Case analysis: music juice

Rocky LU and John Wong, two friends who wanted to build a new Internet venture together, found an interesting concept in Amsterdam that they wanted to import in North America: it was a platform based on scrounging where fans could help their favorite musicians by raising money for them. The two entrepreneurs imported the core business model of the company Jellybean. Com and added a few features to differentiate themselves from the existing competitors.However, once the company was created, several problems occurred: – A new competitor, Clothespin. Net, was launched one month after Injustice, backed by a large campaign. – There were additional costs and delays on the implementation of the website. – Rocky was lacking coding skills and John didn't have any management skills. This resulted in the deterioration of the relationship between the two friends. – Two of the four revenue streams were inefficient, which lead to an insufficiency of venue. Most of the p eople had the opinion that the website presented no interests In conclusion, the fundamental problems were the lack of experience and skills from the two founders, the lack of interest from the website and the insufficient revenues. Given this situation, Musicale had several options to improve its value proposition. For example, it could improve its marketing campaign or offer more possibilities for users on Its website, like voting for his favorite artist or raise money or movies or books.These solutions would help the website to have more users, which is the fundamental element of the concept of scrounging. For my part, I think that they could take advantage from the help of an outsider. For example, they could contact venture capitalist or business angels. With their experience and knowledge, they would give great advices to the two young entrepreneurs. Moreover, It Is an opportunity for Rocky and John to obtain financing for their startups.

Sociological Perpestives in Health and Social Care

In this assignment I am going to write a report explaining the patterns and trends of health and illness in three social groups: gender, ethnicity and social class. I am also going to explain the pattern and trends of health and illness which looks at measurement of health, morbidity rates, mortality rates, disease incidence, disease prevalence and health surveillance. Measurements of health Health is generally measured in negative terms, such as the level of disease and the number of deaths within a population, rather than by analysis of positive indicators, such as the presence of health.Epidemiology is the study of disease origins or cause and how much information about the number of people within a population. Epidemiological data provides valuable information about the number of people a population that are affected by ill health, who die as a result of particular health problems and which groups of individuals are most at risk of developing and dying from particular types of il lness or disease. This information is used to identify and plan appropriate health and social care services as well as health-promotion activities.The most commonly used indicators are morbidity (presence of illness or disease) and mortality (death). (Eleanor Landridge, 2007) Morbidity rates Morbidity is difficult to measure as the information is gathered from a range of different sources. Data is collected by the government as well as the NHS and local authority social services departments through direct surveys of the population such as specific health surveys, and as a result of administrative processes, for example, when an individual visits a GP or A&E department or has an assessment of needs.Some diseases are required to be reported, for example cancers and infectious diseases and so data is collected via this process. The problem with this information is that to some extent it reflects services that are available rather than the true picture of disease incidence. Individuals have to also express their needs through actively seeking medical or social care services. (Eleanor Landridge, 2007) The general household survey is a continuous government population survey this includes questions about peoples experience of llness both acute and chronic within the two weeks prior to the person completing the survey. The individual GHS 2002 interview includes questions regarding health and the use of health services; this provides information about the individual’s view of their health. The measurement of working days lost due to sickness can also provide a measure of morbidity for those who are in paid employment. As a measure, it is limited as it only relates to paid employment and this excludes many women who are at home caring for children or older people as well as those who are retired and unable to work through disability. Eleanor Landridge, 2007) Mortality rates The Office for national statistics is responsible for collecting and analysing data colle cted from a range of sources including the ten year national population census, the GHS and specific health information gathered through, for example, deaths and disease incidence reporting undertaken by GP’s and strategic health authorities. Mortality rates can be compared internationally because most countries hold similar information. Mortality rate are expressed in several different ways.A basis measurement is to express mortality as a number of deaths per 100 per year. However this does not allow the diversity of age within the population which varies over time and between geographical areas. For example, mortality rates in the south-east of England will appear high as there are a high percentage of older people living there. The standardised mortality ration (SMR) is the method used to compare mortality levels across different years or for different sub-populations within the same year.The SMR is useful because it can be used to identify and for comparisons. Infant mort ality rate (IMR) are also used as a measurement of health as this provides information about the number of deaths that occur in the first year of life per 1000 live births per year. The IMR is strongly associated with adult mortality rates as it is sensitive to changes in preventive medicine and improvements in health services. Gender, age, social class and cause of death are variables that can be assessed through analysis of the mortality rates. Eleanor Landridge, 2007) Disease incidence & prevalence Within epidemiology the term ‘disease incidence’ is the proportion of a group that is free of a condition but who develop it over a given period of time, such as a day, week, month, year or decade. It measures the number of new cases that occur in the population. The incidence of a disease will depends on the cause of the disease, for example, why it occurs.There might be an infectious agent which requires certain conditions for transmission, or it may be that the disease occurs due to some genetic factor, with or without certain predisposing environmental conditions. The prevalence of a disease depends not only on the incidence (how often new cases occur in a particular group of people), but also on the course of the disease, whether it can be treated, how long it would last and if people can die as a result of it.Prevalence studies therefore provide a snapshot of how many people in the given population have the specific disease being measured at a given point in time. Disease incidence and prevalence are related but measure different aspects of disease within the population. (Kelly Davis, 2010) Health surveillance Health surveillance is generally related to occupational health screening methods used to identify occupational health hazards for workers. The description has been widened to include the range of routine health screening strategies and methods which begin before birth and throughout an individuals life.Health surveillance is increasingly available, such as screening for specific cancers (breast, cervical, prostate), diabetes, high blood pressure, raised blood cholesterol levels and bone density. All of these are aimed at early detection of treatable conditions and may be targeted at specific ‘at risk’ groups within the population. In this course of carrying out this surveillance, information about the incidence and prevalence will be gathered as many of these treatable conditions may be without symptoms and so not alert the individual to the presence of a problem. Kelly Davis, 2010) 158,900 males and 156,300 females were newly diagnosed with cancer each year in the UK during 2007–09, equivalent to incidence rates of 427 per 100,000 males and 371 per 100,000 females Around 81,600 males and 74,600 females died from cancer in each of those years in the UK, corresponding to mortality rates of 209 per 100,000 males and 151 per 100,000 females Breast cancer had the highest incidence rate in females (1 24 cases per 100,000 females) and prostate cancer had the highest incidence rate for males (103 cases per 100,000 males) ttp://www. ons. gov. uk/ons/rel/cancer-unit/cancer-incidence-and-mortality/2007-2009/stb-cancer-incidence-and-mortality. html The Black report was a document published in 1980 by the Department of Health and Social Security in the United Kingdom, which was the report of the expert committee into health inequality chaired by Sir Douglas Black. It was demonstrated that although overall health had improved since the introduction of the welfare state, there were widespread health inequalities.It also found that the main cause of these inequalities was economic inequality. The result of the black report stated that risk on death increase with lower social classes. People in lower class were more likely to suffer from respiratory disease. Babies that were born to parents in social class V had a higher chance of death in the first month compared with babies of profession al class parents.The report showed that there had continued to be an improvement in health across all the classes, during the first 35 years of the National Health Service but there was still a co-relation between social class, and infant mortality rates, life expectancy and inequalities in the use of medical services The introduction of the NHS intended to present everyone with free healthcare despite of their income and social class status. The general household survey showed that patterns of morbidity were followed to a related class gradient to that of mortality.This showed that people in lower socioeconomic groups reported ill health more compared to those in higher socioeconomic groups. In addition the black report found that working class people did not use health care services often which resulted to them not receiving the care that they required, whereas middle class people used health services frequently and had better care compared to working class people (Jennie Nadioo/J ane Wills/2001) http://sonet. nottingham. ac. uk/rlos/ucel/blackinequalities/Default. html Ethnicity People from minority ethnic groups were found to self-report poor health more frequently and visit their GP more frequently.People from south Asia especially Bangladeshi and Pakistani origins have moderately higher incidence of coronary heart disease and poorer health than other ethnic groups as shown in the graph. There is also a higher prevalence of diagnosed non-insulin dependent diabetes among south Asians and people from the Caribbean, with mortality directly associated with diabetes amongst south Asia migrants around three and a half times that of the general population. Ethnicity refers to: culture, religion, language and history which are all shared by groups of people and are passed on generation by generation.Ethnicity can carry along barriers that can affect health, for example language barrier. People may find it hard to communicate and may find it difficult to explain ho w they are feeling if they are suffering from ill health, this may lead to illness and disease spreading and causing long term health problems. Language and cultural barriers can have major effect on someone’s live, as they will not be able to make full use of health care services. For example Asian women are sometime dependent to seek medical advice from male doctors or they may have problems in speaking English.Some people may be unwilling to seek medical advices as they have suffered from racism or the fear of racism is worrying to them. Diet can bring along factors that can cause health problems. For example someone people may eat food that is high in fat and cholesterol this can lead to ill health if safety measures are not taken. Lifestyle can also cause ill health for example leading an unhealthy lifestyle and not exercising can cause obesity which can lead to a number of illnesses such as coronary heart disease and diabetes. (Eleanor Landridge, 2007) – (Kelly D avis 2010) Social classEven though official statistics must be treated with care, there is overpowering evidence that health and ill-health and life expectancy vary according to social group and especially according to social class. People from higher social class are living longer and enjoying better health than the people from lower social class. (Kelly Davis/2010) The black report was mainly based around social class that middle class and upper class people have better standards of living, quality of life and health than working class and lower class people, as shown in the graph, people from lower class suffer from more illnesses than those in higher class.Today life expectancy at birth remains lower for those in the lower social classes than in the professional classes. Nearly every kind of illness is linked to class. Poverty is the major driver of ill health, and poorer people tend to get sick more often, to be ill for longer and to die younger than richer people. Those who di e younger are people who live on benefits or low wages, who work in unhealthy work places, live in poor workplaces, who live in poor quality housing, and who eat unhealthy food.In modern Britain, lung cancer and stomach cancer occur twice as often among men in manual jobs as among men in professional jobs, and death rates from heart disease and lung cancer, the two biggest causes of premature death, about twice as high for those from manual backgrounds. (Eleanor Landridge, 2007) Gender Gender is also a factor that can affect health. Men and women have different patterns of ill health but males have a higher rate of illnesses. This can be because men and women are expected to have roles which they adapt from society and because of this males are less likely to access routine screening.However women are seen as the carer of the family therefore is able to access them and other health care services. Because of this potential illnesses in women can be identified earlier. As shown in the graph women suffer from more illnesses then men do. Women are more likely to report physical and physiological problems to their GP so the studies that show that women get ill more often then men may not be accurate. The main reason women may be hospitalised is due to pregnancies, child birth, contraception, menopause and menstruation.They also constitute the majority of people suffering from neurosis. Psychosis, dementia and depressive disorders. Because women have higher life expectancy than men they are more likely to use health services longer/ more than me. Even if women do have higher morbidity rates then men or not they are more likely to suffer from cancer, arthritis and rheumatism then men, where as men are more likely to suffer from circulatory diseases and strokes. Life expectancy has gone up for both men and women in the last hundred years but has increased more for women.The main cause of death among men is heart disease, lung cancer, bronchitis, accidents and other vi olent deaths. For women the main causes of death are breast cancer, cervix cancer and uterus cancer also coronary heart disease. Although smoking prevalence has declined dramatically during the past ofur decades, men are still more likely to smoke then women across all ages. In 1974, 51% of men and 41% of women smoked whereas in 2007 these figures have dropped to 22% and 20% respectively. (office of national statistics 2006a, 2009) (Eleanor Landridge, 2007) – (Kelly Davis 2010)

Morality and God Essay Example | Topics and Well Written Essays - 1500 words

Morality and God - Essay Example First being the ontological argument that invokes the belief of the existence of a being that is all perfect, omniscient and powerful. It asserts that God is â€Å"that than which no greater can be conceived.† The second purported evidence that convicts the belief of the existence of God is the ‘cosmological argument’ which firmly asserts that something must have brought the universe in to being what it is; nothing can merely come into existence without having some force spurring it to existence (Murphy, 2011). The third purported truth is the argument from design which seeks to base the existence of God from the fact that the universe is ordered with forces and laws that complement each other giving support to the survival of human lives. This asserts that God made the universe with human being like us in mind. Another argument that seeks to prove the existence of God is the moral argument which asserts that we are all bound to act under some moral laws. Laws tha t tell us what to do. So who is it really that orders us to behave morally? The argument from design probably holds more water. Scientists have not even been able to come up with clear facts to explain evolution and how everything in the universe seems to co-exist naturally as though it was all pre-planned. It is therefore most likely that the creator intended to create a universe that could support life, because it could have had different matter laws to bar the existence but it didn’t. It thus preposterous to assert the existence of God impossible. The theory of evolution has been around for more than a century and has influenced the way people look at the world and proposes that they came in to being as a result of chance and they belong to a species group. The idea has gained momentum and the effects can be reflected in the development of bloody ideologies as people keep distancing themselves from the morality of religion. The theory of evolution has been put forward as a n imaginary hypothesis and to this day has not been backed up by any scientific experiment. Trials for this confirmation have further proven its invalidity. Nevertheless, many people have accepted the theory as fact like the law of gravity. Modern science however has proven in regards with the complexity of the human structure that it is quite impossible for life to come about as chance or emerge from natural conditions. What is the meaning of human life? To answer this question at all implies a religion. Social feelings are a source of the crystallization of religion. The desire for guidance, love and support prompts men to form the social or moral conception of God. This is the God of providence who protects, disposes, rewards and punishes. The God who according to the width of the believers outlook, loves and cherishes the life of the human race, or even for life as such, the comforter in sorrow and unsatisfied longing, who preserves the souls of the dead. This is the moral conce ption of God. We often arrive at a conception of the relation of science to religion is very different. When one views the matter historically one is inclined to look upon science and religion as irreconcilable antagonists, and for very obvious reasons. The people that believe in science and that really take the hypothesis of causality seriously are thoroughly convinced of the universal operation of the law of causation cannot for a moment entertain the idea of a ‘being’ who interferes in the course of happening events.

Systems Analysis & Design Essay Example | Topics and Well Written Essays - 5000 words

Systems Analysis & Design - Essay Example This paper will give details of Use Case Diagrams, Use Cases, Activity Diagram, Class Diagram, Sequence diagram and State Diagram of Caledonian Hotel System information system. Traditional information system projects were developed using the Systems Development Life Cycle (SLDC) or ‘Waterfall Model’ to manage and implement the system. Designed in the 1960s this methodology sees the process split into a series of distinct steps: Using the above ‘top-down’ process each step cannot commence until the preceding step has been completed and the findings passed down the chain, at each stage a review can take place to ensure that the requirements identified in the previous stage have been met. In recent years, this development process has come to be seen as too rigid, one of the major problems with this process is that the timescale involved from the project inception to the stage of implementation is far too long. Problems and delays at each stage of the process often result in late delivery of a system. However, a more serious problem is that because the development process is so long the final system produced can be out of date by the time it is released for use. As time passes, user requirements for a system may evolve as a company embraces new working process or technology, it is easy for these changes not to be incorporated into the system being developed and as a result, the completed system ma y not be fit for its intended purpose. To try and combat these problems new Iterative development processes have been adopted. This new iterative approach involves breaking the entire project into small ‘chunks’ based on functionality, rather than looking to deliver a complete solution one year after the project starts as the traditional waterfall process does, this iterative style will look to produce a working solution in a few months. This initial solution

Union Management Essay Example | Topics and Well Written Essays - 500 words

Union Management - Essay Example This bad news has serious implications for most unions, putting them in a position of hard choices. On one hand, union leaders need to look after members’ welfare but on the other hand, they have to face some harsh realities. The truth of the matter is that state government coffers are facing a â€Å"fiscal emergency† as what Gov. Linda Lingle said and everyone must put their share of carrying the burden equally to keep things afloat. The government of Hawai’i had laid off some 900 to 1,100 government workers earlier in November and more lay-offs might be forthcoming, she had warned. In the end, everybody got what they wanted out of the deal which shows everyone concerned was willing to compromise and sacrifice. The current recession had highlighted the need for some concessions from the union, in particular work rules concerning compensation. State workers had overwhelmingly approved to take 42 furlough days, to be distributed into 18 days this fiscal year, 12 next year and another 12 for year 2011 (Sample in â€Å"Hawaii’s largest†¦Ã¢â‚¬ ). Union leaders had to face the reality of the situation and taking furlough is better than private-sector employees who took a pay cut and are working still the same hours for less pay as what Paul Brewbaker said. In another article on the same issue regarding union acceptance of the new contract, the Honolulu Advertiser mentioned that six of the seven bargaining units of Hawaii’s biggest public-sector union had ratified the new contract. Some 60% to 95% of the members had voted in support of the furlough days, roughly the equivalent to an 8% pay cut. For some of the union members, this concession may represent or symbolize the futility of being members. This is because the union had failed to protect their compensation benefits by eventually agreeing to furloughs although this is also dictated by the harsh reality of budget shortfalls. The new

Case senerio pathophysiology Essay Example | Topics and Well Written Essays - 1000 words

Case senerio pathophysiology - Essay Example Iron deficiency anemia results from a condition where the patient lose more red blood cells more than their bodies would manufacture. Ms. A’s menorrhagia and dysmenorrheal causes her to lose significant amount of blood which overrides the rate of red blood cell manufacture and as a result causing her iron deficiency anemia. Iron deficiency anemia affects women more than men and it represents the most common form or type of anemia. This illustrates that Ms. A is predisposed to this form of anemia. The pathophysiology of iron deficiency anemia is described in light of the situation where the body is unable to manufacture enough red blood cells because of insufficiency of iron in the body. The loss of blood by Ms. A during her menorrhagia and dysmenorrheal, causes a significant loss of iron from her body which leads to her anemia. The laboratory tests also indicate that Ms. A has below normal hematocrit, hemoglobin level and erythrocyte count which further indicates that she is m ost likely suffering from iron deficiency anemia. The loss of blood from the body also translates into an equivalent loss of iron. Women who experience heavy periods are an increased risk of iron deficiency anemia (Bostock 23). This is illustrated by Ms. ... Ms. A is adversely affected by the lack of sufficient oxygen because of her active participation in golf. This involves a need for adequate oxygen for metabolic activity. Because Ms. A is having her periods, it is evident that the loss of excess blood caused her to have less iron for the manufacture of hemoglobin which combines with oxygen and distributes it throughout the body. Ms. A’s condition is aggravated by the fact that the golf tournament is carried out in a higher altitude level where the amount of oxygen in much lower. This explains her symptoms such as shortness of breath and fatigue. The fatigue is caused by the inadequate metabolic activity in energy production which results from lack of sufficient oxygen in blood. Therefore in light of Ms. A’s symptom, medical history and laboratory tests, it is affirmative that she is suffering from iron deficiency anemia and therefore appropriate treatments should be started. Case Study 2 Making changes in lifestyle is t he most effective approach to care for Mr. P. This is motivated by the fact that Mr. P is having difficulties in adhering to the prescribed dietary restrictions. The changes in lifestyle will be the major objective for the care of this patient. This involves weight control, limit of the intake of salt, cholesterol and fat. In addition, the care for Mr. P will be aimed at ensuring that the amount of fluids that he takes is controlled and smoking and alcohol use restricted. Patients with symptoms of congestive heart failure must be motivated to make lifestyle changes which will allow them to reduce the worsening of their conditions (Philippe 252) In addition to dietary restrictions, patients with CHF symptoms

Western missionaries in China. The reason why western missionaries Essay

Western missionaries in China. The reason why western missionaries became the carrier of Chinese - Essay Example The West, who believed they had the right to a permanent diplomatic presence in China, forced the Chinese to submit to their demands following the bitter conflict of 1860.I do not wonder that the Chinese hate the foreigner. The foreigner is frequently severe and exacting in this Empire which is not his own. He often treats the Chinese as though they were dogs and had no rights whatever -- no wonder that they growl and sometimes bite" (Quote by Sarah Pike Conger in, The Boxer Rebellion: The Dramatic Story of China's War on Foreigners That Shook the World in the Summer of 1900. p.3, 2000).The West, who believed they had the right to a permanent diplomatic presence in China, forced the Chinese to submit to their demands following the bitter conflict of 1860. The war, which finished with the flight of the Emperor, who took refuge beyond the Great Wall together with members of the royal court, left a China that was torn a part. The British and French armies marched on Peking, on a pilgrim age of destruction, and many historic buildings, including the beautiful Summer Palace, were looted and burnt under the command of Lord Elgin. This is just one example of the inglorious events, concerning Western deportment and relations with China, which characterized the nineteenth century.On June 25th 1865, J. Hudson Taylor went down on his knees upon the beach at Brighton, in England, and "prayed for twenty-four willing, skillful laborers to reach the inland provinces of China" (OMF.org, Online Article, 2007). Today, the Oversees Missionary Fellowship that Hudson founded is a diverse evangelical mission society, with more than 1,300 missionaries, from 30 different nations. This essay will be considering the distinctive functions of Western missionaries in nineteenth century China, and the reason why they became the carriers of the Chinese people. Through the examination of China's history, including the Opium war and the Boxer Rebellion, this paper will determine the influence of Western missionaries upon Chinese culture, and how this affected China and her people. A Global View of China's History With The West Portuguese merchants and Catholic missionaries, who arrived in China during the late sixteenth century, were the first important cultural meetings between China and Europe. And it was through such missionaries, and their converts, that Christianity was introduced into mainland China throughout the seventeenth and early eighteenth centuries. However, due to the fear of Catholic influence among the Chinese imperial rulers, Christianity was banned in China from 1724-1860. Throughout this period, therefore, missionary efforts were concentrated on other Southeast Asian countries, as the missionaries waited for China to reopen its boarders to foreigners (High Beam Encyclopaedia, Online Article, 2007). The rot had already begun before Britain defeated China in the Opium War (1840-1842), which concluded with her having to concede Hong Kong Island. Foreign powers, who were greedily wanting cargoes of silk, tea, and the ginseng that the Chinese believed to be a powerful healer, had coerced China into opening her doors to foreign trade. Initially, these products were bought through the profits of "foreign mud" - opium, but as China's weaknesses became increasing apparent, she was forced into making additional territorial concessions. The port of Tientsin, which is situated at the mouth of the Peiho River and approximately eighty miles from Peking, was opened to international trade, and Shanghai became a flourishing foreign settlement. However, by the end of the century, the foreign powers were vying with each other for concessions in a type of "imperial feeding frenzy" (Diana Preston, The Boxer Rebellion, p.12, 2000), and each of them managed to wrest control over the bordering countries that were seen as being vital to foreign trade. Nominally self-ruling, each of these countries recognized China as their effective overseer and sent acknowledgment of this

Legal system and method Essay Example | Topics and Well Written Essays - 1000 words

Legal system and method - Essay Example Four Judges heard the case as there were two appeals heard together. They were heard together as they both involved interpretation of section 3 of the Homicide Act 1957. 3. Which judge chaired the bench and handed down the judgment? Write a brief biographical note on this judge, including his later career. What controversial statement did he make about Sharia law, in 2008? Name and date three out-of court-speeches made by this judge. How would you summarise his views on human rights? Lord Phillips CJ chaired and delivered the judgment. Nicholas Addison Phillips was born in 1938 and had his education at Bryanston School, Blandofrd, Dorset and Kings College, Cambridge. He served in Royal Navy. He was enrolled into the bar in 1962 and started his judicial service as a Recorder in 1982. After his stint as a High Court judge in 1987 and an appeal court judge in 1995, he became a Lord of appeals in 1999 and Master of the Rolls at the Court of Appeal, Civil division in June 2000. During his tenure, he heard appeals of General Augusto Pincohet, former dictator of Chile and ruled that he was not entitled to immunity from extradition. He presided over well known trials including the appeals from Maxwell brothers and Barlow Clowes, an investment company. He also conducted the BSE enquiry and concluded that a timely action by the government would have prevented the spread of the disease. Known for his simplicity of cycling to court, he is married to Cristylle Marie-Therese Rouffiac and has two children.1,2. During his speech before the London Muslim Council on 3 July 2008, he expressed that he was in favour of Sharia law being introduced in England and Wales provided it did not conflict with the laws of the country or did not result in severe punishments being imposed. Adding that there had been widespread misconception about Sharia law in England, he advocated that it could be used for alternative dispute resolution forms such as mediation and arbitration besides applicat ion of the Sharia law to marriage formalities. He also welcomed introduction of Islamic financial products. 3. Lord Phillip’s three out of court speeches: 1) â€Å"The Supreme Court And Other Constitutional Changes In The UK† before â€Å"Members Of The Royal Court The Jersey Law Society and Members Of The States Of Jersey â€Å" at The Royal Court St Helier Jersey 2nd May 2008. 2) â€Å"Lord Mayor’s Dinner for the Judges† at the Mansion House on 15 July 2008. 3) â€Å"Equality before the Law† at East London Muslim Centre on 3 July 2008. Lord Phillip has said that Human Rights are not hampering the efforts of the government to fight against terrorism. He reminds that Britain has welcomed refugees from all over the world after the World War II to guarantee them protection from violation of their human rights. â€Å"The so called 'war against terrorism' is not so much a military as an ideological battle. Respect for human rights is a key weapon in that ideological battle.†4 4. Who was the second ranking judge in the case? What was his role at the time? What is his job now? Write a brief biographical note on him. What is his special relationship with Kingston University? Name and date three out-of-court speeches made by this judge. What is his reputation on sentencing? Second ranking judge was Justice Poole. Sir David Anthony Poole was born on 8 June 1938 and died on 18 June 2006 shortly

Comparative Vertebrate Anatomy Essay Example | Topics and Well Written Essays - 1500 words

Comparative Vertebrate Anatomy - Essay Example The seal's flippers are composed of living cells that needs constant blood oxygen supply. The dilemma is that the circulation of blood to the flippers will bring back ice-cold venous blood to the interior of the seals body. This dilemma is solved with the counter-current exchange system that is existent in these animals' flippers. Venae comitantes are veins that surround the limb arteries of the seals to prevent the return of cold venous blood to the body of the seal(Koeslag, 1995). Before the oxygenated blood enters the arteries of the flippers, the heat which is present that blood releases its heat through the venae comitantes to the cold venous blood. The oxygenated blood that enters the flipper arteries is cold as it circulates the flippers but when in enters the veins through the venae comitantes it is warmed near the body temperature (35C) utilizing the heat that it released before its entry in the flipper artery. Thus, the counter-current exchange mechanism of the seals' flippers prevent the alteration of the normal internal body temp of the animal which is 37C even though blood is continuously circulating to the flippers(Koeslag, 1995). Human beings also have a counter-current mechanism that is similar to that of the seals. ... The limbs of human beings are equipped with a counter-current system that maintains the normal temperature of the blood flows from the limbs during cold weather(Koeslag, 1995). Closely at the deep center of the limbs, the arteries of humans are strategically located. These arteries are also surrounded by venae comitantes or deep veins which receives the blood that circulated the limb arteries for transportation to the center of the cardiovascular system. The normal temperature of human blood is 37C so the oxygenated blood before entering the limb arteries transfers the heat to the venae comitantes making the oxygenated blood cold to about 20C. Then before entering the veins of the limbs the deoxygenate blood is warm to 37C in the venae comitantes. The temperature of the blood that is returned to the heart therefore remained unaltered that is still 37C. The process of blood circulation in the limbs in cold weather is slow to facilitate the function of the counter-current system(Koeslag, 1995). During warm weather that counter-current system of the human limbs is switched off because the circulation of blood to the limbs is increased compromising this system. The venae comitantes is not utilized instead the blood from the limb arteries return to through the subcutaneous veins. The blood circulating during hot weather is cooled with the facilitative dilation of the superficial veins and constriction of the venae comitantes(Koeslag, 1995). Question number 2: Camel or Camelus spp. are dessert animals that posses this taxonomic characteristic: Kindon Animalia, Phylum Chordata, Subphylum Vertebrata, Class Mammalia, Order

Orthodox Jewish Wedding Essay Example for Free

Orthodox Jewish Wedding Essay Marriage is normally a ceremony done in churches, in government premises, or in modern ones like beaches and gardens. It is usually done as a sign of love between two people. Marriage used to be a very sacred ceremony as two people say their vows to each other. Different cultures do this in different manners. In this paper, we will discover how the Orthodox Jewish wedding is done. This would prove the diversity of cultures in the world and how the Jewish community carries out their traditions and belief. This is divided into three parts that include the preparations done before the wedding, the set up days before the wedding and the wedding proper. When two people fall in love, what they want to end up mostly is a bride and a groom or a husband and a wife. Although it is altered by some other reasons in the modern times, the idea of marriage is still considered sacred by most of us. Although socio-economic status, health, dynasty and other things affect the people’s view on marriage, we still cannot take away the fact that the people who get married always ask for a happy life. Whatever reason they may have, the bottom line is still that they are searching for contentment in any way. A Jewish wedding day, the same with all other religions, is something that they really celebrate. Different kinds of rituals happen weeks before and during this day, in consideration of their history and heritage. As soon as the couple gets engaged, rituals already take place. It includes breaking a plate to represent the temples in Jerusalem that were destructed. It is to signify that even if they are enjoying in the celebration of the wedding, they are still saddened with the fact that these temples were destroyed before. It is also usual for the parents to do the arrangement of the wedding, with the help of someone like a match-maker called Yenta. Although this is so, the groom is still required to ask the bride’s father for her hand in marriage and to pay a dowry in exchange of the bride (Retrieved on December 11, 2008 from http://www. bbc. co. uk/religion/religions/judaism/rites/weddings_1. shtml). Judaism sees this practice as sacred. They think that without a man and a woman, each of the sexes will never be complete. They complement each other and each compensates what the other loses. They also teach in their doctrines that any person without getting married doesn’t experience the absolute joy and contentment in this life. It means that being married gives satisfaction to people, especially when they are blessed by God. When referring to marriage, they usually use the term â€Å"sanctification† which usually refers to the spirituality of the bond that binds two people and of the commandment made by God. They also see it as something that has a purpose. They view marriage as a perquisite to reproduction and friendship. It is both procreation and companionship. In the bible, as they believe, â€Å"It is not good for a man to be alone†. It is also a practice of each person’s legal rights through a contractual agreement where they sign on. Although there were times when the Jews were dispersed all over the world, they are still successful in preserving this practice as they live. This is probably because they really believe in the practice, because through it, history proves that families stayed stable and happy when they underwent the same kind of marriage . Jewish weddings are almost the same. They are made easier by the Rabbis by asking for a very minimal requirement. The Rabbis is the one who makes the laws in this kind of ritual (Retrieved on December 11, 2008 from http://www. confetti. co. uk/article/view/5054-7598-0-). Marriage in the Orthodox Jewish is very much full of traditions that show practice and devotion. In planning their weddings, every detail is very important. They take the preparation as a challenge of their capacity and a challenge to celebrate the wedding successfully. They pay too much attention to all the needs of the ceremony that makes every wedding a perfect one. The Orthodox Jews are believed to be the strictest among the strands of the Jewish faith. Their wedding ceremony is done by combining the legal and religious aspects of marriage. In case one of the couple is non-Jewish, he or she is asked to convert to the same religion. They believe that happiness cannot be achieved if they don’t undergo marriage, which is a license to fulfillment in the world. Also, it is said that when they get married, they don’t just focus on material and temporal elements of the preparation, but they also assure that their doctrines are properly carried out and that their spiritual and moral preparedness is enveloped on the marriage itself. It just proves that although their marriage is after a good life on earth, they still put in more consideration the supernatural and their religion per se (Retrieved on December 11, 2008 from http://www. confetti. co. uk/article/view/5054-7598-0-). Planning an Orthodox Jewish wedding is very tedious. They must consider a lot of things for them to be able to come up with a successful one. Most of the Jewish couple provides a planner that would make it easier for them to see chronologically their plans and the specifics of the ceremony. Through that, they will be able to get organized and efficient in the planning of the main event. The date of the wedding is usually known after they already register with a synagogue and Rabbi at the Chief Rabbi’s office. The time of the day and the day itself are also given much attention to in planning a wedding. It is usual to marry in the afternoon or in the evening, but you can also marry anytime of the day according to what the couple desires. Most of them, however, choose to marry on days like Sunday and Tuesday. It is also not allowed to do the wedding three weeks between July and August and on the Sabbath of festival days (Rosh Hashanah, Yom Kippur, Passover Shavuot, and Sukkoth). In case, they want to get married on a Saturday, they prohibit doing the ceremony earlier than two hours before the sun is down (Retrieved on December 11, 2008 from http://www. onfetti. co. uk/article/view/5054-7598-0-). In general, the first thing to do in planning it is to choose a date that they both want. They usually choose special days like the birth or the death of their rabbis to make a more meaningful celebration. Like other people getting married, they choose a date that means something to them or a date that is significant in their relationship. They also must specify a place or a venue which has enough space for dancing and a wide area where you can put a divider to separate men and women for modesty’s sake. They are very much particular with modesty which they can prove by separating people of different sexes during the wedding ceremony. They must also choose a rabbi to preside the wedding ceremony and a sofer or a Jewish scribe to take charge of the Ketuba or the marriage contract. After that, they must tell their relatives and friends about the wedding and invite them to attend on it. Attendees on this kind of practice matters a lot to the couple because the wedding would not mean anything at all without the presence of a specific number of people. Once they confirm their attendance, they can already inform the caterer about the approximate number of visitors. This is usually done to avoid hassles to both families of the groom and the bride and to assure that everyone eats enough as they celebrate that most important part of their couple life. After that, they must inform those people who are taking part in the wedding to dress accordingly. This is also a sign of respect to the practice. The female ones must use clothes covering the knees and the arms to the elbows, while the married ones must cover their air. Men must wear yarmulkes. The couple must make the wedding canopy from a cloth that is velvet or from a prayer shawl. This is to signify the clouds that helped Jews with everything when they were in the desert. They must make sure that they have the dress, rings without anything engraved in them, and the other things. The bride must make sure she has a veil thicker than the others’ to wear it on the wedding day. From that, they must find a schedule to do the veiling ritual prior the wedding ceremony. It is said that such a practice symbolizes the biblical story that happened between Jacob and Rachel, when they planned to get married. They must assign seven men to utter the words of blessings with a wine. Lastly, they must secure a room for the couple where they can spend on after the wedding proper. They are expected to stay there before they eat and spend time together alone for a certain period (Retrieved on December 11, 2008 from http://www. ehow. com/how_2077192_plan-orthodox-jewish-wedding. html). The wedding invitation is usually two sided and has an English translation at the right side. It does not ask for the person’s presence, instead it is asking people to â€Å"dance at† or â€Å"share in the joy of†. In this kind of ritual, visitors are very important, because they play a very vital role in the process. The copies of the invitation may be distributed and may be given by the couple or both of their parents. Sometimes, the invitation also includes biblical quotes to explain people why such thing is done or to further elaborate the importance of each part of the program (Retrieved on December 11, 2008 from http://www. weddingdetails. com/lore/jewish. cfm). All of the guests are provided with copy of the program for them to know exactly what part they are in during the wedding proper. It may also include some Ketuba texts, the vendors’ names, a note coming from the bridal couple and some explanations of the different elements of the ceremony. This is also done to avoid unnecessary noises when they ask others why a particular thing is done (Retrieved on December 11, 2008 from http://www. weddingdetails. com/lore/jewish. cfm). The Orthodox bride must prepare something white, while the groom must have a short white linen robe called a kittel. The bride is also expected to visit mikyah in the morning of her wedding. This is done to make sure that the bride undergoes a ritual bath that is believed to purify her and to make her a better woman as she gets married (Retrieved on December 11, 2008 from http://www. weddingdetails. com/lore/jewish. cfm). It is also a must, that in able for a couple to get married in the Orthodox Jewish tradition, it is a perquisite that their parents also married in the same manner. Usually, both of their parents underwent the same practice. If in case their parents did not undergo the practice, they must talk to the rabbi for clarification. The ceremony includes singing and reading from the psalms. The wedding usually takes an hour before it finally ends. The wedding can actually occur anywhere, depending on what the groom and the bride choose. Given a desired venue, the bride or the Kallah and the groom or the Chatan, must stand under a canopy. The venue as chosen by them is usually paid by the bride’s parents. The validity of the wedding depends on the number of males present. There must e ten of them, which in their tradition, is called minyan (Retrieved on December 11, 2008 from http://www. confetti. co. uk/article/view/5054-7598-0-). Prior to the ceremony, the groom may spend time with his friends as eat and drink together on a table, called chassans tisch. Brides, on the other hand, take three or seven times circling her groom which is also a practice based on their bible (Retrieved on December 11, 2008 from http://www. weddingdetails. com/lore/jewish. cfm). When the guests arrive on the wedding day, males go with the groom in a certain room, while the female ones go with the bride in another room where she sits on a throne-type chair. This is called â€Å"public beckoning† and may be spent with just family and other guests (Retrieved on December 11, 2008 from http://www. eddingdetails. com/lore/jewish. cfm). A service usually starts with the opening from the rabbi, followed by a bride being escorted to the canopy. It is then followed by a ritual of circling the groom by the bride. This also has a hidden meaning. The benedictions are read after and then the sharing of the cup of wine. The exchange of the rings is then done, followed by the reading of ketuba. Another cup of wine is offered which is shared by the groom and the bride. It was first blessed and told with a prayer for the companionship and joy of the newly wed. Later on, they are proclaimed as husband and wife and they are showered with rice and are greeted with a toast (Retrieved on December 11, 2008 from http://www. weddingdetails. com/lore/jewish. cfm). During the marriage proper, the groom is asked to read from the Torah. That ritual is called Aufruf. Further, it is like a way of congratulating the couple, and letting the public know that they are getting married soon. In the same practice, some brides throw candies and nuts as he finishes the recitation of the benedictions. Through that, they are able to ask for a sweet and fertile life. The groom gives his bride a ring that is a sign of love. It is put on the bride’s right index finger, up to the second knuckle. It is so, because they believe that such a finger points to the soul and that it is used in pointing when they are reading the Torah. On the contrary, she puts the ring on his left ring finger. As they are doing this, they are reciting a Hebrew statement called haray aht (Retrieved on December 11, 2008 from http://www. weddingdetails. com/lore/jewish. cfm). In summary, preparing for the Orthodox Jewish Wedding is no easy thing. It requires a lot of effort to come up with an acceptable wedding that takes in consideration both the earthly and the religious aspect of life. Through this paper, we can also picture that even if there are still more days before the wedding, the people are already busy planning the event and are already doing some practices for the benefit of the big day. The wedding proper shows that values of these people as they do the rituals associated with getting married. It is also very obvious that they are really trying hard to avoid getting away from the proper way of doing it. Before and after the wedding, they are very optimistic about their, because of their trust to the Almighty. Everyone is looking forward to a happy and a blessed life ahead as they undergo the blessing of God through marriage. Celebration of their wedding is really something that the Jewish community must really be proud of. It is full of traditions that only their group inhibits and practices as well. Their culture is very rich and admirable. This is only a proof that cultures vary from place to place and that each culture has its beauty that everyone can admire. It is the Jewish community’s pride to have this and definitely, there are not just proud, but happy about acquiring this kind of culture.

The Greek Culture And Oedipus The King

The Greek Culture And Oedipus The King I have chosen to talk about the Greek culture because I believe that our present culture has many similarities to the Greeks culture. Our culture today is actually surprisingly similar to that of the Greeks. Some of these similarities are education, government, and religion. One similarity that we have to the Greeks culture is the Greeks devotion to intellectual integrity and their development of a system of schools. The Greeks understood how important it is to have a good education. I agree with them because I think it is very important to have at least a high school education and I also think it is important to have a college education. I believe that with knowledge comes power and having knowledge can lead to good things. Today, most people basically think like the Greeks did about intellectual integrity and a development of a system of schools. We still see the importance of a good education today. Having a college degree in todays society holds more job opportunities than someone who just has a high school education. One of the main goals of education in Greece was to prepare a child for adult activities as a citizen which is something that our society still does today. Parents prepare their kids for adulthood. Another similarity that we have compared to the Greek culture is there use of a democracy system. The Greeks were actually the ones that created the first democracy. The definition of democracy is the rule of the people. They understood how important it is to include the people in the decisions that are made for a society. When authority figures make decisions on a society without the people of that societys thoughts on those decisions, Im sure that people tend to get pretty upset. The United States still uses a democracy system of government today because, like the Greeks, we see how important it is for the people to have some input as well. The Greeks also had a liberal view toward education that was largely responsible for the downfall of Classical Greek civilization. There are many people that still have a liberal point of view today. We have republicans as well but we still have those liberals. Not only was their democracy important, but the role that the people of their society played were very important as well. In Greek culture, the womans job was to run the house and bear children. In many families today, it is important the woman stays at home and takes care of the house. Of course, it is still very important for women to bear children also. The men spent a great deal of time away from home a nd when they werent involved in politics, they spent time in the fields with their crops. We still see this today. A lot of men spend time away from home because of their job. A lot of people still farm for a living today and those people, during the summer, spend a lot of time away from home taking care of their crops. The last similarity between the Greek culture and our present society that I am going to talk about is religion. The Greeks were deeply religious people that usually worshiped many gods. Not only did the Greeks write stories about gods and goddesses, they also created a lot of art work such as paintings and sculptures that portrayed Greek gods or goddesses. Most people today are still very religious. Almost every religion of today involves the worship of a god. The only religion that I can think of that doesnt worship a god is Atheism and I think that they dont believe in gods. I mean, most of us religious people still go to church, read the bible, and pray in order to worship our god. Although the Greeks were very religious and thought it was very important to worship their gods, they also had an anthropocentric way of thinking. The definition of anthropocentric is basically that man is the center of everything and is most important. In other words, the Greeks believed that they were the most important and maybe even more important than their gods. Sadly, I believe that some or maybe a lot of people still think like this today. I think there are still those people that think that God is very important but when it comes down to it, they think deep down that they may actually be more important and that they are actually the center of everything. I am not anthropocentric at all. I believe that God is most important and that he is the center of everything. Now I am going to talk about the Greek work of literature Oedipus the King. In this story, Oedipus is the ruler of Thebes. Thebes is actually a dying city and Oedipus is deeply concerned of why Thebes is dying. Oedipus is a person that is desperately seeking the truth of things so he goes to a blind man named Tiresias and he tells Oedipus about all of these prophecies involving Oedipus himself. Oedipus does not believe what Tiresias tells him but Oedipus finds out throughout the story that Tiresias prophecies are actually true. The main conflict in Oedipus the King is between belief and reality. The belief is that intelligence makes humanity master of its own fate versus the reality of humanity being helpless against some cruel fate. This kind of goes back to that anthropocentric way of thinking. For a person to think that he or she can control his or her own fate because of his or her intelligence seems like and anthropocentric way of thinking to me. I believe that whatever God has planned is what is going to happen no matter how smart someone is. On page 617, lines 216-219, the chorus of the play says: O golden daughter of god, send rescue radiant as the kindness in your eyes! Drive him back! the fever, the god of death that raging god of war. The chorus is praying that the daughter of god send rescue and drive back the god of death from the city of Thebes. This goes back to the Greeks being very religious people and worshiping gods. All throughout Oedipus the King, the characters talk about some sort of god very often. Today, religious people still pray to their god for help which is what is going on in these lines from Oedipus the King. I can relate to this because if I know someone who is badly in need of help, I pray for him or her in hopes that he or she will receive help which is what the chorus of this story was doing in these lines of the play. The Greek culture had many similarities to our present society today. Some of these similarities are education, government, and religion. The play of Oedipus the King shows characteristics of the Greek culture throughout the play. The Greeks made very important developments and some of them are very evident the present society of today.

Belize Guatamala territory dispute :: essays research papers

British lumberjacks set up settlements in the eventual Belize. The Spanish granted them the territory. When war broke out in Europe there was an attack which was repulsed. Over the next 20 years the British had grown into the assigned area and some unsettled areas of South America establishing the now existing Belize. The Spanish never had any rule over the territory. Up to 1859 the British continued to exercise exclusive jurisdiction over the settlement, further establishing administrative control and implementing a comprehensive legal and legislative system. In 1859 a treaty officially established the boundaries of Belize. In 1940 Guatemala declared the Treaty to be void, alleging failure to implement article 7 (That the British build a road which they never did) A new Guatemalan Constitution in 1945 declared Belize to be Guatemalan territory Belizean culture and nationality developed throughout the 19th century (and the British became the minority). Self-government was achieved in 1964, but full independence was delayed until 1981 only because of the Guatemalan claim to the territory. Guatemala changed its argument in 1999. it rested its case on the 18th century Treaties between Britain and Spain covering the area between the Hondo and the Sibun Rivers. Guatemala claimed that the area between the Sibun River and the Sarstoon River was 'illegally' occupied by Britain, and argued that the area south of Sibun up to the Sarstoon River must be "returned" to Guatemala together with all the cayes which were not included in those Treaties. The area thus claimed by Guatemala amounts to over 12,000 square kilometres, which is more than half of Belize's territory. The British occupied this territory when it was uninhabited and unsettled. Belize rests its case on two firm pillars: the right of a people to self- determination and the fact that Guatemala's claim is legally untenable. Negotiations began between Britain and Guatemala and Belize. In 1975 the UN General Assembly passed a resolution affirming Belize's right to secure independence with all its territory and declared that any proposals emerging from negotiations between Britain and Guatemala must respect this right In 1980, the UN resolution declared that Belize should become independent by the following year. The entire global community supported this decision the territory was perfected through the process of acquisitive prescription, which is a recognised means in International Law for acquiring title to territory Guatemala never occupied, nor did it ever exercise any control or jurisdiction over, any part of the territory of Belize.

Pain :: social issues

Pain He looks through the scope of his rifle, concentrating, looking. He feels pain, sorrow. A tear streams down his face and thinks to himself that this has to happen. He feels rage rush through him, that feeling that he gets when he forgets to take his medication. Josh is only fifteen. His father bought him this hunting rifle when he was twelve. He would remember those times when his father was drunk and would beat him mercilessly for hours on end. Such rage streams through in a steady flow. He doesn’t know why he is doing this, he can’t think, all he knows is the feeling in his head. The pain is so intense. He needs to relieve it, to allow his mind to feel the normal serenity again. He aims at the school yard, such small kids so innocent. They play together; the smiles and laughter are filling the air. One of them won’t go home tonight; the parents will feel the pain that once existed in him. Anger. He feels the tears start to come in a torrent. He holds the trigger tight. At this climax of pain, as the feeling comes to the point where he can’t live anymore, he squeezes the trigger. He feels the pain go through his finger into the rifle. The bullet soars with the pain. The relief is instant. The young child of only seven years old falls to the ground. Screams, pain, suffering, enters the lives of the people in the school yard. People duck and cry. As his anger subsides, he slowly lowers the rifle. The calm serenity enters his mind. He is his normal self again. In his room he places his rifle in his closet. He feels that he can eat and sleep now, and he slowly drifts into sleep. He dreams heavily. He knows they are around him, and that he will soon be caught. The police are having their suspicions. He wakes up, sweat engulfs his body, and the wave of fear slowly subsides. His father falls into the small room in their trailer. Drunk again and looking to hit someone. He knows what’s coming and feels that new wave of frustration. So many feelings, so many feelings. His father asks where he was that day, and he refuses to respond, which is followed by the usual beatings. No one is there to protect him, or to alleviate his pain. Pain :: social issues Pain He looks through the scope of his rifle, concentrating, looking. He feels pain, sorrow. A tear streams down his face and thinks to himself that this has to happen. He feels rage rush through him, that feeling that he gets when he forgets to take his medication. Josh is only fifteen. His father bought him this hunting rifle when he was twelve. He would remember those times when his father was drunk and would beat him mercilessly for hours on end. Such rage streams through in a steady flow. He doesn’t know why he is doing this, he can’t think, all he knows is the feeling in his head. The pain is so intense. He needs to relieve it, to allow his mind to feel the normal serenity again. He aims at the school yard, such small kids so innocent. They play together; the smiles and laughter are filling the air. One of them won’t go home tonight; the parents will feel the pain that once existed in him. Anger. He feels the tears start to come in a torrent. He holds the trigger tight. At this climax of pain, as the feeling comes to the point where he can’t live anymore, he squeezes the trigger. He feels the pain go through his finger into the rifle. The bullet soars with the pain. The relief is instant. The young child of only seven years old falls to the ground. Screams, pain, suffering, enters the lives of the people in the school yard. People duck and cry. As his anger subsides, he slowly lowers the rifle. The calm serenity enters his mind. He is his normal self again. In his room he places his rifle in his closet. He feels that he can eat and sleep now, and he slowly drifts into sleep. He dreams heavily. He knows they are around him, and that he will soon be caught. The police are having their suspicions. He wakes up, sweat engulfs his body, and the wave of fear slowly subsides. His father falls into the small room in their trailer. Drunk again and looking to hit someone. He knows what’s coming and feels that new wave of frustration. So many feelings, so many feelings. His father asks where he was that day, and he refuses to respond, which is followed by the usual beatings. No one is there to protect him, or to alleviate his pain.

Position Paper on Amr Moussa :: Essays Papers

Position Paper on Amr Moussa I am Amr Moussa. I am currently Secretary General of the League of Arab States. Time magazine has described me as â€Å"being the most adored public servant in the Arab world.† A U.S. war against Iraq would â€Å"open the gates of hell in the Middle East.† (On-line Pravda, 2002; 1) I have declared that the Arab League is in favor of the â€Å"total implementations† of the UN Security Council resolutions. I have urged to allow the U.N. weapons inspectors to resume with their searches in Iraq, in a bid to head off a U.S. attack. Since the United States has accused Iraq of trying to develop nuclear, biological, and chemical weapons in violation of U.N. resolutions dating back to the 1991 Persian Gulf War. (Middle East Information Center, 2002; 1) I have stated â€Å"An action against Iraq, with the general opposition of the world, I believe would lead to serious repercussions in this region and perhaps beyond.† (Middle East Information Center, 2002; 1) Along with myself, the Arab world has said that they will not stand for any attack on Iraq as an extension of the U.S. â€Å"war on terrorism.† Washington has stated that such Arab countries, Sudan, Libya, Iraq, and Syria are potential supporters of terrorism. (People’s Daily, 2001; 2) I am against any attack on Iraq or any Arab country for that matter. â€Å"Launching military action against any Arab state would spell the end of consensus in the international alliance against terrorism.† (People’s Daily, Arab League Warns Against Attacking Iraq, 2001; 1) No matter what the comments of president Bush, my standpoint will not be changed. If an attack from the United States on Iraq were to occur, I believe that it would â€Å"lead to destabilizing protest among ordinary Arabs already angry at the United States for its perceived bias in favor of Israel in the Israeli-Palestinian conflict.† (Fox News, Arab States Declare Allegiance to Iraq, 2002; 1) Since the United States is backed by Britain, it has said that it wants a â€Å"regime changed† in Baghdad. Even though the U.S. has not decided if it will use military force in Iraq, the Arab League will not tolerate any excessive force, or any force for that matter in Iraq.

Person Centred Care MDT Essay

This essay will discuss the concept of person centred care, why ser-vice users are at the centre of any decisions made. The importance of this when developing a plan of care to an individual with dementia within a community care setting with limited mobility. What the structure of the mutli disciplinary is when involved in delivering a package of care and how the different roles involved contribute to the positive outcomes Principles of care as stated by the Royal College of Nursing (2013) outlines guidelines what service users should expect from the nurs-ing profession, whether you are a nurse, health care assistant, community nurse, a service user, family member. You are given the information of what to expect when you are in contact with any of the services or who actually are providing a service. Within the community sector this is important as it gives carers a guideline on how to deliver the best possible care and how they should conduct themselves when dealing with vulnerable people. The Royal College of nursing (2013) outlines 8 principles of care they consist of; that all health care assistants, nurses treat all service users with dignity, respect, show understanding of the service users needs. To be non judgemental in the care being provided, whilst showing compassion and sensitivity. Read more:  Person Centred Care Essay All nurses and health care assistants take responsibility for their actions in the care they are providing whilst also being answerable for any action and decision that they take. To manage and assess risk to ensure the safety of the service user and others. To promote the care that is being given putting the service user at the centre of that care, whilst also involving any family members. To ensure that the service user is fully informed of any treatment, to enable them to make an informed choice. All health care assistant and nurses are in the front line for communicating any changes of the service user, recording such things, communicating with other members on the care being provided, whilst maintaining confidentiality. Have up to date knowledge and skills in order to deliver the highest possible level of care to everyone. Work closely with other profes-sionals to ensure that continuity of care is followed to have the best possible outcome for the service user and the staff team . To develop themselves, to encourage and highlight to other professionals the importance of updating knowledge and skills. Many people have different definitions on what Person centred care approaches mean to each individual profession and what their  roles involve when implementing person centred care. The Health Foun-dation 2014 suggests that more person centered care is needed, so that people are supported to make informed decisions about manag-ing their own health and care. In order for this to happen changes in behavior and mindset from patients and clinicians supported by a service that has patients at the heart of it. Policies and practice guidelines need to support patients and clinicians to take on new roles and relationships. Ford 2012 wrote an article on what the value of patient care is this was described as the 6 C’s which stand for care, compassion, com-petence, communication, courage and commitment. Brooker (2007) states that by providing a supportive environment for interaction, whilst taking into account that all human life is mainly grounded by relationships. Within the community environment People suffering from dementia requires and need a fulfilling social environment which enables them to have opportunities for growth within the environment that compensa tes for their impairments. Brooker focuses on the actual diagnosis and how best to help service user to maintain a social connection within a safe environment with the help of staff who understands their condition. Whilst the article that Ford had written expands the key points on how professionals should take into consideration and act when looking after people and communicating with them also. Tuchman’s theory (1965) suggests that in order for a positive outcome to happen then 4 stages of process would need to be worked through within a group situation. These stages are forming, storming, norming and performing. Person centred care was first used in relation to people with demen-tia by a Professor called Tim Kitwood who founded the Bradford de-mentia Group in the 1980’s. His aim was to steer away from the medical diagnosis of dementia and to help those living with the ill-ness to live and be treated as an individual. To acknowledge that these people did have a voice even though in the medical eyes they were slowly losing their own mind. He wrote about the Enriched Model (1997) which detailed opportunities to maximise the well being of a person suffering from dementia whilst enha ncing their daily living of the other elements that affect the person. For example people suffering from dementia have many challenges to deal with. They have the gradual memory loss but also lose the interaction with others, communication becomes repetitive and in the past, how to eat, drink, co ordination, coping with mood changes, general daily  living skills become more difficult to complete along with depression. Buijssen 2005 suggests that depression is a main factor with dementia due to lots of feelings of helplessness and anxiety which can cause the service user to have challenging out bursts. To enable a person to remain in their home safely and independently other people will be involved. This depends on how advanced the dementia is, otherwise the service user would be placed within a residential or nursing home. Maureen Guirdham (1995) suggests that by practising empathy when communicating with a service user, seeing things from their point of view and not just by a medical point of view can build a positive professional relationship. Some professionals at times use their position to influence a service user to see things from the professional point of view; this can cause a barrier to communication because the service user feels that they are not being treated as an individual. That the professional is using a form of blanket suggestion and solution to their problem. Having a common ground of understanding of what it is to be achieved. Initially within the early stages social workers, mental health nurses, general practitioners, speech and language therapists, mobility spe-cialists, and the NHS. Within a community setting district nurses, general practitioners, and at times the emergency services such as the mobile paramedics and ambulance crew are the main sources of the multi disciplinary team that as carers we would normally work alongside with. Jefferies & Chan 2004 describes how multi disciplinary teams work â€Å"the main mechanism to ensure truly holistic care for patients and a seamless service for patie nts throughout their disease trajectory and across the boundaries of primary, secondary and tertiary care.† Carrier & Kendall 1995 also describes how inter disciplinary teams work â€Å"implying a willingness to share and indeed give up exclusive claims to specialist knowledge and authority, if the needs of the client can be met more effectively by other professional groups.† Not all of these will be involved but people with dementia require different specialists at different times of the diagnosis. Almost everyone is registered with a general practitioner. It is the job of the general practitioners to offer high standards of care to all their patients regardless of their health needs. To establish a continuing and long term relationship, with all their patients including those who are vulnerable (Pritchard 2001). More and more General Practitioners (GP’s) are working  within an extended team of professionals who they can refer to for advice and guidance. General Practitioner’s are the first people who are approached when a family member are feared to have the onset of dementia. GP’s will refer the person to the mental health team to have an assessment to see if there are any concerns to have (Mental Health Act 2005). Once the assessment has been done and the diagnosis had been confirmed then a social worker with the relevant experi ence of mental health issues will be assigned to implement further care decisions. A social worker works with people who have been socially isolated or who are experiencing crisis mentally or physically. Their role is to provide support to enable service users to help themselves. They maintain professional relationships with service users, acting as guides, advocates. Social workers work in a variety of settings within a framework of relevant legislation and procedures, supporting individuals, families and groups within the community. Settings may include the service user’s home or schools, hospitals or the premises of other public sector and voluntary organizations. This could be introducing carers from an agency to help with daily living needs, preparing food (Roper et al 1996) Day centres can be arranged for the person to be able continue interactions with others, by still being around professionals who understands their needs and condition. Dementia tears layer away at a person at each stage of its progression, (Alzheimer’s Society 2014) The World Bank 2011 describes what empowerment means â€Å"Em-powerment is the process of increasing the capacity of individuals or groups to make choices and to transform those choices into desired outcomes. Central to this process is actions which both build individ-ual and collective assets, and improves the efficiency and fairness of the organisation and institutional context which govern the use of these assets.† Mental health nurses work with people suffering from various mental health conditions, they also work alongside their family and careers to offer help and support in dealing with their condition. There work involves helping the patient to recover from their illness or to come to terms with it in order to lead a positive and full life. The nurses may specialize in working with children or older people, or in a specific area such as eating disorders. Mental health nurses often work in multidisciplinary teams, liaising with psychiatrists, psychologists, occupational therapists, GPs, social workers and other health professionals.  As a registered mental health nurse (RMN), they may work with pa-tients in a variety of settings including their own homes, community healthcare centre’s, hospital outpatients departments or specialist units, or secure residential units. Even though each professional has a specific area or expertise communication is always a key factor to delivering the best support and care to a service user and their families. District nurses have a crucial role in the primary health care team by visiting people in their own homes. District nurses also delive r care and support for patients and their families. With the differences in roles bought together as one within meetings or communication the process of care is flawless but in the real world this does not always happen. The Health Foundation (2013) states that they â€Å"See patients as equal partners in planning, developing and assessing care, to make sure it is appropriate for their needs, putting families and patients at the heart of all decisions†. Egan’s (2010) three stage model the skilled helper explains how professionals can help service users to focus their situation. To be able to ask questions and step by step understand the process. The model helps to empower the person and help them to move toward managing their problems and living more effectively. The Egan’s model enables the user to map out what the issues are that require discussion. To explore all possible solutions and what would best benefit the service user. It enables the professionals to have respect, genuineness to the subject and empathy to the service user. If good active listening skills are re-membered then the outcome will be the best that can be given to the service user. Egan’s model however all stages do not always have to be considered they are adapted to the situation that requires re solving. Another element that is considered is the SMART aspect which stands for specific, measurable, achievable, the mutli disciplinary team this is where individual roles are separated in order to fulfil their part of the plan of care for a service user. The Department of health (2011) outlines specific guidelines when treating someone with Dementia. These guidelines just like the one that the Department of health released and updated in June 2011 are guidelines and are there to help protect vulnerable people. Working within the community I found I was working alongside more people suffering from early stages of dementia and having more insight into how dementia affects the person enabled me to have a better approach to deal with the care that  was being provided. 1000 lives plus 2012 that was written by Davies stated that â€Å"Seeing the patient’s illness as a continuum between treatment and rehabilitation leads naturally to partnership between organisations. Departments across health and social services co-operate to fulfil the patient’s needs, and the relevant providers need to be working together at all stages of care to properly anticipate the next step, particularly the return home after in-patient care† . This report emphasised that even though Esther arriving at a NHS hospital was ok and the staff where very polite and caring. The sys-tem still had failures especially when Esther had to wait five and a half hours to be seen and after being in contact with thirty six people professionals and repeatedly repeating information for someone who could not breath caused a lot of distressed. By establishing some of the professionals roles within the multi dis-ciplinary team and how government legislation and guidelines impact on how care is provided. In the community for someone who has dementia and other physical needs how efficient are the multi disciplinary team? Sometimes available equipment is based on budget from local councils, so as availability of professional bodies. A person I looked after in the community had a diagnosis of dementia. Visiting them daily sometimes four times a day assessing their needs and any changes daily was important to maintain their safety within their home. Any personal care, breakfast, dinner, tea and bed time all had to follow a strict routine. There came a time when this service user was falling a lot so with the reports given by carers to their head office it was decided the social worker should make a visit they managed to get some adaptations put in place. A wheel frame that could be used to carry things on as it had a tray at the top and at the bottom, the social worker also got a waist alarm, similar to the wrist or necklace type alarm that is linked to a call centre. So if this service user fell the belt would activate automatically because the sensor knew it had to be vertical not horizontal. Within the guidelines of the company policy and given the rights of the person to choose to stay at home, every safety measure to reduce risk was taken by all parties. The service user felt at ease with everyday tasks as before they where a problem. The simple things that we take for granted are the things that need to be taken into account for others. (Human rights Act 1998). Jeremy Hughes, Chief Executive at Alzheimer’s Society said: ‘Today’s announcement  shows that by entering your postcode you enter a lottery. Depending on where you live you may be more or less likely to get a timely diagnosis of dementia and access to the support you need. This is simply unacceptable. Wherever you live, you should be entitled to care and support when you have Alz-heimer’s disease or any form of dementia. It is a National Health Service. It is time to stop treating people with dementia as second class citizens.’ (2013) By introducing the appropriate training and having diagnosis’s being given earlier then people will this diagnosis may stop feeling that they are just being a pain to society and that they still have a function within society. The NHS Wales (2010) five year plan included guidelines to em-power the professionals on the front line for example clinical and non clinical staff to lead changes and deliver the highest possible care available. All these proposals of improving the NHS and the services attached to them is a positive sign for change but as we all know changes can only happen if the funding is available which predominantly involves the tax payers. Some changes that will happen will be making primary care trusts and strategic health authorities abolished and replacing them with one organisation such as the clinical commissioning groups. Who will over sea and involve local authorities in a bigger role to handle budgets. How effective these changes will be to improve the entire system will only be seen in a report that will be released sometime in 2015 as stated in the NHS (2010) five year plan. Main reasoning for continual reviews is to establish a better link to all professions to enable the protection of the vulnerable and to have the sufficient resources to enable action to be taken so that the negative cases that are reported do not happen again.

Teenage Smoking in United Kingdom

Teenage Smoking in United Kingdom Background: Young people’s tobacco use continues to be a widely recognised public health challenge in UK. In November 2010, the government introduced the White Paper Healthy lives, Healthy People: Our Strategy for Public Health in England which set the government’s long-term ambitions for improving public health in England. The White Paper recognised the harmful effects smoking has on public health and made a commitment to publish a tobacco control strategy with the aim to minimise tobacco use.It is estimated that each year in England around 340,000 children under the age of 16 who have never smoked before try smoking cigarettes (Department of Health, 209). Every year, around 200,000 children and young people start smoking regularly (HM Government, 2010). Of these 67% start before the age of 18 and 84% by age 19 (Robinson & Bugler, 2008). The annual Government survey of smoking among secondary school pupils defines regular smoking as sm oking at least one cigarette a week. However, in 2011 pupils classified as regular smokers smoked a mean (average) of 35. cigarettes a week, approximately five a day. Occasional smokers consumed on average 3. 5 cigarettes a week (ICHS, 2012). The number of cigarettes smoked by both regular and occasional smokers have fallen significantly since 2007. The proportion of children who have ever smoked continues to decline. In 2011, 25% of 11-15 year olds had smoked at least once, the lowest proportion since the survey began in 1982 when 53% had tried smoking (ICHS, 2012). Previously, girls had been more likely than boys to have ever smoked and to be regular smokers.However, in 2011, a similar proportion of boys and girls said they had tried smoking (25% and 26% respectively. ) The prevalence of regular smoking increases with age, from less than 0. 5% of 11 year olds to 11% of 15 years old. Smoking initiation is associated with a wide range of risk factors including: parental and sibling smoking, the ease of obtaining cigarettes, smoking by friends and peer group members, socio-economic status, exposure to tobacco marketing, and depictions of smoking in films, television and other media (Royal College of Physician, 2010). ttp://l3. kottonmouthkings. com/sites/default/files/styles/kroniclesnode/public/field/image/Teen-Marijuana. jpg Smoking and health: Evidence shows that smoking has negative effects on young people’s health, including respiratory illnesses, poorer lung function, and asthma related illnesses. It can also impair lung growth (Muller, 2007). Young smokers are two to six times more susceptible to coughs, increased phlegm and wheezing than their non-smoking peers (Royal College of Physicians, 1992).There is evidence that young people who smoke experience high rates of nicotine dependence and tend to continue the habit into adulthood (Gervais et al, 2006). Around two-thirds of people who smoked started the habit before the age of 18 (HSCIC, 2010). T he risks to young smokers continue into later life. Individuals who start smoking before the age of 18 face a greater risk of all types of tobacco related cancers, linked primarily to their earlier exposure to the harmful toxins from cigarettes.Furthermore, girls who start smoking at a young age are much more likely to develop bronchitis or emphysema in adulthood than those who began smoking as adults (Gervais et al, 2006). . Teenage smokers and cessation service: Cigarette smoking among children aged 11–15 years constitutes a persistent and substantial health issue in Britain. Based on figures for England in 2004 (Department of health, 2005). Responding to this situation, there has been some official recognition of the need for cessation services to target young people.In September 1999 the Health Education Authority (later to become the Health Development Agency) sponsored a conference titled  Smoking Cessation in Young People: Should we do more to help young smokers to q uit? On the basis of the findings from the conference, Foulds  (1999)  concluded that: * There is ample evidence from both surveys and telephone help lines which demonstrate that a significant proportion of young smokers want to stop smoking, and are willing to seek help to do so. There is need for current smoking cessation services to consider the needs of young smokers. The message, however, does not appear to have been translated into concerted action. Although children were identified in the ‘Smoking Kills’ White Paper as a target group for reduced smoking, they have received a surprising lack of attention in terms of the service provision linked to smoking cessation. This point is illustrated by the Health Development Agency's recommendations to primary care trusts and service providers  West et al (2003)  and  West et al (2003a).While these recommendations do not completely overlook the matter of service provision for young people – the fact that young smokers are identified in the Government's targets serves to ensure that they receive some mention on various occasions – it is difficult to escape the impression that young people are of marginal concern compared with the general adult population of smokers and the specific target groups of pregnant women and mothers with young children.In the recommendations for service providers one short paragraph is dedicated to the question ‘What services should be provided for teenagers? ’(West et al, 2003a). This reads: ‘There have been some studies looking at the needs of this group, but there is no hard evidence on which to recommend a particular approach and a stages-of-change derived intervention has not shown any benefits. ’ Stake Holders Involved in Teenage smoking cessation service: A multi integrated effort need to put in action to be successful in teenage smoking cessation programme.It is not only the duty of government to make sure to keep the teenager away from smoking. Everyone in the society that includes school teachers, parents, health planner, clinicians, and the teenage smoker them self need to be involved in the whole process to make the smoking cessation programs successful. Ethical Principles in Teenage smoking cessation Service: Ethical principles related to smoking cessation service include: * Collect information * Act on information * Advocacy and empowerment Provide information * Achieve community health with respect for individual rights * Feedback from the community (Public health leadership society, 2002) All the stakeholders that include public and private sectors involve in teenage smoking cessation service need to collect effective information about teenage smoking that could be from research or local and national survey. A set of good and effective policies need to be initiated by the government based on the information collected.Public support need to be gain on those policies to make teenage smokin g cessation service successful and ensure advocacy. Governance: http://www. smokefreeaction. org. uk/files/images/VM_graph. jpg In March 2011, the government published Healthy Lives, Healthy People: A Tobacco Control Plan for England (Department of Health, 2011). This stated that tobacco use amongst adults must be tackled in order to reduce the number of young people who take up smoking. National ambitions to cut smoking rates in England by the end of 2015 were introduced: †¢ To reduce smoking prevalence among adults to 18. % or less; †¢ To reduce rates of regular smoking (defined as smoking at least one cigarette a week) among 15 year olds to 12% or less; and †¢ To reduce smoking during pregnancy to 11% or less (measured at the time of birth). Six priority areas for action were defined to achieve these ambitions: †¢ Stopping the promotion of tobacco; †¢ Making tobacco less affordable; †¢ Effective regulation of tobacco products; †¢ Helping tobacco users quit; †¢ Reducing exposure to second-hand smoke; and †¢ Effective communications for tobacco control.In October 2007, it became illegal to sell tobacco products to anyone under the age of 18(rather than 16, as previously). The Tobacco Control Plan acknowledges this but states that young people continue to find new ways to evade the law, either by directly purchasing or getting tobacco through other means. The strategy sets out the aim to continue efforts to reduce the availability of tobacco to young people. There is evidence to suggest that the display of tobacco products in shops can affect young people’s future intentions to smoke.The Health Act 2009 was introduced to prohibit the display of tobacco products at the point of sale by the end of 2013. It also banned sales from vending machines from October 2011. Both measures were introduced explicitly to protect young people from the harms of smoking. New legislation came into effect in April 2012, ending to bacco displays in all large shops and supermarkets; this will be extended to smaller shops in 2015. Below there are some initiatives taken by the Government to reduce teenage smoking in UK? * Reducing affordability:There is considerable evidence to show that making tobacco less affordable is an effective way of reducing the prevalence of smoking (and young people are particularly sensitive to price). 34Reductions in affordability can be driven by taxation on tobacco products or prior on tobacco products. The availability of cheaper illicit tobacco products undermines the effectiveness of high prices and increases affordability, especially for more disadvantaged groups who are more likely to buy illicit tobacco. 17 * Action on illicit tobacco:Joint action by the UK Border Agency overseas and HM Revenue & Customs (HMRC) at home continues to maintain downward pressure on the market for illicit tobacco, and HMRC has employed an additional 200 staff devoted to tackling hand-rolled tobacc o (Department of health, 2010). Government has developed a cross-departmental illicit tobacco marketing strategy to encourage reductions in demand for illicit tobacco. * Vending machines: Since vending machines are self-service, they offer easy (and often unsupervised) access to tobacco, including for young people under the legal age at which they may be sold tobacco (18 years).Government will prohibit the sale of tobacco from vending machines, subject to Parliamentary consideration of regulations. * Reducing the attractiveness of tobacco products. * Removal of the display of tobacco products by retailers. * Limiting exposure to tobacco use in the media. * Reducing the promotion of tobacco through tobacco accessories. * Increasing awareness of the harms of tobacco. Legal Aspects of teenage smoking cessation: Health policy is largely formulated and implemented by the devolved administrations of each of the member countries of the United Kingdom.However, as tobacco falls within the re mit of a number of different government departments: e. g. Treasury, Business, HMRC as well as Health, tobacco control policy is partly determined at UK-wide level and partly by the devolved administrations. The four nations of England, Scotland, Wales and Northern Ireland have responsibility for their own smoking cessation and health education campaigns while UK-wide policy and law applies to taxation, smuggling, advertising, and consumer protection issues such as the provision of health warnings on tobacco packaging.Some of these measures are determined by European Union legislation. The law related to inhibit teenage or youth smoking are as follows: * The protection from tobacco (Sales from vending machines0 (England) regulations 2012: Sales of tobacco from vending machines is prohibited from 1 October 201. As discussed before most of the teenager got access to the vending machine without proving their age and able to buy cigarettes. * The Children and Young Persons (Sale of Toba cco  etc. ) Order 2007: In force legislation England and Wales.A separate order exists for Scotland. From 1 October 2007 the minimum age for the purchase of tobacco was raised from 16 to 18. The Act updates and amends the Children and Young Persons (Protection from Tobacco) Act 1991. * Children and Young Persons (Protection from Tobacco) Act 1991  (External Web Page): In force legislation England, Wales and Scotland only The Act amended and strengthened the existing Children and Young Persons Act 1933 and the Children and Young Persons Act (Scotland) 1937 regarding the sale of tobacco to minors.This Act increased the penalties for the sale of tobacco to persons under the age of 16, prohibited the sale of unpackaged cigarettes and made provision for local authorities to undertake enforcement action relating to offences connected to the sale of tobacco. * EU COM(2002) 303 final (Proposal): This council recommendation seeks to tighten tobacco control measures with particular emphas is on youth access to tobacco. Amongst the proposals: * Adult only access to cigarette machines * Removal of tobacco products from display Young people to prove their age prior to purchase * Banning sales of packets of 10 * These recommendations do not call for primary legislation but propose changes to existing legislation such as directives on product regulation and labelling. Reference List: Department of Health (2011),’Healthy lives, healthy people: a tobacco control plan for England’. [Online] Available at: http://www. dh. gov. uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_124960. pdf (Accessed 5th December 2012).Department of Health (2009), ‘Impact Assessment for the Health bill’ [Online] Available at: http://www. dh. gov. uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/DH_123583 (Accessed 2nd December, 2012). Gervais A, O’Loughlin J et al (2006) ‘Milestones in the natural course of onset of cig arette use among adolescents’. Canadian Medical Association Journal, 175(3): 255-261. [Online] Available at: http://www. canadianmedicaljournal. ca/content/175/3/255. short (Accessed 2nd December 2012). Health and Social Care Information Centre. Statistics on smoking: England 2010.Department of Health (2005), ‘Smoking, drinking and drug use among young people in England 2004’ [Online] Available at: http://www. dh. gov. uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_4118153 (Accessed 3rd December 2012). . HM Government (2010), ‘A Smoke free Future-A comprehensive tobacco control strategy for England’ [Online] Available at: http://webarchive. nationalarchives. gov. uk/+/www. dh. gov. uk/en/MediaCentre/Pressreleasesarchive/DH_111744 (Accessed 2nd December, 2012). J. Foulds (1999), ‘Smoking cessation in young people: should we do more to help young smokers to quit? Health Education Authority, London, p. 17 ICHS (2012),Ã¢â‚¬Ë œSmoking drinking and drug use among young people in England in 2011. [Online] Available at: http://www. ic. nhs. uk/pubs/sdd11fullreport (Accessed 2nd December 2012). Muller, T (2007), ‘Breaking the cycle of children’s exposure to tobacco smoke’. British Medical Association, London. [Online] Available at: http://www. co. marquette. mi. us/departments/health_department/smokefreeup_org/docs/Children_Smoking_Report. pdf (Accessed 2nd December 2012). Robinson S & Bugler C (2008) ‘Smoking and drinking among adults, General Lifestyle Survey 2008’ [Online] Available at: