in aspiration pneumonia and add hazard to their life. All of them require dietetic alteration and half of them in demand of nasogastric or gastrostomy tubing for feeding support. This affect the nutritionary position and increase the length of infirmary stay and later affect the patient ‘s quality of life. This induce an involvement in the research worker over the peculiar country, â€Å" Post Stroke Dysphagia † . It gives a strong thrust to seek for the direction of Dysphagia in Post Stroke patients from diaries and besides from the life experience in the wards.STATEMENT OF THE PROBLEMEffectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance among patients with Post Stroke Dysphagia at KMCH, Coimbatore-14AimThe aims of the survey a re to, Assess the Swallowing and Feeding Performance of patients with Post Stroke Dysphagia. Determine the effectivity of Selected Nursing Interventions on Swallowing and Feeding Performance in patients with Post Stroke Dysphagia. Associate the Swallowing and Feeding Performance with selected demographic and clinical variables.OPERATIONAL DEFINITIONSPOST STROKE DYSPHAGIA It refers to the trouble in get downing irrespective of the country of encephalon harm, ischaemic or haemorrhagic shots among the station shot patients. SWALLOWING Performance It refers to the ability of station shot dysphagic patients to get down, which is assessed by utilizing Gugging Swallowing Screen ( GUSS ) graduated table and the patients are graded as mild, moderate, terrible and no dysphagic based on the mark obtained. Eating Performance Feeding public presentation implies the capableness of the station stroke dysphagic patients to go through the liquids, semisolids and solid nutrients from the oral cavity to the throat, and so into the tummy and it can be assessed by the Functional Oral Intake Scale ( FOIS ) to categorise the patients as either tubing dependant or entire unwritten consumption. SELECTED Nursing INTERVENTIONS Selected nursing intercessions refer to the nursing activities which include get downing exercisings such as Shaker exercising and Hyoid lift manoeuvre and Positioning during the swallowing to better the swallowing and feeding public presentation of the patients with station shot dysphagia.Hypothesis:H1: There is a important difference in the Swallowing and Feeding Performance before and after the execution of Selected Nursing Interventions in Post Stroke Patients with dysphagia.Premise:Patients with cerebrovascular accident suffer with changing grade of Dysphagia. Swallowing exercisings strengthen the swallowing musculuss.

The Definition and Purpose of the Zero Article

In English grammar, the term  zero article  refers to an occasion in speech or writing where a noun or noun phrase is not preceded by an article (a, an, or the). The zero article is also known as the  zero determiner. In general, no article is used with proper nouns, mass nouns where the reference is indefinite, or plural count nouns where the reference is indefinite. Also, no article is generally used when referring to means of transport (by plane) or common expressions of time and place (at midnight, in jail). In addition, linguists have found that in  regional varieties of English known as New Englishes,  omitting an article is often done to express non-specificity. Examples of the Zero Article In the following examples, no article is used before the italicized nouns. My mothers name is Rose. I gave her a rose on  Mothers Day.Every mile is two in winter.This plant grows in  sandy soil and on the edges of swamps.David Rockefeller was authorized to hold the position of director of the Council on Foreign Relations. The Zero Article in American and British English In American and British English, no article is used before words such as  school, college, class, prison  or  camp  when these words are used in their institutional sense. The students start school in the fall.College provides opportunities for students to learn and meet new people. However, some nouns that are used with definite articles in American English are not used with articles in British English. When I was in the hospital, I often wished there were fewer hours in the day.[American English]When Elizabeth was in  hospital, she was occasionally visited by her parents.[British English] The Zero Article With Plural Count Nouns and Mass Nouns In the book English Grammar, Angela Downing writes that the loosest and therefore most frequent type of generic statement is that expressed by the zero article with plural  count nouns  or with  mass nouns. Count nouns are those that can form a plural, such as dog or cat. In their plural form, count nouns are sometimes used without an article, especially when they are referred to generically. The same is true when the noun is plural but of indefinite number. Dogs love to run around outside.The boy loves to play with toys. Mass nouns are those that cannot be counted, such as air or sadness. They also include nouns that are not usually counted but that can be counted in some situations, such as water or meat. (These nouns can be counted using certain measurements, such as some or much.) Clean air is important for a healthy environment.The man was overcome by sadness when he lost his home. Sources Cowan, Ron.  The Teachers Grammar of English: a Course Book and Reference Guide. Cambridge University Press, 2011.Downing, Angela.  English Grammar. Routledge, 2006.Platt, John T., et al.  The New Englishes. Routledge and Kegan Paul, 1984.

Shale Gas Fracking As A Means Of Increasing Energy...

Title: Turning Shale to Energy: UK government investment in shale gas fracking as a means of increasing energy security Hypothesis: This project will support the view that UK government investment in shale gas fracking will decrease dependence on foreign energy imports. Research Aims: 1. To examine the role of the Middle East and Russia in the energy market and why in the last 5-10 years, the oil, coal and gas market has been deemed insecure. 2. To discuss the UK’s dependence on imports of foreign energy and why investing in shale gas resources would strengthen the state’s energy security and economy. 3. To highlight the concerns of national environmental and conservation groups on the environmental impacts of fracking. Theoretical Debate: Case Study: In the mid-1960s, sources of natural gas were found in the North Sea. By the 1980s, although coal was the primary source of electricity in the country, gas was seen as the cleanest, cheapest and most reliable source of energy available (Bradshaw, 2012, p. 7). However by 2005, North Sea production dried up and the UK was once again dependent on foreign gas imports. In 2009 imports from foreign states supplied almost half the UK’s energy needs; by 2020 this is expected to rise to between 80 and 90 percent. In 2011, the demand for gas reached 37% (Taylor, 2013, p. 109). Thus like many other countries in the EU, today the UK is debating the costs of importing energy from overseas and the importance of energy security. ThereShow MoreRelatedFracking : A Modern Technique1680 Words   |  7 PagesFracking is a modern technique to explore natural gas through a controversial procedure. The controversy about scientific evidence for the impact of fracking has raged unabated for over a d ecade. It has now become one of the most popular debates between the supporters of Greenpeace or environmentalists and the energy companies. Now it’s a centrepiece of discussion in the context of the energy solution and considered as a really important source of energy by last few decades. Recent developments inRead MoreThe Effects Of Shale Gas On Global Warming And Climate Change And The Environment1658 Words   |  7 PagesSergio Rodriguez Sci. 351A Due: 07-30-15 The Effect of Shale Gas on Global Warming and Climate Change and the Environment Global warming is a very disputed issue due to the fact that in every situation, there are two sides to a story. Some believe global warming is not an issue seeing as there have been trends in the past that indicate that the world changes constantly and that it will once again come to its natural order. Like geologist Charles Lyell once stated with his idea of uniformitarianismRead MoreU.s. Federal And State Governments1247 Words   |  5 PagesStates and other western countries have made no secret of their strategic goal of becoming energy independent. Incidentally, recent advances in hydraulic fracturing - a process used to extract oil or gas from underground formations - has contributed significantly to achieving that end. According to Terry Engelder (2011), of the Department of Geosciences at Pennsylvania State University, â€Å"There is enough domestic gas to meet our needs for the foreseeable future thanks to technological advances in hydraulicRead MoreTheu.s. Bush Announced Operation Desert Shield1242 Words   |  5 PagesJohn Golden and Hannah Wiseman (2015) writing in the Emory Law Journal, advances in oil and gas extraction technologies, such as horizontal drilling and hydraulic fracturing, have significantly increased America’s fuel production capability. However, despite our move towards energy independence, these technologies are not without controversy. For example, in his article Hydraulic Fracturing: Critical for Energy Production, Jobs, and Economic Growth, Nicholas Loris (2012) highlights the concerns of severalRead MoreIs Fracking A Necessary Evil? For The United Kingdom?3414 Words   |  14 Pages Paper 4 Project 2013-14: Is fracking a ‘necessary evil’ for the United Kingdom? Candidate Number: 127 Word Count: 3000 + 381(Bibliography) = 3381 Introduction Since 2004 the UK has been a net importer of natural gas, as the North Sea reserves have been exploited and nearly exhausted. Today, ten years later, the UK has become even more dependent on foreign gas with over 50% of demand for gas satisfied by foreign supply (Gloystein, 2013). This increasing dependence on foreign countriesRead MoreThe Oil And Gas Revolution1895 Words   |  8 Pages INTRODUCTION The Shale gas revolution has demonstrated a quantum leap from almost nothing in 2000 to over 30 billion cubic metres in 2011. This caused a crash of natural gas prices in the United States, significantly changing the country’s natural gas future outlook (Mangeri, 2012). The US oil and gas fracking revolution is a new paradigm which has made the country a game changer in the oil and gas scheme of things, and has immense implications for economics, energy and geopolitics. It is projectedRead MoreFracking: Natural Gas1936 Words   |  8 PagesFracking is a modern technique to explore natural gas through a controversial procedure. The controversy about scientific evidence for the impact of fracking has raged unabated for over a decade. It has now become one of the most popular debates between the supporters of Greenpeace or environmentalists and the energy companies. Now it’s a centrepiece of discussion in the context of the energy solution and considered as a really impor tant source of energy by last few decades. Recent developments inRead MoreIndia s Production Of Shale Gas3074 Words   |  13 Pages Challenges in the Production of Shale Gas in the United States and in Logistics and Transportation of Natural Gas in Russia Research presented to the GRP: Global Energy – Competing Perspectives from Western PA to Eastern Europe course, taught by Prof. Susan M Hicks. Pittsburgh June 2015 â€Æ' ABSTRACT This research report examines the challenges in the production of Shale Gas in the United States and In Logistics and Transportation of Natural Gas in Russia in the past recent yearsRead MoreHydraulic Fracturing And Its Effects On The United States2334 Words   |  10 Pagesnatural gas reserves. While it shows promise as both a valuable economic resource as well as a source of energy independence, many oppose the practice due to alleged environmental dangers. In order to foster a greater understanding of the issues at hand, the following topics are discussed: what hydraulic fracturing is, how it is performed, and where it is located in the United States and abroad; how it has benefited the United States’ economy and how it can support the United States’ energy needs;Read MoreHydraulic Fracturing For Natural Gas And Oil Production3155 Words   |  13 PagesFracturing for Natural Gas and Oil Production Abstract Hydraulic fracturing is a technology that has been in use in the oil and natural gas industry for many years dating back to 1947 producing over six hundred trillion cubic feet of natural gas and over seven billion barrels of oil. In today’s world, further steps have been taken by merging horizontal drilling and hydraulic fracturing in an effort to increase productivity of natural gas and oil. In the US economy today, the increasing implementation of

Analysis Of The Movie The Night - 1047 Words

Six months. I can’t believe it’s been six months, and my stomach still turns when I see his car in the parking deck. Six months since I’m the one who chose to break it off, and yet I’m still this fucked up over it somehow. How can that be? He’s the one with the broken heart. He’s the one who fought so hard to keep me when I was determined to go, because I’m the kind of girl who makes up her mind and doesn’t change it. I’m the kind of girl who craves change, who leaves and never comes back, no matter how strong the temptation. Then again, I’m also the kind of girl who lets people get way too deep into her heart. I’ve been playing the beginning of this passage over and over in my head as I drove to this cafe, like an internal monologue. I even acted it out, like I was in one of the Netflix shows I’ve been binge-watching and losing sleep over. It’s probably getting unhealthy at this point. Funny; the first time I’ve written about the break up at all, and yet here I sit, in the same exact place, at the same exact table I ran to right after it happened. I came here to vent and cry about it to a friend who had been through the exact same thing, and was one of the biggest reasons I had the courage to leave in the first place. So it’s even funnier that I’m sitting opposite the seat I sat in that day. She at the bench, being strong and supportive, me in the rickety wooden chair, trying my best (and failing miserably) to keep the tears out of my eyes. Fairly recently, I assumed thatShow MoreRelatedAnalysis Of The Movie The Night 996 Words   |  4 Pagesneedles of death! she exclaims. I don t understand you, Bridges. Josh laughs,You saved my life, but then almost gave me a heart attack. Brianna smiles up at him as he laughs. Adoration shines in her eyes, sparkling like stars on the darkest of nights. Blood curdling needles of death? Josh chuckles, So dramatic! Have you ever considered writing? Shut up Ramsay. Brianna smirks, I would be a wonderful author. Josh walks closer to the bed, his heart racing. He sits down in the same spotRead MoreAnalysis Of The Movie The Night 957 Words   |  4 Pagesthem. The figures were grim in appearance, green, ribs protruding from the side, hollow eyes, and open mouths that were letting out a hollow scream. Our class, 30 in number, shuffled in and took our seats. Once in our seats we were shown a movie. The movie was about the Holocaust, and some of the people who were fortunate enough to survive it. The film covered significant points that were the crescendos of this time in History. The survivors spoke on their experiences, how they survived, and theRead MoreAnalysis Of The Movie The Night 867 Words   |  4 PagesRichards briefcase it showed the audience that Paul was showing his anger due to the fact he had feeling for Anne. 9. There were a couple unique sound effects in the play. The sound effects was the pounding on the door, the noise of the door across the hall closing, the door knob when it was being unscrewed from the door, a baby crying, and the jiggle of a dogs collar. The sound cues were executed at the right moments in the play. For example, when the lady from 4a came into 4b’s apartment to talkRead MoreAnalysis Of The Movie The Night 858 Words   |  4 Pagesreally missed the great adventure, which not only added gas to her fire but it made her go on a rage. This rage lasted for weeks and weeks and she ended up destroying her room just to show her parents how bad she wanted to go to the carnival. The night that she destroyed her room a little leprechaun about the same size of her foot with a face that looked cute, according to Lucy which made it easier for the leprechaun to convince her into going with him to the carnival. The leprechaun ran into herRead MoreAnalysis Of The Movie The Night 1065 Words   |  5 PagesAt Once Again Antiques, Zach hesitated under the store’s overhang and stomped the snow from his boots. In the display window, a vintage jukebox played Deck the Halls, and next to it, a color wheel revolved in front of an aluminum Christmas tree. He removed his Stetson and tapped it against his pant leg, releasing a dusting of snow from the dark felt brim. Whatever was supposed to happen would be today, December 24th. For Gran’s sake, he’d ask an eye-catching, yet complete stranger to accompany himRead MoreAnalysis Of The Movie The Night 898 Words   |  4 Pagesâ€Å"Here he is,† Mindy said happily when Zack arrived for his detention. Zack looked around. The only people there were Miss Devasquez and Mindy. He knew about the â€Å"special detention† that Miss Hartick had put together, and he had expected that he would have to go through the same thing. It didn’t look that way though. He was glad about that at least. He even let himself expect that this might be a regular detention. He asked, â€Å"It’s just us?† â€Å"It’s just us,† Miss Devasquez said. Playfully, she saidRead MoreAnalysis Of The Movie The Night 925 Words   |  4 Pagesher friends enjoyed the use of the house owned by her best friend’s parents. They had the run of Megan’s family beach home in Playa Del Rey for the holiday week. Megan’s parents were on location in Canada for two months. Her dad and mom were on a movie shoot filming a creature feature. As a result, the friends felt they were on one long slumber party, similar to the ones they enjoyed as teenagers. Only at this juncture of their life, wine and men liven up the week-long gathering. The young womenRead MoreAnalysis Of The Movie The Night 978 Words   |  4 PagesBy the following Tuesday night she was ready to resume taking after having several nights of poor sleep. The doorbell rang about 1A.M., I got up in time to see Kevin handing an almost nude Susan a Sunday. All she had on was her pink panties, hmm..she had pajama s on when she went to bed. At first I thought she might be awake, but her blank expression led me to believe she was in ambient trance. How did Kevin know to bring a Sunday or did he just chance it? Why was Susan naked? Did she call KevinRead MoreAnalysis Of The Movie The Night 1181 Words   |  5 Pagespassenger side of her father’s transport looking at her as if he were about to laugh, but she had at once said to him, â€Å"Did you set the wheels in motion?† sounding much like one of those mid-twentieth century spies in one of New America’s old archived movie records Phillip had recently viewed. â€Å"Everything’s going according to plan so far,† he simply stated back with a grin. A few miles away, once they neared Inez’s place, Cassidy parked on Bethwin Road not far from where she had previously vandalizedRead MoreAnalysis Of The Movie The Night 1673 Words   |  7 Pagesvisiting her friend Melinda who was staying with her father at his place in Elmira, NY. But, after having arrived a day early and not wanting to be a burden. Pamela decided to make a stop at the Ramapo Valley resort just outside of Monticello for the night. Melinda, who had also been a former working girl, had left Miami six years earlier when she had chosen to turn her life around by getting clean. At the time, a local pimp who only went by the name of â€Å"Rangel† had tried to kill her for stealing